For the R-1 Main Residency Match, the National Assessment Collaboration (NAC) examination is a mandatory requirement for all international medical graduates (IMGs) and graduates of ostopathic medical schools* applying to residency programs in all provinces. We recommend you refer to the provincial criteria for more information.
The NAC examination assesses the readiness of an IMG for entrance into a Canadian residency program. It is a national, standardized examination that tests the knowledge, skills and attitudes essential for entrance into postgraduate training in Canada. Comprising a series of clinical stations, the NAC examination presents typical clinical scenarios. The examination may include, but is not limited to, problems in medicine, pediatrics, obstetrics, gynecology, psychiatry and surgery.
For more information on the NAC examination, including the examination schedule, eligibility requirements, exceptions and OSCE station description, please visit the Medical Council of Canada (MCC) website.
CaRMS cannot provide information on NAC examination eligibility or exceptions. Please contact the MCC if you have any questions related to these topics.
* Graduates from Osteopathic medical schools who wish to apply to programs in Quebec are not required to pass the NAC.