ABR TMP
ABR Therapeutic Medical Physics (TMP) Part 2 Qualifying Exam
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The ABR Therapeutic Medical Physics (TMP) Part 2 Qualifying Exam is the middle step of the three-part ABR medical physics certification sequence. It is intended for physicists who have already passed both sections of Part 1 and who are completing, or are on track to complete, a CAMPEP-accredited residency or DMP program by August 31 of the exam year. Unlike Part 1, which tests graduate-level fundamentals, Part 2 is specialty-specific: it samples the working knowledge a therapeutic physicist uses in a radiation oncology clinic - treatment planning and dose calculation, machine calibration and quality assurance, brachytherapy, imaging for simulation and image guidance, and the safety, informatics, and professionalism expectations that surround them. The exam is computer-based, about five hours in a single session, offered once a year, mostly multiple choice with some drag-and-drop items, and scored against a fixed criterion-referenced standard rather than a curve. Preparation should center on the ABR content guide for therapeutic Part 2 and the published constants and physical values list, active recall across all domains, timed practice with the embedded calculator, and a completed Exam Readiness Check. This page is an independent study resource and is not affiliated with or endorsed by the ABR.
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About ABR TMP preparation
What is the format and length of the TMP Part 2 exam?
It is a computer-based exam of roughly five hours delivered in one session, offered once a year, typically in August. Most items are multiple choice; some are drag-and-drop, where you identify an anatomical site, equipment component, or a region on a graph by clicking the correct spot. An embedded calculator is available, and a few handheld models are permitted.
Am I eligible to sit Part 2?
You must have passed both Part 1 sections (General and Clinical), have completed or be on track to complete a CAMPEP-accredited residency or DMP program by August 31 of the exam year, and have started residency training within 10 years of passing Part 1. Three- and four-year residency programs must be completed in full before you are eligible.
How is the exam scored, and is it curved?
Scoring is criterion-referenced: your result is compared with a fixed standard, not with other candidates. The exam is scored as a whole, all categories must be passed together, and the outcome is pass or fail. Because the standard is fixed in advance, a hard exam form does not lower the bar. Results typically post in myABR about one month after the exam.
If I fail, can I retake only the weak category?
No. If you do not meet the standard you must retake the entire exam. That differs from Part 1, where a single failed section can be retaken on its own. You may sit Part 2 again at a later annual administration as long as you remain within your board eligibility period and apply during the open window.
How long does board eligibility last?
Board eligibility runs for six full calendar years, counted from whichever comes first: completion of your residency or your Part 2 approval. That clock governs how long you have to finish the sequence, so plan Part 3, which the ABR typically offers twice a year, with the deadline in mind rather than retaking Part 2 casually.
When do I apply, and how does registration work?
For the 2027 exam cycle, applications are accepted from the first business day in February 2027 through March 31, 2027. The ABR also emails an invitation about two months before the exam. Registration happens in myABR, and all exam fees must be paid before you can register.
Which calculators are allowed?
Use the calculator embedded in the exam interface or an approved Texas Instruments handheld. Handhelds may not contain notes or manually programmed formulas, and unauthorized markings must be covered with solid-colored tape. You verify which calculator you are using at check-in, and no other personal electronic, computing, or calculator devices are allowed in the exam area.
How hard is the exam in practice?
Aggregate ABR data for first-time Part 2 takers enrolled in CAMPEP programs show 76% passing in 2026 (214 candidates), 86% in 2025 (182), and 78% in 2024 (178). Those figures pool all three specialties, so they indicate general difficulty rather than a TMP-specific probability. A fixed standard means the pass line does not move with the cohort.
In what order should I study?
Clear Part 1 first, since it is a prerequisite and Part 2 assumes graduate-level fundamentals are solid. Then work domain by domain with the ABR Therapeutic Medical Physics Part 2 content guide and the constants and physical values document, and finish with timed mixed sets. Treat the content guide as a scope reference - ABR notes that any single form samples only part of it.
How should I prepare for the exam interface itself?
Complete the Exam Readiness Check on the same computer and in the same location you will use on exam day; it verifies camera, microphone, internet, and software and includes an ID scan and selfie. Sample questions unlock afterward so you can rehearse the item formats. During the exam you can flag items within a section, but once you leave a section you cannot return.