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American Osteopathic Board of Emergency Medicine (Emergency Medicine Oral Exam (Part II)) Study Tips [ Study Tips ](https://mdster.com/blog?category=study-tips) American Osteopathic Board of Emergency Medicine (Emergency Medicine Oral Exam (Part II)) Study Tips ====================================================================================================== How to train for the remote, case-based oral exam with safer structure, stronger communication, and better mock-case practice [ MDster Editorial Team ](https://mdster.com/about) · Jul 07, 2026 · 6 min read · 144 [ Reviewed by Dr. Ali Ragab, MBBCH, MSc, MCAI ](https://mdster.com/medical-reviewers/dr-ali-ragab) [Editorial Policy](https://mdster.com/editorial-policy) | [Corrections Policy](https://mdster.com/corrections) [ Emergency Medicine ](https://mdster.com/blog?tag=emergency-medicine) [ Study Tips ](https://mdster.com/blog?tag=study-tips) [ AOBEM ](https://mdster.com/blog?tag=aobem) [ Oral Exam ](https://mdster.com/blog?tag=oral-exam) [ Board Preparation ](https://mdster.com/blog?tag=board-preparation) ![American Osteopathic Board of Emergency Medicine (Emergency Medicine Oral Exam (Part II)) Study Tips](https://mdster.com/storage/blog/images/american-osteopathic-board-of-emergency-medicine-emergency-medicine-oral-exam-part-ii-stud.jpg) Share this article Share this post On this page 1. [ Learn the scoring lens before you study ](#learn-the-scoring-lens-before-you-study) 2. [ Use one spoken framework for every case ](#use-one-spoken-framework-for-every-case) 3. [ Practice in the exact exam format ](#practice-in-the-exact-exam-format) 4. [ What a good mock case looks like ](#what-a-good-mock-case-looks-like) 5. [ Prioritize oral-board style content, not endless reading ](#prioritize-oral-board-style-content-not-endless-reading) 6. [ Study Schedule Template ](#study-schedule-template) 7. [ Best resources and how to use them ](#best-resources-and-how-to-use-them) 8. [ Common pitfalls that cost points ](#common-pitfalls-that-cost-points) 9. [ Key Takeaways ](#key-takeaways) 10. [ Frequently Asked Questions ](#blog-faqs) 11. [ References ](#references-heading) On this page 1. [ Learn the scoring lens before you study ](#learn-the-scoring-lens-before-you-study) 2. [ Use one spoken framework for every case ](#use-one-spoken-framework-for-every-case) 3. [ Practice in the exact exam format ](#practice-in-the-exact-exam-format) 4. [ What a good mock case looks like ](#what-a-good-mock-case-looks-like) 5. [ Prioritize oral-board style content, not endless reading ](#prioritize-oral-board-style-content-not-endless-reading) 6. [ Study Schedule Template ](#study-schedule-template) 7. [ Best resources and how to use them ](#best-resources-and-how-to-use-them) 8. [ Common pitfalls that cost points ](#common-pitfalls-that-cost-points) 9. [ Key Takeaways ](#key-takeaways) 10. [ Frequently Asked Questions ](#blog-faqs) 11. [ References ](#references-heading) The biggest mistake candidates make is preparing for the AOBEM oral exam like a written exam: more reading, more highlighting, and almost no speaking. As of July 2026, the Emergency Medicine Oral Exam remains a remote fall exam with four 30-minute stations and two cases per station, so you need to sound like a safe, organized attending in real time. [\[1\]](#cite-1 "Reference [1]") If you remember one principle, make it this: the exam rewards structure. Your answer should show stabilization, focused data gathering, smart testing, treatment, reassessment, and disposition, not a stream of disconnected facts. Learn the scoring lens before you study --------------------------------------- AOBEM uses criterion-referenced standard setting, and the failure rules should shape your prep. You can fail by scoring below the passing standard, by failing 2 of the 8 cases, or by making a major omission or commission likely to cause serious morbidity or mortality. [\[1\]](#cite-1 "Reference [1]") That means your first study goal is not sounding brilliant. It is avoiding dangerous misses and showing consistent emergency medicine judgment on every case. ### Use one spoken framework for every case Train yourself to say the same sequence every time: 1. Immediate acuity: sick or not sick. 2. First actions: ABCs, monitors, IV, oxygen, bedside glucose, ECG, pregnancy test, isolation, or trauma activation when relevant. 