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The National Assessment Collaboration (NAC) is meant to assess students to see if they are ready to become accredited as an international medical graduate (IMG). This would approve them for entrance into a Canadian residency program.
The examination is a national standardized test that evaluates students’ knowledge, attitudes and skills that are necessary to be approved for job training in Canada. The test could include problems associated with pediatrics, medicine, psychiatry, surgery, community health and preventative medicine, and gynecology and obstetrics. Language use and proficiency are important, as is a general knowledge of the therapeutic management associated with common complaints.
The test is scored as a standalone test to any other examinations by the Medical Council of Canada. The presentation and scoring of the material is completed and presented according to a standard that is consistent with what is expected of a graduating medical student who is attending a Canadian medical school. Included is a high standard of ethics and professionalism that is appropriate for physicians who are entering the postgraduate training.
NAC consists of a written therapeutic component and a series of clinical stations, making it as much about studying the material as it is about applying what students learn. The program prepares students for the real-world by simulating the typical scenarios that students will experience in the clinics.
The examination results will be used to rank students to see how they compare to other IMGs. Passing the test doesn’t guarantee the student a training position, but it does let the program directors know about the strongest candidates.
Any student who is NAC test-eligible needs to have passed the Medical Council of Canada Evaluating Examination. Some regions may demand additional criteria prior to taking the exam.
Objective Structured Clinical Examinations
The Objective Structured Clinical Examinations (OSCE) are designed to assess students’ clinical skills. Students should attempt to gain an understanding of what is expected from the station and identify the level of understanding that is needed in order to complete the test successfully. In each station that students complete the test, they will only be evaluated for the components that are relevant at each one of the stations. This means that if there is a component the student doesn’t do correctly, but it isn’t a part of that particular station’s test, then the student won’t be penalized for the error.
Each of the OSCE station tests will take between 5 and 20 minutes. In these stations, students will be asked to undergo a medical encounter with a patient. This is meant to simulate an actual encounter in a clinic. During some of the OSCE exams, you will be joined by a physician, who will be examining students’ skills. They will be watching for students’ communication skills and clinical skills based on a checklist. Some of the exams are also videotaped so that they can be assessed later.
Medical Council of Canada Qualifying Examination Part II
The Medical Council of Canada Qualifying Examination Part II (MCCQE2) is a five-day condensed course that is taken by physicians and residents. This course is a chance to review material pertinent to the MCCQE2 exam. The course is only offered twice each year, and the MCCQE2 is generally offered not long before the exams in May and October.
The topics in the exam can vary, but are generally based on counselling, management, history and examination. The review course is a helpful tool that can prepare students for the challenging test. The small class size allows students to gain special attention from teachers, so that they can address the topics that they find challenging.
