Component 3: Cognitive Assessment


To complete Component 3 requirements for Osteopathic Continous Certification in the primary specialty of Surgery, a physician must pass a written examination. Components 1 and 5 must be verified prior to the exam.

Exam Process

The OCC Written Exam is offered twice per year, in spring and fall. Diplomates may begin taking the exam three years prior to the expiration date of their certification and will have up to six opportunities to pass the exam.

Applications and Payment

Diplomates must submit an exam application, letter of intent and fees prior to taking the OCC Written Exam.

OCC Primary (Clinical Pathway)
EXAM Type Fee
OCC $2,225

Exam Results

If a diplomate passes the 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 AOBS 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. All exam results are reviewed and approved by the board. Diplomates will be notified no later than 90 days following the board’s decision.

Exam Failure

Upon failing an administration of the OCC Written Exam, diplomates may retake the exam provided that certain conditions are met, including the following “current CME” requirements. “Current CME” denotes credits earned since the most recent failure and prior to re-examination.

  • First failure: 15 hours of current CME in the discipline.
  • Second failure: 20 hour of current CME in the discipline.
  • Third failure: 25 hours of current CME in the discipline.
  • Fourth failure: 30 hours of current CME in the discipline.
  • Fifth failure: 35 hours of current CME in the discipline.
  • Sixth failure: AOA will be notified and the certification will be inactivated.

Exam Policies

Right to Appeal

If a candidate feels that actions of the AOBS 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 submitting an Appeal Request Form along with any supporting documentary material necessary for proper review of the case. The Appeal Request Form must be submitted within seven days after completion of the exam. 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 AOBS complies with all applicable federal and state regulations, including:

  • Americans with Disabilities Act (ADA): The AOBS 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 AOBS 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 AOBS certification will be de-identified by the candidate prior to submission, such that the remaining information cannot be used to identify an individual patient.