Adult Rheumatology In-Training Examination


2022 dates coming soon


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Registration for the 2021 exam is closed. 2022 registration information coming soon.

Program Information

The Adult Rheumatology In-Training Examination (ITE) allows program directors to identify areas of strength and weakness in their program and fellows 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

Training program administrators, including the program director, assistant program director, program coordinator, and division director, will be given access to register their rheumatology fellows for the exam. Fellows are prohibited from registering themselves for the exam. Before registering your fellows, please make sure your training program roster is updated. See instructions to update your roster.

Registration Fee

Cancellation Policy
Institutions can cancel exam registrations up to eight days before the exam administration and will be eligible to receive a full refund. Cancellations that are requested within seven days of the exam administration are ineligible for a refund.

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. Take a practice test

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

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