OSCE based Exams
USMLE Step 2 CS (Clinical Skills) is an examination for medical students/graduates who wish to become licensed physician in the U.S.
IMGs can take USMLE exams in any order they feel comfortable. While some suggest taking USMLE Step 1 before other USMLE step 2 exams, ,ost IMGs in Canada planning to take NAC-OSCE or MCCQE-2 would rather to go for USMLE Step 2 CS first.
Like all other OSCE based exams the USMLE Step 2CS exam consists of a series of patient encounters in which the examinee must take a history, do a physical examination, determine differential diagnoses, and then write a patient note based on their determinations.
The scope of exams and topics are almost the same as that of NAC-OSCE covering common outpatient or Emergency Room visits encountered in the fields of internal medicine, surgery, psychiatry, pediatrics, and obstetrics and gynecology. Usually, examinees have one telephone encounter, speaking through a microphone.
NAC (The National Assessment Collaboration) Examination
The National Assessment Collaboration (NAC) Examination is a one-day, national, standardized OSCE (Objective Structured Clinical Examination) that tests the knowledge, skills, and attitudes essential for entrance into postgraduate training in Canada.
NAC is a must-take examination if an IMG plans to apply to a Canadian residency program.
The NAC-OSCE includes a series of stations presented with typical clinical scenarios in Medicine, Pediatrics, Obstetrics, Gynecology, Psychiatry and Surgery.
MCCQE-2 (Medical Council of Canada Qualifying Examination Part II)
The MCCQE Part II is a two-day examination that assesses the knowledge, skills, and attitudes essential for medical licensure in Canada prior to entry into independent clinical practice.
The goal of taking MCCQE-2 is to obtain the Licentiate of the Medical Council of Canada (LMCC). Many Canadian medical regulatory authorities may require IMGs to have the LMCC to apply for a medical licence within their province or territory.
This examination consists of a series of clinical stations where a brief written statement introduces a clinical problem and asks you to appropriately address the required tasks which could any or a combination of :
- obtaining a focused history
- conducting a focused physical examination
- assessing and addressing the patient’s issues
- answering specific questions related to the patient
- interpreting x-rays or the results of other investigations
- making a diagnosis
- writing admission orders
Passing the MCCQE-1 is a requirement before you can take the MCCQE-2.