As a resident in an ACGME-accredited Family Medicine program, you are eligible to take the annual In-Training Examination (ITE).  The purpose of the ITE is to provide an assessment of your progress in acquiring the knowledge you need to be a family physician. This also provides your residency program with comparative data about how the program as a whole is meeting these educational goals.  The ITE is administered in an online format during the last full week of October each year. 

The 2019 In-Training Examination will be administered October 21-25, 2019.


In-Training Examination Format

The ITE consists of 200 multiple-choice questions and uses a content outline which is identical to the blueprint for the ABFM Family Medicine Certification Examination.  Questions for the ITE are written by ABFM board-certified family physicians who may be in academic medicine or in private practice. Before the questions are published, they are reviewed by a committee consisting of current or former residency program directors. You will see some pictorial items, which may include radiographs, EKGs, pictures of dermatologic conditions, or other images, when you complete the ITE.

After you complete the ITE, you can download answers and critiques for all the questions on the exam from your Physician Portfolio.  These critiques provide a brief rationale for the answer and also include a recent reference that provides a source for you to further review and learn from.

The ITE is scored using statistical analyses similar to those used for the ABFM Family Medicine Certification Examination. There is no passing score on the ITE, since the purpose of this examination is to assess your progress over the years of your residency training. Performance reports provide you with identified areas that you need to study and can be used to develop your own individual educational plan between you and your residency program.

ITE performance reports are available in your Physician Portfolio within six-eight weeks of the examination date. Your residency program can access these same reports through the Resident Training Management (RTM) system


In-Training Examination Resources

In-Training Examination Content Outline

  • The In-Training Examination content outline provides a blueprint of all content areas that will be covered on the In-Training Examination. 

Bayesian Score Predictor

  • The Bayesian Score Predictor (BSP) is designed to provide you and your residency program with an estimate of your probability of passing the Family Medicine Certification Examination.  

In-Training Examination Booklets

  • To access the most recent In-Training Examination Questions, Pictorial Atlas and Question Critiques, log into your Physician Portfolio and click on the link “In-Training Examination.”