Oral/Clinical Exam


Upon successful completion of the written exam and AOA approval of residency training, the applicant is eligible for the oral/clinical portion of the examination. This eligibility will be valid for the candidate’s board eligibility period, or for three opportunities to complete the Oral and Clinical Exam successfully, whichever comes first.


In order to sit for the Oral/Clinical Exam, you must:

  • Submit a completed application, required documentation and application fee prior to the application deadline.
  • Have completed residency training.
  • Receive approval from the AOBNP, the BOS and AOA on successful completion of the Written Exam.

Exam Fees

An exam fee of $1500 must be submitted with the completed application. This covers the non-refundable $300 application fee and $1,200 oral/clinical exam fee. No application will be considered complete until all fees have been paid.

Exam Dates and Deadlines

The Neurology Oral Exam is offered once per year, generally every May. The application period opens in Feburary. Applications are due in March.

Exam Process

Approximately six weeks prior to the date of the assigned Oral/Clinical examination, a candidate will receive information and notice specifying the date, time, and place to report for the exam.

Candidates taking the Part II examination are required to be examined in all sections for which they are scheduled. If a candidate does not appear for a section of his or her examination, no fees will be refunded.

Candidates who are unable to sit for all sections of their scheduled Part II examination due to a medical or other emergency may submit documentation of the emergency to the Board office, in writing, no later than 30 days after the date of the examination. The Board will then evaluate the documentation and determine whether the absence is excusable.

Exam Content

The candidate is expected to be up-to-date with current advances in neurology. The Oral/Clinical Exam consists of questions on practical, current, clinical problems that are designed to evaluate the candidate’s knowledge, problem solving, and thought processes.

During the oral portion of the exam, candidates will view a 10-15 minute video interview of a clinical neurological case, and then meet with examiners to discuss the case. This tests the candidate’s observational skills, differential diagnosis, treatment planning, and disposition recommendations.

During the clinical portion, candidates will be given 30 minutes to examine a live patient. Candidates’ ability to obtain a history and perform a neurological examination will be observed. Candidates will be expected to format and deliver a written assessment of history, signs and symptoms, findings, diagnosis, differential diagnosis, and treatment plan. Candidates are expected to bring with them their own neurological medical equipment for use during the live patient examination.

During the remaining period of time, written clinical case vignettes will be discussed. The discussion will focus on diagnosis and treatment in those areas of neurology in which there is no patient present. The examiners will also ask additional questions concerning other areas of clinical neurology and recent research as well as the application of osteopathic principles in neurological practice.

Exam Scoring

Candidates must pass all sections of the Oral/Clinical Exam. If a candidate does not pass the exam after three attempts, he or she will be required to retake and pass the Written Exam before proceeding to retake the Oral/Clinical Exam.

Candidates will receive written notification as to whether they pass or fail approximately 90 days after the oral/clinical exam. Successful candidates will receive their certificates from the Executive Office of the AOBNP after formal approval of their certification has been accepted by the BOS and Board of Trustees of the AOA.

Exam Failure

Candidates who fail an exam will be advised of their weakness in failed area(s) and may, upon payment of the re-examination fee, repeat the examination the following year.

Candidates who fail the Oral/Clinical Exam can be scheduled for the next Oral/Clinical Exam as long as they pay the re-examination fees, have not forfeited their three opportunities and are within their board eligibility period.

Applicants who fail to sit for the examination they have registered for will be required to submit a new application and pay the full fee for the next examination. Candidates who are unable to sit for their scheduled exam due to an emergency should contact the Board within 30 days of the exam to be given consideration of waiving the reapplication process and fees for the next exam.