Subspecialty Certification Exam


The following requirements must be completed before you may sit for the Neurophysiology Subspecialty Certification Exam:

  • Hold primary board certification in Neurology from the AOBNP that is active and in good standing.
  • Complete AOA-approved residency training in Neurology that included a minimum of three months of EEG with evoked potentials and three months of EMG.
  • Complete a one-year approved fellowship in EMG/EEG or Neurophysiology.
  • Successfully sit for and pass all sections of the certification examination.
  • Adhere to the AOA Code of Ethics.


At the time of application, the applicant must submit the following to the board:

  • Completed application signed and dated by applicant.
  • Notarized passport size photo attached to the application.
  • Copy of current state medical license indicating expiration date.
  • Copy of fellowship certificate from the Neurophysiology program, letter from the program director or letter from the chief of neurology or Neurophysiology section documenting the applicant’s:
    • Years of clinical practice.
    • Recognition in the community as a practitioner of Neurophysiology at least 20% of his/her clinical time.
    • Standard of care provided.
    • Performance and interpretation of a minimum of 500 studies consisting of EEGs, EMGs, polysomnograms, and evoked potentials in clinical practice.
  • In the absence of a knowledgeable Neurology residency director aware of the applicant’s status (due to relocation, time, death, etc.), the ACONP may provide documentation.

Exam Fees

An application fee of $1,500 must be submitted with your completed application. This covers the $300 application fee and $1,200 initial examination fee. The late application fee is $350. No application will be considered complete until all fees have been paid.

No amount of the examination fee paid shall be returned after the application has been processed. Withdrawals within 14 days of an exam will incur a non-refundable penalty fee.

If an applicant fails any part of the exam, the fee for reexamination is $950.

Exam Dates and Deadlines

The Neurophysiology Subspecialty Certification Exam is offered twice every year. This year it is offered Nov. 14, 2019, in Tucson, Arizona. The application period opens 10 weeks prior to the exam. Applications are due six weeks prior to the exam.

Exam Content Outline

The Neurophysiology Subspecialty Certification Exam evaluates the neuroscientific basis, terminology, and interpretation of electroencephalography, evoked potentials, electromyography, and polysomnography as applied to clinical judgment in the diagnosis and treatment in the practice of osteopathic neurology.

The three-hour exam consists of three sections: Neuroimaging/Neuropathology, EEG/Evoked Potentials, and Electrodiagnosis (EMG, NCV, and Late Potentials). Each section is about 50 minutes in length.

  • The Neuroimaging and Neuropathology section consists of a slide presentation of clinical adult and pediatric neurological cases which are to be identified and written on the exam answer sheet provided.
  • The EEG and Evoked Potentials section consists of multiple-choice questions on neurophysiologic waveform data with clinical adult and pediatric case information.
  • The Electrodiagnosis section includes a written multiple-choice, single-answer test; a short written essay presenting the electrodiagnostic evaluation and expected findings of a clinical neuromuscular case; and identification of three or four EMG audio-visual waveforms.

Exam Scoring

Candidates must pass all sections of the Subspecialty Certification Exam. Candidates will receive written notification as to whether they passed or failed 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.