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About this exam

The General Surgery Specialty Board Examination (بورد تخصصی جراحی عمومی) is the national certifying assessment that graduates of Iranian general surgery residency programs must pass to be recognized as specialist (متخصص) surgeons and to obtain an independent practice licence. It is administered under the authority of the Iranian Ministry of Health and Medical Education through the relevant board and testing body; this page is an independent study resource and has no official affiliation with those organizations. The exam is delivered in Persian and combines a written multiple-choice paper with an oral examination and a clinical skills assessment, so preparation must cover both factual recall and the ability to reason aloud and perform at the bedside. Content spans the full breadth of the specialty, with the largest shares given to basic sciences applied to surgery and to gastrointestinal and abdominal wall disease, followed by perioperative care, trauma and critical care, hepatobiliary and pancreatic disease, endocrine and breast surgery, vascular and thoracic surgery, pediatric surgery, transplantation and surgical oncology, minimally invasive techniques, and ethics, professionalism and Iranian medical regulations. Serious preparation typically means working through a structured Persian-language reference set, revisiting residency logbook cases, practising oral case presentations, and using timed mock exams to expose weak domains. The certifying body publishes current administrative details such as dates, fees and results on its official website.

What you'll study

Basic Sciences as Applied to Surgery (anatomy, physiology, pathophysiology, surgical pathology, microbiology, pharmacology, immunology, fluid/electrolyte and nutrition)15% Preoperative, Perioperative and Postoperative Care (risk assessment, anesthesia coordination, wound healing, surgical infections, critical care, complications, enhanced recovery)10% Trauma and Surgical Critical Care (initial assessment, triage, damage control, abdominal and thoracic trauma, burns, shock and resuscitation)10% Gastrointestinal Tract and Abdominal Wall (esophagus, stomach, small bowel, colon, rectum, appendix, hernia, anorectal disease)15% Hepatobiliary, Pancreatic and Splenic Disease (liver, biliary tree, pancreas, spleen, portal hypertension)10% Endocrine Surgery (thyroid, parathyroid, adrenal, pancreatic and gastrointestinal neuroendocrine tumors, breast)8% Vascular Surgery (arterial and venous disease, aneurysms, peripheral ischemia, vascular access, lymphatic disorders)7% Thoracic Surgery (lung, pleura, mediastinum, chest wall, esophagus, trachea)5% Pediatric Surgery (congenital anomalies, pediatric trauma, pediatric oncology, neonatal surgical conditions)5% Transplantation and Surgical Oncology (kidney, liver, pancreas transplantation, principles of oncologic surgery, multidisciplinary management)5% Minimally Invasive and Emerging Surgical Techniques (laparoscopy, robotic surgery, endoscopy, interventional procedures)5% Ethics, Professionalism, Patient Safety and Health Law (informed consent, medical errors, quality improvement, communication, Iranian medical regulations)5%
Common questions

About Iran General Surgery Board Exam preparation

What is the format of the Iranian General Surgery Board Exam?

It has three components: a written multiple-choice examination, an oral examination in which examiners question you on cases and clinical reasoning, and a clinical skills assessment. The written paper is the usual first filter, so most candidates prepare for it first and then rehearse spoken case discussions.

How many questions are on the written paper and how long does it last?

Question counts, time limits and scoring rules are set for each administration. The official board and the Ministry of Health and Medical Education publish the current figures on their websites, so check there rather than relying on numbers from older candidates or study groups.

What score do I need to pass, and what is the pass rate?

The passing standard and any annual pass statistics are determined and published by the certifying authority for each exam cycle. Because these change, verify them on the official site. Do not plan your study around a rumoured threshold; aim for broad competence across all domains instead.

How difficult is the exam compared with residency training?

It is a breadth test rather than a subspecialty test. Most failures come from uneven knowledge, not from obscure facts: candidates who are strong in gastrointestinal and trauma surgery but weak in pediatric, vascular or ethics content lose easy marks. Treat every domain as examinable, including the smaller-weight ones.

Can I retake the exam if I fail, and how many times?

Retake eligibility, waiting periods and any limits on attempts are governed by the board's regulations and can be revised. The official body publishes the current rules, so confirm them directly before you plan a repeat attempt. In practice, most candidates who fail focus their next cycle on the domains that pulled their score down.

In what order should I study the domains?

Start with basic sciences applied to surgery and gastrointestinal and abdominal wall disease, which carry the largest weights and underpin everything else. Then move through perioperative care, trauma and critical care, and hepatobiliary and pancreatic disease. Finish with endocrine, vascular, thoracic, pediatric, transplant, minimally invasive and ethics content, and revise the small domains late so they stay fresh.

What causes most candidates to fail?

Three patterns dominate: neglecting low-weight domains such as pediatric surgery, vascular surgery and ethics; memorizing facts without practising clinical reasoning for the oral component; and poor time management on the written paper. Practising timed mock exams and rehearsing spoken case presentations addresses all three.

How long should I allow for preparation?

Most graduates need several months of structured revision after residency, combining a Persian-language reference text, review of their own operative logbook, and at least a few full timed mock exams. Working surgeons should schedule protected study blocks early, because the oral and clinical components need practice partners, not just reading time.

Is the exam delivered in Persian or English?

The examination is delivered in Persian, and standard technical terms are commonly used in their English form. Practise explaining diagnoses, indications and operative decisions aloud in Persian, since the oral examination tests how clearly you communicate reasoning, not only whether you know the answer.

Where do I find dates, fees and registration requirements?

The certifying body and the Ministry of Health and Medical Education publish examination dates, registration windows, fees and document requirements on their official websites. This page is an independent study resource with no official affiliation, so always confirm administrative details at the official source before registering.