1. Exams and Electives

2. Topics North American Exams North American Electives
Timeline
Resources: MCCEE, Step 2 CK, Step 2 CS, NAC OSCE
Mock sessions
North American Electives
When & where to apply
Requirements
Cost
Small group Q&A with Kordan, Trevor and Aoife 

3. USMLE STEP 2 CK CS + EE + ELECTIVES
RESEARCH vs. VACATION
USMLE STEP 1
ELECTIVE
USMLE STEP 2 CK CS + EE + ELECTIVES
NAC
APPLICATIONS DUE
INTERVIEWS
MARCH – MATCH!
GRADUATION!!

5. Medical Council of Canada Evaluating Examination (MCCEE) & Step 2 Clinical Skills (CS)
Ideally, start a study plan at the beginning of 3rd year
Study for both at the same time
Focus on management and clinical acumen
NB – you wont have done all of your sub-specialty rotations – usually FM and Psychiatry

6. Medical Council of Canada Evaluating Examination (MCCEE)
180 MCQs – 4 hours
Similar to Step 2 CK but with some Canadian-specific content
*NEW* can write it whenever (Jan-Nov 2018)

7. Physicians Apply Account Fee $280
EE Exam Fee $1780

9. MCCEE Tutorials
NIMSA arranges Obs/Gyne tutorials for those taking the EE
November, December, January, February
Coordinated by Prof Higgins, ran by tutors
@ Holles Street

10. USMLE Step 2 Clinical Knowledge (CK)
Schedule the same way as Step 1
8 1-hour blocks of MCQs + 45 min break time (+15 min tutorial) = 9 hour exam
Much more practical than Step 1
Tests appropriate investigations, management, clinical judgment

11. MCCEE & Step 2 CK Resources
Text
Toronto Notes
First Aid for the USMLE Step 2 CK
Anki
Audio/Video
Online Med Ed
SketchyMicro
SketchyPharm
QBanks
CanadaQBank
UWorld
USMLE Rx
Kaplan
NBME
UWorld Self-Assessments

12. USMLE Step 2 Clinical Skills (CS)
12 Stations
Actors – take a history & do a focused exam, then write a note
Focus on differentials & appropriate investigations
15 minutes/case
Breaks after every 3 stations
8 hours total
Apply early!!
Only offered in 5 US cities
Philadelphia, Chicago, Atlanta, Los Angeles, Houston
Atlanta, Chicago, Houston, LA, Philly

16. NAC OSCE 12 stations (2 unmarked)
Patient actor + examiner in each room
2 min to read prompt
11 min station – either 8 min interaction + 3 min questions, or 11 min interaction for counselling
4 hours total
Covers everything – Medicine, Surgery, Pediatrics, Obstetrics, Psychiatry
History taking
Physical Examination
History + Physical Examination
Counselling

17. May pay $102 with letter from UCD for specific date/location

18. Step 2 CS & NAC OSCE Resources
Text
First Aid for the Step 2 CS
But does not have management beyond initial investigations, which can be important for the NAC
Master the NAC
A Comprehensive Guide to the NAC OSCE
Look up history taking mnemonics
Audio/Video
UWorld Videos
Also comes with a large number of written cases
Mock UCD
Step 2 CS ~April
NAC OSCE ~June

19. 2018 (Canadian) Electives AFMC Portal Fee $500
AFMC Portal Fee $500

20. When & Where? NOSM – Blackout Jul 2 to Sept 2
University of Alberta, University of Calgary – no visiting student electives
University of Saskatchewan – must be Saskatchewan resident
Memorial University – must be Newfoundland and Labrador resident
“Limited Enrollment Registrations” = lotteries
Ottawa, Toronto, McMaster, Dalhousie
Direct Applications
Western
Queens
UBC
Manitoba
McGill

21. Limited Enrollment Registrations (Lotteries)
Ontario
Limited Enrollment Registrations (Lotteries)
School
Open
Elective Window
Cost
Notes
University of Ottawa
Oct 30 – Nov 10
Apr 30 – Jul 1
$1,084
CLOSED
University of Toronto
Nov 1 – 15
Apr – Jun
$500
McMaster University
Dec 1 – 18
Jul – Dec
$775
Direct Applications
Western University
Nov 6 – Jan 26
May 7 – Aug 26
$1,050
Queen’s University
Min 4 months, max 7 months before start date
$825
NOSM
$350
Blackout Dec 25 – Jan 7 & Jul 2 – Sept 2
*Note: June 25 will be earliest possible summer elective start date (last exam tentatively scheduled for Sat, June 23, 2018)*

