A single-day exam of 230 multiple-choice questions split into two sections, with an optional break between them. The current format is 100 percent MCQ.
The MCC's current format description is entirely multiple-choice; the old Clinical Decision-Making short-answer cases are gone. Any prep book still featuring CDM cases is training you for a retired format.
Confirmed on mcc.ca/fees at last check — and MCC fees change, often annually, with no effective-date banner. Confirm the current figure before budgeting.
The old 100-400 scale with its 226 pass mark is obsolete, and pre-2025 scores cannot be compared to 2025-and-later scores. Materials citing 226 are outdated — treat them as a warning, not a target.
One Day, Two Sections, 230 Questions
The MCCQE Part 1 compresses its assessment into one structured day: 230 multiple-choice questions across two sections, with an optional break between them. The MCC frames the content on two axes — Dimensions of Care and the Physician Tasks — rather than per-domain percentage weights, and no official blueprint percentages are published for planning.
The all-MCQ reality cuts both ways. The Clinical Decision-Making written cases are gone, so the exam no longer tests constructed answers — but the MCQs are clinical-vignette dense, and they reward applied reasoning over recall. Candidates who prepared with flashcards alone meet vignettes that ask for the next step, the best initial test, the most likely diagnosis — judgment, formatted as multiple choice.
Because the score scale changed with the 2025-and-later exams, historical score discussions online are unusable for calibration. Your baseline comes from current-format practice, and your target comes from the MCC's current reporting — not from a forum post written under the old scale.
In Person Only, and Two Tracks to a Seat
Every MCCQE Part 1 appointment is in person at a Prometric test centre under identity checks. There is no remote option, and the candidate journey runs through physiciansapply.ca — with application-stage certified identity documents required before any exam date exists.
Two tracks lead to a seat: the medical-student track and the graduate track, with different application timing and eligibility gates. Which track you are on changes when you can sit and what the credential feeds — including the LMCC, which is permanent once issued.
The $1,500 application fee anchors the cost side: MCC fees change often enough that any quoted figure should be treated as dated on arrival. We confirm the current fee at intake, because a four-figure surprise is not a planning detail.
How MCCQE Exam Help Actually Works
Send your MCCQE brief
Message us on Telegram, WhatsApp, or Discord with your track (student or graduate), your physiciansapply.ca application stage, your target session, and your baseline preparation state.
Get an honest feasibility read
The request is reviewed privately, so you know whether the timeline, the format, and the target result are workable before anything starts. If it is not realistic, you hear that plainly at intake.
The sitting is handled
You receive a structured execution plan covering communication, readiness checks, and fallback steps. The MCCQE Part 1 sitting itself is then handled as agreed, with 1:1 coordination throughout.
Settle after the result
The service fee is due after the agreed pass or score outcome posts in your MCC account. That keeps the arrangement pointed at your result — and you never pay the service fee upfront.
Where MCCQE Candidates Actually Lose the Exam
The quiet killer is stale preparation: materials built for the CDM-era exam or the retired 226-pass-mark scale. Candidates who train constructed answers for an all-MCQ exam waste their strongest hours on a format that no longer exists.
The second leak is vignette reading. The questions are dense clinical scenarios asking for the next step, the best initial test, the most likely diagnosis — and the distractors are all defensible. Candidates who read for keywords instead of the clinical picture lose points they actually know.
- •Training for the retired CDM short-answer cases instead of the current all-MCQ format.
- •Calibrating against pre-2025 score discussions — the scales do not compare.
- •Losing the second section to fatigue: 230 questions in a day punishes an unmanaged break.
- •Recall-only preparation: the vignettes reward applied judgment, and flashcards alone do not build it.
Student Track or Graduate Track: Two Routes to a Seat
Both tracks sit the same 230-question exam, but the application path and timing differ. Confirming which track you are on is the first planning output.
| Medical student track | Graduate track | |
|---|---|---|
| Who it is for | Students in Canadian medical schools at the eligible point in their program | Graduates — including IMGs — pursuing licensure |
| Application | Through physiciansapply.ca with school-linked eligibility | Through physiciansapply.ca with certified identity documents |
| What it feeds | Progression and the LMCC path | The LMCC, permanent once issued |
| Planning note | School timelines gate the session | Document certification gates the calendar |
Scroll horizontally to view all columns.
What You Get
Current-format alignment
The all-MCQ, new-scale exam — not the CDM-era format that older prep materials still teach.
Vignette-reasoning method
Next-step, best-test, most-likely-diagnosis questions reward clinical judgment. The reading method that produces it is trained, not assumed.
Track-aware planning
Student and graduate tracks differ in timing and eligibility. The plan matches the track you are actually on.
Application-stage guidance
Certified identity documents and physiciansapply.ca steps sequenced so the application never gates the session you want.
Session and centre logistics
Prometric centre selection, the two-section day structure, and the optional break — planned, not discovered on the morning.
Private 1:1 coordination
One coordinator on Telegram, WhatsApp, or Discord. No shared dashboards, no group chats, no public record.
Is This Safe, and How Discretion Works
Discretion is the product. Your exam details, target, and result stay inside a private channel you control; nothing is published, referenced, or reused — no case studies, no screenshots, ever. We never ask for your exam-board login, and the thread is deletable by you at any point.
What we control is the quality and privacy of the engagement: an honest feasibility answer before anything starts, a structured execution plan, and a fee that follows the result. If your situation makes the service a bad fit, we say so at intake — not after.
- •We never ask for your MCC, physiciansapply.ca, or Prometric login — access stays with you.
- •Coordination is 1:1 on Telegram, WhatsApp, or Discord, deletable by you at any point.
- •No case studies, no screenshots, no references to your scores or program — ever.
- •If your situation makes the service a poor fit (an unrealistic session, application-stage problems, document issues), we say so at intake.
Pay After You Pass
The MCCQE Part 1 costs CAD $1,500 before any service conversation begins. Our side is simple: the service fee is due after the agreed result posts in your MCC account — never before.
We do not promise a specific score; we promise the fee follows the result, never precedes it. Settlement is flexible and private, confirmed with you through the same channel you already use.
Candidate Feedback
My prep book still had CDM cases. They replaced my materials with current-format practice and the vignette method — the exam I sat was the exam I had trained for.
The two-section pacing plan mattered more than expected. My first full-length collapsed after the break; the real day did not.
Straight answer on my session being unrealistic at my application stage. Fixed the application first, sat the next session, passed.
Take My MCCQE Part 1 Exam: FAQs
Can I really pay someone to take my MCCQE Part 1 for me?
Is the MCCQE Part 1 still all multiple-choice?
What is the MCCQE Part 1 passing score?
How much does the MCCQE Part 1 cost?
Is there a remote MCCQE option?
How is the exam content organized?
Do you need my physiciansapply.ca or Prometric login?
When is your fee due?
Get a Private MCCQE Plan Before Your Session
Send your track, your application stage, and your session. You get an honest feasibility answer, usually the same day. If the plan works, the fee lands after the result posts. If it does not, you have lost nothing but a message.
Book MCCQE Part 1 Help