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Information for the Subspecialty Certification Program in Endocrinology

Please see exam information below. Click here to View/Save exam information.

This information sheet has been produced by the American Osteopathic Board of Internal Medicine for use by Diplomates who are applying for certification in Endocrinology. The purpose of this document is to provide general information concerning the Endocrinology Examination and instructions for completing the application.

Certification in Endocrinology is a program for certified internal medicine specialists, designed to recognize excellence among those who provide care in this subspecialty field. The program has two components:

A.     Satisfactory completion of two years of an AOA approved fellowship program in Endocrinology.
B.     Successful performance on a comprehensive, one-day written/clinical examination.


Internists must be certified by the AOA, through the American Osteopathic Board of Internal Medicine, in internal medicine and complete a 24-month AOA approved program in the subspecialty. The following documents must be submitted with the application:
A. Copy of the fellowship training certificate(Must be submitted by August 1);
B. Completion of the Program Director's report form by the subspecialty Program Director;
C. ACOI/AOA approval of the subspecialty training must be verified before certification is completed. If you have received a letter from the ACOI or AOA stating your "Program is Complete" enclose a copy of that letter with your application.

General Description:

This examination will be a proctored one-day examination consisting of multiple-choice questions of the "one best answer" type and matching type items. There will be a total of 300 items on the examination. The Endocrinology Subspecialty Examination will cover the broad aspects of endocrinology that internists practicing in endocrinology are expected to know. The major emphasis in this examination will be:

Endocrine physiology and pathophysiology; hormone actions and clinical disorders of the pancreas, adrenal cortex, testes, ovaries, breast, adrenal medulla, thyroid, parathyroid, anterior pituitary, posterior pituitary and hypothalamus; carbohydrate metabolism; physiology and pharmacology of insulin; multiple endocrine neoplasias; obesity; lipid metabolism; metabolic bone disease; disorders of phosphate metabolism; gastrointestinal hormones; polyglandular disorders; and renin and angiotensin system.

Clinical situations involving diagnosis, etiology, prognosis and natural history of the disease, and management will be stressed. There will be clinically oriented questions with case history data included. In some of these case histories you may be asked to interpret visual material printed in the examination, which may include:

Tissue histopathology, imaging techniques, gross pathological specimens, physical findings and tissue karyotyping.

Endocrinology Blueprint

Content Area % on the Exam
Principles of endocrinology, hormones, physiology 6
Diabetes mellitus 15
Hypoglycemic syndromes/Islet cell disorders 3
Lipid disorders 4
Hypothyroidism 8
Hyperthyroidism 8
Tumors of thyroid 3
Disorders of ovaries/breast 5
Menstrual cycle/Fertility/Contraception 3
Disorders of testes 4
Disorders of the adrenal cortex 8
Disorders of the adrenal medulla/tumors of adrenal 3
Hypothalmic/Pituitary disorders 8
Polyglandular/Multiple-organ syndromes 4
Obesity 3
Parathyroid disorders/Calcium-Phosphorus metabolism 8
Bone/Osteoporosis 4
Miscellaneous 3
Total 100%

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