TDM Exam: Format, Scoring, and Why There's No Published Pass Rate

The MCC doesn't publish a pass rate for the TDM exam at all — it's scored strictly pass/fail against a pre-set performance standard determined by physician assessors, not a curve or a ranking against other candidates, and no numeric score is reported back even to candidates who pass. This is a genuinely different scoring philosophy from MCCQE or USMLE, worth explaining to readers rather than assuming they already know.

The exam assesses therapeutic knowledge and clinical decision-making at the level expected of a family physician practising independently in Canada, and is used by most Practice-Ready Assessment (PRA) programs for applicant selection.

Study takeaway: with no score or percentile ever disclosed, the only meaningful preparation target is consistent, broad performance across evolving case scenarios — there's no "safe margin" number to aim for, so thorough case coverage matters more than trying to optimize toward an unpublished threshold.