ABFM offers an alternative to the one-day family medicine certification examination called the Family Medicine Certification Longitudinal Assessment (FMCLA). This approach to assessment of cognitive expertise is more aligned with adult learning principles, promoting more enduring learning, retention and transfer of knowledge than infrequent, episodic examinations.

Following a feasibility and validity study in 2018, ABFM piloted FMCLA as an examination alternative from 2019-2021. A thorough analysis of participant feedback at multiple steps along the way, as well as data analysis to evaluate the quality, effectiveness, and acceptability of the program were performed. Thanks to an overwhelmingly positive response, ABFM is now pleased to offer the permanent version of FMCLA for eligible physicians beginning in 2022.


  • You will be provided 25 questions online each quarter
  • Questions can be completed at the place and time of your choice
  • You may use clinical references during the assessment, much like you do in practice
  • You will not need to travel to a test center, nor spend additional time and money on preparatory courses

In order for FMCLA to count for your examination requirement, you will need to answer 300 questions over a four-year time period. Since the platform delivers 25 questions each quarter, FMCLA provides you with flexibility to complete the entire process in three years or extend to a maximum of four years, with breaks along the way if needed. FMCLA is designed to maintain the same high standards as the examination. The cut score for the longitudinal assessment maintains the same rigorous standard as the one-day examination.


  • It minimizes your time and expense spent in preparation for the examination and the inconvenience of the test center.
  • It can be completed when and where is best for you—increased flexibility and less stress than is often associated with the one-day examination.
  • It provides you with immediate feedback after each response, with a critique explaining reasons for the right or wrong answers and supporting references for future study.
  • Learning is more continuous, allowing you to immediately apply information to your practice.
  • There is no additional cost—your certification fees remain the same as with the one-day examination.
  • Once your final results are released, you will receive up to 30 Division 1 CME and up to 10 certification points for your participation.

Updated Graph Resized