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.

IMPORTANT: You are NOT eligible to apply for the TDM exam if you:

  • hold a valid letter of eligibility OR
  • have an open file with the CPSA
Upcoming Exam Dates:
Monday, April 23, 2018 (Edmonton, AB, Canada)
Monday, October 15, 2018 (Edmonton, AB, Canada)

Application for April 23rd exam is now closed. October application deadline to be determined. 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.

  • Postgraduate Training Requirements

    Postgraduate training requirements (see note 2 below) for Family/General Practice as identified here.


  1. Approval to take the TDM examination DOES NOT determine eligibility for independent licensure in Alberta. If you wish to practice Family Medicine independently, you must meet all registration requirements at the time you apply for independent licensure. Obtaining the TDM DOES NOT guarantee your qualifications & training will be accepted.

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

Application Form:

Application for  the April 23, 2018 TDM exam is closed. Deadline for the October 15, 2018 sitting to be determined.

Candidate Guidelines:

The Candidate Guidelines include detailed information about TDM exam including exam tips, sample questions and more.

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.