The APCCMPD In-Service Examinations


The APCCMPD Pulmonary and Critical Care In-service Exam and APCCMPD Critical Care In-service Exam are the only nationally standardized, psychometrically-validated tests that evaluate a clinicians' knowledge of Pulmonary and Critical Care Medicine.

Each exam is a 150-question, computer-based exam. Content is based on the respective ABIM Pulmonary and Critical Care Board Exam Blue Print and ABIM Critical Care Board Exam Blue Print

Every year exam items are developed by the In-Service Exam Writing Committee, a group of physician content experts who create these items to reflect the knowledge and skills identified as necessary for competent trainee progression through Pulmonary, Critical Care, and Combined Subspecialty Training. Once assembled, the test then undergoes a holistic review by a psychometrician and the In-Service Exam Writing Committee who examine the test for accuracy, significance, fairness, and conformity to test specifications. Exam items are then placed through a rigorous item-analysis adhering to psychometric industry standards to detect any questionable item performance. The results are reviewed so that item ambiguities are detected and the necessary adjustments made before administration and scoring.

The In-service Exam Writing Committee goes to great lengths to ensure that the exams are an accurate reflection of the most current evidence and practice in pulmonary and critical care medicine, and that it is administered in a way to protect the integrity of the resulting scores. This requires vigilance in both exam analysis and proctoring efforts. The APCCMPD In-Service exams are annually reviewed and updated, including regular item-analysis to determine that all items are performing as originally intended. The extensive psychometric process is necessary not only to verify each item as reliable and an appropriate representation of pulmonary and critical care medicine, but also to determine that all questions are written in an accurate and fair manner. 

Available Exams

  • Pulmonary and Critical Care In-Service Exam
  • Critical Care In-Service Exam

Value to Program Directors

Each exam has been developed as a “low stakes” examination and not to be used for promotion.

  • Provide educational counseling
  • Evaluate knowledge uptake of the course of fellowship
  • Develop curricula and validate planned curricular changes
  • Compare Fellows’ performance nationally
  • Serve as a tool for the Program Requirement V.A.2.b).(1).(b) Medical Knowledge
  • The program must use an objective formative assessment method. The same formative method must be administered at least twice during the program. 

Value to Fellows

  • Identify areas of deficiency that require further learning
  • Compare performance to peers nationally
  • May help make career choices

2019 Dates

February 25 - April 26, 2019

Registration for 1st-, 2nd-, and 3rd-Year Fellows

April 22 - May 10, 2019

Testing Window for 1st-, 2nd-, and 3rd-Year Fellows

June 3 - July 12, 2019

Registration for Incoming Fellows

July 8 - 19, 2019

Testing Window for Incoming Fellows

September 1 - October 15, 2019

Registration for exam retesting* (to register please email [email protected])

October 7-18, 2019

Retesting Window

*To be eligible to retake the inservice exam the fellow must have taken the initial exam in either April/May or July of 2019.


Exam Rates

Fellowship Year

Member Fee Per Fellow

Non-member Fee Per Fellow

1st-Year Fellow



2nd-Year Fellow



3rd-Year Fellow



Incoming Fellow



Retest Fee



Program Directors who register their Fellows will also be able to register to take the complimentary examination. 

Eligibility to Take the Exam

Examinees must be one of the following, and must be registered by their program:

  • Incoming Fellows
  • 1st-Year Fellows
  • 2nd-Year Fellows
  • 3rd-Year Fellows
  • Program Directors may take a complimentary exam when registering at least one Fellow

For more information contact: [email protected]

Why should I assign a Primary Contact?

Questions? [email protected]