Radiation Oncology Oral Examination

The Oral Certification Examination in Radiation Oncology consists of five cases. The cases presented will be based upon real or hypothetical patient and are similar to cases seen by Radiation Oncology physicians in daily practice. The cases are developed using the same reference materials and content domains as the written examination. Candidates are allowed two hours for the examination.

To begin the oral examination, candidates are presented a brief introductory statement regarding a patient’s general condition. The candidate is then asked how he or she would like to proceed. It is important to remember that the oral examination is designed to be a dialogue between the candidate and the presenter. Each case typically requires candidates to address details in each of the following categories:

  • History – The candidate should request information regarding any patient medical history relevant to the case, including (but not limited to) onset, location, allergies, medications, past medical history, and surgical history.
  • Physical Examination – The candidate should request information regarding the patient’s airway, neck, chest, heart, back, neurological, musculoskeletal, and any other areas applicable to the case.
  • Data – The candidate should order appropriate laboratory tests and diagnostic examinations; the Presenter will provide the candidate with the results.
  • Management – The candidate should indicate recommended treatment, including non-operative, operative, and post-operative management. The candidate may be asked to provide a rationale.

The five cases presented will address a variety of situations. No two cases will address exactly the same topic. Topics presented to the candidate may include, but not limited to:

  • Lung cancers
  • Lymphoma
  • Breast Cancer
  • Sarcoma
  • CNS Cancers
  • GU Cancers
  • H & H Cancers
  • Gynecologic Cancer

A candidate’s score on any one case is completely independent of his or her score on any other case. To pass, the candidate must, at a minimum, obtain a total score (sum of the scores from all five cases) that equals or exceeds the sum of the threshold scores for the five studies. Therefore, it is possible that a candidate may score less than the threshold score for one case, but still pass the examination, provided he or she scores well on the remainder of the cases to offset the lower score. Each case contains approximately the same number of possible points. Therefore, the cases are approximately equally weighted in the overall calculation of candidate’s total score.

While there are no scorable actions that, if not performed, are an automatic “not pass” – there are potential Dangerous Actions. These are actions or inactions that endanger the patient and may result in a deduction of points from the final score.

All ABPS examinations are administered only in English. Responses from candidates to examination questions must be in English for the candidate to be eligible to receive credit toward his or her examination score.

The results are mailed within 45 days of the examination. A careful review of the scoring and analyses of the results is conducted after the examination and before issuing reports, to verify the accuracy and validity of the results.

Retaking Oral Examinations

A candidate may take the oral examination as many as three times in order to pass. Candidates who are not successful in passing both the written and oral examination within the number of allowable attempts may reapply for certification by completing a new application and meeting all the eligibility requirements in effect at the time the new application is submitted.

Accommodations for Religious Reasons and Disabilities

Click here to see the complete policy for accommodations.


Save the Date
House of Delegates & Annual Scientific Meeting
New Approaches to Improve Patient Outcomes
June 10-15, 2022
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.

I value my ABPS certification very highly because it is one-of-a-kind certification in Urgent Care Medicine under the auspices of a larger, reputable organization. I really enjoy the professional and personal relationships I have formed with other individuals in the development of this new board and appreciate the great lengths that ABPS goes to ensure and enhance the recognition of it's component boards.
Joseph D. Toscano, MD
Urgent Care Medicine
ABPS provides a guarantee of a high level of competency. Not only has this been good for my professional development but it has assured my patients that the clinicians they see are trained to the highest degree.

Mimi Guarneri, MD, FACC
Integrative Medicine
ABPS gives its members unique opportunities to learn and develop professionally. I have been practicing Emergency Medicine for over 27 years and have been privileged to be a member of this fabulous organization. Through ABPS I have developed tremendously in my professional career becoming a consummate practitioner of my trade, a physician leader locally at my hospital, in my region , at the state level, and a published clinical researcher.
Leslie Mukau, MD, FAAEP, FACEP
Emergency Medicine