Thank you.
The evaluating examination is created by a panel of Canadian physicians who are practising in Canada at this moment, and the pass is established on what would be expected of a Canadian graduate just entering a residency or entering a program.
So it is a minimal exam. It is also stripped of Canadian context as much as we can. Because these items are written by Canadian-educated physicians, there's obviously a Canadian bias in it, but there is no public health or organizational aspects to that exam.