Exam guide · Canada
TDM — Therapeutics Decision Making
The Therapeutics Decision-Making Examination is used by most Practice Ready Assessment programmes. Passing it alone does not confer PRA eligibility.
Exam Specification
| Feature | Details |
|---|---|
| Format | 55 cases, approximately 110–140 questions |
| Structure | Two 1.5-hour sections, one optional 20-minute break, four-hour appointment |
| Vendor | Prometric |
| Languages | English and French |
| Result | Pass/fail only — no numeric score |
| Attempts | Maximum 4 from September 2026, with a one-year wait before a fourth |
| Validity | The three-year validity has been eliminated |
| Applications | Now made direct to the MCC |
Remote proctoring is paused for the TDM as well as the MCCQE.
Fees
| Item | Fee (CAD) |
|---|---|
| TDM Examination | $2,850 |
| Withdrawal | $1,425 |
What we offer
TDM preparation built to the 55-case therapeutics format, with timed practice across both sections.
Canada
Canada for Doctors
MCCQE — Route to Licensure
NAC Examination
TDM — Therapeutics Decision Making
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