Component 3: Cognitive Assessment

General Internal Medicine OCC/Recertification

AOBIM will be offering two assessment pathways to complete OCC component 3 requirements in 2020 for OCC/recertification in general internal medicine certification:

Assessment Pathway 1: High Stakes Long Form Exam

AOBIM diplomates with certificates that expire between Dec. 31, 2020 and Dec. 31, 2022 are eligible for the traditional 3.5 hour high-stakes long-form recertification exam. This will be the final year that the AOBIM will be administering the traditional recertification exam. If interested, the eligible diplomate must register for the recertification exam by Aug. 14, 2020.

This is a one-day computer-based exams made up of “choose the one best answer” multiple choice questions. AOBIM exams are evaluated using an absolute standard (pass/fail).

Assessment Pathway 2: AOBIM OCC Longitudinal Assessment Modules

AOBIM diplomates with certificates that expire on or prior to Dec. 31, 2020 are eligible to register for the new OCC Longitudinal Assessment Modules. If interested, all eligible diplomates must register by Aug. 31, 2020 to maintain certification with the AOBIM. Modules will be available on Jan. 1, 2021. Diplomates will be required to participate in and successfully complete three modules annually (between Jan. 1 and Dec. 31).

All questions within the modules must be answered and an 80% pass rate must be achieved to successfully complete the module. As mentioned above, three modules must be successfully completed by Dec. 31, 2021 to maintain certification with the AOBIM.


General Internal Medicine OCC/Recertification Exam Content

The exam will cover all areas of Internal Medicine as thoroughly as possible, including:

  • Allergic disorders
  • Cardiovascular system
  • Endocrine disorders
  • Electrolyte disorders
  • Gastrointestinal system
  • Hematological system
  • Infectious diseases
  • Neurological system
  • Oncological disorders
  • Pulmonary diseases
  • Renal diseases
  • Dermatological manifestations of internal disease
  • Clinical pharmacology

Clinical situations involving diagnoses, cause, prognosis, and natural history of disease and treatment will be stressed in the above disorders. Clinically-oriented questions with case history data will be included, and in some questions candidates will be asked to interpret visual material such as physiological data, ECGs, urine sediments, peripheral smears, gastrointestinal imaging studies, chest radiographs, gram stains, dermatological lesions, and physical findings.

Subspecialty OCC/Recertification

Subspecialty OCC/recertification exams are offered annually in August. These are one-day computer-based exams made up of “choose the one best answer” multiple choice questions. Diplomates may begin taking the exam two years prior to the expiration date of their certification. AOBIM exams are evaluated using an absolute standard (pass/fail). Diplomates who are certified in a subspecialty or hold a certificate of added qualifications can simultaneously complete OCC in multiple areas by completing the exams on the same day. Diplomates must pass the exam for each area in which they intend to maintain certification. If you fail one exam but pass the other(s), you will need to sit for the entire exam that was failed at the next annual exam date.

Subspecialty OCC Exam Content

There are 150 items on each Internal Medicine subspecialty OCC exam. Candidates are given three hours and 30 minutes to complete the exam. AOBIM offers the OCC exam in the following subspecialties:

  • Cardiology
  • Clinical Cardiac Electrophysiology
  • Critical Care Medicine
  • Endocrinology
  • Gastroenterology
  • Geriatric Medicine
  • Hematology
  • Infectious Disease
  • Interventional Cardiology
  • Nephrology
  • Oncology
  • Pulmonary Disease
  • Rheumatology

Conjoint OCC Component 3 Requirement:

If you hold subspecialty board certification through one of the conjoint committees the AOBIM participates in, please visit the conjoint website for info on OCC Component 3 requirements.

Applications and Payment

Diplomates must submit an exam application and fees no later than June 1 of the year they plan to take the exam. Applications received between June 2 and July 1 will be assessed a $100 late fee. No applications will be accepted after July 1.

OCC Cognitive Assessment
EXAM Type Fee

General Internal Medicine Longitudinal Assessment Modules


General Internal Medicine High-Stakes OCC/Recertification Exam


Subspecialty OCC/Recertification Exam


Exam Results

If a diplomate passes the OCC Written Exam in a year prior to the year in which the certificate expires, the passing grade will be held and reported to the AOA when all OCC requirements have been met. The new certificate will be valid for 10 years from the date of the expiring certificate. In accordance with the AOBIM Standards Review Committee, the Written Exam is reviewed by a psychometrician to verify adherence to rule of practice established in the APA/AERA National Standards for Education and Psychological Testing. Pass and fail decisions are based solely on the content mastery displayed by the diplomate. Results will be released electronically through the AOBIM’s application portal.

Exam Policies

Rescoring of Examinations

Candidates may obtain manual review of the computer scoring of the examination within one month of receiving exam results. Requests must be made in writing and submitted with a payment fee of $200. Candidates are not allowed to review specific items on the examination either before or after sitting for examination.

Right to Appeal

If a candidate feels that actions of the AOBIM with regard to any part of the certification process constitute unequal application of the Bylaws or Policies and Procedures, unwarranted discrimination, prejudice, unfairness or improper conduct of the examination, he or she has the right to appeal to the board. Appeals to the board can be made by emailing the request to aobim@osteopathic.org, along with any supporting documentation necessary for proper review of the case. The appeal request must be submitted within 30 days of receiving exam results. The board will not consider appeals based on examination content, sufficiency or accuracy of answers to exam questions, scoring of the exam, and/or determination of the minimum passing score. Candidates will be advised by certified mail within 30 days of final action of the board.

Compliance With Federal Regulations

The AOBIM complies with all applicable federal and state regulations, including:

  • Americans with Disabilities Act (ADA): The AOBIM complies with requirements prohibiting discrimination and ensuring equal opportunity for persons with disabilities in employment, state and local government services, public accommodations, commercial facilities, and transportation, as well as regulations for Title II and Title III (and all subsequent regulations) as printed in the federal register.
  • Health Insurance Portability and Accountability Act (HIPAA): In compliance with the HIPAA Act of 1996 and any subsequent modifications, the AOBIM ensures that individuals’ health information is properly protected, while allowing the flow of health information to provide and promote high quality health care. All medical records submitted for review by candidates for AOBIM certification will be de-identified by the candidate prior to submission, such that the remaining information cannot be used to identify an individual patient.