- 美国骨科医学院校毕业生； 或者
- 2015年9月份的考试结果将会在CaRMS报考2016年3月份R-1 Residency过程中及时公布。
Accessibility and test accommodations
Application and eligibility
Requirements for first-time applicants
- Candidates must be a/an:
- International medical graduate;
- International medical student;
- Graduate of a U.S. School of Osteopathic Medicine; or
- Student of a U.S. School of Osteopathic Medicine.
- Candidates must also have passed the Medical Council of Canada Evaluating Examination (MCCEE)
- Candidates need to take the MCCEE first to determine whether they have the basic medical knowledge for the NAC exam.
- This requirement ensures that only those who are most likely to have success incur the expenses related to taking the NAC exam in Canada.
- Candidates are not required to resubmit a Student Attestation Form if they already did so when applying for the MCCEE.
- However, if there are changes since submitting the Student Attestation Form, another form will be required reflecting the changes.
- Candidates who graduated since applying for the MCCEE must create a source verification request (SVR) for their diploma/degree through their physiciansapply.ca account and submit a copy of their diploma/degree.
Requirements for repeat applicants
- The NAC examination can only be taken once per calendar year.
- The NAC examination can be taken a maximum of three times (effective 2011).
- Eligible candidates who have a pass standing on the NAC examination (most recent result) will not be eligible to retake the examination (effective 2015).
- In the event of a fail standing in 2011 or later, eligible candidates can attempt the examination once per calendar year, to a maximum of three attempts.
- A candidate’s most recent result remains valid indefinitely (no longer expires). If a candidate takes the examination more than once, the most recent result will be the valid result.
Application to the NAC examination
- Candidates can apply for the NAC through their physiciansapply.ca account only during specific application periods indicated under Examination at a glance.
- Please note that the option to apply to the examination will only appear in the candidate’s account during specific application periods and only if the candidate meets all eligibility requirements.
Processing of your application
Please allow up to three weeks for the processing of your application.
- If the system determines that all documentation required to confirm your examination eligibility has already been reviewed and accepted by the MCC, you may quickly receive another communication confirming acceptance of your examination application.
Timing of MCCEE and NAC examination for candidates seeking a residency position on July 1, 2016
- Candidates graduating in spring 2016 will be able to apply for the MCCEE 20 months before their graduation date, i.e. as of fall 2014. Previously, the requirement was for students to take the MCCEE in the final 12 months of their medical school program. The change from 12 months to 20 months was made to enable international medical students to challenge both the MCCEE and the NAC examination prior to the CaRMS deadline.
- Once their application to the MCCEE is accepted, these candidates must take the MCCEE by the March 2015 session. The March 2015 session is the last possible chance for candidates to take the MCCEE if they also wish to take the NAC examination prior to the 2016 CaRMS R-1 Match.
- Candidates who have taken the MCCEE in March 2015 or earlier and who have received a pass result can apply for the September 2015 NAC examination in spring 2015.
- Results from the September 2015 NAC examination will be provided in time for the CaRMS application process for the 2016 R-1 Residency Match.
Accessibility and test accommodations
Please review the accessibility and test accommodations information and instructions.
Note: Candidates that are screened and deemed eligible by the AIMG program will be given priority placement at the Alberta NAC exam sites. Remaining available spaces at the Alberta NAC sites will be assigned on a first-come, first-served basis. For more information on the AIMG program, visit http://www.aimg.ca.
Application to future NAC examination sessions
To receive a notice when registration opens for future examination sessions, submit your email address below. The MCC will send this notification to your email address and not through your physiciansapply.ca account. The MCC cannot guarantee that the email notification will reach your inbox.
- When applying for the National Assessment Collaboration (NAC) examination online, you can choose three examination centres in order of preference. The MCC will make every attempt to accommodate your exam centre preference. The likelihood of being assigned to a particular centre does not improve if you choose only one centre.
- The NAC exam is offered both in French and in English only at the Montreal centre and is identified as Montreal (EN/FR). At time of registration, you must designate in which language you want to take the exam at the Montreal exam site.
- The NAC examination can be taken at any of the examination sites and will be accepted by residency program directors regardless of where it was taken. Candidates do not have to take the examination in the province in which they will apply for residency.
- A message will be sent by early July to all accepted candidates once the examination centres have been assigned. This message will explain how to view your centre assignment through your account.
- Approximately two weeks following centre assignment, a message will be sent to all candidates informing them that their entrance card package is now available through their account, and instructions on how to view and print the entrance card package will be provided in this message.
- In collaboration with IMG partner programs, the Medical Council of Canada (MCC) makes every effort to accommodate candidates’ centre choices; however, the MCC cannot guarantee assignment to your preferred centre.
- Once you have chosen your centres during the online application, you must indicate whether or not you would accept assignment to another centre in the event that the MCC cannot assign you to one of your centre choices:
- If you indicated, during the online application, that you did not wish to consider other centres, and the MCC cannot assign you to one of your centres, your application will be withdrawn and the refundable portion of the NAC examination fee paid (i.e., the examination fee minus the withdrawal examination fee) will be credited to your account.
