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Adaptive prep mapped to the new 2025 ABFM five-domain blueprint — organised by clinical activity, not organ system — with both One-Day Exam and Longitudinal Assessment pathways.
300 single-best-answer questions · 4 sections of 75 questions · 95 minutes per section · 100 minutes pooled break.
Quarterly longitudinal pathway used by eligible diplomates; candidates answer timed questions across multiple quarters.
One-Day FMCE windows are offered in April and November, with FMCLA delivered quarterly. Use the ABFM 2026 information booklet for exact fee and scheduling rules.
The new blueprint is organised by clinical activity rather than organ system, effective from 1 January 2025.
Source: official American Board of Family Medicine (ABFM) blueprint
Topics most heavily represented under the new 2025 blueprint.
Preventive care — USPSTF recommendations, cancer screening, vaccination schedules, well-child and well-adult visits (35% of paper)
Urgent and emergent care — chest pain triage, sepsis recognition, paediatric fever, mental health emergencies
Acute care and diagnosis — common acute presentations and the diagnostic reasoning approach
Chronic disease management — diabetes, hypertension, COPD, heart failure, depression, chronic pain
Reproductive and women's health — contraception, pregnancy care, menopause
Foundations of care — communication, ethics, quality improvement, systems-based practice
Themes from candidate feedback and ABFM program performance reports.
Candidate-reported observations — not official guidance.
Designed for FM residents preparing for the One-Day FMCE during PGY-3 year.
A live item from the iatroX bank. Try it before launching a full session.
A 44-year-old man reports burning retrosternal discomfort after large meals and when lying down. He has no dysphagia, weight loss, vomiting, gastrointestinal bleeding, or anemia. Which of the following would you advise this patient?
Why iatroX is built differently for ABFM Family Medicine Boards.
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 ABFM Family Medicine Boards bank, the Socratic Tutor inside supported sessions, and every other premium iatroX exam bank.
Cancel anytime · 7-day money-back guarantee on annual
ABFM publishes pass-rate data separately from the exam booklet; iatroX does not hard-code a stale pass rate. The One-Day FMCE remains a 300-question exam delivered in four 75-question sections.
A redesigned blueprint took effect on 1 January 2025, organising content into five domains of care based on clinical activity rather than organ system: Preventive Care (35%), Urgent/Emergent Care (25%), Acute Care and Diagnosis (20%), Chronic Care Management (15%), and Foundations of Care (5%). Both the One-Day Exam and the FMCLA use this blueprint.
For initial certification, you take the One-Day Exam. For continuing certification, more than 80% of eligible board-certified diplomates have selected the longitudinal assessment when given the choice. FMCLA spreads 300 questions across 25 per quarter for 3–4 years and is open-book.
Yes — diplomates aged 70 years or older during the year of the examination receive a 50% senior discount on the One-Day Exam fee, provided they have initial certification and at least one continuous certification in Family Medicine with ABFM.
Yes. A single iatroX subscription includes the ABFM Family Medicine bank alongside every other premium iatroX exam bank.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP · Last reviewed 12 May 2026
See our methodology and editorial policy.