A complete station-based review with Canada-specific management and counselling — 92 high-yield cases across 8 core specialties, aligned with 2025–2026 guidelines. Built for IMGs and Canadian graduates preparing for the Medical Council of Canada OSCE.
Every station mirrors the structure of the real exam, with communication and ethics integrated where they actually live — inside the clinical encounter.
Every scenario integrates the latest recommendations from CFPC, CCS, CAEP and Choosing Wisely Canada — reviewed for the 2025–2026 cycle.
A uniform template — Overview, Candidate Instructions, Clinical Approach, Differential, Management, Counselling — so every station rehearses the same cognitive load as the real thing.
Calgary-Cambridge, SPIKES, capacity assessment and shared decision-making are woven into the cases — not relegated to an appendix nobody reads.
Bridges international clinical training to Canadian standards, with explicit attention to the cultural, ethical and system-level differences the exam actually tests.
Every station follows a structured step-by-step clinical approach — red flags, differentials, investigations, and management at a glance.
Purpose, audience, station structure, scoring, 2025–2026 updates and what examiners actually look for.
MCC objectives, Canadian guideline integration, and the Calgary-Cambridge, SPIKES and NURSE communication models woven throughout.
The largest clinical block — chest pain, dyspnea, diabetes, stroke, seizures, cognitive decline and more, with differential-driven workups.
Acute presentations, obstetric emergencies, women's health, abdominal pain and the procedural reasoning the exam rewards.
Developmental red flags, common paediatric presentations, mood and psychotic disorders, capacity and safety assessments.
Preventive counselling, cultural safety, consent, breaking bad news and the counselling encounters that separate candidates.
Both 2026 application windows are now closed. Registration for the 2027 cycle is expected to open in late 2026.
A quick reference for anyone starting their preparation — what the exam is, what it tests, and how it's scored.
The NAC OSCE (National Assessment Collaboration Objective Structured Clinical Examination) is a standardised, pan-Canadian clinical skills exam administered by the Medical Council of Canada (MCC). It assesses whether international medical graduates (IMGs) have the clinical skills, knowledge, and attitudes required to enter a Canadian residency program. Approximately 1,700 candidates sit the NAC OSCE each year, making it one of the primary gateways in the Canadian IMG pathway.
The NAC OSCE exam consists of 12 clinical stations, each exactly 11 minutes long, for a total duration of approximately three hours. At every station, a standardised patient (SP) and a physician examiner assess the candidate on up to seven competencies: history taking, communication skills, diagnosis, data interpretation, investigations, management, and physical examination. All candidates at a given session rotate through the same series of stations.
Stations draw from seven medical disciplines — Medicine (2–4 stations), Surgery (2–4 stations), Psychiatry (1–2), Obstetrics & Gynecology (1–2), Pediatrics (1–2), Geriatric Medicine (1–2), and Urgent Care (1). Every exam form is guaranteed to include Respiratory, Cardiovascular, and Gastrointestinal cases at minimum. Management is benchmarked to Canadian guidelines — CFPC, CCS, CAEP, and Choosing Wisely Canada — not international standards.
Your total NAC OSCE score is the average of 10 station scores, converted to a scale of 1300–1500. The current pass score is 1374. The standard is benchmarked to the expected performance of a recent Canadian medical graduate entering postgraduate training. Full blueprint breakdown →
The first three chapters — Introduction, The NAC OSCE Exam, and Clinical Frameworks — are available to read in full, at no cost.