Try a free ABEM practice case
The ABEM Certifying Exam tests new oral-exam formats. Try two right now (no account needed) and meet the AI standardized-patient and communication modes.
Initial Presentation
63-year-old male presents with chest pain. BP 173/92, HR 98, SpO2 99% on room air.
Examiner: History
What 3–5 history questions would be most important to ask?
Type your response…
Voice dictation
Not in sample
Clinical Decision-Making
A single patient. The examiner asks for your history, exam, and workup at each step, then you compare against the suggested answer.
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Tracking Board #1
Pt
Age
Chief Complaint
Vitals (abbreviated)
A
42M
Headache
BP 124/82
B
13M
Arm injury
BP 110/70
C
68F
Altered mental status
BP 75/30
D
21M
Shortness of breath
Sat 94%
E
9mo F
Constipation
P 130
F
72F
Medication overdose
BP 128/78
Voice dictation
Not in sample
Prioritization
A live multi-patient tracking board. Decide who to treat first, delegate to your team, and adapt as new patients arrive.
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Patient
Doctor… I've been getting more short of breath… the last couple hours.You
When did it start? Any chest pain?
Patient
Maybe two hours ago… it's sharp when I breathe in. Voice dictation
Not in sample
Reassessment
Reassess a changing patient out loud: history, exam, diagnosis, and plan. The AI patient answers in character, stays grounded in the case so it won't invent clinical facts, and scores your critical actions.
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You
I have difficult news about your mother. Is it okay if we sit down for a moment?
Daughter
What do you mean, difficult news? She was fine this morning… Voice dictation
Not in sample
Difficult Conversations
Deliver bad news to an AI patient or family member (a death notification, a new cancer diagnosis) and get graded on how you communicate.
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Surgeon
I looked at the CT from home. This can wait until the morning.You
I hear you, but her lactate is climbing and she's more tender since that scan.
Surgeon
Climbing to what? Give me the numbers. Voice dictation
Not in sample
Managing Conflict
Negotiate with a reluctant consultant, a patient leaving against medical advice, or an angry family. The AI counterpart pushes back like the real thing.
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Patient
So the tests are normal… okay. That's good, I guess.You
You sound unsure, is there something specific you were worried this might be?
Patient
My brother died of a heart attack at my age. I keep thinking this is the same thing. Voice dictation
Not in sample
Patient-Centered Communication
Uncover a patient's hidden concern, address it in plain language, and build a shared plan, graded on the communication skills the exam actually tests.
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The real exam is oral.
Practice the same way.
Practice the same way.
One $39 unlock opens every practice case (including the AI standardized-patient encounters), the procedure quiz, and hands-free voice dictation. The real exam is oral, so practice the same way.
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AI standardized patient
Communication cases
Procedure quiz
Voice dictation
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Your answer
I'll order a 12-lead ECG immediately, serial troponins and a chest X-ray…
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Free: 2 cases each in CDM & Prioritization, all procedures, and every ACEP policy.
Not affiliated with or endorsed by the American Board of Emergency Medicine.