American Academy of Sleep Medicine: Sleep Medicine In-Training Exam

Welcome to the American Academy of Sleep Medicine's In-Training Exam website

The Sleep Medicine In-Training exam will be offered February 28 – March 11, 2022.

The AASM Sleep Medicine In-Training Exam (SMITE) is a valuable educational tool designed specifically for fellows currently enrolled in an accredited sleep medicine fellowship training program. The exam is intended to assist fellows in preparing for their sleep medicine board certification exam by providing an example of the scope and difficulty level of the exam and by helping identify candidates' knowledge gaps so they can better focus their board preparation.

Modeled on the American Board of Internal Medicine Sleep Medicine (ABIM) Blueprint, for the sleep subspecialty certification examination, the In-Training Exam is a comprehensive overview of sleep medicine topics. The online format includes several features, including flagging of questions, official timing, and comparative data, that make it easy to use.

To continue toward our goal of an in-training exam that is more predictive of board exam success, 2022 will maintain recent changes in exam administration that better reflect the setting of an actual board exam.The exam will be offered from February 28 – March 11, 2022.

    Programs must choose one date and start time for their fellows to take the exam. All fellows in a given program will take the exam in the same location at the designated time, with a proctor present.

Program registration opens Monday, December 13, 2021 at

When registering, please have the following information available:

  • Preferred exam date
  • Start time - Start times are 7:00 AM - 5:00 PM. The exam is approximately four (4) hours.
  • Proctor name and title

Questions? Please access the SMITE Frequently Asked Questions (FAQs) page here.

In addition to fellows, the In-Training Exam is also a valuable resource for program directors. It provides performance data which can be used to compare the test scores among program fellows, and to evaluate the performance of the program in relation to other accredited sleep medicine fellowship training programs. The In-Training Exam can also be used as a longitudinal examination of the performance of program fellows, which can assist with the educational design of training programs. This exam is not intended to be the primary evaluation or grading tool for Milestone or other program purposes.

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