Medical Council of Canada

National Assessment Collaboration

The National Assessment Collaboration (NAC) an alliance of Canadian organizations streamlining the assessment process for International Medical Graduates (IMGs) seeking a licence to practise medicine in Canada. The list of participating organizations included:

In 2011, the National Assessment Collaboration Central Coordinating Committee (NAC3) was created in response to the 2004 Report of the Canadian Task Force on Licensure of International Medical Graduates, and the Medical Council of Canada Assessment Review Task Force recommendations. From 2011, the NAC3 was responsible for the oversight of both the National Assessment Collaboration (NAC) Examination and NAC Practice-Ready Assessment (PRA) program during development, and through the transition to sustainable operations. Stakeholder groups that participated in the Committee played a key advisory role. Upon the completion of the NAC3’s mandate (July 2020), the Medical Council of Canada (MCC), with stakeholder input, identified the need for a NAC International Medical Graduate (IMG) Alliance.


NAC IMG Alliance

The NAC IMG Alliance provides a forum for sharing best practices and novel approaches across jurisdictions and organizations related to the assessment of IMGs in Canada. The group’s purpose is to advise on current initiatives as well as advance IMG assessments in response to current challenges and future needs of IMGs, organizations, and jurisdictions.

The Alliance is comprised of IMG assessment stakeholders.


NAC Examination Committee

Much of the work performed by the NAC involves the development, review and testing of examination content. The NAC Examination Committee is responsible for the creation and maintenance of NAC Examination content as well as its performance. The NAC Examination Committee’s mandate is to ensure that all content adheres to the NAC Blueprint and it also oversees the overall format of the examination.

The NAC Examination Committee’s purpose is to prepare a balanced examination that includes test items and clinical problems that are pertinent to:

  1. Assessment of the candidate’s knowledge, understanding, clinical skills and ability to make use of current medical knowledge in a subject.
  2. Frequency of disease and injury in Canada.
  3. Prevention of health hazards and rehabilitation.
  4. Maintenance of psychological, physical and social well-being and good health.
  5. Understanding of the health-care system based on available local and national resources, cost effectiveness and containment.
  6. Essential interpersonal skills with patients, family and other members of the health-care system and the community.
  7. Knowledge of gender, moral, ethical and legislative issues relevant to the needs of society.

For more information on the route to licensure for International Medical Graduates, please visit How to become a practising physician in Canada.