• Progression Examinations
1)  End of Year Exam (Promotion exam)
-  Contracted from Saudi Commission of Health Specialties)
-  For all levels (R1 to R4)
The format of the exam: 
a) Written Exam 
-  A written examination of MCQ (Multiple Choice Question) type of single best answers.
-  The passing mark for the exam, are as follows: 

R1 and R2 - 50% 
R3 and R4 - 60% 

-  The exam will be taken in August of each year but for those candidates who failed the 1st attempt may retake Re-sit exam on the date as agreed by the Education Committee.
-  A resident who fails both, End-of-Year and Re-sit Exam will have to repeat the year at the same residency training level.

b) OSCE (Observed Structured Clinical Component of End-of-Year Exam)
-  For Senior Residents (R3 and R4). Each resident will undergo a supervised clinical exam organized by the program. The exam is divided into 8 stations with real patients and surrogate patients. (4 Clinical stations, 1 History taking Skills, 1 Communication Skills, 1 Emergency Scenario and 1 Office Scenario).
-  The exam is conducted in July before the written exam. 
-  The passing mark of the clinical exam is 60%. The written component is 40%.

2)  OMSB Part 1 Examination
-  Contracted from Saudi Commission of Health Specialties)
-  For R2
-  The examination is a qualifying examination.  A resident must pass OMSB Part-I Examination before attempting the Final Examination to obtain the Specialty Certificate.
-  A Resident is allowed three (3) attempts to pass the OMSB Part I Exam.  This exam can be attempted at R2; however, the Education Committee may selectively allow a resident who is competent to do OMSB Part I Exam at the end of R1.
-  No R3 Residents will be allowed to progress to R4 level without passing the OMSB Part I Exam.
-  OMSB Registration will be cancelled if a resident does not pass the OMSB Part I in three (3) attempts.
-  OMSB will cover the exam fees for the first two (2) attempts only.  The examination cost for the third attempt will have to be covered by the resident.
-  The passing score for this examination is 60%.

  •   Exit Qualification
-  Exit exam
-  For R4
-  The Final Examination will be conducted after a successful completion of the training program of the specialty for the period approved, and passing all End of Training Year Examinations as well as Part I Examination for the Specialty Certificate. 
-  The Final Exam is conducted in the final year of the training period. The Resident who fails the exam may repeat it within a year after the approval of the Education Committee.  The Resident is not allowed to repeat Part II Exam for more than three times.  The Residents will be terminated from the Residency training program if he/she does not succeed in the third attempt. However, in exceptional cases, the Resident may be granted a fourth attempt by OMSB.
-  The Final Examination may consist of written and oral parts, OSCE, and short clinical cases.
-  The passing score is 70%.  However, if the percentage of the Residents passing the examination is less than 70%, the passing score can be lowered by one mark aiming at achieving 70% passing rate or reaching a percentage of 65%, whichever comes first.  Under no circumstances, the score can be lowered below 65%. 

  • Other International Examinations
 Required Examinations
  1. American In-Training Exam (IM-ITE)
For R2, R3 and R4
This examination provides training and preparation for the ABMS International Examination for Internal Medicine which will be available to OMSB in the future.
It is also a benchmarking tool for Residents for local and international exams. The AIT helps the program to identify areas where Residents need further improvement in the specific specialty training as well as curriculum implementation.

Optional Examinations
Other exams:
  1.  Arab Board part 1, Part 2 and Clinical
  2.  MRCP Part 1, Part 2 and Clinical
  3.  Australian AMC exam
  4.  USMLE Part 1, Part 2 CS and CK
  5. MCCEE