Cognitive Assessment (Component 3) – General Anesthesiology: Cognitive Assessment


New AOBA requirements for the General Anesthesiology OCC (Osteopathic Continuous Certification) will take effect on June 1, 2019. Under the new format, diplomates will complete an online, open-book cognitive assessment every three years rather than the 10-year OCC examination.

AOBA diplomates whose certification expires between 2019-2021 will be the first to take the new cognitive assessment, which will be offered on a semi-annual basis. This year, the assessment will be offered June 1-30 and Nov. 1–30, 2021.

The application period for the November 2021 assessment is as follows:

Location: Remote (Location of your convenience)
Application Period: June 1 – Oct. 15, 2021
First application deadline: Sept. 17, 2021 ($210 OCC annual fee)
Between Sept. 18 – Oct. 15, 2021, the exam fee is $275 ($210 annual OCC fee + $65 late fee)
Final application deadline: Oct. 15, 2021

*See below for information regarding OCC subspecialty exams*

Assessment format

The cognitive assessment for board-certified physicians includes 50 multiple-choice questions that must be completed within a 30-day timeframe.

Exam Scoring

AOA reports certification results using standardized scores. An adjusted score of 70% or greater is required to pass. The passing standard is determined by subject matter experts and osteopathic physicians who practice General Anesthesiology.

Diplomates have a maximum of two (2) attempts to pass the assessment. If unsuccessful after the second attempt, you will be required to complete an exam consisting of 100-120 multiple-choice questions completed within a 2 hour and 45-minute time limit. This exam will be a closed book; the AOBA will determine the method of delivery.

Pass and fail decisions are based solely on the content mastery displayed by the diplomate. Results will be reviewed by the AOBA Examination Committee and submitted for final approval. The AOA will notify candidates of exam results within 60 days of the exam.

OCC Subspecialty Assessment

OCC Exam Content Outline

The OCC written exam certification in the subspecialties of Critical Care Medicine, Pain Management, and Pediatric Anesthesiology is designed to test your knowledge and understanding of basic science and clinical knowledge, skills, and principles. The examinations are 2-hours and 45 minutes consisting of 100-120 multiple-choice questions, each with a single best answer. The exam may be taken within three years of the expiration date on your subspecialty certificate. The exam is offered twice per year, once in May and once in November.

Categories and exam content can be found by clicking on your respective subspecialty below and scrolling down to the table under the heading Exam Content Outline.