Medical Council of Canada

Practice-ready assessment

The National Assessment Collaboration’s (NAC) Practice-Ready Assessment (PRA) programs are offered in seven provinces across Canada as a route to licensure for international physicians who have already completed their residency and practiced independently abroad.

These programs offer a clinical field assessment over a period of 12 weeks. After completion, successful candidates must complete a return of service in a rural area of the province of assessment.

A pathway to licensure for internationally educated physicians

I believe in this program’s ability to adequately identify candidates that would best fit into Canadian practice.

—SIPPA Assessor


Rescheduling of the Therapeutics Decision-Making (TDM) Examination – COVID-19 pandemic

Updates to the June 2020 Therapeutics Decision-Making (TDM) Examination rescheduling May 22, 2020

In light of the ongoing impacts of the COVID-19 pandemic, the Medical Council of Canada (MCC) and Practice-Ready Assessment (PRA) Programs have taken the difficult decision to postpone the Therapeutics Decision-Making (TDM) Examination originally scheduled for June 3, 2020. This exam administration will now take place in Fall 2020, with a date to be confirmed as soon as reasonably possible.

The MCC is working to move the current paper-pencil delivery of the exam to a computer-based delivery. We are exploring flexible delivery methods, including allowing candidates to challenge the examination from their own homes while being proctored remotely. This may also facilitate candidates to take the TDM Exam within their own country, saving the risk of travel as well as cost.

The MCC appreciates your patience as we work to ensure the best possible experience for all candidates, while ensuring the safety of those involved. We appreciate the impact on you by postponing the TDM Exam and will offer further details for the Fall 2020 session by mid-July 2020. For any questions or concerns, please contact the PRA program you have applied to or are registered with.


What is PRA?

In order to ensure that International Medical Graduates (IMGs) and international physicians possess the appropriate clinical skills and knowledge to provide quality patient care in Canada, each participating province offers a practical assessment program where candidates work under supervision and are evaluated over a period of 12 weeks with an aim of obtaining an independent licence to practise in Canada. The focus is on meeting rural and remote needs in Canada with return of service commitments ensuring employment for successful PRA candidates.

What is NAC PRA?

While each province may have distinct requirements within their jurisdictional program, the National Assessment Collaboration (NAC), a group of national and provincial healthcare organizations, has created a pan-Canadian model with a set of common standards, tools and materials for PRA programs in seven provinces. If you are interested in becoming an applicant, we encourage you to consult the “Information for applicants” section below, and to consult the relevant provincial program web page.

If you are an established physician in Canada interested in becoming a PRA assessor, learn more in the “Information for assessors” section below.

Participating in the NAC PRA framework:

Please note that Ontario, Prince Edward Island, New Brunswick, Yukon, Nunavut and the Northwest Territories do not offer practice assessments within the NAC’s pan-Canadian framework at this time. Contact the relevant medical regulatory authority if you are interested in practising in one of these regions.

What is NAC PRA?