Orthopedic Surgery Eligibility

Updated October 2019

To be eligible for certification in Orthopedic Surgery through the Board of Certification in Orthopedic Surgery (BCOS), the applicant must:

ABPS General Requirements:

  1. Be in conformity with the Code of Ethics of the American Board of Physician Specialties, be known in his/her community as an ethical member of the profession, and be an active specialist in Orthopedic Surgery.
  2. Be a graduate of a recognized U.S., Canadian, or international allopathic or osteopathic college of medicine. International graduates must also hold a valid Educational Commission for Foreign Medical Graduates (ECFMG) Certificate.
  3. Hold a valid and unrestricted license to practice medicine in the United States, U.S. territories or Canada.

Orthopedic Surgery Training and Experience – Required prior to Part 1 Written exam:

  1. All applicants must have completed both a PGY-1 program or accredited internship and an Orthopedic Surgery residency program approved by the Accreditation Council of Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada (RCPSC). The ABPS accepts ALL medical residencies approved by the RCPSC, including approved residencies outside Canada.
  2. Academic Pathway (if residency completed outside of US or Canada)
    1. An Orthopedic surgeon who completed his or her graduate medical education outside of the United States or Canada and does not meet the residency requirement above may be eligible, provided he or she has been engaged as a full-time teaching faculty member in an ACGME accredited orthopedic surgery residency program for a minimum of four continuous years immediately preceding application and meets all other eligibility requirements.
    2. Applicants qualifying under 2.1. above must submit documentation of satisfactory completion of an orthopedic surgery residency outside the U.S. or Canada verified by the Program Director/institution, and letter from the applicant’s current Department Chair or Program Director verifying the resident teaching experience.

Orthopedic Surgery Training and Experience – Required for approval for Part 2 Oral exam:

  1. Provide evidence of active staff privileges for a minimum of eighteen (18) consecutive months (post-residency/fellowship training) in a single AOA-accredited or JCAHO-accredited institution. Documentation on letterhead from a hospital administrator is required and should be provided at the time of application, or no later than two months preceding a scheduled Oral (Part 2) exam.
  2. Candidate must submit a list of all orthopedic surgical procedures performed in the twelve (12) month period preceding the application, or up to two months preceding a scheduled Oral (Part 2) exam, and demonstrate evidence of having performed a minimum of one hundred (100) orthopedic surgical procedures as the primary surgeon during this period. Documentation on letterhead from a hospital administrator attesting to the validity of the list is required.
  3. Candidates must meet the above requirements and pass the Written (Part 1) exam before being granted approval to sit for the Oral (Part 2) exam.

Additional Application Requirements:

  1. Provide two (2) letters of recommendation from Diplomates of an ABPS, ABMS, AOA or RCPSC board of certification. All letters of recommendation must be signed by the author, printed on letterhead, dated within the twelve-month period just prior to the submission of the application, and must include author contact and board certification information.
  2. All U.S. physicians must perform and submit a self-query of the National Practitioner Data Bank. For information, visit www.npdb-hipdb.hrsa.gov. All Canadian physicians must request a Testament Statement from each province in which a license is held verifying that there have been no disciplinary actions against the applicant.
  3. Submit a current curriculum vitae, which includes medical school, degrees earned, and work experience, in chronological order.
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Patient Care Is Our Priority

Medical organizations throughout North America understand that our rigorous certification standards prove that ABPS Diplomates are capable of delivering the best patient care possible.

On October 18, 2007, President George W. Bush released Homeland Security Presidential Directive 21 (HSPD-21), calling on our nation, among other initiatives, to “collectively support and facilitate the establishment of a discipline of disaster health”. It is a great testament to the wisdom and foresight of the American Board of Physician Specialties that it immediately set to work and created, within the short span of only one year, an educational blueprint and set of certification examinations, both written and oral, for a new subspecialty of disaster medicine—and it is why I chose to be part this vital initiative and this wonderful organization. This is but one of the many innovative programs initiated by the American Board of Physician Specialties over the years, and why I am proud to support its work on behalf of our nation’s public health.

Art Cooper, MD
Disaster Medicine
When the American Board of Physician Specialties offered to host the American Board of Integrative Medicine, ABPS became a landmark organization working to move medicine into the twenty first century. Certifying physicians who have completed rigorous academic training in Integrative Medicine ensures that the field of Integrative Medicine will continue to develop academically, clinically, and professionally. The leadership of ABPS continues to impress me - they are diligent in constantly innovating to provide certifications for physicians who want to advance their careers and their areas of expertise. I am honored to be a part of this organization.

Ann Marie Chiasson, MD
Integrative Medicine
There are many ways board certification advances a physician career. ABPS Board examination verifies your accuracy, precision, and reflects your mastery of your residency training verifying your expertise. ABPS Board certification demonstrates your level of expertise beyond your practice experience, primary education degrees, and training which are necessary for insurance reimbursement and practice privilege requirements. Attaining your ABPS Board Certification will clarify your purpose, secure your practice growth, and expand into leadership positions. Board certification can serve as an indication of a physician’s commitment to medicine, beyond the minimal standards and competency of training, their measurement to quality of care, and attaining an award for excellence.

Chris Kunis MD
Internal Medicine
When I think historically, advancement in medicine and patient safety and care has been driven by the diversity of people and scientific thought. That’s what I found at the ABPS and more. For over 60 years that is just who we are. I found a physician certifying body that provides a choice and voice to all physicians ensuring that patients are always placed first.

Jerry Allison, MD
Emergency Medicine
When I decided to pursue a full time role as a physician executive it was important to me to obtain additional professional training, education and work experience. Board certification through the ABPS in Administrative Medicine is validation of my efforts and a demonstration of dedication to professional development. We need more physicians to become full time health care executives, knowing there is a board certification option in Administrative Medicine encourages physicians to take the leap from full time clinical practice to healthcare organizational leadership.

Richard Paula, MD
Administrative Medicine
The American Board of Physician Specialties has provided me with the opportunity to demonstrate mastery of internal medicine through board certification. As a hospitalist, board certification is an expected credential, and hospitals recognize the American Board of Physician Specialties (ABPS) as one of the three standard credentialling bodies for Internal Medicine. Additionally, the ABPS has helped me develop leadership skills as a Board member and Committee Chairperson. ABPS has also helped me sharpen critical thinking skills as a test question developer and reviewer. The Allopathic (MD) and Osteopathic (DO) physicians in the ABPS are lifelong learners and frequently pursue multiple board certifications. I enjoy the camaraderie of my peers in ABPS.

Loren Jay Chassels, DO
Internal Medicine