- If you indicated, during the online application, that you would accept assignment to other centers, you will be assigned to the nearest available centre.
- Once a centre has been assigned, a request for a change of examination centre for the September 2015 session will be considered only if received by Thursday, July 23, 2015.
Scheduling conflict (centre assignment)
If you have a significant conflict with respect to your centre assignment, you must send a message through your account, accompanied by supporting documentation. If the request is approved, a centre change fee will apply.
Centre change request
- A centre change request will be considered for the September 2015 session, provided that a written request is submitted to the MCC by Thursday, July 23, 2015 and space is available at the requested centre.
- The applicable centre change fee will be charged to your account only if the change can be accommodated.
- You cannot “change” examination sessions.
- For example, if you are assigned to take the examination in the September session and you wish to delay taking the examination until the March 2016 session or beyond, you will need to withdraw your application and reapply.
Note: Opportunities for change are very limited once the centre assignment process has taken place.
To withdraw from the September 2015 session of the National Assessment Collaboration (NAC) examination, you must do so through your physiciansapply.ca account as follows:
- Click on Examinations in the left panel
- Click on Withdraw from an exam at the bottom of the centre panel and follow the steps
Transfers to a later session are not permitted. You must withdraw and reapply when you wish to take the examination.
Partial refund eligibility
You will be eligible for a partial refund only if you withdraw your application through your physiciansapply.ca account, by the withdrawal deadline date of July 2, 2015 – 11:59 p.m., Eastern Time.
- The application fee will be returned to your physiciansapply.ca account minus a withdrawal administration fee and the reimbursed funds will remain on your account for future use.
- If you wish to obtain a refund, you must submit a message through your physiciansapply.ca account informing us of this and once we receive your message, the refund will be applied to the original credit card you used to make payment.
- Any other administration fees paid in the course of the examination application are non-refundable.
Please note that all funds on a candidate’s account that remain in an inactive state for three (3) full calendar years will be forfeited as of Dec. 31 of the third full calendar year.
Late withdrawal or absence on the day of exam
All fees will be forfeited if you did not withdraw before the withdrawal deadline date or if you are absent on the day of the examination.
OSCE station description
The National Assessment Collaboration (NAC) examination consists of a series of stations based on presentations of clinical scenarios. For a given administration, each candidate rotates through the same series of stations including pilot stations that do not count towards a candidate’s final score. Each station is 11 minutes in length with two minutes between stations. Note: As of 2014,Therapeutic knowledge will be assessed within the OSCE portion of the examination. There is no longer a written component to this exam.
At each station, a brief written statement introduces a clinical problem and outlines the candidate’s tasks (e.g. take a history, perform a physical examination, etc.). In each station, there is at least one standardized patient and a physician examiner. A standardized patient is either a healthy person or a person with chronic stable findings who has been trained to present a real patient’s signs and/or symptoms in a reliable and consistent manner. Candidates should interact with standardized patients as they would with their own patients. This includes draping a patient as appropriate for different elements of a physical examination (regardless of their gender). Most standardized patients that are to be physically examined are already in hospital gowns, but the gowns may be removed as part of the examination. Interacting with standardized patients also includes questioning them and responding to their problems, as you would with a real patient. Your interaction with the standardized patient is part of what the physician examiner is assessing.
In general, you will not interact with the physician examiner. An examiner may prompt you once if he or she believes that you have misunderstood the directions; e.g., you are pursuing a history during the physical examination station. They may also intervene if they believe there is a problem for the standardized patient.
The physician examiner observes the patient encounter. For most stations, the candidate will be asked to respond to a series of standardized oral questions asked by the physician examiner after eight minutes with the standardized patient. The candidate instructions (posted on the door and in the room) will indicate whether there are physician examiner oral questions at the eight-minute mark or not.
It is not your ability to do and be all things at each station that contributes to a good assessment; it is your ability to focus on the assigned task, as well as the given patient problem. For example, if you are asked to conduct a focused physical examination on a patient with acute onset of shortness of breath, the challenge is to prioritize, organize and conduct a physical examination that is appropriate to the degree of respiratory distress presented by the standardized patient in the time allowed for the station. The ability to decide what is necessary for a patient problem, given limited information and time, is critical to success on the examination.
Physician examiners may intervene to provide you with information or results. For instance, in a physical examination station, a physician examiner may be directed to give a blood pressure reading or results of an ophthalmoscopic examination. They can only do this if they are so instructed by the scoring instruments and only if you have initiated the examination maneuver. The intention is to save you time by allowing you to move on to other sections of the physical examination.
Similarly, physician examiners may provide results for some tests. This only occurs at those stations where you are expected to order tests or investigations. However, results are not given for all the tests or investigations that are ordered. This point is important, as ordering a certain laboratory investigation may be a correct procedure, even if no results are forthcoming.
In some administrations there may be observers or second examiners. These individuals are introduced as part of the quality assurance process and for ongoing assessment.