Glossary of terms

Glossary

Acute
One of the areas under “Dimensions of care” in the Blueprint. Defined as a brief episode of illness within the time span defined by initial presentation through to transition of care. This dimension includes but is not limited to urgent, emergent, and life-threatening conditions, new conditions, and exacerbation of underlying conditions.
Assessment/Diagnosis
One of the areas under "Physician activities" in the Blueprint. Defined as the exploration of illness and disease using clinical judgment to gather, interpret and synthesize relevant information that includes but is not limited to history taking, physical examination and investigation.
Blueprint Project
The Blueprint project is a substantial review to evaluate how well the MCC's examinations reflect the reality of medical practice and the health-care needs of society today. The new Qualifying Examinations based on the Blueprint will launch in 2018: spring 2018 for the MCCQE Part I and fall 2018 for the MCCQE Part II. Learn more.
Blueprint
The result of the MCC's Blueprint project consists of a new framework to assess fundamental core competencies required of physicians at various points along their careers regardless of specialty. It is a two-dimensional common assessment framework to be used by the MCC for assessing candidates at two decision points – entry into residency and entry into independent practice. The MCC examinations will be based on this new Blueprint. Learn more.
Canadian medical graduate
A person who has graduated from a Canadian medical school accredited by the Committee on Accreditation of Canadian Medical Schools.
Canadian Medical Register
An official list of physicians who meet the criteria to become Licentiates of the Medical Council of Canada (LMCC). This is a part of the Canadian Standard, the set of requirements for awarding a full licence to practise medicine in Canada.
Canadian Standard
The set of qualifications and requirements that make an applicant eligible for full licensure in every Canadian province and territory.
Canadian medical student
A person who is enrolled at a Canadian medical school accredited by the Committee on Accreditation of Canadian Medical Schools.
CanMEDS | Canadian Medical Education Directives for Specialists
A framework developed by the Royal College of Physicians and Surgeons of Canada for improving patient care by enhancing physician training. Its main purpose is to define the necessary competencies for all areas of medical practice and to provide a comprehensive foundation for medical education and practice in Canada. This framework has been adopted by medical organizations across Canada. The MCC strives to align its assessments with the CanMEDS framework. Learn more.
CCME | Canadian Conference on Medical Education
The premier medical education conference in Canada. It hosts the largest annual gathering of medical educators in the country, as well as international colleagues, students, other health educators, health education researchers, administrators, licensing and credentialing organizations and government. Learn more.
CDM | Clinical Decision Making
An MCC exam question format that evaluates the examinee's problem solving and clinical decision making abilities. Typical CDMs provide scenarios and require short write-ins or responses to be selected.
Chronic
One of the areas under "Dimensions of care" in the Blueprint. Defined as illness of long duration that includes but is not limited to illnesses with slow progression.
Communication
One of the areas under "Physician activities" in the Blueprint. Defined as interactions with patients, families, caregivers, other professionals, communities and populations. Elements include but are not limited to relationship development, intraprofessional and interprofessional collaborative care, education, verbal communication (e.g. using the patient-centered interview and active listening), non-verbal and written communication, obtaining informed consent, and disclosure of patient safety incidents.
Dimensions of care
One of two dimensions identified in the new Blueprint. "Dimensions of care" reflect the focus of care for the patient, family, community and/or population. They include these four areas: Health Promotion & Illness Prevention, Acute Care, Chronic Care, and Psychosocial Aspects.

Health Promotion and Illness Prevention: One of the areas under "Dimensions of care" in the Blueprint. Defined as the process of enabling people to increase control over their health and its determinants, and thereby improve their health. Illness prevention covers measures not only to prevent the occurrence of illness, such as risk factor reduction, but also to arrest its progress and reduce its consequences once established. This includes, but is not limited to screening, periodic health exam, health maintenance, patient education and advocacy, and community and population health.

Acute: One of the areas under "Dimensions of care" in the Blueprint. Defined as a brief episode of illness within the time span defined by initial presentation through to transition of care. This dimension includes but is not limited to urgent, emergent, and life-threatening conditions, new conditions, and exacerbation of underlying conditions.

Chronic: One of the areas under "Dimensions of care" in the Blueprint. Defined as illness of long duration that includes but is not limited to illnesses with slow progression.

