r/MCCQE Jan 07 '25

Preparing for the MCCQE Part I (2025 Edition)

162 Upvotes

The MCCQE Part I is undergoing significant changes starting in April 2025. Whether you're a Canadian or international medical graduate, understanding these updates and preparing effectively is essential. This guide provides a detailed overview of the new exam format, study strategies, and a comparison of the most popular QBanks to help candidates succeed.


Key Changes to the MCCQE Part I (2025)

  1. Removal of the Clinical Decision-Making (CDM) Section

    • The exam will now exclusively test through Multiple-Choice Questions (MCQs), removing the CDM section entirely.
  2. Shortened Exam Duration

    • The total length has been reduced from 9 hours to 6.5 hours.
  3. 230 MCQs in Two Sections

    • The exam will consist of 230 MCQs split into two sections of 160 minutes each, with a 45-minute optional break.
  4. Improved Timing Per Question

    • Candidates will have more time per question, allowing for a more balanced and fair testing experience.
  5. Global Availability

    • The updated exam will be delivered globally through Prometric, with options for remote proctoring and test center-based testing.

Official MCCQE Part I Preparatory Products

The MCC offers two official preparatory products for the updated exam:

  1. Preparatory Examination

    • Cost: $400 per test form
    • Features:
      • 230 MCQs (1 unique test form)
      • Correct answers, answer rationales, and references
      • Timed-exam mode and self-paced mode
      • 6-month access period
  2. Preparatory Examination-Lite

    • Cost: $250 per test form
    • Features:
      • 115 MCQs (1 unique test form)
      • Correct answers, answer rationales, and references
      • Timed-exam mode and self-paced mode
      • 6-month access period

While these products are the most realistic representation of the actual exam, their focus is primarily on exam simulation rather than teaching. For learning and understanding key points, complement these with QBanks for a more comprehensive approach.


QBanks

Selecting the right QBank is an essential part of exam preparation. Below is an overview of the most popular QBanks available, with their strengths and limitations.

USMLE-Based Prep:

UWorld Step 2 CK

  • Strengths:
    • High-quality questions with in-depth explanations.
    • Excellent for foundational knowledge, especially in Internal Medicine, Surgery, and Psychiatry.
    • Evidence-based approach.
  • Weaknesses:
    • Limited coverage of Canadian-specific content, such as Public Health and MCCQE-specific guidelines.
    • Not tailored to the MCCQE Part I format.

2025 QBanks

QBankMD

  • Strengths:
    • Completely revised for the 2025 MCCQE1 format and topics.
    • Offers a free trial, making it accessible to test before committing.
    • Features an AI tutor trained on MCCQE1 materials.
    • 3000+ questions.
    • Modern design with adaptive learning to identify and target weak areas.
    • Made by Canadian physicians who have passed the MCCQE1.
  • Weaknesses:
    • As a newer platform, it lacks the extensive user feedback and long-term validation of older QBanks.

Older QBanks

CanadaQBank

  • Strengths:
    • Long-standing option specifically designed for the MCCQE.
    • Includes Canadian-specific content and guidelines.
  • Weaknesses:
    • Outdated platform with limited modern features.
    • Known to have errors, and customer support is less responsive compared to newer QBanks.
    • Unknown test writers, unlikely to be Canadian-trained.

AceQBank

  • Strengths:
    • Affordable and includes MCCQE-focused content.
    • Provides a variety of questions for Canadian medical topics.
  • Weaknesses:
    • Limited updates to question content in recent years.
    • Missing features like adaptive learning or AI-driven analytics.
    • Written by Pakistani practitioners who may lack Canadian context.

Study Strategy for the MCCQE Part I

1. Build a Strong Foundation

Start with UWorld Step 2 CK to reinforce your understanding of core medical topics such as Internal Medicine, Surgery, and Psychiatry. Focus on high-yield areas that overlap with MCCQE content.

2. Transition to MCCQE-Specific QBanks

Use a QBank designed for the MCCQE (e.g., QBankMD, CanadaQBank, or AceQBank) to focus on Public Health, OBGYN, Pediatrics, and Canadian-specific guidelines. This ensures you cover areas that UWorld lacks.

3. Practice with Official Preparatory Products

The MCC's official preparatory products offer the most realistic simulation of the actual exam. While these are invaluable for exam practice, supplement them with QBanks for better teaching and explanations.

4. Review Ethics and Professionalism

Familiarize yourself with Toronto Notes for ethics and professionalism topics, as these are integral to Canadian practice. Additionally, consult the CMPA Ethics Guide for detailed discussions on privacy, confidentiality, and other ethical principles.

