Exam day
What to expect on the day you take the TDM Examination.
Arrival/check-in procedures
Consult the check-in details and instructions for the modality of the exam you have chosen, including information about what personal items you need, can bring, and cannot have with you during your exam.
I am taking my exam:
Duration of the TDM Examination
The exam appointment is four hours long and includes:
- Your check-in (including sign-in, security check, and, if a remotely proctored exam, room check)
- A tutorial on how the exam delivery application works and a video on test security
- One hour and a half to complete the first section of multiple-choice questions (MCQs) and short-menu questions (SMQs)
- An optional 20-minute break
- One hour and a half to complete the second section of MCQs and SMQs
- An optional survey after the examination
If you have a pre-approved test accommodation that requires you to have additional time to complete the exam, the time will be allocated to both sections.
Note: SMQs are similar to MCQs, in that for both types of questions, you will be presented with a list of options to choose from. For MCQs, the list of options will include one correct answer, and you will be asked to select only one answer from these options. For SMQs, the list of options will include one or more correct answers, and you will be asked to select one or up to a specified number of answers. You will not be asked to type any answer.
Taking notes during the TDM examination
You will be able to take notes during the exam using the tools provided:
- At a test centre: you will have access to a dry erase board.
- Through remote proctoring: you will have access to an electronic scratchpad.
If you are disconnected during your remotely proctored exam, scratchpad notes will be lost. This is important to consider when deciding if you will take your exam at a test centre or through remote proctoring. If you choose a remotely proctored exam, you must find a location with reliable Internet connection to take the exam.
Managing time during the exam
Progress and time tracking
The progress bar tracks answered questions throughout the entire exam. It is cumulative from section to section and does not restart in a new section. If all the questions are answered, your progress bar should indicate 100%. The progress bar does not include survey questions.
The exam application will also track how much time you have left. The exam application clock cannot be stopped once you begin the exam. You will receive warnings as you approach 30 minutes, 15 minutes, and 5 minutes before the end of your exam. Your exam is over when you submit the exam or run out of time, whichever happens first.
If a delay occurs between questions or while items are loading, the test timer stops and only starts when an item loading is fully rendered. No exam time is lost.
When the exam is over, a notice confirming that you have completed the TDM Examination will be displayed on the computer screen. The notice of completion will also be emailed to you once you have completed your exam. This notice will not include your total score or final result.
Two sections of 1.5 hours
In each section of the exam, you will have 1.5 hours to complete 55 to 70 questions. You can flag and return to questions at any point during the section.
Once you leave a section, you will not be able to return to this section. Any unanswered questions will be marked as incorrect.
Taking breaks
Optional break
There is one optional 20-minute break that will start once you complete and submit the first section. You may take less than 20 minutes if you wish to start the second section early by clicking Resume Test (this does not give you extra exam time). If you have not ended the optional break early, after the 20 minutes elapses, the timer for the second section will automatically start.
You can also choose to end this break at any time by clicking Resume Test. If you do so, any remaining time from the optional break will be lost.
For exam security reasons, in both exam modalities you must exit the exam room during the optional 20-minute break. During this break you can access food, cell phones, beverages and/or medication. Ensure you allow time to complete the security check-in process upon returning to your exam.
Unscheduled breaks
You can also take an unscheduled break during the exam to access food, non-water beverages, and/or medication. You must manage your unscheduled break within the allocated exam time, as the timer on your exam will continue to count down. You will also be required to undergo security check-in procedures when you return. No outside contact is allowed during the exam session, including during an unscheduled break.
To take an unscheduled break:
- Notify a Prometric staff member as instructed at the beginning of your exam.
- Leave the exam room. Your timer on the exam will continue to count down during your break.
- Complete the routine security scan and the sign-in process to re-enter the exam. This is estimated to take between 3 and 5 minutes.
What to do if you experience an exam day incident
Technical difficulties
Notify Prometric staff immediately if you experience technical difficulties during the exam as they may be able to assist you. If you are taking a remotely proctored exam and are experiencing technical difficulties, visit the Prometric technical support page.
Reporting exam day incidents
The MCC recognizes that, in some instances, candidates may experience exam day incidents (procedural irregularities or extenuating circumstances, such as illness) that may have a negative effect on their exam day performance.
If you choose to start the exam, it will count as an attempt, even if you cannot finish it and your application fee may be forfeited.
It is important to notify site staff immediately of all exam-day incidents.
In addition to notifying staff on exam day, all exam day incidents (procedural irregularities and extenuating circumstances) must be reported to the MCC through your physiciansapply.ca account within 7 days of your exam.
The MCC will not investigate exam day incidents reported more than 7 days after your scheduled exam appointment. Candidates who do not report incidents within the 7-day timeframe will not be eligible to request a reconsideration after results have been released. Survey responses are not monitored for incident reports and are only intended for candidates to provide general feedback.
Conduct and behaviour
You will be monitored by Prometric staff while taking the exam. Prometric will video record (with or without audio) the invigilation of the exam in accordance with the TDM Examination terms and conditions you accepted at the time of application. At test centres where video cameras are installed, notices will be posted informing you that the session is being recorded. Any personal information captured in these recordings will be treated according to the MCC Privacy Policy.
Speaking to anyone other than Prometric staff during your exam is prohibited and access to any communication or transmitting devices, including phones or tablets, during the exam is not permitted. You must complete the TDM Examination on your own; providing or receiving assistance with completion of the TDM Examination is prohibited and a breach of the TDM Examination terms and conditions. If you appear to be giving or receiving information during the exam, the Prometric staff member in charge of the exam can immediately terminate your exam. Prometric staff members must make a full report of all such occurrences to MCC.
All TDM Examination materials are protected by copyright and are to be kept confidential, including the content and questions comprising the TDM Examination. You are permitted to use the TDM Examination materials solely for the purpose of completing the TDM Examination. You must not disseminate, reproduce, share, or reveal to others the exam materials and content (in whole or in part), at any time in any way, even after the exam ends. Comparing exam content and question themes with your colleagues, sharing content with future exam candidates, and posting content online are considered breaches of confidentiality.
Any breach of the TDM Examination terms and conditions will be considered irregular behaviour for which the MCC may take appropriate action, in accordance with the TDM Examination terms and conditions you accepted at the time of application.
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