Education Night 2015

USMLE A three-step examination for medical licensure in the United States Step 1 (Basic Sciences)  System and Process  308 multiple choice questions/7 blocks  44 questions/hour (per block)  8 hours (45 min break time + 15 min optional tutorial)  Current passing score for Step 1 = 192  Average score = 220  Can only retake if failed but the first fail shows up in residency application therefore not recommended  Cost $865 US + International location $150 (Aus)  Offered in Melbourne, Sydney

USMLE Step 2 CK (Clinical Knowledge)  Clinical diagnosis and disease pathogenesis  355 questions / 8 blocks (45/block)  9 hours  Medicine, Surgery, Peds, Psychiatry, Obs/Gyn  Significant overlap w step 1 in pharma, pathophys, and bio-stats  Cost $865 US + International location $165 (Aus)  Offered in Sydney and Melbourne Step 2 CS (Clinical Skills)  12 standard patient interactions, 15 min each  Must be taken in US (Philly, Atlanta, LA, Chicago, Houston)  Pass or fail – no numerical score  Costs $1505 Step 3…during residency

Timeline Must have completed 2 years of medicine before taking steps 1 or 2  Step 1: sooner or later?  favorable to have done internal med rotations before taking step 2 CS Have 7 years from time of first exam to finish Steps 1 and 2  Step 2 CS scores are valid indefinitely Steps 1 and 2 are considered valid for 7 years Registration for all 3 via ECFMG website

To learn the material: First Aid Goljan Doctors In Training Kaplan Microbiology Made Ridiculously Simple Board Review Series To practice: Kaplan Q-bank USMLE RX USMLE World Q-bank

Medical Council of Canada Evaluating Examination (MCCEE) 4 hr, 180 MC questions, computer based exam 150 scored, 30 not scored Cannot retake if passed Standard score scale Average score 271 (s.d. 50), pass score 250 Pre-requisite to Medical Council of Canada Qualifying Examination (MCCQE) and NAC-OSCE Offered up to 5 times a year in a 2-3week testing window (Jan, March, May, Sept, Oct-Nov) 3 Prometric sites in Australia $1,695 CAD Score valid indefinitely

National Assessment Collaboration (NAC) OSCE Cost $2230 CAD OSCE stations, 11 min/station, 2 min btw stations ~3 hours Must have passed the MCCEE to be eligible Prerequisite for all provinces’ IMG assessment programs Must be done in Canada (exam centres in AB, BC, ON, MB, QC, NS) March and September test dates Score valid indefinitely Preparing: NAC-OSCE: A Comprehensive Review, published by CanadaPrep Therapeutic Choices edited by Jean Gray, published by the Canadian Pharmacists Association

Medical Council of Canada Qualifying Examination I Only offered in Canada (AB, BC, MB, NL, NS, ON, QC, SK) Content: 196 MC questions in a 3.5 hr morning session (75% of score) 4 hr clinical decision making session in short menu and short answer write-in format involving 60 cases for a total of 80 questions. (25% of score) $980 CAD Required for entry into residency programs Sessions in April/May and Oct/Nov of every year Written after graduation, must have passed the MCCEE

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