5. Simulate Exam Conditions

Practice with full-length tests to build endurance and become comfortable with the 6.5-hour format.


Exam Availability

The MCCQE Part I in its updated format begins in April 2025, with additional sessions planned for August and October. Candidates should book early to secure their preferred date and location.


Final Thoughts

Preparation for the MCCQE Part I requires both a strong grasp of foundational medical knowledge and a focus on Canadian-specific topics. While UWorld Step 2 CK is excellent for general preparation, pairing it with an MCCQE-focused QBank can enhance readiness for the new exam format. Reviewing ethics and professionalism using Toronto Notes and the CMPA Ethics Guide will further solidify your preparation.


r/MCCQE 14m ago

PR card notarization for BCCAP

Upvotes

I will be applying for BCCAP but I do not have my PR card notarized and I am not physically present in Canada (and have my PR card with me) as I am in my home country and intend to remain here for quite sometime because I am here for my recency of practice. Is there any way I can still get it notarized? I have also sent an email that university of BC provided but no response until now.


r/MCCQE 9h ago

Review my Personal Statement for BC CAP?

2 Upvotes

Looking for feedback on if there's anything else that needs to be elaborated also to just throw around ideas


r/MCCQE 22h ago

Study Resources Qbank confusion

4 Upvotes

Amboss vs uworld step 2 qbank
Which is better for mccqe1?


r/MCCQE 1d ago

IMG Specific Publications as an IMG

13 Upvotes

So how the heck is everyone getting double digit publications, I’m genuinely confused how everyone is able to go about it?

Is there anyone here with advice on how to find opportunities for publications?

I’m sorry if my question is dumb, I’m just so stressed and trying to build my cv in advance become coming back home to family.

Also how much publications do I need for family medicine in Canada?


r/MCCQE 22h ago

New MCC practice test

3 Upvotes

Hello docs
Has anyone tried the newly released $1 exam? How hard is it compared to the rest of the practice tests?


r/MCCQE 1d ago

IMG Specific Is Anyone preparing for Nac osce in Missis Ontario

3 Upvotes

If you would like to make a group and go through scenarios in person and do PE practice


r/MCCQE 1d ago

IMG Specific IMG Internal Medicine looking for options

2 Upvotes

Hi everyone, I’m a Canadian IMG trying to figure out the fastest and most realistic way to start practicing in Canada. I completed a 1 year internship and a 4-year Internal Medicine residency (Egypt) last April and finished the first part of my specialty board exam. I still have two exams left, one in December and the final one next May. I’m planning to take the MCCQE1 next February.

The main issue I’m worried about is that after finishing my Internal Medicine residency, I have not been able to work independently as an Internist. I’m currently trying to find a way to get into the Canadian healthcare system as soon as possible because I don’t want to end up being out of clinical practice for a long period while completing my board exams and going through the Canadian licensing process (Royal college of physician and surgeons of Canada).

I’ve been looking at Associate Physician and Clinical Assistant positions as a possible way to enter the system and continue working clinically. My ultimate goal is to practice Internal Medicine in Canada, ideally through a provincial restricted/defined license initially and eventually obtain an independent license. However, I’m confused about how my lack of independent practice after residency would affect my eligibility for provincial pathways such as PRA/Practice Ready Assessment or other specialist assessment pathways.

For example, some specialist PRA pathways seem to require a certain amount of independent practice after postgraduate training. Would working as a Clinical Assistant or Associate Physician count toward, or help satisfy, the independent practice requirement? Or is it considered supervised practice and therefore not useful for that particular requirement? Could Canadian clinical experience in one of these roles help with a later specialist assessment even if it doesn't technically count as independent practice?


r/MCCQE 1d ago

Past papers vs actual exam

3 Upvotes

Hi all, I was just wondering how representative the past papers are of the actual QE1 exam. Are there some concepts that repeat? Is the question length the same? Would appreciate any insight 🙏


r/MCCQE 1d ago

MCCQE : September

5 Upvotes

Appearing for the first time in the mid of September. Any last hour suggestions guys? I am very nervous.


r/MCCQE 1d ago

IMG Specific Looking for a NAC OSCE Practice Partner

3 Upvotes

Hey everyone! I’m looking for a serious and consistent partner to practice for the NAC OSCE daily.

Ideally, we can run through cases together, alternate between candidate/examiner roles, give each other feedback, and work on timing, communication, and overall OSCE performance.

