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Destination: Canada

One national OSCE between you and the match.

For internationally trained physicians, the NAC OSCE is the national clinical skills exam on the road to a Canadian residency — the application cycle's most practical test of how you actually are with patients. OSCEY lets you rehearse it in English, out loud, from anywhere in the world.

12stations2pilot stations11 minper stationCanadawhere you will practise
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Formats change — always confirm with the official NAC OSCE pages.

NAC OSCE exam badge
The bigger picture

The road to Canada

NAC OSCE is one gate on a longer road. Knowing exactly where you stand on it changes how you prepare.

  1. Credentials & language the groundwork

    Your medical credentials verified through physiciansapply.ca, plus English or French language proficiency — the entry requirements for the Canadian route.

  2. MCCQE Part I the written gate

    The Medical Council of Canada Qualifying Examination Part I — the knowledge-based exam on the Canadian pathway.

  3. NAC OSCE you are here

    The National Assessment Collaboration OSCE: a national clinical skills exam whose score is a core part of residency applications for internationally trained physicians.

A common route — yours may differ. Entry requirements, exemptions and formats are set by the official bodies; this page links to them wherever it matters.

Inside the exam

What the NAC OSCE actually tests

The NAC OSCE is a national OSCE administered for the Canadian residency application process. Stations cover the breadth of Canadian practice — medicine, surgery, paediatrics, obstetrics and gynaecology, psychiatry and ethics — with pilot stations mixed in that are not scored. You will not know which ones those are, so every station gets your full effort.

Canadian stations are known for weighting communication as heavily as clinical content: the counselling conversation, the ethical dilemma, the preventive advice, the breaking of difficult news. Eleven-minute stations give you time to do it properly — and enough time to lose your structure if you have never practised one out loud.

  • Communication — counselling, explanation, shared decisions
  • Clinical skills — focused histories, examinations, differential diagnosis
  • Ethics and professionalism — the conversations written exams cannot reach
  • Composure — pilot stations are unscored, but you will never know which

This is the circuit OSCEY builds for practice runs. The NAC Examination has 12 stations, two of which are pilots that do not count toward your score.

Station by station

A NAC-style station, up close

Scroll through one OSCEY station in NAC OSCE colours — the same rhythm the real circuit will demand of you.

OSCEY candidate brief: task, role and setting cards for a NAC OSCE practice stationOSCEY candidate brief: task, role and setting cards for a NAC OSCE practice station
Live OSCEY station: simulated patient in the consultation room during a NAC OSCE practice stationLive OSCEY station: simulated patient in the consultation room during a NAC OSCE practice station
OSCEY debrief after a NAC OSCE practice station: skill changes by domain and exam-aligned practice estimateOSCEY debrief after a NAC OSCE practice station: skill changes by domain and exam-aligned practice estimate
1 The door sign

The door sign

You are the physician in a family practice. A patient wants antibiotics 'for the flu' and has a flight tomorrow. Assess and counsel. Outside the door you already know: the medicine is easy; the conversation is the station.

  • Counselling-first stations
  • Reading-time countdown included
2 Inside the room

Inside the room

Eleven minutes is long enough to explore ideas, concerns and expectations — the Canadian way. OSCEY's patient has their own theory about their illness and remembers everything you promised. Practise negotiating a plan you would actually defend to an examiner.

  • Patients who push back, politely
  • Time to be thorough — or to ramble
3 The debrief

What the examiner saw

The debrief shows where your counselling structure held and where it drifted: strong on exploring concerns, weaker on concrete preventive advice — with the transcript to prove it. That specificity is the whole point of practice feedback.

  • Communication marked as directly as content
  • Your full transcript to review
Train for it

Built for the Canadian conversation

The NAC OSCE rewards doctors who sound like Canadian residents: structured, patient-centred, unhurried. That is a trainable style.

  • Eleven-minute stations that let you practise the full counselling arc
  • Ethics, prevention and shared-decision scenarios in the station library
  • Full mock circuits for the stamina a national sitting demands
  • Debriefs that separate communication from clinical content
  • English-speaking practice from anywhere — before you ever land in Canada
OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes
Questions

NAC OSCE, asked and answered.

The six questions candidates ask most about this exam. The full FAQ covers the app itself — circuits, scoring and privacy.

What is the NAC OSCE for?

It is a national clinical skills examination in Canada whose score forms a core part of residency applications for internationally trained physicians applying through CaRMS. It assesses readiness for postgraduate training in Canada.

How many stations are in the NAC OSCE?

The sitting includes scored stations plus unscored pilot stations being tested for future use — you are not told which is which. OSCEY's NAC circuit uses 10 scored stations and 2 timed rests (12 slots) as a representative practice format; confirm the current structure on the official NAC pages.

How long is each NAC OSCE station?

Stations are typically around eleven minutes — longer than most licensing OSCEs. The extra minutes reward thorough, patient-centred consultations and punish unstructured rambling equally.

What does the NAC OSCE emphasise?

Communication and professionalism alongside clinical skill: counselling, ethical reasoning, prevention and shared decision-making, across the breadth of Canadian practice including paediatrics, obstetrics and psychiatry.

Is OSCEY affiliated with the MCC or the NAC?

No. OSCEY is an independent practice tool published by veridir. It is not affiliated with, endorsed by, or approved by the Medical Council of Canada or the National Assessment Collaboration. Confirm all exam details on the official NAC OSCE pages.

Can OSCEY scores predict my NAC OSCE result?

No. OSCEY bands and percentages are practice estimates from individual stations. They guide your preparation; they are not a prediction, an official score, or any part of your CaRMS application.

Canada starts with one spoken station.

Download OSCEY, open one of the four free stations, and run your first NAC OSCE station tonight — out loud, against the clock, debriefed before you sleep.

Get it on Google Play Download on the App Store

OSCEY simulates patients. Your microphone audio is processed by Google Gemini to run the consultation and is not retained after the station. OSCEY provides practice feedback and practice score estimates only — not an official exam result, not a prediction, and not clinical advice. Not affiliated with or endorsed by the GMC, AMC, MCC, MCNZ, the RCSI or any other examining body.