A current pass standing on the Therapeutic Decision Making Examination is required for acceptance to SIPPA. SIPPA applicants who have successfully completed the saskdocs pre-screen are eligible to sit the TDM Examination.

Applicants to SIPPA should be aware that it is a competitive process and that achieving a pass standing on the TDM Examination does not guarantee selection for the SIPPA program. All applicants to SIPPA must meet eligibility requirements as set out by saskdocs and the College of Physicians and Surgeons of Saskatchewan.

What is the Therapeutics Decision Making (TDM) Examination?

Please see the Medical Council of Canada (MCC) website for information about the examination.

The content is developed by the Medical Council of Canada (MCC) and is administered by the Practice-Ready Assessment (PRA) programs for use in the selection of candidates into PRA programs. If you obtain a pass result, you will not be allowed to retake the examination in an attempt to get a higher score. 

The pass score is established through a rigorous standard setting exercise by a panel of physician subject matter experts from across the country. Results are valid across jurisdictional PRA programs that require the TDM Examination. Candidates are required to declare previous TDM Examination attempts.

Please see the Candidate Information Sheet.

Therapeutic Decision Making Examination Fee and Dates:

Effective January 1, 2022 all applicants who sit the NAC PRA TDM Examination will pay a fee of $2140. All other associated costs (travel, accommodation, etc.) are the responsibility of the physician applicant writing the examination.

TDM Examination dates can be found on the Medical Council of Canada website.

Please see either the Important Updates section on the SIPPA website or the Medical Council of Canada website for any updates regarding the examination.

Candidates must review and be familiar with the Medical Council of Canada Test Security Guidelines prior to writing the TDM Examination.

 Withdrawing from the NAC PRA TDM Examination:

Transfer of registration or fees to a future TDM Examination date is not permitted. Should you choose to withdraw, you must receive an invitation for a future examination.

Candidates who withdraw more than 120 hours prior to the exam date will receive a partial refund of the full exam fee minus $400. Candidates who withdraw less than 120 hours of the exam date, will forfeit the full exam fee. 

All fees will be forfeited if:

  • you did not withdraw before the withdrawal deadline date, or
  • you are absent on the day of the exam

Further information on withdrawing can be found on the Medical Council of Canada website.

Extension of the TDM Examination Result Validity Period:

For information on extension of the TDM Examination result validity period, please see the Medical Council of Canada website.

Once the Validity Period has expired, you will need to retake the examination should you wish to be considered once more for a practice-ready assessment. You are allowed a maximum of two pass results per lifetime. If you obtain a pass result, you will not be allowed to retake the examination in an attempt to get a higher score within the two-year period. 

TDM Examination Attempts:

For information on limited exam attempts, please see the Medical Council of Canada website.

TDM Examination Results:

Results are released to the PRA Programs within four to six weeks of the examination date. For further information please see the Medical Council of Canada website.

Requesting a Score Recheck:

The 2022 NAC PRA TDM Examination Score Recheck fee will be $256. For further information on requesting a score recheck please see the Medical Council of Canada website.

Preparation Resources:

The MCC has compiled a list of reference books and online reference materials that may be helpful in preparing for the examination. For further information please see the Medical Council of Canada website.

The Orientation to Family Practice in Saskatchewan is to familiarize IMG physicians to the unique aspects of practicing medicine in Saskatchewan. The Orientation to Family Practice in Saskatchewan is not a review of core family medicine knowledge.

Orientation Topics Include:

  • Indigenous Culture in Saskatchewan
  • Chronic Care of Children, Adults and the Elderly in Saskatchewan
  • Saskatchewan Formulary and Controlled Medications
  • Provincial Emergency Services
  • Consultation and Patient Referral Process
  • HIPA and Record Keeping
  • Public Health and Infectious Disease Reporting
  • LEAN Basics
  • Electronic Medical Records
  • Clinical Screening Programs
  • Physician Support Program
  • Medico-Legal Issues
  • Collaborative Care Discussion Panels

The Clinical Field Assessment (CFA) is a 12-week competency assessment that occurs outside of the community to which the physician is recruited. The CFA involves direct and indirect candidate supervision and evaluation of patient care by SIPPA approved physician faculty. The CFA candidate evaluation occurs in multiple settings (ambulatory/clinic, ER, hospital inpatient ward and long term care) and involves multiple assessors and typically will occur in more than one community. SIPPA does not specify a minimum or maximum number of assessments in each specific practice setting; rather, it is expected that candidates will be assessed in the typical practice settings that the physician assessor works in.

After an orientation to the CFA site, including local and regional healthcare services, candidates are assessed to determine their “practice readiness.” Candidate assessment encompasses a global review of practice including communication skills, information gathering, learning techniques, prescribing, case management and readiness for independent practice. Candidates are assessed at the level of A CANADIAN TRAINED FAMILY PHYSICIAN ENTERING PRACTICE.

The reference document for evaluating competence in the CFA is 'Defining competence for the purposes of certification by the College of Family Physicians of Canada: the evaluation objectives in family medicine.'

Candidate performance is reported using: