1. Validate your eligibility for participation in the Program by reviewing the list above.
2. Apply for the Program online and submit proof of eligibility. You'll learn if your application has been accepted in approximately 4 weeks.
3. Prepare for your exam.
4. Verify that your system is compatible with ACC's exam delivery system by taking a brief practice test.
5. Take the exam.
6. Learn your score 2 – 3 months after the exam.
7. Celebrate your success!

This exam will be offered once this year:

CCKE Refund Policy:

Prior to the first day of the exam window, you may cancel your CCKE registration at any time and receive a refund.

• CCKE cancellations made within 21 days of the exam will be subject to a $50 administrative fee.
• Once the exam opens, no refunds will be issued.

All CCKE cancellations must be sent in writing to ccke@acc.org.

Deferrals are not available with the CCKE. If you have already registered for an exam and need to choose a different date, please submit a cancellation request as noted above and register for a future exam.

The CCKE is administered over a two-day testing window. The exam may be taken from your home or office; there is no need to travel to a testing center. More than 7.5 hours are allocated for taking the exam: there are 30 questions with three minutes per question. There are five sections and you must complete a section once you begin. You have 24 hours of optional break time which can be taken between sections. The CCKE will open on Dec. 8 and close on Dec. 9, 2024. This is a global exam so the exam window for testing is 66 hours to ensure is open during all global time zones.

To take the CCKE, you must have:

• A private space that is free from disruptions for the time allotted for the assessment.
• Reliable internet access.
• The devices and browsers outlined in the table below:

This exam is administered in English.

This exam covers the field of cardiovascular medicine. The list below shows the specific topics that are covered and their relative weight on the exam:

The Certified Cardiovascular Knowledge Examination is developed, evaluated and approved by subject matter experts and psychometricians to ensure that each examination provides a reliable estimate of proficiency.

Prior to the examination, questions are written by cardiovascular subject matter experts trained in effective question writing. The questions undergo a rigorous review process to ensure that each question is fair, clinically accurate, and culturally relevant. The questions selected for inclusion on the examination must be of good quality and meet statistical and content specifications.

Following each exam administration, questions are evaluated based on their statistical properties. Questions that do not meet statistical criteria are reviewed by a committee prior to scoring the exam. Any question deemed as flawed or inappropriate is removed from scoring. The final scoring of the exam is based on the number of questions and correct answers that have been accepted as suitable.

Candidate Score

Candidate scores are determined by the number-correct formula where a correct response will count as one and an incorrect response will count as zero.

While ACC strongly recommends that candidates attempt to answer every question, failure to complete every question does not immediately imply you will not pass the exam and there is no penalty for guessing.

Passing Score

The passing score is determined based on the results of a content-based standard-setting study process along with a review and approval of the recommended passing score by ACC's Board of Continuous Cardiovascular Competence.

The standard-setting study is conducted by cardiovascular subject matter experts invited by ACC to participate as a standard setting panelist. Panelists are representative of physicians outside of the U.S. and reflect diversity in age, geographic location, and years of experience. All panelists must spend at least 50% of their clinical time in direct patient care.

ACC uses the standard setting method known as the modified-Angoff. Selected panelists review each question to determine the basic level of knowledge or skill that is expected. Under the guidance of a psychometrician, the recommended passing score is based on the panel's estimated difficulty ratings for each exam question. The recommended passing score from the standard-setting study is then reviewed and approved by ACC's Board of Continuous Cardiovascular Competence. The passing score for the exam represents the minimum score needed to identify individuals with an acceptable level of knowledge and skill.

Passing the Exam

The CCKE is a criterion-referenced test meaning that exam outcomes are a result of comparing a candidate's score to the passing score standard. If the candidate's score is equal to or higher than the passing score, then the candidate has passed the exam. All individuals who pass the exam, regardless of their score, have demonstrated an acceptable level of knowledge.

Score Report

A score report showing the candidate's score and the passing score will be available 2-3 months after the examination test window. ACC will notify candidates by email when scores are available.

Reliability is the extent to which the CCKE accurately measures the core components of cardiovascular medicine. The reliability of the examination can be affected by the uniformity of the questions, the length of the test, as well as the quality of questions. The reliability of the CCKE will be estimated using internal consistency methods such as Cronbach's alpha once we have gathered sufficient data.

Once you start the exam, you have 31.5 hours to take the CCKE.

With three minutes available for each 30-question section, you may take up to 1.5 hours per section; 7. 5 hours to complete the exam. You have an optional 24 hours of break time which can be divided and taken after any section.

The CCKE window is open for Dec. 8 – 9, but for 66 hours to ensure all time zones have access to the exam. Please use the world time zone calculator for the time zone in your region.

ACC is committed to helping you on your knowledge certification journey and offers an outstanding resource to help you prepare.

ACCSAP, ACC's Adult Clinical Cardiology Self-Assessment Program, covers the entire field of cardiovascular medicine and is used by cardiologists in the U.S. to prepare for their initial certification or maintenance of certification exams. With ACCSAP, you can:

• Perfect your knowledge of CV medicine. Use ACCSAP to identify your knowledge gaps, reinforce your existing knowledge, and learn new information.
• Prepare for the Exams Covering the Field of CV Medicine. ACCSAP has everything you need to:
• Practice with hundreds of exam-style questions that include rationale, references, and links to related text
• Learn from educational text and lectures
• Simulate taking a certification exam
• Identify your knowledge gaps so you can plan additional study.

Click here to learn more.

The American College of Cardiology provides reasonable accommodations to examinees with documented needs for special accommodation. Examinees wishing to request accommodation should submit a completed request form and supporting documentation at least 60 days prior to the exam date. Submit requests to ccke@acc.org.

For more information, click here.

Your exam fee covers the cost of one exam; if you take the exam a second time, you will need to pay a second fee.

You may take the exam multiple times, but not consecutively. If you take the December 2022 exam and do not pass, then you must skip the Spring 2023 exam and try again the following Fall. If you take the May 2023 exam and do not pass, then you must skip the Fall 2023 exam and try the following Spring.

The passing score is determined based on the results of a content-based standard-setting study along with a review and final approval by ACC's Certification Governance Work Group.

ACC will release pass/did not pass information and score reports 2 – 3 months after the exam.