IMPORTANT NEWS Re: Allergy and Immunology OCC Recertification – The Pediatric and Adult Allergy and Immunology Conjoint Examination Committee will now offer the NBOME Longitudinal Assessment to Diplomates. For the 2024 examination year, Diplomates may choose to take the high stakes examination, or participate in Longitudinal Assessment (LA). The LA program for 2024 will launch in July and will be open to those Diplomates who hold certificates which will expire Dec. 31, 2024, and those who qualify under BOS policy.


The American Osteopathic Conjoint Examination Committee on Pediatric and Adult Allergy and Immunology administers subspecialty certification exams, as well as Osteopathic Continuous Certification requirements. The following stages represent key milestones in the process to obtain subspecialty board certification in Pediatric and Adult Allergy and Immunology.

Written Exam

1. Complete the eligibility requirements to sit for the Written Exam.

2. Submit an exam application.

3. Take the Written Exam, which is now administered by Remote Proctor.

The Pediatric-Adult Allergy & Immunology Primary Written Examination contains 250 items with a time requirement of 410 minutes.

Allergy & Immunology Examination:

  • Section 1: Items 1-63 = 90 minutes
  • Break 1 = 10 minutes
  • Section 2: Items 64-125 = 90 minutes
  • Break 2 = 30 minutes
  • Section 3: Items 126-188 = 90 minutes
  • Break 3 = 10 minutes
  • Section 4: Items 189-250 = 90 minutes
  • Survey/Completion

Become Board Certified

4. Upon successful completion of all exam components, the examination committee will recommend osteopathic board certification to the candidate’s primary board.

5. You will receive a letter from the AOA via email once certification has been approved.

6. You are now board certified. You will receive your certification in the mail within 10-12 weeks upon notification of approval.

7. Your subspecialty certification in Adult & Pediatric Allergy & Immunology will remain active for 10 years following date of issue provided you successfully complete Osteopathic Continuous Certification requirements.

Osteopathic Continuous Certification

8. Maintain active licensure.

9. Participate in lifelong learning and continuing medical education.

10. Complete the cognitive assessment.

11. Complete the practice performance assessment.