Training Info

In-Training ExamINATIONs (ITEs)

The In-Training Exams are designed to help programs evaluate residents’ and fellows’ progress as they advance through the training necessary for anesthesiology and subspecialty certification.

In-Training Exam

Anesthesiology residency programs administer the ITE each year to all enrolled physicians. The ITE is a multiple-choice exam with 200 questions, and residents have four hours to complete the exam.

Next Exam Date: February 2-8, 2021


Each residency training program may register its residents through the Record of Training Information Database (RTID). The registration process will create online invoices that can be paid by check or credit card.

    United states

    Standard Registration ― November 1 - December 3 ― $175

    Late Registration ― December 4-17 ― $225


In-Training Exam - Fellows

Fellowship programs administer the ITE each year to fellows in training. It’s a 150-question multiple choice exam, and fellows have three hours to complete the exam.

Next Exam Dates:

• ITE-Pediatric Anesthesiology: February 18-20, 2021

• ITE-Pain Medicine: March 18-20, 2021

• ITE-Critical Care Medicine:  April 15-17, 2021


Each fellowship training program may register its fellow through the Record of Training Information Database (RTID). The registration process will create online invoices that can be paid by check or credit card.



ITE-Pediatric Anesthesiology

ITE-Pain Medicine

ITE-Critical Care Medicine


December 1-23, 2020

January 15 – February 18, 2021

February 8 – March 18, 2021






We support the intent of the Americans with Disabilities Act (ADA) to accommodate individuals with documented disabilities who demonstrate a need for exam modification. If you're seeking adjustments, you'll need to submit a request with documentation of your disability to validate your ADA coverage by Nov. 15. Additional documentation will be due by Nov. 30.

View the Guidelines

Training Options

There are several training options available to physicians to help enhance their experience on the path to certification.


Combined Training Programs

We partner with other medical specialty certifying boards to provide combined training programs with emergency medicine, internal medicine and pediatrics. These programs consist of a minimum of five years of residency training, and prepare physicians for dual certification in both anesthesiology and the other specialty. Participants can take the certifying exam for either board once they successfully complete training.

Learn more about Combined Training Programs

Training Away

Residents have the option to complete training away from their ACGME-accredited anesthesiology programs after they complete at least one year of CA training, unless the training will be in another ACGME-accredited anesthesiology program. This option is not available during the last three months of residents' CA-3 year. Their program directors should submit the request for training away to our Credentials Committee at least four months before the physician begins the training.

Learn how to request training away


Residents who are enrolled in an ACGME-accredited program can also pursue research initiatives at the same time. They can dedicate as much as 25 percent of their three- or four-year training program, and 38 percent of their five-year program, to scholarly activities. To qualify for research options, residents need to have a satisfactory training report for the six months preceding their research period. If research activities will span more than six months, program directors should develop a plan with strict guidelines for research activities and work product oversight.

View research options

Alternate Entry Path (AEP)

The AEP program encourages outstanding international medical program graduates and certified anesthesiologists to become productive members of academic anesthesiology programs in the U.S. and provides a pathway for them to take our staged exams for anesthesiology certification.

Anesthesiology departments can now have as many as four international medical graduates enrolled in the AEP program at one time.


See more training options for residents and fellows


We consider clinical competency an initial step toward board certification. Evaluations of clinical competence should be submitted for each resident and fellow in January and July of each year they are enrolled. During residency and fellowship training, program faculty instruct and observe physicians to help them develop the following qualities, which are essential to becoming board certified:

  • Demonstrates high standards of ethical and moral behavior.
  • Demonstrates honesty, integrity, reliability, and responsibility.
  • Learns from experience; knows limits.
  • Reacts to stressful situations in an appropriate manner.
  • Has no documented current abuse of alcohol or illegal use of drugs.
  • Has no cognitive or physical impairment that precludes acquiring and processing information in an independent and timely manner without accommodation or with reasonable accommodation.
  • Demonstrates respect for the dignity of patients and colleagues, and sensitivity to a diverse patient population.


If your training is part of the ACGME-approved curriculum, you don’t need to get approval. However, if you’re planning to train away from a non-ACGME-accredited program, your program director needs to get approval from our Credentials Committee.

We encourage you to take and pass the BASIC Exam as soon as possible. If you fail it a second time, you’ll receive an unsatisfactory for that reporting period, and you’ll continue to receive an unsatisfactory until you pass the exam.

That means that you have not met all the eligibility requirements, like the necessary amount of reported training. You may take the exam, but we can’t validate your results until you’ve met all the eligibility requirements.