My Experience with the MCCEE

It was a humid and cloudy day in mid-May. I was stressed out because I misjudged how long it would take me to get to the Prometric center. Luckily, I made it with plenty of time to spare. This was my first attempt taking the MCCEE (Medical Council of Canada Evaluating Exam).

My mark: 313


The exam: You start with a tutorial. There was a highlighting function that worked very, very poorly and was rather distracting/time-wasting. Once the tutorial was over, there it was. 1 out of 180 questions in the top left corner. A timer counting down from 4:00:00 on the right. There was no blocks, just question after question. There was a calculator function. No labs button (but the questions gave you normal values in the stem). 4 hours is plenty of time to get through the exam. The questions were fair. Nothing to abstract or out of the ordinary. There was something that annoyed me and I don’t know if it’s because I wrote the exam in the UK, but every time there was any mention of acetaminophen, there was paracetamol in parenthesis right next to it – each time. I don’t know if that’s because I was writing the test in Europe, where Tylenol is known as paracetamol, or whether I would have come across the same thing had I been doing the exam in Canada. Another thing that annoyed me was the highlighter function – you weren’t able to highlight a word without highlighting ALL of the text that came before it. And forget about trying to highlight two different words in a stem – disaster. Anyway, after the exam, you have time for a survey, where I would have mentioned all of the above – but my keyboard wasn’t working! I ended up clicking through it to exit out just to get it over and done with at the end.

My study prep: I bought the CanadaQBank in September for 6 months, with the initial intent on writing the exam in March. However, I wasn’t really studying and work got in the way. Before I knew it, it was February – my exam hadn’t been booked yet and I didn’t feel anywhere near ready. I decided then that I would book it for May, extend my QBank subscription, and really get cracking on it. I went through all the questions in 50Q blocks by topic in tutor mode. I started with my easiest subject (surgery) and saved my worst (medicine) for last. It took me until May to get through everything once. I made flashcards and used Dr Google (Medscape and Wikipedia) to fill in any gaps on my weaker subjects. Finally, I went through a few question sets using only the difficult questions on an untimed mode. The day before the exam, I did four sets of 45 questions in a timed mode – only to practice going through 180 questions in a test-like scenario. I’d like to say I used another resource, but I didn’t. I do think almost two years of clinical work does help though.

My advice: Think back to previous exams you’ve written and those you did well on. Some people like to read books to study. Others like to watch videos or listen to audio files. Others like to learn from question banks. I’ve always found that I learn best by doing questions. The easy ones are those I can apply to patients and medical conditions I’ve seen and treated previously. My one successful strategy is being able to apply medical knowledge to real-world scenarios. That’s where my strength came in. Also, be fluid and adaptable to what’s going on in your life. My plan to write the exam in March didn’t happen as planned, so I had to re-work a few things and re-plan my schedule because life was getting in the way. If you’re in med school, it’s a lot easier to create a study schedule and stick with it. But if you’re working or have a family or other priorities, you need to be able to adjust for them.

Everything is about trial-and-error. I’ve read through dozens of message boards and forums to try to find that one successful strategy. It’s different for everyone. I’ve previously done all of Kaplan. I’ve tried Goljan, DIT, the Pass Program – you name it. I’ve studied for school exams by reading chapter after chapter – I didn’t retain much. I’ve listened to audio files – didn’t retain much either. Most of my knowledge has come from being able to apply what I’m studying to real life scenarios. If I had understood this whilst a student, I would have put in a much greater effort during my clinical years to learn as much as I could from the patients I was seeing.

What’s next: MCCQE1 (approx $1000) and the NAC OSCE (approx $2500). I need to have done (and passed) the NAC OSCE in order to apply to CaRMS in October/November 2017. But I also want to write the QE1 around the same time to have it over and done with; and so I can stick it on my CV. It’s too late to write the NAC OSCE in November, so I will try to get the exams booked for Spring 2017. In the meantime, I’ll have a look around to develop a study schedule and see if there are any study resources that may be useful over the coming months.

