ABPS Anesthesiology (BCA)

ABPS Board of Certification in Anesthesiology (BCA) Examination

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About this exam

The Board of Certification in Anesthesiology (BCA) is a member board of the American Board of Physician Specialties (ABPS), a multi-specialty certifying body that certified its first physician in 1960 and whose Diplomates now practice across all 50 states, as well as Canada and Puerto Rico. BCA certification is a voluntary credential that allows successful candidates to present themselves to the public as qualified medical specialists in anesthesiology.

It is aimed at practicing anesthesiologists who have completed a PGY-1 year or accredited internship plus an ACGME- or AOA-accredited anesthesiology residency, or a residency accredited by the Royal College of Physicians and Surgeons of Canada, and who hold a valid, unrestricted license to practice.

The process runs in two stages: a written examination of 200 multiple-choice items administered in a four-hour session, which must be passed before the oral component. Certificates run eight years, expiring December 31 of the eighth year.

Preparation has two tracks. The eligibility file - 25 anesthesia case reports with redacted anesthesia record sheets no older than twelve months, a chronological CV, and two Diplomate letters - is the slower one, so start it early. For the written exam, 200 items in 240 minutes leaves roughly 72 seconds per question, which makes timed practice as important as content review. This independent question bank is organized around ten anesthesiology domains, from basic sciences and equipment through regional anesthesia, critical care, special populations, and professional practice.

What you'll study

Common questions

About ABPS Anesthesiology (BCA) preparation

What does the BCA certification process actually involve?

Two examinations, in a fixed order. Applicants who are deemed eligible must successfully complete a written exam and an oral exam. The written exam is 200 multiple-choice items given in a four-hour session, and candidates must pass it before they may take the oral component.

How fast do I need to move during the written exam?

One hundred items per hour - about 72 seconds per question across the four-hour session. That is generous for well-prepared candidates and unforgiving if you linger on a hard item. Build timed blocks of 50 items into your practice so pacing is automatic rather than something you manage on exam day.

Can I take the oral component first, or sit both on the same day?

No. The sequencing is explicit: candidates must pass the written exam in order to take the oral component. Plan two separate hurdles and do not schedule oral preparation for a window that depends on a written score you have not yet received.

How long does BCA certification remain valid?

Eight years. Once granted, all ABPS certificates are good for a period of eight years, expiring on December 31 of the eighth year. Recertification is handled separately, with its own requirements and fee schedule published by ABPS. Track your expiration from the year certification was granted.

What must I submit before ABPS deems me eligible?

Completion of a PGY-1 program or accredited internship plus an ACGME- or AOA-accredited anesthesiology residency, or one accredited by the Royal College of Physicians and Surgeons of Canada; 25 anesthesia case reports including the redacted anesthesia record sheet, no older than twelve months from the date ABPS receives your application; a chronological CV; and two letters of recommendation from Diplomates of an ABPS, ABMS, AOA, RCPSC, or CFPC board.

Which content areas does the written exam cover?

ABPS maintains a separate Examination Description page for the subject areas, but the anesthesiology pages we verified describe scope only generally - success indicates mastery of anesthesiology skills and knowledge. They do not state topic weights in the text available to us, so we print none. This bank is organized into ten domains, from basic sciences through patient safety and professional practice.

What is the passing score or the pass rate?

ABPS does not state a passing score or a published pass rate on the pages we verified, so we report neither. Treat any specific number you encounter elsewhere as unverified until ABPS confirms it directly. Prepare to a high, broad standard rather than to a guessed cut score.

If I fail a component, can I retake it?

The source pages verified here do not describe a retake policy - no permitted number of attempts, waiting period, or associated fee is stated. Confirm this directly with ABPS before building a timeline that assumes a second sitting. We mark the item unverified rather than guess.

Where do capable candidates most often lose points?

Two avoidable places. Pacing first: one item held too long costs two easier items later in the session. Documentation second: case reports must include the redacted anesthesia record sheet and must be no older than twelve months from the date ABPS receives your application, so reports assembled too early become unusable and delay the whole application.