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Adaptive prep mapped to the 2022 EM Model — clinical conditions, signs and symptoms, procedures and skills — with pictorial practice and ECG / imaging interpretation.
Full ABEM Qualifying Exam bank, AI Tutor and timed mocks — $29/month or $99/year. All paid exam banks included.
~152 single-best-answer MCQs · 3 hours 10 minutes · pictorial and non-pictorial items (X-rays, ECGs, ultrasounds)
~153 single-best-answer MCQs · 3 hours 10 minutes · 1-hour scheduled break between sections · ~8 hours total at the testing centre
2026 testing window: 29 October – 7 November. Application closes 8 September 2026 (standard $960) or 15 October 2026 (late $1,260). Certifying Exam transitioning from oral to OSCE format from 2026.
ABEM assigns specific percentage weights to each element of the EM Model. Modifying factors of age (pediatric, adult, geriatric) overlay every category.
Source: official American Board of Emergency Medicine (ABEM) blueprint
Categories that consistently dominate the ABEM Qualifying.
Cardiovascular emergencies — STEMI/NSTEMI, aortic dissection, PE, tamponade, dysrhythmia management
Trauma — ATLS principles, head injury, hemorrhagic shock, pelvic fracture, spinal cord injury
Toxicology — common overdose antidotes, decontamination, specific syndromes (cholinergic, anticholinergic, sympathomimetic)
Procedures — ultrasound interpretation (FAST, RUSH, lung), airway management, central line, lumbar puncture
Paediatric emergencies — fever workup by age, paediatric resuscitation, dehydration assessment, NAI red flags
ECG and imaging interpretation — STEMI mimics, common dysrhythmias, CT head bleeds, CXR findings
Themes from candidate feedback and ABEM Chair reports.
Candidate-reported observations — not official guidance.
Designed for EM residents preparing during PGY-3 / PGY-4 year.
A live item from the iatroX bank. Try it before launching a full session.
A 31-year-old man is hospitalized after blunt chest trauma from a motorcycle collision. On arrival, a left hemothorax was treated with a correctly positioned 28-F tube thoracostomy. On hospital day 3, he remains hemodynamically stable and afebrile but has persistent pleuritic pain and decreased breath sounds at the left base. The tube is patent and has drained 40 mL during the preceding 12 hours. Contrast-enhanced CT of the chest shows a 650-mL partially loculated residual left pleural blood collection without active contrast extravasation. Thoracic surgery is immediately available. Which of the following is the most appropriate next step?
Why iatroX is built differently for ABEM Qualifying Exam.
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
One iatroX subscription includes the ABEM Qualifying Exam bank, the Socratic Tutor inside supported sessions, and every other premium iatroX exam bank.
Cancel anytime · 7-day money-back guarantee on annual
ABEM publishes the Qualifying Exam dates, fees and candidate rules, but the current page used for this manifest does not expose a national pass-rate figure. iatroX therefore does not hard-code an unsourced ABEM pass rate.
Criterion-referenced — candidates need a final score of approximately 77 or greater (effectively 80%) to pass. Pass marks are independently replicated for each version of the exam; ABEM does not provide rescore services.
The Qualifying Examination (written) format remains unchanged. The Certifying Examination is being introduced in 2026 as an OSCE-based assessment, replacing the previous virtual Oral format. Candidates who passed the Oral Exam in 2024 or 2025 do not need to take the new Certifying Exam.
Held annually over approximately 10 days in late October to early November (2026: 29 October – 7 November) at Pearson VUE testing centres across the United States.
Yes. A single iatroX subscription includes the ABEM Qualifying bank alongside every other premium iatroX exam bank.
Other iatroX hubs you may find useful.
see how iatroX compares to BoardVitals, Hippo EM Board Review, AAEM Review.
Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP · Last reviewed 12 May 2026
See our methodology and editorial policy.