Psychosocial Aspects: One of the areas under "Dimensions of care" in the Blueprint. Defined as presentations rooted in the social and psychological determinants of health and how these can impact on wellbeing or illness. The determinants include but are not limited to life challenges, income, culture, and the impact of the patient's social and physical environment.
Health Promotion and Illness Prevention
One of the areas under "Dimensions of care" in the Blueprint. Defined as the process of enabling people to increase control over their health and its determinants, and thereby improve their health. Illness prevention covers measures not only to prevent the occurrence of illness, such as risk factor reduction, but also to arrest its progress and reduce its consequences once established. This includes, but is not limited to screening, periodic health exam, health maintenance, patient education and advocacy, and community and population health.
IMG | International Medical Graduate
An individual who has graduated from a medical school not accredited in Canada or in the US (by the Committee on Accreditation of Canadian Medical Schools or by the Liaison Committee on Medical Education in the US) or graduates of a US school of osteopathic medicine accredited by the American Osteopathic Association.
LMCC | Licentiate of the Medical Council of Canada
The LMCC is a part of the Canadian Standard, the set of requirements for awarding a full licence. A physician who meets the criteria of the LMCC is enrolled in the Canadian Medical Register as a Licentiate of the Medical Council of Canada and receives a Certificate of Registration. Learn more.
Management
One of the areas under "Physician activities" in the Blueprint. Defined as the process that includes but is not limited to generating, planning, organizing safe and effective care in collaboration with patients, families, communities, populations, and other professionals (e.g. finding common ground, agreeing on problems and goals of care, time and resource management, roles to arrive at mutual decisions for treatment, working in teams).
MCC | Medical Council of Canada
The MCC strives to achieve the highest level of medical care for Canadians through excellence in evaluation of physicians. It assesses over 11,000 medical students and graduates each year through its examinations. Its exams are offered in both official languages in sites across Canada, and in the case of the MCCEE, in over 500 locations in 80 countries.
MCC Objectives | MCC Objectives for the Qualifying Examination
The attributes expected of medical graduates entering residency and independent practice in Canada. The published Objectives can be used as a study guide for MCC examinations and are available .
MCCEE | MCC Evaluation Examination
The examination that provides initial screening for International Medical Graduates interested in practising in Canada.
MCCQE | MCC Qualifying Examination
The series of two examinations that assess both Canadian and international candidates for entry into residency (MCCQE Part I) and independent practice (MCCQE Part II). The MCCQE Part I and Part II are the assessment components of the Licentiate of the Medical Council of Canada (LMCC) for both Canadian and international candidates.
MCQ | Multiple-Choice Question
An exam question format in which the examinee selects an answer from a series of given choices.
MRA | Medical Regulatory Authority
In Canada, a provincial/territorial organization with the authority to regulate and/or license medical practitioners within its jurisdiction. For more information, visit the Federation of Medical Regulatory Authorities of Canada.
NAC | National Assessment Collaboration (Examination)
An alliance of Canadian organizations streamlining the evaluation process for international medical graduates. The Collaboration has launched a national examination for entry into residency. It is also involved in developing pan-Canadian standards and tools to ensure that practice-ready assessment processes are consistent and comparable across Canadian jurisdictions.
Paired station
This station consists of a six-minute clinical encounter with a standardized patient and another six-minute session where the candidate may complete activities such as reading a chart or article or interacting with someone related to the case. Both the clinical encounter and the other session are completed by the individual candidate; the candidate does not work in pairs with other candidates in this type of station.
Physician activities
One of two dimensions identified in the new Blueprint. "Physician activities" reflect the scope of practice and behaviours of a physician practising in Canada. They include these four areas: Assessment/Diagnosis, Management, Communication, and Professional Behaviours.

Assessment/Diagnosis: One of the areas under "Physician activities" in the Blueprint. Defined as the exploration of illness and disease using clinical judgment to gather, interpret and synthesize relevant information that includes but is not limited to history taking, physical examination and investigation.

Management: One of the areas under "Physician activities" in the Blueprint. Defined as the process that includes but is not limited to generating, planning, organizing safe and effective care in collaboration with patients, families, communities, populations, and other professionals (e.g. finding common ground, agreeing on problems and goals of care, time and resource management, roles to arrive at mutual decisions for treatment, working in teams).

