NAC OSCE · Canada · CaRMS route

NAC OSCE practice you speak out loud

The NAC Examination stands between most international graduates and a Canadian residency application. Twelve stations, about eleven minutes each, standardized patients — and a marking style that rewards how you communicate, not just what you find.

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12stations ~11 minper station 1 dayexam length Readingoutside the door
The format

Twelve doors. Every word weighed.

The NAC Examination is a one-day OSCE run at centres across Canada. You move through about 12 stations — roughly 11 minutes with each standardized patient, after a short reading period outside the door. Some stations may be unscored pilots, but you will never know which, so every door gets your best work.

NAC OSCE · Timed stations · Timed reading

Scored encounter Timed wait 12 slots in total — 10 scored encounters and 2 waits, in the published 12-slot shape.
10scored encounters
2timed waits
12total slots
~11 minper station

Communication is scored, not assumed

Canadian stations weigh how you listen, structure and explain as heavily as what you find. Eleven minutes of talking to a patient is exactly what OSCEY rehearses.

Ethics and professionalism

Consent, confidentiality, the difficult conversation. The NAC has a long tradition of stations where the medicine is easy and the conversation is the exam.

Structured clinical method

A focused history, a relevant examination, a defensible plan. The Canadian style rewards candidates who are organized out loud, not just correct in their heads.

Eleven minutes, not eight

The NAC gives you longer per station than most OSCEs — which means deeper histories, real follow-up questions and nowhere to hide a weak structure.

Built for this exam

What OSCEY does for the NAC OSCE

Between the MCCQE and a CaRMS application, this is the exam you cannot cram for. You can only rehearse it.

  • The 12-slot circuit shape. Ten scored encounters and two timed waits at real pace, so the rhythm of the day is familiar before you arrive at the centre.
  • Counselling and ethics stations. Consent, breaking bad news, the angry patient, the worried parent — the stations where fluency matters more than facts.
  • Patients who behave like standardized patients. They stay in character, hold their agenda and answer what you actually asked — and the transcript afterwards shows you what that was.
  • A debrief after every encounter. Data gathering, clinical management, interpersonal skills and technical assessment, with met and missed criteria — the mirror a practice partner can't hold up.
OSCEY station debrief: clear pass band, practice score estimate and skill changes by domain OSCEY station debrief in dark mode with domain breakdown
Inside the app

A station, start to finish.

Candidate brief for a breathlessness station: setting, task, role and how findings work
Reading time outside the door. Task, setting, role — nothing more.
Live station: the simulated patient listens while the clock runs Live station in dark mode: consulting out loud while the clock runs
Inside: eleven minutes with a patient who stays in character.
Station debrief: practice score estimate, skill changes by domain and performance summary Station debrief in dark mode with domain breakdown
The debrief: domains, met and missed criteria, full transcript.
Rewards and mastery: badges earned after passed stations, streak and clinical journey
Daily Round keeps a station a day moving until exam day.
NAC questions

The things candidates ask at 11pm.

The exam, the route and what OSCEY rehearses. The full FAQ covers the app itself.

What is the format of the NAC OSCE?

A one-day OSCE of about 12 stations, each roughly 11 minutes with the standardized patient, with a short reading period outside the door. Some stations may be pilot stations that are not scored.

Who needs to take the NAC OSCE?

Most international medical graduates applying to Canadian residency through CaRMS need a NAC Examination result. Provincial practice-ready programmes also use it. Check the requirements of the programmes you are applying to.

What does the NAC OSCE assess?

History taking, physical examination, diagnosis and management, communication and interpersonal skills, and professionalism — at the level expected of a doctor entering Canadian postgraduate training.

How does OSCEY's NAC circuit work?

OSCEY runs the published 12-slot shape: 10 scored encounters and 2 timed waits, with reading time outside each door and a debrief after every station. It is a rehearsal of the pace, not a copy of real cases.

Are counselling and ethics stations included?

Yes. The NAC is known for communication-heavy stations — consent, breaking bad news, difficult conversations — and OSCEY's library covers them alongside the history-and-examination stations.

Does OSCEY help with CaRMS interviews?

No. OSCEY practises clinical OSCE stations only — patient encounters under time pressure — not programme interviews or application documents.

What language does OSCEY run in?

OSCEY runs in English. The NAC Examination is offered in English and, at some centres, French; OSCEY currently supports English consultations only.

Is OSCEY affiliated with the MCC or CaRMS?

No. OSCEY is an independent practice tool published by veridir. It is not affiliated with, endorsed by, or approved by the Medical Council of Canada, CaRMS, or any assessing body.

Twelve stations stand between you and the application.

Download OSCEY, run a free preview station tonight, and make the Canadian communication style a habit instead of a hope.

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OSCEY simulates patients. Your microphone audio is processed by Google Gemini to run the consultation and is not retained after the station. OSCEY provides practice feedback and practice score estimates only — not an official exam result, not a prediction, and not clinical advice. Not affiliated with or endorsed by the Medical Council of Canada, CaRMS or any other assessing body. Confirm the current NAC Examination format in the official candidate information before your sitting.

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