27 Replies to “My Experience with the MCCEE”

  1. Hey! Thanks for the post, and congrats on finishing the exam. I’m currently preparing for this exam. Did you take any self assessments during your prep? If so which one, and was it accurate? Also, what was your average on cqb if you don’t mind me asking? I’m just trying to gage where I stand in my prep since I plan on taking this exam soon.


  2. Hi, I just want to ask an advice from you, I am planning to take the MCCEE this May 2017 and the NAC OSCE as well this year, if i pass both will I be able to apply for matching?

  3. @Gillian: If you do both the MCCEE and the NAC OSCE this year, you will be eligible to apply for the CaRMS 2018 match for sure. Good luck!

  4. @ARS: I didn’t take any self-assessments simply because I forgot they were available. My average on Canada QBank isn’t available to me anymore, but from memory, I think I was averaging in around 40% in tutor mode when I first when through the questions and probably around 80% when I did the questions randomly in test-mode. Hope that helps.

  5. Hi I would like to
    Know if the questions in the Canada QBank are similar with the exam MCCEE..
    Iam studying for to take it in January and I don’t know what is the best way to Study.

  6. I have another question if I don’t work and I can study full time .I mean how long does it take me to be ready for to take MCCEE

  7. I stumbled on this today by chance and i loved it! Many congrats on passing this exam you must feel very proud! I will be applying for this exam by next year because i am in 3rd year now and from a country abroad (not in Canada)…I would like to ask if you wouldn’t mind…is it possible to study for the MCCEE from any of the USMLE books (for steps 1,2,3)? Also what are my chances of me getting into a residency program? (seeing that I am a Canadian citizen but my medical degree would be from abroad)

  8. Hi Cathy! I thought that CanadaQBank was a decent and accurate resource to study for the MCCEE. With regards to the best way to study, that’s different and individual to each person. I personally learn through hands on experience and I find doing questions prepares me best for exams +/- making flashcards.

  9. Hi Cathy! Again, how long it takes you to be ready for the MCCEE is a question that only you can know the answer to. It depends on how well you study and what sort of study schedule you make for yourself. And despite study schedules, you might find you finish reviewing everything in your scheduled time and are still not ready for the exam. You know how you study best – if you’re not working and are willing to study for 8-10 hours per day, you can be ready for the exam within weeks to a few months. If you work and can only devote 2-3 hours a day for studying, again you might be ready within weeks to a few months. Also depends on how much you know and how comfortable you are with what you do know.

  10. Hi Michel, I believe it is possible to study for the MCCEE from USMLE books. I had friends in medical school who did just that as they prepared for the Step 2 (and wrote the MCCEE around the same time). Regarding your chances of getting into a residency program in Canada, that depends on a multitude of factors. Generally speaking, it’s not easy. You need a strong CV, strong references, and Canadian electives work in your favor. Grades aren’t as important as your exam scores. It also depends on what specialty you’re applying for. From my Medical University, the only students from my class who got into Canada were: 1 in family medicine, 1 who got into psych on round 2 or 3, and 1 who got into orthopedics but only after taking a year out to do a masters at his current place of residency. Good luck!

  11. Hey Meelah,
    Congrats for passing the MCCEE. I am a postgraduate in pediatrics from India. I want to apply for a fellowship in cardiology in canada. Can you plz guide me that is it essential to pass both MCCEE and MCCEQ 1 and 2 to apply for fellowship?? And is it essential to clear NAC OSCE too before applying for fellowship??

  12. I’m an international medical graduate. I’ll do the MCCEE in march 2018. Do I have to do NAC OSCE as well to apply? It wasn’t mandatory in the previous years. Thanks in advance!

  13. Hi, i am planning to do my PG in Canada.What all things should i know before applying to mccee exam? Pls help me

  14. Hi there
    I live in the UK and planning to write the NAC OSCE in March 2018. I can’t seem to find any study materials anywhere. Any ideas or tips based on what you used?

  15. Hello 🙂

    I stumbled upon your post when I was looking for review.
    My exam is in 15 days o.O and I am freaking myself out with reading other people’s reviews. I solely depended on toronto notes as my source. I have done my research before studying and I saw alot of people talking about MTB and USMLE books but I think I was in a denial lol. I am freaking out because nobody I know just devoted their studying to TN and Qbanks.