22. Western Canada
Direct Applications
School
Open
Elective Window
Cost
Notes
UBC
Min 3 months, max 6 months before start date
$825
University of Manitoba
Min 4 months, max 7.5 months before start date
$100
University of Saskatchewan
Min 4 months, max 7 months before start date
$200
Must be Saskatchewan resident
University of Alberta
No visiting electives
University of Calgary
*Note: June 25 will be earliest possible summer elective start date (last exam tentatively scheduled for Sat, June 23, 2018)*

23. Limited Enrollment Registration (Lottery)
Eastern Canada
Limited Enrollment Registration (Lottery)
School
Open
Elective Window
Cost
Notes
Dalhousie University
Jan 3 – 31
May – Aug
$725
Memorial University
Request Limited Enrollment by
$225
Must be Newfoundland & Labrador resident
Direct Applications
McGill University
Min 5 months, max 7 months before start date
$550
Limited specialties
Université Laval
Program information all in French...
Université de Montréal
Université Sherbrooke
*Note: June 25 will be earliest possible summer elective start date (last exam tentatively scheduled for Sat, June 23, 2018)*

24. The School of Medicine International Office
Current Location:
1st Floor Health Sciences Centre C141
Contact details: or

25. 2018 (American) Summer Electives
UCD Elective Competition
Selected based on Step 1 Score
Only a few electives, rest are research and observerships
GHLO
GEMx
U21 Hospitals Programs
Application Free-for-All

26. 2018 (American) Summer Electives
Mayo Clinic (Minnesota, Florida, Arizona) – April 1st deadline for July to Sept electives
Selection based on grades, USMLE Step 1 score and competitiveness for future residency

27. 2018 (American) Summer Electives
Harvard Medical School (Boston)
Online Application deadlines:
March 31 for electives July 4-31
May 1 for electives August 1-28
Deadline to submit materials:
May 1 for electives June 29-July 26
June 1 for electives August 3-30
$115 application fee, $4625 tuition for elective

28. 2018 (American) Summer Electives
Emory University (Atlanta)
June 27-July 22
July 25-August 19
All completed applications and supplemental materials must be received 90 days prior to elective start date
USMLE Step 1, official transcripts, malpractice insurance, background check through:

29. Elective Objectives Demonstrate strong work ethic and team work
Always say yes!
Network! Meet residents, staff and even other medical students
Need at least 3 strong reference letters for apps
Bring up desire for letter early; indicate you are looking for a strong letter of support
Try to meet w/ residency PD of interest
After – follow up and get feedback!

30. How Long? UCD requires a total of 6 weeks of electives
2x 3-week electives OR 1x 6-week
9-10 weeks off during summer
Most US electives are 4 weeks
Fill rest of time w as many 2 week electives as you can/want
Consider January 2018 electives (2 or 4 weeks)

31. Elective To Do’s Scan/copy and upload (primarily for Canada – AFMC):
Recent photo
Police record check w vulnerable sector check (Manitoba)
CV/Resume
Proof of health insurance
Passport
Request from UCD Health Sciences Office a Letter of Good Standing w/ statement of English proficiency
Immunization Records and Serology Results
Two-step TB test – get it now! (within 1 yr of elective)
Hep C and HIV serology (within 1 year; req’d by Queen’s)
Upload any and all documentation (from home & UCD)

32. Immunizations Some programs require exact titre numbers
Measles, Mumps, Rubella, Hep B
Tropical Medical Bureau
$$$ but easy
UCD GP
Annoying to schedule
Get flu shot when offered at MMUH/SVUH

33. Travel and Accommodations
University website for housing listings
AirBnB
Vacationrentals.com
Rotatingrooms.com
Don’t book the last flight out on the night before your elective start date!
Be punctual, be present, get engaged early!

34. For more information and for other resources, please visit us on our website at: And stay tuned for our North American Electives talk in May!

36. Canada Internal, Family US Internal
Canada Anesthesia, Internal
UK Foundation Program

37. Canada Family, Pediatrics, Internal
US Surgery, ENT
Canada Family, Pediatrics, Internal