Written Exam


The following requirements must be completed before a candidate may sit for the Written Exam for subspecialty board certification in Pediatric and Adult Allergy and Immunology:

  • Hold primary certification from either the American Osteopathic Board of Internal Medicine or the American Osteopathic Board of Pediatrics, which are the specialty boards represented on the conjoint examination committee.
  • Hold an active license to practice medicine in one of the 50 states. Applicants who don’t have an active license at the time of application will not be admitted to the exam.
  • Conform to the standards of the AOA Code of Ethics.


Once training and eligibility requirements are met, candidates must submit a completed application, fees and the following:

  • Verification of fellowship completion
  • Program Director’s Report
  • Proof of an active medical license
  • A recent head shot

Exam Fees

A fee of $1,700 must accompany your completed application. No application will be considered complete until all fees have been paid.

If you wish to cancel your participation in the exam, you must notify the examination committee in writing 15 full days prior to the exam date in order to receive a refund of your exam fee, less a $300 processing fee.

Exam Dates and Deadlines

The Written Exam for subspecialty certification in Pediatric and Adult Allergy and Immunology is held in spring. The application process typically opens in December and closes in March.

Exam Content Outline

The Pediatric and Adult Allergy and Immunology Written Exam consists of 250 multiple choice questions.

Subspecialty Certification
    1. 1. Basic science
    2. 2. Primary and secondary immunodeficiencies
    3. 3. GI disorders
    4. 4. Autoimmunity and other immunological disorders
    5. 5. Pulmonary diseases
    6. 6. Hypersensitivity reactions and mast cell disorders
    7. 7. Allergic and non-allergic upper respiratory tract diseases
    8. 8. Skin disorders
  • 30%
  • 10%
  • 10%
  • 3%
  • 13%
  • 11%
  • 13%
  • 10%

Exam Scoring

Candidates will receive exam results in writing within 90 days of taking their exam. No exam results will be given over the phone. Candidates who pass their exams will be forwarded to the AOA Bureau of Osteopathic Specialists, which makes the final determination for diplomate status.

Once approved, diplomates will receive a letter from the AOA. Your certificate will be mailed within 6-10 weeks. The date shown on the certificate represents the date on which you fulfilled all requirements for certification as verified by your primary specialty board.

Exam Failure

If you don’t pass your exam, you may apply for reexamination on the next available exam date. You’ll need to complete another application and submit the $1,400 exam fee. You will also need to submit CME hours based on the application guidelines in place at the time of your application.