THE MEDICAL COUNCIL OF CANADA
THERAPEUTICS DECISION-MAKING EXAMINATION
What is the Medical Council of Canada Therapeutics Decision-Making (TDM) exam?
Therapeutics is defined as the application of knowledge in the pharmacological and non-pharmacological management of medical conditions. The TDM exam aims to assess the competence of candidates at the level required of a family physician practicing independently and safely in Canada.
How do I register for the TDM exam?
In fall 2026, the Medical Council of Canada (MCC) will implement a new application process for the Therapeutics Decision-Making (TDM) Examination. Starting with the September 2026 exam session, candidates will apply for the TDM Examination directly through the MCC, and no longer through the PRA programs.
For more information about the changes coming into effect in September 2026, see New application model and eligibility criteria for the TDM Examination.
TDM exam dates are scheduled for:
September 23, 2026
January 13, 2027
June 16, 2027
September 22, 2027
Sponsored PRA-BC candidates who attend and successfully complete a 12-week Clinical Field Assessment will be reimbursed for their TDM exam fees.
Is it possible to write the exam remotely?
TDM exam candidates have the option to write the exam in person at selected Prometric test centres in Canada or to use remote proctoring.
Remote proctoring offers candidates the opportunity to test anywhere globally, as long as the computer configuration and internet speed requirements are met. The remote-proctored exam will be delivered through Prometric’s ProProctor remote assessment platform. Exam day information is on the ProProctor check-in.
How can I prepare for the TDM exam?
Review the detailed information and resources in the TDM Exam and Exam Orientation sections on the MCC website.
*Candidates have a maximum of four TDM examination attempts, which includes a maximum of two pass results. Candidates who receive a fail result are ineligible to apply to the next examination session.