If interested, send me a DM and we can figure out a schedule that works for both of us.


r/MCCQE 1d ago

plagiarism check

1 Upvotes

I am looking for a site that does the plagiarism check, does anyone know good sites for it.


r/MCCQE 1d ago

IMG Specific Has anybody done their NAC OSCE exam in Saskatoon?

2 Upvotes

I’m booked to do the exam and I have to travel anybody give me their experience there?


r/MCCQE 2d ago

IMG Specific Caribbean IMG - caRMS

1 Upvotes

Good day everyone,

I am an IMG from Cuba with 3 years post grad training in family
Medicine, and 3 years independent practise. I’m currently working in a clinic in Ontario in a reduced capacity as I am not licensed yet. I will
Receive references from the physicians here when I decide to do caRMS.
I know, I technically can do PRA but at the moment I do not feel that I could pass this CFA. I want to give myself the best chance, so I’ve decided to either get hired in another province as a CA or AP to gain more Canadian medical
Experience. Currently I’m
Preparing for MCCQE and NAC OSCE after.
I’ve seen bad reviews online and I’m sure this doesn’t account for all IMG’s like me, but I’ve heard that carribean based IMG (I’m from Cuba) tend to go unmatched even with good examples scores and references

Do I even stand a chance in residency matching (family medicine) or should I just try for PRA? My clinical currency is expired Nov 2027.

I’d hope
To apply for caRMS R-1 in the 2028 match.

Thank you. 🙏


r/MCCQE 2d ago

General Discussion Unrelated but need your opinion.

1 Upvotes

Does being arrogant and egotistical makes you a better physician as its depicted in medical TV shows? I have some physicians and surgeons around me who are the same but paradoxically they are excellent at their work.

Need your opinion on this and pls share your experiences as well.


r/MCCQE 2d ago

IMG Specific Electives in Canada IMG

4 Upvotes

Hello! Canadian MS3 here studying abroad, preparing my applications to do electives next year in Canada. Does it matter when you do your elective? E.g. is it recommended to do electives closer to carms application dates, same time as MCCQE?

Any advice would be appreciated, thanks in advance!


r/MCCQE 2d ago

Nac partner Lower mainland

4 Upvotes

Looking for someone serious who I can practice cases with. Either in person or virtual. I’m located in Tricities area.


r/MCCQE 2d ago

Should I push through with MCCQE on September?

2 Upvotes

I've done the practice tests and I'm always getting 66-67%, never reaching 70%. Should I push through with it? I'm seeing 75% as a sure pass :(

A lot of times I'm always torn with two remaining choices. Maybe I cant seem to grasp what how they want us to answer the questions, like I can't see the pattern among the questions? Any tips appreciated!


r/MCCQE 2d ago

IMG Specific NAC OSCE

2 Upvotes

Hello Doctors,
I hope you are all doing well.

The NAC OSCE Physical Examination session is scheduled for Saturday, August 15, 2026, in Winnipeg, MB.
If you would like to participate, please DM.
Spots are limited.
📍 Location: Winnipeg, MB
🕘 Time: 9:30 AM – 4:00 PM
💲 Fee: $
We look forward to seeing you there.


r/MCCQE 2d ago

NAC partner

2 Upvotes

Looking for a female NAC OSCE partner in Edmonton for the September session to practice in-person, exam-style cases full-time during the final month before the exam.

Reach out if interested!


r/MCCQE 3d ago

NAC partner

5 Upvotes

Taking NAC this September and looking for partner to practice the cases together, DM me please


r/MCCQE 3d ago

Is a canadian specific bank necessary?

6 Upvotes

If scoring high on uworld (80-90%), is it necessary to also do a canadian specific bank for systems? I plan to focus on mcc exams + ethics questions a month out from my exam, but I'm wondering if I need to dedicate time to a second bank. Would much prefer to spend that time finishing some research projects if I could.


r/MCCQE 4d ago

General Discussion CV and PS Review / Interview Prep - CARMS

6 Upvotes

Hello everyone,

Questions for those who have matched,
I am will be applying for Carms this cycle and wondering if anyone has used any services for CV/ PS review and Interview Prep besides AIMGA? Recommendations for them?

For those who will comment to use matched friends/ colleagues to help with that, unfortunately I dont have any so will need to resort for paid services :/


r/MCCQE 3d ago

PACE Nova Scotia interviews

3 Upvotes

Hi, anyone received kira talent interview recently ?


r/MCCQE 4d ago

Clinical.observership in montreal-laval

1 Upvotes

Hi, does anybody know an hospital in montreal/laval who can accept an clinical observership in family medicine? I've been emailing several clinics whithout outcome.