Important Updates

Update Regarding SIPPA Minimum Eligibility Requirements

Due to the discontinuation of the Medical Council of Canada Qualifying Examination Part II (MCCQE2) exam, the NAC Examination (NAC OSCE) will continue to be an accepted examination to meet the current prescreen requirement of MCCQE2 or NAC OSCE. The required scores remain in effect. Detailed prescreen eligibility requirements can be found here

Selection into SIPPA is a competitive process and meeting the minimum requirements, including achieving an acceptable pass standing on the NAC OSCE or MCCQE2, does not guarantee selection for the SIPPA program. Details about these examinations can be found on the Medical Council of Canada’s website at

For the purpose of meeting Pre-Screen licensure eligibility requirements for the Saskatchewan International Physician Practice Assessment (SIPPA), the accepted NAC Examination (NAC OSCE) score for examinations written on or after September 12, 13, 2020, will be “pass with superior performance”. A “pass” standing will not meet minimum eligibility requirements. 


Remote Proctoring: A new option for the TDM Examination

Beginning in January 2021, TDM Examination candidates will have the option to write the exam in person at selected Prometric test centres in Canada or to use remote proctoring. Remote proctoring offers candidates the opportunity to test anywhere globally, as long as the computer configuration and internet speed requirements are met. For more information visit:


COVID UPDATE: Therapeutic Decision Making Examination Update

Please note the following from the Medical Council of Canada (MCC) regarding the TDM Exam:

For an update on current NAC PRA TDM Exam and PRA information, please click here.  

For further updated information on the NAC PRA TDM Exam Validity Period and Attempts, please click here.


Therapeutics Decision-Making (TDM) Examination

Candidates who have been deemed eligible by a PRA program to sit the examination will receive instructions on how to schedule their exam from the MCC, directly through their account. Candidates may connect directly with the MCC through their account or, where staff are available to answer questions. 

The 2022 TDM Examination sessions are planned for January 18 and June 7. 

For more information about the TDM Examination, please visit the MCC’s TDM Examination webpage. 

Effective January 1, 2022 all applicants who sit the NAC PRA TDM Examination will pay a fee of $2140.