Scoring and Results
Last verified on July 6, 2023
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ScoringThe ABR uses criterion-referenced scoring on all its computer-based exams. To learn more about this method and how it differs from norm-referenced scoring, please visit our Exam Scoring Model page. If a candidate meets or exceeds the passing standard when all categories are scored together, then the candidate will have passed the exam. If a candidate does not meet or exceed the passing standard when all categories are scored together, then he or she will have failed the exam and must repeat the entire exam.
ConditioningBeginning in 2021, a conditioned exam result is no longer given. The exam is scored as pass/fail using all exam categories, including physics. Candidates who received a conditioned physics exam result prior to 2021 are still required to retake and pass the stand-alone physics content to receive an overall pass result for the Qualifying (Core) Exam.
ResultsAfter the exam has been scored, the Board will post the candidate’s results in his or her password-protected myABR account. Program directors and chairs will receive the same information for all their candidates and former candidates in order to help in evaluating and improving their training programs. Results for the Qualifying (Core) Exam are posted approximately one month after the last day of the exam administration. To track an exam’s scoring progress, please click here.
Additional Qualifying (Core) Exam DetailsThere are many reasons why pass/fail rates vary. Each cohort of residents that presents to take the exam in a particular year is unique, and some programs have noted the increasing challenges of training in a dynamic academic environment. The ABR exams are criterion-referenced, not norm-referenced. In other words, we do not “grade on a curve” nor do we have a predetermined fail rate. Instead, the passing standard is set in advance of the administration by a group of volunteers, including residency program directors, who assess the difficulty level of each individual question. The ABR makes every effort to ensure that exams and assessments we deliver meet rigorous standards by following very prescribed and consistent processes for our exam development, delivery, and scoring. This methodology does not change significantly from year to year; while our intent is to support the profession by offering a rigorous credential supported by excellent comprehensive training, the ABR does not seek to change the percentage of individuals who pass the test. The question writers are dedicated volunteers from both private practice and academia who are committed to writing the best questions possible. The primary determiners of importance and relevance of specific questions are the actual developers of exam questions. In the case of the Qualifying (Core) Exam material, these individuals are required to be clinically active and represent a broad range of practice environments. Most important, the question-writing process requires multiple levels of review, including editorial content and subject matter expert reviews. Once those are completed, each Qualifying (Core) Exam form is assembled by a multidisciplinary group representing the major exam categories to ensure that every question is appropriate and meets the exam’s objectives. Specifically, the various levels of review attempt to remove or revise questions that might be ambiguous or otherwise potentially mislead the test-taker. To understand how exam questions are written and learn more about different types of exam questions, please see the ABR Item Writers’ Guide. For a look at the extensive QA process that each question goes through, please see the Illustrated Life Cycle of an ABR Exam Item. Once the exam is delivered, the scoring process allows us to evaluate each exam question individually to ensure that it meets our rigorous performance standards. Any questions that do not meet these standards are evaluated by subject matter experts and can potentially be eliminated from scoring. These quality reviews are carried out by a large group of subject matter experts, which includes faculty across a broad range of residencies as well as many program directors (the people who are most connected to, and familiar with, resident education and training).
Qualifying (Core) Exam Results HistoryFirst-Time Takers (Residents ONLY)
|Year||Percent Passed||Total Examinees|