The PAAI CCEC will now offer the NBOME Longitudinal Assessment to Diplomates | LEARN MORE


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. For those who boarded prior to 2025, your subspecialty certification in Adult and Pediatric Allergy and Immunology will remain active for 10 years. For those who attain certification in the year of 2025, your subspecialty certification will remain active for two years.

Osteopathic Continuous Certification

8. The longitudinal assessment is now in place for recertification and there is no longer a written certification examination. Longitudinal assessment participation will begin during the final year in which your certification will expire. The program holds an annual requirement to receive reverification of your certification. Review OCC requirements.

9. Participate in lifelong learning and continuing medical education.

10. Complete the cognitive assessment.

11. Complete the practice performance assessment.