R-1 Summary of MCC Examination Requirements

NOVA SCOTIA, NEW BRUNSWICK and PEI:  To obtain a postgraduate training license in Nova Scotia after the conclusion of the match, Canadian Medical Graduates must have registered and challenged the Medical Council of Canada Qualifying Exam Part 1 (MCCQE 1) by July 1, 2026. Those unsuccessful in the exam are subject to the decision of the regulatory authority regarding licensure.

Medical students or graduates who have obtained or are in the process of obtaining a medical degree from an allopathic medical school in the U.S can either be considered Canadian Medical Graduates (CMG’s) or International Medical Graduates (IMG’s) within the residency application process, depending on their graduation date. This differentiation is due to changes made in the joint accreditation process of medical schools in the U.S and Canada.

• If you graduated from a U.S. allopathic medical school before July 1, 2025, you are considered a Canadian Medical Graduate (CMG). Refer to the CMG tab for eligibility requirements.
• If you graduated on or after July 1, 2025, you are considered an International Medical Graduate (IMG). Refer to the IMG tab for eligibility requirements.

1. NEWFOUNDLAND/QUEBEC:  MCCQE Part II; or Certificate of Registration of the Licentiate of the Medical Council of Canada (LMCC).
2. NOVA SCOTIA:
   • United States Medical Licensing Examination (USMLE) Steps 1, 2 and 3; OR
   • National Board of Medical Examiners (NBME) Parts I, II and III; OR
   • Federation Licensing Examination (Flex) Components 1 and 2; OR
   • Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) Levels 1 and 2

3. QUEBEC:
   • Graduates with the diploma of doctor of osteopathy awarded before July 1, 2025 by a school of osteopathic medicine situated in the United States providing that the school is accredited by the Commission on Osteopathic College Accreditation of the American Osteopathic Association do not have to obtain the recognition of the equivalence of the medical diploma by the CMQ. These graduates do not require the MCCQE Part I, the NAC, or the Licentiate of the Medical Council of Canada (LMCC) in order to apply.
   • Graduates with the diploma of doctor of osteopathy awarded on or after July 1, 2025 must obtain recognition of equivalence of their MD from the CMQ and are able to provide proof of successful completion of all 3 components of the United States Medical Licensing Examination (USMLE), in place of the Canadian examinations.
   • Particular stream: If an IMG is already training in Canada or in the United States, there are no MCC examination requirements for this match.

4. QUEBEC: The examinations are not the only conditions that must be met in Quebec. Please consult the CMQ website for more details.
5. ONTARIO: MCCQE Part II