Exam guide · Canada
NAC Examination
The National Assessment Collaboration Examination is a half-day, in-person clinical OSCE. It is required alongside the MCCQE for entry to the R-1 residency match.
Exam Specification
| Feature | Details |
|---|---|
| Format | In-person OSCE, half day |
| Stations | 12 — 2 pilot, 10 scored |
| Station timing | 11 minutes each, with 2 minutes between |
| Waiting stations | 2 to 4, non-scored |
| Time at centre | Approximately 5 hours |
| Pass mark | 577 on a 500–700 scale, in effect since May 2023 |
| Attempts | Maximum 3, not in consecutive sessions |
| Languages | English at all centres; French at selected centres |
| Centres | Alberta, Manitoba, Ontario, Saskatchewan |
| Eligibility | US allopathic graduates eligible only from 1 July 2025 |
| Sessions | May and September 2026. 2027 dates not yet published |
Fees
| Item | Fee (CAD) |
|---|---|
| Application | $3,320 |
| Withdrawal | $538 |
| Absence | $1,660 |
| Scheduling request | $130 |
| Appeal | $1,200 |
What we offer
NAC Examination preparation built to the 12-station format, with timed simulated-patient stations at 11 minutes, examiner-style rubrics and mentorship.
Canada
Canada for Doctors
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