• 
• 
• 

Clinical Exam Instructions

Application for Clinical Examination

Eligibility for the Clinical Examination

1. The candidate for the clinical examination must have satisfactorily completed the written and oral examinations. NOTE: For candidates entering the certification process for the first time after January 1, 2006 the clinical examination (part III) has been eliminated.
2. The Board will provide the candidate with the clinical log submission information, which must be returned by the applicable due date, along with:
   1. The examination fee.
   2. The candidate shall submit a log of segregated totals of all major operative cases from the start of practice to the submission date OR candidates who have been in practice longer than a year should submit logs for the most recent 12-month period (January-December). The candidate shall submit this log in the manner prescribed by and in accordance with the instructions and format supplied by the Board. The submitted cases must have been performed consecutively. The candidate must be the surgeon of record on all cases submitted. The candidate must dictate all operative reports for cases submitted. The logs must demonstrate the candidate has had surgical experience of such variety and scope as to demonstrate that the candidate has managed and is capable of managing major complex, surgical problems. If the candidate demonstrates enough variety and scope, the candidate will be admitted into the clinical examination process.
   3. A list of all mortalities with a brief synopsis of each such case occurring during the same time period designated in “b” above.
3. The clinical examination for certification in general surgery will be waived for those already certified by a three-part examination in cardiothoracic surgery, urological surgery, neurological surgery, plastic and reconstructive surgery and general vascular surgery provided that:
   1. Documentation that verifies completion of training from the American College of Osteopathic Surgeons or the AOA of a general surgery residency.
   2. General surgery written and oral examinations were successfully completed.

Refer to the PROTOCOL FOR CERTIFICATION document for complete information about the certification process.

---

Clinical Exam Instructions

General Surgery  Business Associate Agreement Track II Instructions Track II Submission Sign-Off Urology Business Associate Agreement Track II Instructions Track II Submission Sign-Off Cardiothoracic Surgery Business Associate Agreement Track II Instructions Track II Submission Sign-Off

Plastic & Reconstructive Surgery   Business Associate Agreement Track II Instructions Track II Specific Guidelines Track II Submission Sign-Off Neurology Business Associate Agreement Track II Instructions Track II Submission Sign-Off Vascular Surgery Business Associate Agreement Track II Instructions Track II Submission Sign-Off

Please note: You will need Adobe Acrobat Reader to view these files. If you do not have Adobe Acrobat Reader, you may download it by clicking on the icon at right.

---

Downloads

General Surgery

	Logs	Excel
	Segregated Totals	Excel

Urological Surgery

	Logs	Excel
	Segregated Totals	Excel

Cardiothoracic Surgery

	Logs	Excel
	Segregated Totals	Excel

Plastic & Reconstructive Surgery

	Logs	Excel
	Segregated Totals	Excel

Neurological Surgery

	Logs	Excel
	Segregated Totals	Excel

Vascular Surgery

	Logs	Excel
	Segregated Totals	Excel