This page is a source of information for physicians who intend to obtain the qualification of Licentiate of the Medical Council of Canada (LMCC) and thus inscription in the Canadian Medical Register. Although the information in this page is factual at the time of preparation, changes may occur from time to time without notice. This page is valid for the Qualifying Examination Part I in 2003 only. Any changes will be posted on the MCC Website.
In Canada, each provincial and territorial government is responsible for licensing physicians to practice medicine within its boundaries. The provincial and territorial governments have mandated this responsibility to medical licensing authorities. The medical licensing authorities are listed in the medical licensing authorities page of this site and may be called licensing authority, college of physicians and surgeons, or medical board.
The Medical Council of Canada (MCC) was established in 1912 by authority of Parliament through the Canada Medical Act. One of the original goals of the MCC, which was reconfirmed in 1976 by the Letters Patent of Continuance of the Act, was to establish and promote a qualification in medicine known as the Licentiate of the Medical Council of Canada (LMCC). The LMCC is one of the requirements of the medical licensing authorities for the issuance of a license to practice medicine. This LMCC qualification is granted to graduate physicians who have passed the MCC Qualifying Examination (MCCQE) Part I and Part II. Their names are thus entered in the Canadian Medical Register.
OBJECTIVES FOR THE QUALIFYING EXAMINATION
The Objectives for the Qualifying Examination, second edition (1999), published by the MCC, serve as the basis for the MCC test committee members who write examination questions for the purpose of evaluating medical competence. The general objectives deal with data gathering, clinical reasoning and the principles of management, which are applicable, in part or in whole, to all clinical situations faced by physicians.
In the second (1999) edition of the Objectives, each set of objectives is specific to the presentation. The objectives are grouped in broad categories under each “Clinical Presentation”. The first category displayed is “Causal Conditions” or “Diseases” leading to the clinical presentation. The next category is “Rationale”, which suggests why facets of the problem are critical for the competent physician by highlighting fundamental, vital issues. The third category is “Key Objective(s)”, which emphasizes the one or two elements of the clinical presentation that are essential to the successful management of the problem. The fourth and last category, the Objectives, is intended to stress those elements of data gathering, the diagnostic process and management that are central to the specific presentation.
In addition to defining clinical objectives, the publication includes a section that provides MCC examination candidates with considerations of the legal, ethical and organizational aspects of the practice of medicine. Although the present edition lists these objectives separately, the intention is to consider them as an integral part of the clinical presentation objectives. This integration will be more clearly displayed in the next edition of this book. In their present form, the objectives based on the clinical presentations and those based on the legal, ethical and organizational aspects of the practice of medicine are published as two separate documents.
MULTIPLE-CHOICE QUESTION (MCQ) PRACTICE EXAMINATION BOOKLET
The MCC offers an on-line demonstration of the MCQ component of the examination on its Website.
A booklet containing 168 MCQs is also available for purchase (see below). Practice problems for clinical reasoning skills are not currently available. Candidates are encouraged to try the on-line demonstration prior to the examination date.
ORDERING MCC PUBLICATIONS
The Objectives for the Qualifying Examination, the Objectives of the Considerations of the Legal, Ethical, and Organizational Aspects of the Practice of Medicine (CLEO), and the Multiple Choice Questions (MCQ) Practice Examination booklet may be purchased through the MCC Website, where candidates may either order the publication on-line or download the order form. The CLEO Objectives are free of charge when downloaded from the MCC Website. Click here for CLEO
PURPOSE AND NATURE OF THE EXAMINATION
The Medical Council of Canada Qualifying Examination (MCCQE) Part I is a computer-based test (CBT) that assesses the competence of candidates who have obtained the medical degree, for entry into supervised clinical practice in postgraduate training programs, with respect to their knowledge, clinical skills and attitudes as outlined by the MCC objectives. Please refer to section 11 of the information pamphlet for a more detailed description of the MCCQE Part I.
The examination board, composed of test committees responsible for preparing the examinations, is subject to the By-laws of the MCC.
Each test committee shall:
i. Prepare or select, from materials available to it, test items and clinical problems that are pertinent to:
ii. Prepare a balanced examination from such test items and clinical problems in accordance with the evaluation objectives adopted by the MCC.
- assessment of the candidate's knowledge, understanding, clinical skills and ability to make use of current medical knowledge in a subject;
- frequency of disease and injury in Canada;
- prevention of health hazards and rehabilitation;
- maintenance of psychological, physical and social well-being and good health;
- understanding of the health care system based on available local and national resources, cost-effectiveness and containment;
- essential interpersonal skills with patients, family and other members of the health care system and the community;
- knowledge of gender, moral, ethical and legislative issues that are relevant to the needs of society; and
- self-learning autonomy and maintenance of competence.