NAC OSCE Help

NAC OSCE help: dates, what examiners score, practice stations and a physician to call

Free resources first, paid tools second — built by Canadian physicians for IMGs sitting the NAC. Start with the station checklist: it is what we sent to 1,800 candidates this week.

Get the station checklist
Next NAC Examination · 2027 dates not yet announced
Last sitting: Sep 19–20, 2026, at nine Canadian centres · fee CAD $3,320 · the MCC has not yet announced 2027 dates. This page is updated the day they appear.
Read the station checklist

The 11-minute station, minute by minute

Every NAC station is scored against a checklist and a global rating. The marks are in the structure, not in how much medicine you know. Here is where the minutes go and what examiners tick at each stage.

0:00
0:45
6:00
8:30
10:00
11:00

Open

0:00 – 0:45
  • Hands, name, role. Confirm the patient's name and age.
  • Reason for the visit, in their words.
  • "What worries you most today?"
  • Signpost the agenda.
Scored: rapport, identity check, agenda. Same opening at every door.

History

0:45 – 6:00
OPQRSTU
  • Onset · Provoking/palliating · Quality · Region/radiation · Severity · Timing · U: "What do you think is going on?"
  • Associated symptoms and pertinent negatives.
  • Red flags, asked by name.
  • Mid-way summary at ~4:00.
Scored: focus, structure, red flags. If there is an exam: verbalise every step.

Background

6:00 – 8:30
PMAFS
  • Past history · Meds · Allergies · Family · Social (SAD: smoking, alcohol, drugs).
  • Screens where they fit: CAGE, HEADSS, GTPAL, BINDS, SIGECAPS, DIGFAST.
Scored: the checklist items live here — say each heading as you go.

Perspective

8:30 – 10:00
FIFE
  • Feelings · Ideas · Function · Expectations.
  • Likely cause in one plain line; the plan and why.
  • Check understanding: "Tell me what you'll do at home."
Scored: empathy, plain language, shared decision. Communication is scored on every station.

Close

10:00 – 11:00
SNSF
  • Summary — two sentences.
  • Next step — one.
  • Safety net — "come back if…"
  • Follow-up — when, with whom. "Anything I haven't asked?"
Scored: closure. Running out of time costs more than a wrong diagnosis.

Get the printable station schematic — free

One page: the clock above with every mnemonic in place, the red flags by system, the scripts for the opening and the close. Print it, tape it above your desk, practise against it.

The schematic opens right here (print it or save it as a PDF). Before each NAC sitting, one email from Dr. Akil. Unsubscribe any time.
What's on the page
OPQRSTUPMAFSFIFESNSFRed flags × 6CAGE · HEADSS · GTPAL · BINDSSIGECAPS · DIGFASTOpening script30-second close

The exam in numbers

Figures from the Medical Council of Canada; updated the day they change.

Sep 19–20, 2026
most recent sitting (now completed). Applications closed Mar 25; a supplementary window ran May 11–15.
82.6%
passed in 2025, of the 2,413 candidates with a final result (2,416 sat), per the MCC's 2025 technical report.
CAD $3,320
exam fee, paid through physiciansapply.ca.
2027
dates not yet published by the MCC. We update this page and email the list the same day.

Practise it timed: OSCE-R, 122 NAC stations

67 history-taking stations and 55 combined history-and-physical stations across 16 systems, each on the clock with its rubric at the end. Run them solo or with any partner — a friend outside medicine can read the script. Stations are in English; French versions are in progress. CAD $119 for 90 days, $219 for 180.

10Cardiology
10ENT
10MSK
10Psychiatry
8Abdomen
8Dermatology
8Ophthalmology
8Respirology
8Surgery
7Neurology
7Urology
4Ob/Gyn
4Palliative
4Pediatrics
3Adolescent
3Breast

Start the free 30-question trial How OSCE-R works →

Get feedback from a physician

Practising alone tells you what you said. A physician tells you what the examiner heard.

Free 15-minute call

Where you are, what to do next, and whether a paid session would change anything. Many people leave with a plan and never book one.

Book the free call

Mock NAC station + debrief

One timed 11-minute station run live with a physician, scored against the OSCE-R rubric, then a 30-minute debrief and a written station report within 24 hours. English or French.

CAD $199 · 45 minutes
Book a mock station

NAC OSCE questions we get every week

How long is each NAC OSCE station, and what is scored?

Each station is 11 minutes including the reading time at the door. Examiners score a checklist of history and exam items plus global ratings that include communication and organisation. That is why structure matters as much as content: an unspoken exam is an unscored exam, and a station that runs out of time loses the closing marks.

What is the NAC OSCE pass rate?

In 2025, 2,416 candidates sat the NAC Examination; 82.6% of the 2,413 who received a final result passed (MCC NAC Examination Annual Technical Report 2025). Timing and communication are scored at every station, so practise them as deliberately as the medicine.

When should I start timed station practice?

Four to six weeks before the exam: one system a day at first, then mixed sets in the last ten days so that the opening, the mid-way summary and the close become automatic. In the final week, stop learning new content and run two or three timed stations a day.

Are the practice stations available in French?

Not yet. The stations themselves — the candidate briefing, the patient script and the examiner answers — are in English; station titles appear in both languages. The MCCQE1 question bank and the Public Health, Ethics & Epidemiology module are fully bilingual, and French OSCE-R stations are being written now.

Can I get feedback from a real physician before the exam?

Yes. A free 15-minute call is available to anyone, and the mock NAC station with debrief (CAD $199) gives you one timed station with a physician, scored on the rubric, with a written report within 24 hours.

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