Skip to content

For international medical graduates

Practise NAC OSCE stations without a study partner.

A NAC OSCE station, run end to end: eleven minutes with a standardized patient, an examiner in the room, and feedback on what you covered.

Take the history, describe your examination, and work through the examiner's questions. Practise aloud, on your own schedule.

Free to start — 3 free stations when you sign up. Credit packs are not open for purchase yet.

No physician has reviewed the content. Practise the encounter here and keep a clinical reference for the medicine.

Our adaptation of each case for Canadian practice is cross-checked by three independent model passes, and anything a majority cannot confirm, or that any pass flags as unsafe, is withheld rather than published.

The problem is not the medicine.

You already know the content

What you cannot get is repetition: someone to sit across from you and be the patient, again, tonight.

Partners are hard to match

A study partner in another time zone is available at the wrong hour. One at your level cannot tell you what you missed. One above your level does not have the time.

So the speaking never gets practised

Most candidates practise the parts that do not need a partner, and walk into a spoken examination without enough practice at speaking.

What the catalogue covers

154 stations across 118 presentations, from the common to the awkward.

  • Abdominal aortic aneurysm
  • Ankle pain
  • Chest pain
  • Cough
  • Double vision
  • Fever
  • Hand rash
  • Irritable and emotional
  • Nosebleed
  • Pathology results discussion
  • Recurrent falls
  • Shoulder and hip pain
See the whole catalogue

How a station runs

  1. Read the brief

    A short written statement introduces the clinical problem and sets out your tasks. Our exam guide explains how the real examination times that reading period.
  2. Work the station aloud

    Take the history from a standardized patient, describe the physical examination you would perform, and answer the examiner's questions, all spoken and all inside the eleven minutes.
  3. See what you covered

    Feedback organized by the competencies the examination assesses, saying what you did and what you left out. Not a score, and not a verdict.

Inside a station

A conversation worth practising.

Speak to the patient, ask the examiner for findings, and decide what comes next. All three voices stay together in one encounter.

Find your first station →
Station 04 · Chest pain11:00An illustration · not a recording
HistoryPhysicalExaminer

You

Hello, I am Dr. Okonjo, one of the physicians in the clinic today. What brings you in?

Patient

It is this chest pain. It started two days ago and it has not really settled.

You

Does it travel anywhere? Into your arm, your neck, or your jaw?

Patient

Sometimes into my left shoulder. That is when it frightens me.

Examiner

Blood pressure 148 over 92. Heart rate 96 and regular. Oxygen saturation 97 on room air.

What comes back

The marking sheet, not a grade.

The MCC publishes no per-station score, so we report none. What a session gives you instead is the part that is useful at eleven at night: which criteria you reached, which you left out, and where in your own transcript each one happened.

Criteria flagged as safety-critical are marked apart from the rest. Missing one is not a deduction. It is that night's reading.

See the station catalogue

History taking

3 of 5 reached

Establishes onset, character and radiation of the pain

Does it travel anywhere? Into your arm, your neck, or your jaw?

Covered

Asks what the patient was doing when it began

When did it start? Answered: carrying shopping upstairs

Covered

Screens for red-flag features suggesting acute coronary syndrome

Never raised in the eleven minutes

Essential

Takes a smoking and alcohol history

Do you smoke? How much, and for how long?

Covered

Asks about associated nausea or sweating

Not raised in the eleven minutes

Left out

Feedback in the exam's own terms

The NAC Examination assesses seven competencies, which roll up into three domains. Feedback uses the same structure, so what you read maps onto what you are marked on.

Assessment and diagnosis

History taking, physical examination, investigations, data interpretation, diagnosis.

Management

What you would do next, and how you would follow up.

Communication skills

How you spoke with the patient, not only what you asked.
How the examination is structured and scored

112 stations are open.

We add more as they clear our checks. We would rather hold a case back than put a wrong one in front of someone preparing for a real exam, so content our checks cannot agree on does not ship.

Still deciding? Read the common questions.