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 Therapeutics Decision-Making (TDM) Examination 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?

Applications for the TDM exam are now managed by the Medical Council of Canada (MCC), and no longer by the Practice-Ready Assessment (PRA) programs. You can apply for the exam directly through the MCC, without prior approval from a PRA program.

For information on the TDM Examination application process, please consult the MCC’s TDM Examination eligibility and application webpage, which includes FAQs for candidates. You can also find the upcoming TDM Examination dates on this page. For any questions related to the exam, please contact the MCC's service desk.

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.