Communication: One of the areas under "Physician activities" in the Blueprint. Defined as interactions with patients, families, caregivers, other professionals, communities and populations. Elements include but are not limited to relationship development, intraprofessional and interprofessional collaborative care, education, verbal communication (e.g. using the patient-centered interview and active listening), non-verbal and written communication, obtaining informed consent, and disclosure of patient safety incidents.

Professional Behaviours: One of the areas under "Physician activities" in the Blueprint. Defined as the attitudes, knowledge, and skills relating to clinical and/or medical administrative competence, communication, ethics, as well as societal and legal duties. The wise application of these behaviours demonstrates a commitment to excellence, respect, integrity, empathy, accountability and altruism within the Canadian health-care system. Professional behaviours also include but are not limited to self-awareness, reflection, life-long learning, leadership, scholarly habits and physician health for sustainable practice.
Preparatory Examination (PE)
A full-length online practice examination meant to simulate the Medical Council of Canada Qualifying Examination (MCCQE) Part I delivery and experience. A few test versions will be available for purchase, each of which includes a Multiple-Choice Questions (MCQ) component and a Clinical Decision Making (CDM) component. The PE may be completed in timed examination mode or in self-paced mode. For each question, and in either mode, test takers can view the correct answer, the rationale, and a list of references to help with their study. PE users receive performance information for the examination relating to each domain outlined in the MCCQE Part I Blueprint.
Professional Behaviours
One of the areas under "Physician activities" in the Blueprint. Defined as the attitudes, knowledge, and skills relating to clinical and/or medical administrative competence, communication, ethics, as well as societal and legal duties. The wise application of these behaviours demonstrates a commitment to excellence, respect, integrity, empathy, accountability and altruism within the Canadian health-care system. Professional behaviours also include but are not limited to self-awareness, reflection, life-long learning, leadership, scholarly habits and physician health for sustainable practice.
Psychosocial Aspects
One of the areas under "Dimensions of care" in the Blueprint. Defined as presentations rooted in the social and psychological determinants of health and how these can impact on wellbeing or illness. The determinants include but are not limited to life challenges, income, culture, and the impact of the patient's social and physical environment.
Royal College | The Royal College of Physicians & Surgeons of Canada
The Royal College is the national professional association that oversees the medical education of specialists in Canada. It accredits the university programs that train resident physicians for their specialty practices, and writes and administers the examinations that residents must pass to become certified as specialists. Learn more.
Tests | Multiple-Choice Questions and Clinical Decision Making tests
Short online practice tests designed to help assess readiness in the MCQ or CDM component of the Medical Council of Canada Qualifying Examination (MCCQE) Part I. Several MCQ and CDM test versions can be purchased with updated content that adheres to the new MCCQE Part I Blueprint. These tests are completed in self-paced mode, and may be paused and restarted, subject to a time limit. Candidates receive results based on the number of questions answered correctly or incorrectly. These tests feature a select number of MCQ and CDM questions. For a complete end-to-end examination experience, see the Preparatory Examination.
Streamlined and Equitable Assessment for Foreign-Trained Physicians
On March 31, 2015, the Government of Canada announced the approval of $6.7 million over 3.5 years to the MCC for Streamlined and Equitable Assessment for Foreign-Trained Physicians. This funding will support an international and more flexible delivery of the MCCQE Part I, starting in 2019.
US medical student or graduate
A person who is currently enrolled in or has graduated from a US medical school accredited by the Liaison Committee on Medical Education (LCME). Because of joint accreditation between the LCME and the Committee on Accreditation of Canadian Medical Schools, US medical students and graduates do not currently have to take the Medical Council of Canada Evaluation Examination prior to challenging the Medical Council of Canada Qualifying Examination Part I. US medical students and graduates should consult the Canadian medical students and graduates sections of this website, as these sections feature information that pertains to them.
US osteopathic student or graduate
A person who is currently enrolled in or has graduated from a US school of osteopathic medicine accredited by the American Osteopathic Association’s Commission on Osteopathic College Accreditation. US osteopathic students and graduates currently need to take the Medical Council of Canada Evaluation Examination prior to challenging the Medical Council of Canada Qualifying Examination Part I. US osteopathic students and graduates should consult the International students and graduates sections of this website, as these sections feature information that pertains to them.