Oral Exam


The following training requirements must be completed before a candidate may sit for the Oral Exam for primary certification in Emergency Medicine:

  • Have successfully completed the Emergency Medicine Written Exam.
  • Adhere to the AOA Code of Ethics.
  • Demonstrate eligibility for examination in any other manner required by the board.


Once training requirements for eligibility are met, candidates must submit the following:

  • A completed application.
  • Required fees.
  • Copy of your active primary state license with expiration date.
  • Letter of verification stating that you are currently practicing emergency medicine, which should be written by your hospital administrator on official stationery.

Exam Fees

An exam fee of $800 must be submitted with your completed application. If you are retaking the Emergency Medicine Oral (Part II) Exam, the fee is $550.

No application will be considered complete until all fees have been paid. Applications submitted after the final deadline will not be accepted.

All cancellations must be made in writing. Please refer to the cancellation policy for further information

Exam Dates and Deadlines

The Emergency Medicine Oral (Part II) Exam is offered over two days in March and over two days in September for 2019. The Oral Exam is being offered March 11 and 12, 2019, and September 16 and 17, 2019, with both sets of exams taking place in Chicago. Approved candidates will be assigned to one of the two days and will receive detailed travel and hotel information from the AOBEM before their exam date.

Exam Content

The Emergency Medicine Oral Exam evaluates candidates’ clinical ability and skill in diagnosing and treating emergency medicine cases. Candidates taking the oral examination in Emergency Medicine will be tested on their ability to:

  • Take a medical history
  • Perform a physical examination
  • Order necessary diagnostic studies
  • Interpret diagnostic studies
  • Develop a differential diagnosis
  • Arrive at a final diagnosis
  • Determine the need for consultations
  • Treat emergency conditions
  • Make dispositions
  • Communicate effectively and appropriately
  • Proceed in an organized fashion

The format of the Emergency Medicine Oral Exam is clinical presentations that involve either specific data or simulated patient encounters. The exam consists of four stations, as follows:

    • Station 1: Interpret emergency department X-rays and electrocardiograms. You’ll be required to interpret 6 EKGs, 6 X-ray cases, and 7 special diagnosis identification cases. The images will be projected on a large screen in a conference room.
    • Stations 2, 3 and 4: Simulated emergency cases using standardized patients. At each station, you’ll treat 2 cases and will be graded on your ability to take an appropriate history, formulate a differential diagnosis, order and interpret appropriate lab tests, and formulate a therapeutic plan for each presented. A total of 30 minutes will be allotted for each station.

Exam Scoring

The AOBEM sets passing standards for the Oral Exam using a measurement model known as “criterion-referenced standard setting.” Using this model, the board specifies the particular content and level of content difficulty necessary to be considered a passing candidate.

All examination results will be reviewed by the board. Candidates will receive an email notifying them of their results within 90 days.

Exam Failure

Candidates who do not pass any certifying examination may apply for reexamination. The reexamination fee for the Emergency Medicine Oral (Part II) Exam is $550.