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 primary purpose of the ABEM In-training Examination is to provide an estimate of the likelihood that a resident will be able to pass the Qualifying Examination. 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

    2025 Exam: February 25 - March 1, 2025

    2026 Exam: February 24-28, 2026

    Exam Fee: $150

    Fees subject to change

Quick Facts

  • Exclusively online format
  • Administered over a multi-day testing window
  • Each resident can be scheduled for one session during the multi-day testing window.
  • 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