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Public health recommendations, along with what it called, "late-breaking decisions by some contracted third-party exam sites, primarily in university settings," made it so the council could no longer safely administer MCCQE Part II to a large enough reference group cohort to ensure, "the exam results are defensible from a high-quality psychometric perspective."

Prometric, the U.S.-based testing administration company handling the exams, told some residents in an email that it's unable to retrieve and score their tests due to technical problems. As a result, it said, those residents will need to take the test again in its entirety.