  16. Hi,
    Congrats on your great success. I am planning for NAC as EE is phasing out. What do you think how should I prepare means first go the TN then do clinical skills.

  17. Hi Meelah,
    Im currently studying for the MCCEE, been using Qbank and Toronto Notes, plus Youtube Videos for some visuals. Ive been cracking the questions for about a month and a half now with a month and a half to go. SO that is three months in total.
    Im hoping to sit for the upcoming exam which is on the 20th of May,2018.
    I still have Internal Medicine to go through, as well as Ethics and Family Medicine.
    In your experience do you think Ill be able to finish in time?
    Also, I heard that the topics aren’t divided equally in the exam. Was there an equal distribution when you did it?
    Are there a lot of epidemiology questions?
    btw, I am aiming for a score similar to yours

    p.s. you have a cute blog

  18. Hey there Meelah,

    I’m pretty much in the exact same situation as you are. I moved to Canada after FY2 and just sat the MCCEE today. I mainly used USMLEWorld, although I had a CanadaQBank subscription and did some questions here and there from it too. I was averaging 70% on USMLEWorld on first-pass which I’m told is quite good, but I found the EE quite hard today. There were minimal questions on the standard topics, instead they were mainly “dilemma” style questions with difficult decisions to make. The stems were also incredibly vague and I came out of the exam feeling quite weird about the whole thing instead of “I definitely passed that”.

    How did you feel after the test and was your score congruent with your feelings?


  19. Hi Mariya,
    Unfortunately I can’t 100% advise you with regards to what is essential to pass the EE and QE exams. You need to be familiar with your general medical topics and be comfortable answering questions. For the QE2, good interpersonal skills and communication skills go a long way, but I have yet to sit the QE2 and I know the exams have been getting a revamp recently so I can’t comment on how different they are to what I’ve done/been told about regarding them.

  20. Hi Jawaher, as far as I’m aware, if you wanted to apply for residency as an IMG, the NAC OSCE was required along with the EE and QE1. With the new changes and restructuring of the exams, I’m not entirely sure what has changed.

  21. Hi Feni, if you want to do your PG in Canada, make connections if you can, undertake clinical electives in Canada. With regards to the exam, study, study, study… in whatever way works for you, whether it is reading something like Toronto Notes or studying from questions of a question bank like Canada QBank or UWorld. Everyone has a different style of learning and preparing for exams, and you just need to find what works for you.

  22. Hi Ore, I haven’t done the NAC OSCE nor do I plan to anymore. As far as I can tell, there is no real NAC OSCE tailored study material. I do know my friends who took the NAC were studying for the USMLE Step 2 CS at the same time and used the First Aid cases resource to study for both exams. Hope that helps!

  23. Hi Madie, sorry for the late reply and I hope your exam went well! Hopefully the resources you relied on worked in your favor. I mainly used the Qbank only because I’ve been working in medicine for a while so I didn’t have the time nor the patience to use other resources like MTB and USMLE books. I found the Qbank and a bit of internet reading more than enough for me. Hope everything worked out well for you.

  24. Hi Maida, I realise that the EE has been phased out (I can’t believe it!). Since I don’t plan on applying for a Canadian residency, I’m not considering the NAC at all anymore, but I do know most of my friends basically got together in groups and role played several cases from the First Aid CS book (they were studying the for CS at the same time) – I know they used TN to supplement knowledge, but I don’t think they relied too heavily on it.

  25. Sorry for the late response, but the EE is being phased out so I hope you didn’t waste your money and money on the exam if you don’t have to.

  26. To be honest, I don’t recall how I felt. Indifferent I guess. I was confident I passed, but I was unsure how well I did. My score did surprise me. It’s only a shame that it doesn’t really matter as an exam anymore. If you came to Canada only after completing F2, you’re not eligible to work as a physician as far as I’m aware, or is there some sort of crack in the system that I’m not aware of?

  27. Well, I ended up giving it because to apply for the match this year which is kind of ridiculous but hey-ho. I too was surprised by my score of 344 (I honestly thought I was going to fail at one point). I’m not working as a doctor (yet), I’m mainly doing some research and AHP type work (it sucks, but it will pass).

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