• In-training Examination Requirements and Process

    The purpose of the American Board of Emergency Medicine (ABEM) In-training Examination (ITE) is to provide one piece of information to Emergency Medicine (EM) residents, and their faculty, to supplement other evaluation information that may be used to determine the residents’ degree of preparedness for taking the ABEM Qualifying Examination.

    The ABEM ITE is available to:

    See the Policy on ITE Accessibility for more information.


    For residents and advance-matched physicians of newly accredited ACGME programs, the ACGME accreditation decision must be made on or before November 1 of the year prior to the examination administration in order to be eligible to take the ITE.

    ABEM mails ITE registration information to all residency programs in early December, prior to the administration each year. Participating residency programs pay the established examination fee for each resident registered to take the ITE in their program. ABEM does not communicate directly with residents in this process.

    Programs that participate in an ITE administration will receive detailed examination results for all of their enrolled residents who took the examination.

    The 2017 ITE delivery format will be online. Each program is asked to review the minimum system requirements before determining that their site is not adequately prepared to deliver an online administration.  A program that does not meet the online minimum system requirements must opt-out in writing and may use the paper format. Please note, full implementation of an online testing format, with no paper option, will begin with the 2018 ITE administration. Additional information can be found in these FAQs. Please email training@abem.org or call 517.332.4800 ext. 388 with any questions.