MCC-II exam (OSCEs)

Medical Council of Canada 

The Medical Council of Canada (MCC) grants a qualification in medicine known as the Licentiate of the Medical Council of Canada (LMCC) to graduate physicians who have satisfied the eligibility requirements and passed the Medical Council of Canada Qualifying Examination Parts I and II. The MCC registers candidates who have been granted the LMCC in the Canadian Medical Register.

MCC- II exam

The Medical Council of Canada Qualifying Examination Part II assesses the knowledge, skills, and attitudes essential for medical licensure in Canada prior to entry into independent clinical practice.

The exam is comprised of a circuit of short standardized stations (OSCE – objective structured clinical examination), in which each candidate is given a short scenario and asked to perform a particular task – examine a real or simulated patient, review investigations in the context of the scenario, and similar.

The candidate is examined by one or two impartial examiner(s).

As the name suggests, an OSCE is designed to be:

  • objective – all candidates are assessed using exactly the information and marking scheme, which has marks assigned to specific steps of the task
  • structured – stations in OSCEs have a very specific task and the information is sufficiently detailed such that each candidate receives the same initial information, or response from a real or simulated patient.
  • a clinical examination – the OSCE is designed to assess the application of clinical and theoretical knowledge.


OSCE Skills


Important Note:

There are sometimes a few “right” ways to do a procedure (for example ways to approach an aspiration of a knee joint), and a few “more right” ways to structure your clinical examination.

For example, if you view the “Cardiovascular Exam” on this website you will note some obvious omissions from a usual cardiovascular exam here – no blood pressure done and no palpation of the abdomen for aneurysm or auscultation for bruits, or palpation of the femoral pulses.

We suggest that during each rotation you work on ensuring that you are observed performing a quality regional clinical examination and document it as one of you Direct Observation Field Notes!! Get feedback!!

Consider reviewing one of the standard texts on Physical Examination as your resource, e.g.:

Mosby’s Guide to Physical Examination7th Ed., by Henry M. Seidel et al. 2011.

You can do likewise with any procedural skills relevant to the rotation you are in. Make objective confirmation of your confidence in your exam skills one of your goals for every rotation.

In an OSCE it is important to talk your way through the station in a “show your work” fashion. We do not advise taking the information from these online sources as the “best way” to perform any clinical exam or procedure! View with caution.

Pre-exam Candidate Orientation

Common mistakes made on objective structured clinical examination stations

The Medical Council of Canada suggests that the Objectives for the Qualifying Examination is a useful study guide for candidates attempting any of the MCC examinations. This version is organized in terms of clinical problems. Under each problem is a set of learning objectives that lay out exactly what you, as a candidate, have to know for any of the MCC examinations.