• In-training Examination Description

    The in-training examination is a comprehensive examination that covers the breadth of Emergency Medicine. It is a single-session written examination containing 225 multiple-choice questions and takes about 4.5 hours to complete.

    Questions are drawn from The Model of the Clinical Practice of Emergency Medicine, which defines the universe of the specialty. ABEM is currently using the 2011 version of the EM Model for its examinations. All questions are written by a group of emergency physicians with special training in question writing. New questions pass through an extensive series of reviews, followed by field-testing. Because of this, a question may take two to three years from inception to appearance on an in-training examination as a validated question.

    EM Multiple Choice Question Content Blueprint

    The Model of the Clinical Practice of Emergency Medicine (EM Model) forms the basis of each of ABEM’s MCQ examinations. ABEM is currently using the 2011 version of the EM Model for its examinations. The lists below describe the relative weight given to different elements of the EM Model in constructing ABEM’s MCQ examinations. The complete EM Model was published in Academic Emergency Medicine [Acad Emerg Med. 2012;19(7):e19-14.].

     Medical Knowledge, Patient Care, and Procedural Skills
     1.0   Signs, Symptoms, and Presentations   9%
     2.0  Abdominal and Gastrointestinal Disorders  8%
     3.0  Cardiovascular Disorders  10%
     4.0  Cutaneous Disorders  1%
     5.0  Endocrine, Metabolic, and Nutritional Disorders  2%
     6.0  Environmental Disorders  3%
     7.0  Head, Ear, Eye, Nose, and Throat Disorders  5%
     8.0  Hematologic Disorders  2%
     9.0  Immune System Disorders  2%
     10.0  Systemic Infectious Disorders  5%
     11.0  Musculoskeletal Disorders (Non-traumatic)  3%
     12.0  Nervous System Disorders  5%
     13.0  Obstetrics and Gynecology  4%
     14.0  Psychobehavioral Disorders  4%
     15.0  Renal and Urogenital Disorders  3%
     16.0  Thoracic-Respiratory Disorders  8%
     17.0  Toxicologic Disorders  5%
     18.0  Traumatic Disorders  10%
     19.0  Procedures and Skills  8%
     20.0  Other Components  3%
       Total  100%


     Physician Tasks  
     Modifying Factors Pediatric (minimum)  8%
    Geriatric (minimum)   6%


    Acuity Frame   Target 
     (± 5%)
     Critical  30%
     Emergent  40%
     Lower Acuity  21%
     None  9%
      100%