Medical Council of Canada

Application and eligibility

NAC logo with text: National Assessment Collaboration

Applying for the NAC Examination

You can apply for the NAC Examination during designated periods through your account. You will only be able to apply if you meet the eligibility requirements. For approximate application dates, see NAC overview.

During the application process, you will be asked to choose up to three exam centres in order of preference. You do not have to take the exam in the province where you will be applying for residency.

We will make every attempt to accommodate your centre preference(s). If you choose only one centre, your likelihood of being assigned to it does not improve.

If you are a student

You may need to submit a Student Attestation Form if you have not previously submitted one or if there have been changes to the expected completion date of medical degree requirements since your previous exam application.

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If you are a graduate

Your medical degree/diploma must be in progress of source verification or have been successfully source verified.

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If the MCC has previously reviewed all the necessary documentation, you may receive quick notification that your NAC Examination application has been accepted. Otherwise, please allow up to three weeks after your documents have been received for your application to be processed.

Reapplying for the NAC Examination – Limited exam attempts

You can take the NAC Examination to a maximum of three times overall, regardless of whether you passed or failed your previous attempt. Only your most recent result on the examination remains valid indefinitely and does not expire. As of 2018, the NAC Examination cannot be taken in consecutive sessions (for example, a candidate who took the October 2021 NAC Examination will be able to retake it at the earliest in fall 2022).

Test accommodations for the NAC Examination

If you have a documented functional limitation and associated accommodation need, you may be able to receive test accommodations to take the NAC Examination (e.g., additional testing time, break time, and access to assistive equipment, certain types of medication, breast pump).

You will need to notify the MCC when you submit your NAC Examination application if you have a documented functional limitation or a need that requires test accommodations. For details about how to request a test accommodation, please see the Test accommodations page.

A test accommodation can only be confirmed once:

  • Exam eligibility requirements have been satisfied
  • MCC Test Accommodations Internal Review Committee has reviewed and granted the request
  • Coordination of test accommodations between the MCC and the selected exam centre has been completed

IMPORTANT: Requests for test accommodations, including all supporting documentation should be sent to the as soon as possible. Please see the Important Dates table on the NAC overview page  for the current exam session deadline.

Supporting documentation for the NAC Examination should reference functional limitations in the context of a clinical station and include recommendations for specific test accommodations relevant to an Objective Structured Clinical Examination (OSCE).

Accommodations that require modifications to the standard administration can require significant advance coordination and may not be possible if the required documentation is not received according to the established timelines. The MCC will make all reasonable attempts to appropriately and reasonably accommodate candidates, time permitting.

Not all exam centre support the delivery of test accommodations that require a modification to the standard exam administration. We reserve the right to assign you to a centre and date that supports the delivery of test accommodations. Travel and related expenses may be required.

Are you an international medical student or graduate (IMG) and want to apply for the 2024 CaRMS R-1 Main Residency Match?

If you want to apply for the 2024 Canadian Resident Matching Service (CaRMS) R-1 Main Residency Match and provide results for both the MCCQE Part I and the NAC Examination, you can choose to take the NAC Exam and the MCCQE Part I in the order that you prefer. For more information on timing to apply, please click here.