Therapeutics Decision Making Exam

The Therapeutics Decision Making (TDM) exam assesses whether the therapeutic knowledge and skills of an internationally-trained physician is at a level required of a family physician practising independently and safely in Canada.

The TDM exam is a pan-Canadian initiative aimed at standardizing the selection process into Practice Ready Assessment (PRA) programs, and will become an eligibility requirement in Alberta on March 1, 2018 for candidates interested in practising Family Medicine.

Candidates must first meet the eligibility requirements below before applying to sit the TDM exam.

Upcoming Exam Dates:
Monday, April 23, 2018 (Edmonton, AB, Canada)
Monday, October 15, 2018 (Edmonton, AB, Canada)

Application information will be available in March 2018. Due to limited spots, we will approve applications on a first-come first-served basis.

Eligibility Requirements:

Before applying, you must have the following basic requirements:
  • Medical Degree

    Your medical degree must be from a school listed in the World Directory of Medical Schools

  • English Language Proficiency

    You must take the English Language Proficiency test if your medical education and patient care experience was not obtained in a country where English is the first and native language (regardless of whether English was the language of instruction)

  • Medical Council of Canada Evaluating Examination (MCCEE)

    This is applicable if you obtained your medical degree outside Canada or the USA or have a Doctor of Osteopathy degree from the USA. The MCCEE is a requirement for registration until it is replaced in 2019 by the Medical Council of Canada Qualifying Examination (MCCQE) Part 1. See more.

  • Currency of Practice

    An independent practice or a formal postgraduate training program* in the discipline of medicine in which you intend to practise in Alberta, within three years preceding application

  • Postgraduate Training Requirements

    Postgraduate training requirements* for Family/General or Specialty Practice, as identified below.

* NOTE: Fellowship training, community service, public service, national service, Medical Officer posts and practice experience DO NOT satisfy the postgraduate training requirements.  

Next Steps:

After passing the TDM exam, the following must take place to complete your CPSA registration. 


The cost of the TDM is $1350 (plus applicable taxes). Payment is due once the CPSA approves your exam application, and is required to save your seat for the exam.


The TDM is offered by participating jurisdictions of the National Assessment Collaboration Practice Ready Assessment (NAC-PRA). Included are British Columbia, Alberta, Saskatchewan and Manitoba. Please contact these jurisdictions for more information.

No, TDM is only applicable to IMGs interested in Family Medicine. See basic criteria and eligibility for Specialty Practice.

BEFORE you can register for the TDM exam, you must meet all the eligibility requirements, including an academic IELTS score of 7 in each of the components in a single test within 24 months. See eligibility requirements above.

This webpage contains up-to-date information. It is all the information we have at this time. If you have a specific question, please contact us at: