TDM – Therapeutics Decision Making

An amazing 80% Success Rate in TDM Exam – January  2020

Warm Congratulations to Successful Participants in Saskatchewan, Alberta, Nova Scotia & BC.

We are proud of you guys.

March 12, 2020


1. What is MCC TDM?2019-01-29T15:47:24+03:30

TDM which stands for “Therapeutic Decision Making” is another exam in the pathway of Practice Ready Assessment for IMGs. Supposedly, this is the last examination just before entering the Clinical Field Assessment in Saskatchewan – SIPPA Program, Manitoba – PRA-FP program (previously called IMGACL), British Columbia – PRA-BC program, and soon PRA programs in other provinces

2. Why is it so important to pass the MCC TDM Exam?2019-01-29T15:46:12+03:30

With too few available opportunities for an IMG in Canada, it is detrimental not to safeguard it. In fact, it is prudent to take strong measures to stack the odds in your favor.

Since the NAC PRA TDM Exam is the penultimate stage and the most intimidating one in an IMG’s path towards receiving their license to practice in Canada which is known to have the highest failure rate, it is highly recommended not to take it lightly.

3. What are the pitfalls of failing the MCC PRA TDM Exam?2019-01-29T16:42:46+03:30

In case of an unsuccessful attempt on the TDM Exam;

  1. You may have to endure another emotional PTSD.
  2. You will have to wait to have an income as a practicing physician.
  3. It is also obvious that you are going to keep supporting yourself financially out of your own pocket.
  4. Another pitfall is that there is an ineligibility period of at least 6 months before one would be eligible for another attempt.
  5. Practically, you might not even be eligible sooner that a period of 8-12 months time, depending on the number of TDM Exams offered per year by the IMG’s program of interest as well as the possible domino effect of a soon to expire validity period of IELTS and recency of practice on the eligibility.

In short, there could be a tremendous financial burden on top of the emotional one as well as losing yet another unreplaceable year of one’s remaining productive life as a result of such a possible domino effect.

4. Is self-study enough to prepare for TDM Exam?2019-01-29T16:44:06+03:30

While this is ultimately a personal decision, objectively the following are the major key factors:

  1. The level of your Fresh Medical Knowledge.
  2. How well you are familiar with the format of the MCC NAC PRA TDM Exam.
  3. Your previous successful exposure to similar exams in other countries.
  4. The amount of time you need and have available to gather all the information needed to plot and execute an efficient study plan.
  5. Your personal preparation style; i.e.; the speed of study, efficient note-taking skills, and the number of revisions you need to feel exam ready.
  6. The availability of any preparation courses in your reach.

Whatever you do, make sure you have taken all the measures to prepare yourself the best you can.

  Self-Study Any Well-organized Course
Money – Upfront Pay No Yes
Minimum Time needed to study 1 main source once only ≥ 1000 hours – Effective intensive Study based on 8 Hr./Day non-stop study & 2 Pages/Hr. (≥4 Months) Usually ≥ 65% of the High Yield Topics discussed & summarized in less than a Month.
Revision needed ≥ 2 ≥ 1
1st read Time-Wasting Huge – Re-inventing the wheel – Trial & Error Minimum – Led by Instructor
Main Source Selection Subjective – Individual Experience Objective – Feedbacks & Instructors’ Team Experience
Multiple References Integration Time Killer, almost impossible Swiftly integrated into courses
High Yield Topic Selection Subjective – Individual Experience Objective – Feedbacks & Instructors’ Team Experience
Misunderstanding the info Happens a lot; Time Consuming, Multiple Source research needed Usually discussed by instructors.  As quick as raising a question
Support ? friends Ongoing Emotional and informational


5. What are the relevant resources to prepare for TDM Exam?2019-03-22T19:33:32+03:30

Official TDM Exam Guide/ Resources – Latest Update 2019

1. Alberta
2. British Columbia
3. Saskatchewan
4. Nova Scotia

1. Alberta TDM Exam Study Resources – CPSA

2. British Columbia Candidate Information Sheet PRA-BC

3. Saskatchewan TDM Guide for Candidates – SIPPA
And the second half of the page bellow


6. How to prepare for TDM Exam if I am doing a self-study?2019-01-29T15:20:30+03:30

There are key factors that could play a pivotal role in maximizing your effort in preparation for TDM Exam. In fact, the following is a summarized version of key points and common strategies expressed in multiple interviews with those who successfully dealt with an intensive exam such as TDM in a short period of time.

Avoid “re-inventing the wheel”.  Let us help you save your valuable Time & Energy

Here is what they did when they didn’t have any courses available:

Planning Part:

  1. Based on the time in their hand they start the selection and deselection processes.
  2. Based on the info from their friends or what they have heard they selected their main source of study. Then categorized the topic into the most important topics, not sure and not important ones.
  3. Then they deselect by filtering out those not sure ones into topics should study and those I would study only if I have time. And as it is usually the case you will never have enough time, so basically it means deselecting those topics which took them a few days, but it was well worth it.

Doing the hard work: Trial & Error;

  1. Getting the whole picture
  2. They all took notes during their study.
  3. They refined their note taking focus and structure time and time again until it felt sufficiently efficient. Moving forward they gained a sense of what the key points vs trivial information are.
  4. Sometimes they had to rewrite the whole note as many a time they misunderstood the point in the first place or at least restructure it to make it clear and to the point.
  5. While time consuming the process of note-taking was, they emphasized, this proved to be instrumental in their revisions to be more efficient and less painful.

