Component 3: Cognitive Assessment


Every 10 years, board-certified physicians with a time-limited certificate must pass the relevant Osteopathic Continuous Certification (OCC) exam, which is remotely proctored. Diplomates must be in good standing and hold and active medical license.

Applications and Payment

The OCC cognitive assessment exam can be taken within two years of your certification’s expiration date.

Osteopathic Continuous Certification
Exam type Fee
OCC Application Fee
  • $1,400

Exam Content Outline

The Pediatric and Adult Allergy and Immunology OCC Exam will cover the below Table of Specifications. These percentages represent the minimum amount of content from each of the stated areas.

Subspecialty Certification
1. Basic science 3%
2. Primary and secondary immunodeficiencies 10%
3. GI disorders 10%
4. Autoimmunity and other immunological disorders 3%
5. Pulmonary diseases 19%
6. Hypersensitivity reactions and mast cell disorders 18%
7. Allergic and non-allergic upper respiratory tract diseases 19%
8. Skin disorders 18%
Total 100%

*These percentages represent the minimum amount of content from each of the stated areas. Many items may address multiple areas listed above while other items will also assess other knowledge bases, such as general surgery.

Exam Number of Questions and Timing

The PAAI Recertification (OCC) remotely proctored exam will consist of 125 items with a time requirement of 215 minutes. It is highly recommended to take scheduled breaks. No one is permitted to leave the examination screen during unscheduled break times.

Non-Disclosure Agreement – 2 minutes
Tutorial – 10 minutes
Exam section 1 – 60 minutes (Items 1-40)
Break – 10 minutes
Exam section 2 – 60 minutes (Items 41-80)
Break – 10 minutes
Exam section 3 – 60 minutes (Items 81-125)
Survey – 3 minutes

Exam Results

Examination results will be mailed approximately 8–10 weeks after the exam administration. Exam results will not be given over the phone, by fax or email.

Compliance With Federal Regulations

The Conjoint Committee supports the intent of the Americans with Disabilities Act (ADA) for candidates who meet ADA eligibility. The Committee will make a reasonable effort to provide qualified board candidates who have documented disabilities the necessary auxiliary aids and services that do not fundamentally alter the measurement of the skills or knowledge the board assessment process is intended to test or result in an undue burden.

The Committee supports the intent of the Health Insurance Portability and Accountability Act (HIPAA) for all patients or patient records that may be used as part of the board certification process.