Before the Exam

You must read and agree to abide by the terms of the ABEM Policy on Examination Irregularities for Remote Continuous Certification Administrations before being allowed to take the MedTox Cognitive Expertise Examination. Familiarize yourself with this important policy before taking your examination.

The policy and a summary of its key messages will be shown on your computer screen with instructions to indicate your agreement to abide by the policy. If you do not agree to abide by this policy, your examination will be terminated, and you will not be allowed to take the examination.

Preparing for Taking the Examination

The MedTox Cognitive Expertise Examination is remotely administered in an open-book format. Physicians may use any outside resources of their choosing while taking the examination. 

Minimum System Requirements

  • Windows: Windows 8.1 or higher
  • Mac: Mac OS Sierra 10.12
  • The most recent version of one of the following browsers:
    • Chrome1
    • Edge1
    • Firefox1
    • Safari 11.0

    1 Chrome, Edge, and Firefox support are limited to the current version plus one previous version due to forced automatic updates.
  • NOTE:
    • iPads and tablets are not supported

Technical Support

ABEM has contracted with Internet Testing Systems (ITS) to provide technical resources during the ConCert administration. Any questions regarding system functionality should be directed to ITS, and ITS technical support will be available before and during the exam administration.

  • Telephone: 800.514.8494
  • International Telephone Support: 443.573.8399
  • Email:

Exam Administration Blog

If there is a known technical issue during the administration, ITS’s technical support will post updates every 15 minutes to their blog at Please visit the blog prior to testing and click on the “Subscribe” link to subscribe via text and/or email to receive proactive notifications during the exam administration.

In lieu of the blog, any technical-related questions regarding issues should be directed to ITS at the above numbers or email.