The Medical Council of Canada Qualifying Examination Part II(MCCQE alpha) is a 20 station, multi-center, large scale OSCE offered for licensure purposes in Canada since 1992. The MCCQE Part I is a 2 day, 4 section, paper an d pencil examination. The content of the OSCE stations, identified as belonging to one of the 4 skill set:history taking, physical examination, management of an acute patient problem, and communications. In addition, the result of the 10 written stations assessing problem solving, and data management ability were grouped together to form a 5th skill set. MCCQEII is a criterion referenced assessment of the minimal clinical competence. The last 5 years result have been entirely satisfactory. The mean score across the 11 test centers have varied slightly, mostly due to variable representation of first time Canadian takers. The failure rates have varied from 13% to 17% for all the examinees and from 6% to 7% for the first time Canadian takers. The reliability estimates, determined by a Cronbach's alpha range from .72 to .81, and by generalizability analysis(GA) from .61 to .78. The dependability indices at the out off score were .99 for all administrations. The Canadian experience has demonstrated the feasibility of testing clinical competence using an OSCE at a licensure level. This report will describe the administrations of the MCCQEII.
