In-Training Examination

ABEM develops and administers an In-training Examination (ITE) annually to Emergency Medicine residency programs. Programs are not required to participate in this exam.

The ITE targets the expected knowledge and experience of an EM3 resident. The exam is not designed for program evaluation, and the results should not be used to compare programs or residents across programs.

Dates and Fees

  • In-training Examination

    Exam: Tuesday, February 21 – Tuesday, February 28, 2023

    Exam Fee: $125

Quick Facts

  • Exclusively online format
  • Administered over a seven-day testing window
  • Programs have the option to administer the ITE on any single day during the seven-day testing window or on more than one day (e.g., across any or all of the seven designated testing days)
  • Programs have the option of testing all of all their residents on a single day
  • Programs that have limited capacity for online testing may choose to administer the ITE on more than one day
  • All participating sites are required to meet the minimum systems requirements check

Registration and Requirements

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.

Sign in to the ABEM Portal for ITE Registration

 Sign in to the ABEM Portal