5.8 Examination Development for Proctored Computer-Based Testing


When appropriate, new items are created for each exam, so that no two exams are identical. This contributes to the integrity of the exam as well as its success in meeting professional standards.


  1. Exams are published semi-annually using a combination of new and previously tested items.
  2. The exam consists of 340 multiple choice items, chosen from the item bank by the Form Review team, that constitute a 160-item general practice core and three 60-item areas of emphasis.
  3. The Board and ABO staff reviews the exam to ensure its accuracy, fairness, integrity and functionality. Any revisions are submitted to the Form Review committee.
  4. A final version of the exam is reviewed and approved by the Executive Director.