Adult Rheumatology In-Training Examination


March 26 - 27, 2019


Home institution


Registration is open.

Program Information

The Adult Rheumatology In-Training Examination (ITE) allows program directors to identify areas of strength and weakness in their program and fellows-in-training (FITs) to evaluate their progress and compare results against national outcomes as reported in the score reports. The ACR In-Training Examination Taskforce develops the Adult Rheumatology ITE with support of the National Board of Medical Examiners (NBME).

Registration Information

Registration for the 2019 Adult In-Training Exam is open. The deadline is February 15. Download the exam registration instructions.

Training program administrators, including program directors, assistant program directors, program coordinators, and division directors, have access to register their rheumatology fellows. Fellows may not self register for the exam. Before registering your fellows, please make sure that your training program roster is updated.

Registration (exam) fee: $260 per fellow (payment by credit or debit card only)

General Information

The ITE is a web-based examination consisting of 200 items. The exam is administrated to fellows at an onsite, secure testing location designated by the training program. The ITE is offered over a two-day window to allow programs to test all their fellows-in-training and provide necessary clinic coverage. FITs can be divided evenly among the two days or all FITs can take the exam on the same day.

Timing of the Exam

The total test session time is 7 hours and 55 minutes to complete the examination. There are 5 sections consisting of 40 items each with a 10-minute break after examinees complete test sections 1, 2 and 4; and a 30-minute break after examinees complete test section 3. There is an optional 15-minute tutorial at the start of the exam and a short satisfaction survey at the end of the examination.

  • Exam start time is 9:00 AM your local time
  • All FITs must start the exam at the same time.
  • The exam must be completed during the allotted time.
  • There is no make-up date for the exam.

Practice Exam

Fellows may take an abbreviated practice exam prior to the test date to familiarize themselves with the interface. The practice exam consists of a 15-minute tutorial and one 30-minute exam section with 12 questions. Practice using the NBME testing interface >

Exam Administration 

Each program must designate a chief proctor(s) to oversee the administration of the exam. The chief proctor is responsible for the following:

  • Performing workstation certification on each computer that will be used during the exam. This certification must be performed prior to the test day on each computer that will be used for web-based testing.
  • Preparing examinee workstations – boot up each workstation
  • Distributing instruction sheet which includes examinee login information
  • Providing examinees with Examinee Startup Code for launching the exam
  • Monitoring the testing session online
  • Ending the exam session and completing a Test Administration Report