Real Deal

  1. They made sure of going through notes at least a couple of times to know them by heart
  2. Time Management on the Exam Day
  3. Being able to convey a short yet complete response

Honest feedback; Lessons Learned from those who passed.

  1. Those who passed had strong academic background to begin with.
  2. Planning ahead of time, allocating ample time and resources.
  3. Despite mentioning a few of those topics they thought were not important turned out to appear on the exam and they have been asked points they felt they are trivial, they all admitted that if they knew where to focus more and what should have been in their notes from the beginning or even better if they somehow had such organized notes handy, it would have cut their suffering, time and energy in half while multiplying their efficiency.
  4. Considering the fact that no courses can eliminate the need for putting sufficient personal effort to memorize key points, when asked whether they would have attended any prep courses had it been available, almost all emphatically said they would have. They reasoned that any well-organized courses can certainly cut the needed time and energy in half by pointing the High-Yield key materials, summarizing them, explaining confusing/ delicate differences in choices, clearing up misunderstandings and possibly providing a structured summary note. This simply enables you to put your personal time and energy to where it should be.
7. TDM Courses, Duration & Fees:2019-03-31T12:37:07+03:30

It varies depending on which TDM Review Course you would choose. Here is the Fee in 2018.

  TDM Final Days Review TDM Weekend Rapid Review TDM Concise/ Intensive Review
Fee $990 $1650 $1650
Total Hours 36 60 60
Session/ day 2 1 1
Hr/Session 3 5 4/3
Days 6 12 15/20
Best if Completed own self-study Busy during the week Study while having the course
Pace Very Fast Fast & Condense Balanced


An ideal Time-efficient Final Days Review on Topics of highest yield in Just 1 wk
A Strategic approach to re-shape your perspective on High Yield Topics in 6 wk
A balanced Focus in reshaping your perspective on The High Yield Topics in 3 wk/ 4 wk

Whether you have already started to put serious effort in your TDM preparation or not, any well-organized prep. course will save you tremendous time and energy in how to effectively and efficiently tackle the TDM exam preparation by providing you a quick review for topics with the highest impact in short period of time.

Our TDM Prep Course would emphasis on how it is expected of a candidate to have the required medical knowledge organized. Therefore, it becomes easier to apply such medical knowledge on the TDM exam day

8. Which factors should I consider before deciding on a suitable course?2019-01-29T15:10:10+03:30

It is important to have an honest evaluation of yourself, how well you have studied so far- if any, your previous exam attempt/experience and the realistic expectations of the achievable goals within the available time frame.

  1. If there are no courses available and you have not studied enough, do not take the exam, simple as that.
  2. If you have studied well in advance, depending on the exam date enhance your chances and boost your confidence level by taking one of the Final Days Review or Rapid Review TDM Courses.
  3. If you want to study with the course, your best bet is to attend one of our Concise or Intensive TDM Review TDM Courses.
9. Do I have to finish studying Therapeutic Choices once before attending your courses?2019-01-29T16:45:02+03:30

It is undeniably true that a general overview ahead of time would ensure a better understanding of the topic, however, a pre-reading of the CTC, while highly recommended, is not mandatory.

10. Do you offer any private one-on-one TDM Review Course?2019-01-29T14:46:06+03:30

Yes, we do. Please contact us for more information.

*Upcoming Weekdays Courses*

March 12, 2020 | 60 Hr| 4 wk

I just wanted to let you know that I passed the exam! I was worried! Still can’t believe it. I’m just glad I had the notes and classes.

Thank you so much for the course. It really helped me pass. I only really focused on the notes and the classes.

So I’ll definitely be recommending the course to others! The topics your are covering were asked in the exam… And your tips on understanding how to answer questions are helpful in aligning how you should be writing down answers.

Dr Lynn M., TDM Review Course 2019

I passed TDM (First attempt).

Thanks for your help.

Dr Nihar D., TDM Review Course 2019

I found the TDM course to be comprehensive and well organized.

It oriented me well to the exam pattern and helped me reach the desired outcome, passing TDM on my first attempt.

Dr. Mukesh G., TDM Review Course 2019

Course material and the mentoring approach were excellent.

I learnt a lot and it helped me in passing the exam on my first try. I have learnt so much from all of your constructive input and guidance throughout the course. Thank you

Dr. K. A, TDM Review Course 2019

I passed. I am so grateful for the course.

That excellent note and the lovely Q&A parts helped me a lot.

When I think about it, honestly, the strategy session saved my life.

Thank you so much

Dr. Karen B, TDM Review Course 2019

With Smart IMG Academy’s guidance I have cleared my TDM exam in first attempt.

When I started preparing for this exam I was lost as to how to prepare and what will be tested in the exam but after taking the course with Dr. Mike and Dr. Sam I knew which areas I have to focus on and it helped me clear this exam in very little preparation time.

I would definitely recommend other candidates planning on taking this exam to benefit from this course.

Dr. Nida Z., TDM Review Course 2019

Upcoming Course:

TDM Intensive Review

A 4-Week Course | 60 Hours | One 3-Hour Session a Day

March 12, 2019

Click to Register


A must-take course for MCC TDM


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