Component 3: Cognitive Assessment

Please note: The General Pediatrics Cognitive Assessment Examination is being replaced with a new Longitudinal Assessment Program, which will enable diplomates to maintain continuous certification through ongoing learning and assessment. More information will be provided in the coming months.


To complete Component 3 requirements for Osteopathic Continuous Certification in the subspecialties of Neonatology, Adult & Pediatric Allergy and Immunology, and Sports Medicine, a physician must pass a written examination. Component 1 must be verified prior to the exam. You can view your status for all components of Osteopathic Continuous Certification by logging in to the AOA Physician Portal.

Exam Process: Pediatrics

IMPORTANT UPDATE: The AOBP is excited to announce the development of its longitudinal assessment plan for continuous certification scheduled to launch in March 2022. The longitudinal assessment is designed to promote educational learning retention and will provide practice-relevant value to our diplomates. The AOBP will utilize NBOME’s CATALYST learning platform that can be accessed 24/7 by diplomates via computer, tablet or smartphone. This page will continue to be updated as more details of the AOBP Longitudinal Assessment Program become available.

The OCC Longitudinal Assessment will cover all areas of pediatrics, including:

Primary Certification
Pediatric Health Maintenance and Preventative Care 11%
Infectious Diseases 8%
Laboratory, Procedural, and Diagnostic Performance and Interpretation 8%
Neonatal Medicine and Newborn Care 6%
Emergency Medicine and Critical Care 4%
Gastroenterology and Nutrition 4%
Mental Health 4%
Nephrology/Urology 4%
Neurology 4%
Otolaryngology 4%
Sports Medicine and Orthopedics 4%
Adolescent Medicine 3%
Allergy and Immunology 3%
Developmental and Behavioral Health 3%
Hematology and Oncology 3%
Osteopathic Principles and Practice 3%
Pulmonology 3%
Social Determinants of Health 3%
Cardiology 2%
Child Abuse and Neglect 2%
Dermatology 2%
Endocrinology 2%
Epidemiology and Public Health 2%
Genetics and Metabolic Disorders 2%
Ophthalmology 2%
Research Methodology and Quality Improvement 2%
Ethics and Medical Jurisprudence 1%
Pain and Fluid Management and Other Pharmacology 1%

Exam Content: Neonatology

Exam Content Outline
Maternal-fetal medicine 7%
Asphyxia and resuscitation 7%
Cardiovascular 10%
Respiratory 12%
Genetics/dysmorphism 7%
Nutrition/water/salt 10%
Nephrology 2%
Endocrine/metabolic/thermal 6%
Immunology/hematology/oncology 7%
Infectious diseases 7%
Gastroenterology 4%
Bilirubin 2%
Skin disorders 1%
Neurology/development/behavior 9%
Eyes, ears, nose, mouth, throat and neck 1%
Basic principles of pharmacology 1%
Practicing evidence-based health care 5%
Health services delivery/ethical issues/family counseling 2%

Applications and Payment

The following fee schedule applies to physicians seeking board certification from the American Osteopathic Board of Pediatrics.

OCC Cognitive Assessment
EXAM Type Fee
OCC—Longitudinal Assessment TBD
OCC—Subspecialty $1,400

Longitudinal Assessment Program

The high-stakes OCC written examination will be replaced with osteopathic continuous certification of learning through the Longitudinal Assessment Program. More information will be available in the coming months. Applications are expected to open in early Fall 2021.

Exam Policies

Information outlining processes of the Longitudinal Assessment Program will be available soon.