• In-training Examination Overview

    ABEM develops and administers an In-training Examination (ITE). It is offered annually to all ACGME-accredited and RCPSC-accredited Emergency Medicine residency programs for a small fee. Beginning in 2018, ABEM will administer the ITE in an exclusively online format over a five-day testing window at all participating residency programs. The five-day testing window will begin on the last Tuesday of February. Please click here for specific exam dates. Programs are not required to participate in this examination.

    Programs have the option to administer the ITE on any single day during the five-day testing window or on more than one day, i.e., across any or all of the five designated testing days. Programs that have the ability to handle simultaneous online testing of all their residents on a single day of testing may choose to administer the examination on any single within the five-day testing window. Programs that have limited capacity for online testing may choose to administer the ITE on more than one day of the five-day testing window.

    The examination targets the expected knowledge base and experience of an EM3 resident. Unlike other ABEM examinations, the ITE does not have a passing score. It is a standardized examination that residents and program faculty can use to judge an individual resident’s progress toward successful ABEM certification. There is a strong relationship between the ITE and Qualifying Examination scores. Physicians with higher ITE scores have a higher likelihood of passing the Qualifying Examination and those with lower scores have a lower likelihood of passing the Qualifying Examination.

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

    ITE Requirements and Process