January 2027 TDM Examination application is now open

Beginning today, October 5, 2026, the Medical Council of Canada (MCC) has opened application for the Therapeutics Decision-Making (TDM) Examination scheduled for January 13, 2027. The application period will close on October 26, 2026, at 4:00 p.m., Eastern Time.

The exam assesses the competence of candidates at the level required of a family physician practising independently and safely in Canada, and is primarily intended for internationally trained physicians seeking entry into a Practice-Ready Assessment (PRA) program. Before applying for the exam for admission to a PRA program, it is important that candidates review the requirements of the program of their interest to confirm their eligibility.

The TDM Examination is now administered by the MCC, making it possible for candidates to take the exam without an invitation or approval from a PRA program. To apply for the January 2027 exam, candidates must complete and submit the online form available in the section How to apply for the TDM Examination on the TDM Examination Eligibility and Application page.

The TDM Examination is delivered through our vendor Prometric at test centres in Canada and worldwide. Scheduling for the January 2027 exam will open in November. Before candidates can schedule an exam appointment with Prometric, their exam application must be reviewed and accepted in their physiciansapply.ca account.