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Exam Specifications
The SPEX is a one-day, computer-administered examination consisting of eight blocks of 52 minutes each (50 questions in each block). Reflecting the fact that unrestricted licensure in the is for the undifferentiated practice of medicine, the SPEX measures the knowledge and cognitive abilities required of all physicians, regardless of specialty practiced.
The content of the SPEX is structured along two primary dimensions: clinical encounter categories and physician tasks. These are integrated in constructing the exam and are described below.
CLINICAL ENCOUNTER CATEGORIES
- Well-Care/Preventive Medicine
- Acute, Circumscribed Problems
- Ill-defined Presentations or Problems
- Chronic or Progressive Illness
- Emergency Conditions, Critical Care
- Behavioral/Emotional Problems
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PHYSICIAN TASKS
- Data Gathering
- Diagnostic Assessment
- Managing Therapy
- Applying Scientific Concepts
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