I usually don’t like sharing my exam results but I thought my MCCQE Part I results were really interesting and worth sharing. To understand how the Medical Council of Canada scores Part I, you should take a look at their Scoring FAQ.
Overall, I am very happy with my results. I scored comfortably above the median. I’ve written on this blog before about being below average and why it’s ok to be average in medical school. You just have to remember that statistically half of all graduating doctors will be below average.
What’s really interesting about the MCCQE Part I results is the Supplemental Feedback Letter you get that gives you a breakdown of each individual section. Below are the breakdown of my test results. Note according to their help file the borderline area is where the passing mark is set at.
Now I didn’t post my results to brag. I clearly still have lots of areas to learn and improve in. I just found the results reaffirmed me choosing Internal Medicine for residency. During the test I had a suspicious I was doing well in the Internal Med section because I got some really hard questions on zebra diseases.
I was really pleased to have scored well in Clinical Decision Making (CDM). I also really enjoyed Psychiatry so I wasn’t surprised about doing well in that area either.To score in the top quintile for three sections was much better than I expected.
I didn’t do too hot in Surgery but I’m ok with that. I will attribute it to a question I got early on causes of day 1 post-op fever. If you ask any old-school surgeon or check a typical textbook, the answer they will undoubtedly be atelectasis. I’m pretty sure that’s what the “correct” answer was on the MCCQE too. However, if you look at the literature for atelectasis and post-op fever, there is actually no evidence to support it. In fact, there’s a negative correlation. As the incidence of atelectasis increases the incidence of fevers declined.
So, I refused to choose atelectasis as the “correct” answer even though it was probably the “right” choice. There’s no reason to continue to circulate unsupported anecdotal myths in medicine. (ie contraindications ofepinephrine in local anesthetics for extremities, CO2 decreasing respiratory drive in COPD)
(To see how I studied for the MCCQE Part I, check out my post on My LMCC Study Plan)