Is there an LMCC exam?
No separate one. People say “LMCC exam” for the MCCQE, because passing the MCCQE is how you qualify. The LMCC goes back to the MCC’s founding in 1912, which the MCC says set the stage for it.
The two names describe different things, though. The MCCQE is the exam, and the LMCC is the registration you get afterwards. Physicians on the Canadian Medical Register are called Licentiates of the Medical Council of Canada (in French, Licenciés du Conseil médical du Canada, LCMC).
LMCC requirements from January 26, 2026
To go on the Canadian Medical Register you must:
- Have graduated from a CACMS-accredited school (Committee on Accreditation of Canadian Medical Schools), a school in the World Directory of Medical Schools with a sponsor note saying it’s acceptable in Canada, or a U.S. School of Osteopathic Medicine accredited by the American Osteopathic Association
- Have a pass on the MCCQE, formerly the MCCQE Part I
- Have your medical degree source-verified through the MCC (or, in exceptional cases, other evidence the MCC’s executive director and CEO accepts)
- Owe the MCC nothing, including the LMCC fee if one applies to you
Before January 26, 2026 you also needed 12 months of postgraduate training. The MCC dropped that rule so you can get the LMCC earlier in your training.
How the LMCC is issued, and what it costs
| When you applied for the MCCQE | What happens | Fee |
|---|---|---|
| After January 26, 2026 | LMCC number issued automatically | None |
| Before January 26, 2026 | You request it in physiciansapply.ca | $50 |
To request it, choose Other Service Requests, then Apply for LMCC, in your physiciansapply.ca account. You find your number under Profile, then Identifiers and addresses. MRAs can see it in the Canadian Medical Register.
The LMCC is digital by default. A printed Testamur for framing or a wallet-size Certificate of Registration costs $100 each, and the MCC allows 4 to 6 weeks for mailing. If the MCC refuses to register you, you can appeal to its Appeals Committee, unless the refusal was for unpaid fees.
From the LMCC to a licence to practise
Each MRA sets its own registration rules, and the MCC tells candidates to check them for the province or territory where they want to work. Beyond the LMCC, they can include a residency through the Canadian Resident Matching Service (CaRMS) and a specialty certificate from the Royal College of Physicians and Surgeons of Canada, the College of Family Physicians of Canada or the Collège des médecins du Québec.
The MCC says you can apply for medical registration with most MRAs through physiciansapply.ca. The old route to the LMCC through the MCCQE Part II ended in 2021.
Sources: MCC and 7 more. Checked October 2026.
- MCC: LMCC ↗
- MCC: Important update to LMCC eligibility and issuance starting January 26, 2026 ↗
- MCC: Changes ahead for issuance of the LMCC (October 28, 2025) ↗
- MCC: Examination and service fees ↗
- MCC: Our story ↗
- MCC: The MCC ceases delivery of the MCCQE Part II (June 10, 2021) ↗
- MCC: Pathways for Canadian medical graduates ↗
- MCC: Pathways for international medical graduates ↗
Rules and fees can change, so check the official site before your test.
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