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About this exam

The Qualifying Examination is the written, multiple-choice examination that serves as the first of two examination steps toward certification by the American Board of Emergency Medicine; ABEM lists the Certifying Exam as a separate step in the same process. It is aimed at physicians who have completed or are completing emergency medicine residency training and who are pursuing ABEM certification, and it verifies the breadth of knowledge expected of a practicing emergency physician rather than only the conditions a given candidate happens to see often. Emergency medicine spans cardiovascular, respiratory, trauma and musculoskeletal, neurologic, gastrointestinal and renal, toxicologic and environmental, infectious disease and hematologic, and behavioral, pediatric, and obstetric and gynecologic presentations, so preparation should follow a content blueprint rather than the case mix of any single department. ABEM publishes the EM Model, which organizes emergency medicine content and is a reasonable skeleton for a study plan. A practical approach is to take a baseline practice test, spend study time where your weakest domains are rather than where you are most comfortable, use spaced repetition for facts that must be instant, and practice applying knowledge to short clinical vignettes under time pressure. Confirm current logistics such as item counts, timing, fees, and retake rules directly with ABEM, because those details change and are not all published on the page summarized here.

What you'll study

Common questions

About ER Board preparation

Is this an official ABEM resource?

No. This page is independent study material and is not affiliated with, endorsed by, or sponsored by the American Board of Emergency Medicine. ABEM's own site is the authoritative source for eligibility, applications, scheduling, fees, and scoring, so use it for anything that must be exactly right.

Is the Qualifying Exam the same as the Certifying Exam?

No. ABEM lists them as separate steps in the certification process: the Qualifying Exam is the written multiple-choice step, and the Certifying Exam is a distinct subsequent examination. Candidates should confirm the current sequence, eligibility windows, and scheduling deadlines with ABEM, since the pathway is administered and updated by ABEM.

What is the format, and how many questions are there?

The Qualifying Exam is a written multiple-choice examination. The source page summarized here does not list a current item count, time limit, or fee, so treat specific numbers from older or secondary sources as unverified and confirm them with ABEM before building a timing or budget plan around them.

How hard is it?

It is a broad, high-stakes board examination rather than a trick exam. The difficulty comes from coverage: you must be competent across every major domain of emergency medicine, including lower-frequency areas such as toxicologic, pediatric, and obstetric emergencies, at the level expected of a graduating resident. Most candidates find breadth, not individual item difficulty, to be the limiting factor.

What score do I need to pass?

ABEM sets the passing standard, and no fixed percentage appears on the page summarized here; any 'you need 75 percent' claim you encounter is not from this source. Because the board sets and can revise the standard, confirm the current requirement through ABEM's official candidate information rather than planning study around a rumored cutoff.

Can I retake it if I fail?

ABEM administers the certification process and sets its own retake and reapplication rules; the page summarized here does not state the number of permitted attempts or any waiting period. Do not rely on forum answers. Check ABEM's current policies and your own eligibility status in MyABEM before assuming a timeline for a second attempt.

In what order should I study?

Start from the blueprint, not from a question bank. Take a baseline assessment, identify your four weakest domains, and give them proportionally more time while keeping a maintenance rotation through strong areas. Build in spaced review so covered material resurfaces, and finish with timed blocks of mixed-domain vignettes to train switching between presentations under pressure.

What are the most common failure modes?

The recurring mistakes are studying only high-yield favorites while skipping toxicologic, environmental, pediatric, obstetric, and behavioral content; memorizing lists without practicing application to vignettes; never simulating timing; and reading explanations passively instead of writing out why the right answer is right. Breadth plus retrieval practice beats another passive pass through notes.

When in training should I take it?

Candidates typically sit the Qualifying Exam after completing emergency medicine residency, as part of the ABEM certification pathway; ABEM handles board eligibility, applications, and financial assistance through its certification pages. Confirm your own eligibility with ABEM directly, and plan your study timeline around your application and scheduling deadlines rather than assuming a fixed date.