ConCert™ Exam Content

Exam questions focus on what practicing emergency physicians need to know when treating patients, and are derived from the The Model of the Clinical Practice of Emergency Medicine (EM Model).

ConCert™ Exam Features

The exam contains approximately 190 single-best-answer, standard multiple choice questions. Each question is in paragraph form with an answer set containing one correct answer and three or four incorrect answers.

All 190 exam questions are in one single section, with 4 hours and 45 minutes allotted to answer the questions. The entire exam session takes approximately 5 hours and 15 minutes to complete.

The examination consists of both pictorial and non-pictorial multiple choice questions. Pictorial questions refer to stimulus images such as photos of X-rays, ECGs, rhythm strips, pictures, etc. These images will be presented in a separate tab along with the relevant test question on the computer screen. CT scans may be used as stimuli but for views of the head only. Beginning with the fall 2019 exam, you may be required to interpret FAST exam and pericardial window ultrasound images.

Sample Exam Questions

Content Specifications

ABEM selects questions for the exam based on how closely they align with the EM Model, as seen in the EM blueprint. While questions can originate from any content area within the model, some areas are routinely selected. The lists below describe the relative weight given to different elements of the EM Model in constructing the examinations:

Medical Knowledge, Patient Care, and Procedural Skills

  • 1.0 Signs, Symptoms and Presentations: 10%
  • 2.0 Abdominal & Gastrointestinal Disorders: 7%
  • 3.0 Cardiovascular Disorders: 10%
  • 4.0 Cutaneous Disorders: 3%
  • 5.0 Endocrine, Metabolic & Nutritional Disorders: 5%
  • 6.0 Environmental Disorders: 2%
  • 7.0 Head, Ear, Eye, Nose & Throat Disorders: 4%
  • 8.0 Hematologic Disorders: 3%
  • 9.0 Immune System Disorders: 2%
  • 10.0 Systemic Infectious Disorders: 7%
  • 11.0 Musculoskeletal Disorders (Non-traumatic): 3%
  • 12.0 Nervous System Disorders: 6%
  • 13.0 Obstetrics and Gynecology: 3%
  • 14.0 Psychobehavioral Disorders: 2%
  • 15.0 Renal and Urogenital Disorders: 3%
  • 16.0 Thoracic-Respiratory Disorders: 7%
  • 17.0 Toxicologic Disorders: 4%
  • 18.0 Traumatic Disorders: 9%
  • 19.0 Procedures & Skills: 8%
  • 20.0 Other Components: 2%
  • Total: 100%

Acuity Frames: Target (± 5%)

  • Critical: 30%
  • Emergent: 40%
  • Lower Acuity: 21%
  • None: 9%

Physician Tasks

For this dimension, the Board has assigned the following specific percentage weights to the Modifying Factor of age:

  • Pediatrics: 8% minimum
  • Geriatrics: 6% minimum

Answering Exam Questions

Each exam question has only one correct answer and each question is worth one point. Only one answer can be selected for each question and you should try to answer as many questions as possible. Each question answered correctly is counted in the total correct score.

Unanswered questions are treated as incorrect. Incorrect answers do not count in the total correct score, nor is there a subtraction from the total correct score for incorrect answers.

Your best strategy for completing the exam is to first answer all questions with your initial best answer. You can use any reference you like, however three references are available within the examination: a list of common abbreviations used in the exam, a list of normal laboratory values, and the online resource UpToDate®. Please note that the correct answers to questions are based on a variety of peer-reviewed literature and verified by expert consensus. Not all test questions were developed according to UpToDate and any corresponding articles are listed for reference purposes only. ABEM makes no claim about the accuracy of the information provided by UpToDate. If you are unfamiliar with using UpToDate, please visit their website and take a tutorial. 

You may flag questions you would like to return to for later review. The computer system facilitates this test-taking strategy by requiring one initial pass through the examination before allowing you to select and go to a specific question in the examination, in any desired order. Once an initial pass-through is completed, you may review all of the questions in any order you choose before selecting the “End Review” button to finish the examination. Once you exit by clicking the “End Review” button, the examination is completed, and you may not re-enter.

Some questions are not scored and are used only to assure future question quality. These field test questions will not be apparent to the candidate. Including them on the exam allows ABEM to conduct research to determine if the questions are appropriate for scoring future examinations.