Medical Council of Canada

Information for applicants

Information for applicants

NAC PRA might be right for you if:
  • You have certification from an international jurisdiction and you intend to live and practice medicine in Canada
  • You have gone through a residency program and/or been in practice abroad, but in a context that is not known to be comparable to medical practice in Canada
Why choose the NAC PRA pathway:
  • Receive valuable guidance from an experienced physician assessor as you adapt to practice in Canada
  • Provide crucial support in medical care in underserved rural areas of Canada
  • Secure employment in a rural area in the province of assessment upon successful completion of the program and the granting of a provisional licence
What is  the selection process?

The selection process for PRA programs is competitive. After a common screening process that evaluates the credentials, experience and assessments of applicants, PRA programs select candidates who meet minimum eligibility and sponsorship requirements for the practice-ready route. Selection also occurs through regional ranking processes that take into consideration national standards.

Eligibility requirements are in accordance with standards set by the Federation of Medical Regulatory Authorities of Canada (FMRAC).

Common eligibility screening requirements

To be eligible for a NAC PRA program, a candidate must confirm:

  • language proficiency
  • currency of practice
  • scope of practice
  • credentials
  • completion of the Medical Council of Canada Qualifying Examination (MCCQE) Part I

Some PRA programs have limited capacity and therefore will use various selection or ranking tools to filter candidates.

The TDM Examination

The Therapeutic Decision-Making (TDM) Examination is one of the tools utilized in many of the PRA programs. It is a part of the selection process in British Columbia, Alberta, Saskatchewan, Manitoba, Nova Scotia and Newfoundland and Labrador.

The TDM Examination aims to assess the competence of candidates at the level required of a family physician practising independently and safely in Canada. It consists of patient-based scenarios representing common or important clinical presentations and problems that family physicians practising in Canada should be able to competently manage in the following dimensions of medical care: health promotion and illness prevention, acute illness, chronic illness, and safety and adverse effects.

For more information 

For information on how to apply, please contact the relevant provincial PRA program.