Please see the COVID-19 End of Rotation Updates
PAEA's End of Rotation exams are a set of objective, standardized evaluations intended to serve as one measure of the medical knowledge students gain during specific supervised clinical practice experiences: emergency medicine, family medicine, general surgery, internal medicine, pediatrics, psychiatry & behavioral medicine, and women's health. Each exam (now in its seventh version) consists of 120 multiple-choice questions, 100 of which are scored. We currently offer two forms at a time, and three forms on family medicine, which are developed by PA educators and exam experts in accordance with extensive topic lists and clearly defined blueprints of content and task areas. More information is available at EndofRotation.org.
End of Rotation exams items go through a rigorous, multi-level peer-review process and are statistically validated by psychometricians, to ensure that questions are up to date and of high quality.
These exams must be administered with a proctor. This ensures the security of these high-stakes examinations.
End of Rotation exams are designed in accordance with DSM-5 (as applicable), and the high standards of assessment according to the Association of Test Publishers. Medical standards are up to date as of publication (July each year).
End of Rotation exams are divided into two 60-minute sections, with the option for a break in the middle. Accommodations may be given in accordance with the Americans with Disabilities Act (ADA) of time and a half (three hours plus a break) or double time (four hours plus a break), as determined by the program.
Our exams assess the relevant knowledge gained during specific clinical practice experiences. We recommend that End of Rotation exams be used to evaluate performance in clinical rotations in conjunction with other evaluation modalities, such as preceptor evaluations, and that students receive learning objectives and resource guides in advance of the exams.