3. Focused history and exam. 4. Top differential plus the must-not-miss diagnosis. 5. Targeted tests only. 6. Treatment now, not after all results return. 7. Reassessment. 8. Consultation and disposition. > **Pro Tip:** Script your first 20 seconds. A calm opening such as, “I would assess airway, breathing, circulation, place the patient on monitors, obtain vital signs, and treat any instability immediately,” buys you organization before the case gets noisy. Practice in the exact exam format --------------------------------- The oral exam uses standardized-patient stations, and communication is explicitly part of what is assessed. Candidates are graded on history, physical exam, diagnostic selection and interpretation, differential diagnosis, treatment, disposition, communication, and organization. [\[1\]](#cite-1 "Reference [1]") So do not do passive review alone. Build practice that looks like the test: - Run **two 15-minute cases back-to-back** to simulate a station. - Use a partner who can act as both patient and examiner. - Force yourself to verbalize orders, reassessment, and disposition. - End every case with, “I would admit/observe/discharge because…” - Debrief only three things: critical miss, communication miss, disposition miss. ### What a good mock case looks like A strong mock is short, timed, and uncomfortable. If your partner interrupts, changes vitals, or asks, “What are you worried about most right now?” that is useful practice, not a bad session. Prioritize oral-board style content, not endless reading -------------------------------------------------------- Because this is a management exam, high-yield review starts with presentations that force decisions. Build one-page management sheets for complaints that commonly expose unsafe thinking: - chest pain, dysrhythmia, shock, and post-ROSC care - dyspnea, asthma, COPD, CHF, PE, and airway threats - stroke, seizure, altered mental status, meningitis, and toxicologic syndromes - trauma, hemorrhage, head injury, and spine precautions - abdominal pain, GI bleed, ectopic pregnancy, torsion, and sepsis - pediatric fever, respiratory distress, dehydration, and non-accidental trauma - agitation, suicidality, capacity, and safe disposition Your sheet should fit on one page and answer five questions only: what kills first, what do I do immediately, what tests change management, what treatment cannot wait, and where does this patient go? Study Schedule Template ----------------------- AOBEM states the written and oral exams may be taken in any order, so do not assume written-exam prep will automatically prepare you for Part II. Oral prep needs a calendar built around spoken cases and remote setup rehearsal. [\[1\]](#cite-1 "Reference [1]") TimeframeMain goalWeekly planWeeks 8-6Build your case framework4 short sessions: 2 content reviews, 2 timed mock casesWeeks 5-3Increase speed and consistency3 mock stations per week, plus 1 focused weakness reviewWeeks 2-1Full exam simulation1 full 8-case circuit each week, then targeted cleanupFinal 72 hoursReduce errors, not cramReview templates, opening lines, disposition language, and tech ### Best resources and how to use them - **Official board materials:** Review the AOBEM oral exam page first, then the candidate handbook. The currently posted handbook also notes oral testing may include osteopathic concepts in clinical situations and visual recognition, so do not limit review to verbal algorithms alone. [\[1\]](#cite-1 "Reference [1]") - **Small study group:** Use 2-4 people, rotate examiner roles, and grade each other on organization and safety. - **Concise emergency medicine references:** Use them only after a mock exposes a gap. Do not disappear into chapters you will never verbalize. - **ECG, imaging, and lab interpretation drills:** These matter because you must choose and interpret studies, not just order them. - **Self-recording:** Listen for filler words, missing reassessment, and weak disposition statements. Common pitfalls that cost points -------------------------------- Remote logistics are part of preparation, not an afterthought. AOA remote exam guidance says you need a private room with a door, the required secure browser, a completed technical check, valid government ID, and a clear exam area; it also advises against work computers and Chromebooks. [\[2\]](#cite-2 "Reference [2]") Avoid these common errors: - starting with a huge test list before stabilizing the patient - giving a broad differential without naming the dangerous diagnosis first - treating the patient only after all results are back - forgetting to reassess after fluids, oxygen, bronchodilators, analgesia, or rhythm treatment - calling a consultant without stating your working diagnosis and urgency - giving a vague disposition such as “probably admit” instead of a clear level of care - sounding transactional with the patient instead of explaining what you are doing and why Key Takeaways ------------- - Build one standard opening script and use it in every mock case. - Schedule two partner-based timed mocks this week. - Create 10 one-page sheets for high-risk ED presentations. - Practice saying your reassessment and disposition out loud on every case. - Complete your remote tech check early, including browser, room, ID, and device power setup. [\[2\]](#cite-2 "Reference [2]") This exam is passable if you prepare for performance instead of only knowledge. Train yourself to be organized, safe, and explicit, and the oral exam starts to feel much more like a shift you already know how to run. Frequently Asked Questions ---------------------------- ### How is the AOBEM Emergency Medicine Oral Exam (Part II) structured? It consists of four stations, each 30 minutes long, with two cases per station for a total of eight cases. The current AOBEM format uses simulated emergency cases with standardized patients and assesses history, exam, testing, interpretation, treatment, disposition, communication, and organization. [\[1\]](#cite-1 "Reference [1]") ### Should I prepare differently for Part II if I have not yet taken Part I? Yes. AOBEM allows the written and oral exams in any order, but Part II rewards spoken clinical management, not multiple-choice recall. Build your prep around timed mock cases, verbal treatment plans, and disposition language. [\[1\]](#cite-1 "Reference [1]") ### What failure rule should most change how I study? Study to avoid unsafe misses. A candidate can fail by falling below the passing standard, by failing 2 of 8 cases, or by making a major error likely to cause serious morbidity or mortality, so consistency and patient safety matter more than sounding impressive. [\[1\]](#cite-1 "Reference [1]") ### What remote testing setup should I finalize before exam week? Use a private room with a door, install the required secure browser, complete the technical check, keep a valid government-issued ID ready, and avoid work computers or Chromebooks. Also plug in your devices and clear your exam area before connecting to the proctor. [\[2\]](#cite-2 "Reference [2]") References (4) ------------------ 1. 1. [ American Osteopathic Board of Emergency Medicine. Oral Exam: Emergency Medicine AOA Board Certification. ](https://certification.osteopathic.org/emergency-medicine/certification-process-overview/specialty-certification-process/oral-exams/) [↩](#cite-ref-1-1 "Back to text") 2. 2. [ AOA Board Certification. Remote Proctored Exams. ](https://certification.osteopathic.org/remote-proctored-exams/) [↩](#cite-ref-2-1 "Back to text") 3. 3. [ American Osteopathic Board of Emergency Medicine. Timeline: Emergency Medicine AOBEM Certification. ](https://certification.osteopathic.org/emergency-medicine/certification-process-overview/specialty-certification-process/) 4. 4. [ American Osteopathic Board of Emergency Medicine. AOBEM Handbook (posted PDF). ](https://certification.osteopathic.org/emergency-medicine/wp-content/uploads/sites/17/aobem-handbook.pdf) Study pathway Get faster at Emergency Medicine decision‑making -------------------------------------------------- - Rapid, exam‑style questions across core ED topics - High‑yield differentials and next‑step management - Target weak areas with smart review Free 5-day trial No credit card required. [ Start practicing ](https://mdster.com/user/dashboard) [ Explore Emergency Medicine ](https://mdster.com/speciality/emergency-medicine) [ View pricing ](https://mdster.com/pricing) [ Explore features ](https://mdster.com/features) No credit card required. Full access to all features\*. No commitment. Cancel anytime. \*AI SOE Examiner is limited to 10 cases monthly for Advanced & Bundle subscribers. 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