The ABEM office will close at 4:30 pm ET on Tuesday, December 24, 2024, and reopen on Thursday, January 2, 2025.  

Continuing Certification Requirements: ABEM provides a two-week grace period to meet year-end requirements.
Requirements due December 31, 2024, must be met by 11:59 PM ET on January 15, 2025. 
 

The ABEM office will close at 4:30 pm ET on Tuesday, December 24, 2024, and reopen on Thursday, January 2, 2025.  

Continuing Certification Requirements: ABEM provides a two-week grace period to meet year-end requirements.
Requirements due December 31, 2024, must be met by 11:59 PM ET on January 15, 2025. 
 

In-Training Exam (ITE)

 

Dates & Fees

2025 Exam Dates February 25 – March 1, 2025
2026 Exam Dates February 24 – 28, 2026
Exam Fee* $160
* Fees subject to change

About the ITE

The ABEM In-training Exam (ITE) is available to:

ITE participation requires attestation from the program director during the annual resident survey. Registration for residents begins in December. See the Policy on ITE Accessibility for more information regarding eligibility.

The program’s ACGME accreditation decision must be made on or before November 1 of the year prior to the exam administration in order for its residents to be eligible to take the ITE. Program directors and authorized faculty of participating programs can access ITE registration information through the ABEM website in early December. Participating residency programs must pay the examination fee for each resident registered to take the ITE. ABEM does not communicate directly with residents in this process.

How to prepare your program for the ITE: 

  • Log in to your ABEM Portal and register your program for the ITE. This includes paying the exam fee and granting score access to additional faculty. 
  • Before the exam, do a tech check on your systems to ensure they can deliver the exam successfully. Provide your IT team with this minimum systems requirements information and video tutorial on set up.

Questions are drawn from the EM ModelThe exam contains 225 multiple choice questions and takes about 4.5 hours to complete. All questions are written by a group of clinically active emergency physicians with special training in question writing. New questions undergo an extensive series of reviews, followed by field testing.

The lists below describe the relative weight given to different elements of the EM Model in constructing the examination.

Medical Knowledge, Patient Care, and Procedural Skills

  • 1.0 Signs, Symptoms and Presentations: 10%
  • 2.0 Abdominal & Gastrointestinal Disorders: 7%
  • 3.0 Cardiovascular Disorders: 10%
  • 4.0 Cutaneous Disorders: 3%
  • 5.0 Endocrine, Metabolic & Nutritional Disorders: 5%
  • 6.0 Environmental Disorders: 2%
  • 7.0 Head, Ear, Eye, Nose & Throat Disorders: 4%
  • 8.0 Hematologic Disorders: 3%
  • 9.0 Immune System Disorders: 2%
  • 10.0 Systemic Infectious Disorders: 7%
  • 11.0 Musculoskeletal Disorders (Non-traumatic): 3%
  • 12.0 Nervous System Disorders: 6%
  • 13.0 Obstetrics and Gynecology: 3%
  • 14.0 Psychobehavioral Disorders: 2%
  • 15.0 Renal and Urogenital Disorders: 3%
  • 16.0 Thoracic-Respiratory Disorders: 7%
  • 17.0 Toxicologic Disorders: 4%
  • 18.0 Traumatic Disorders: 9%
  • 19.0 Procedures & Skills: 8%
  • 20.0 Other Components: 2%
  • Total: 100%

Acuity Frames: Target (± 5%)

  • Critical: 30%
  • Emergent: 40%
  • Lower Acuity: 21%
  • None: 9%

Physician Tasks

For this dimension, the Board has assigned the following specific percentage weights to the Modifying Factor of age:

  • Pediatrics: 8% minimum
  • Geriatrics: 6% minimum

Programs ITE scores for all of their residents who took the exam. While there is no passing score, there is a strong relationship between scores on the ITE and Qualifying Exam. Physicians with higher ITE scores have a higher likelihood of passing the Qualifying Exam.

The exam is not designed for program evaluation, and the scores should not be used to compare programs or residents across programs.

ITE Results FAQ

Policy on ITE Irregularities

Contact training@abem.org or call 517.332.4800, option 3 with any questions.

What are you looking for?

Search