Exam Details

All End of Rotation™ exams follow the same format and are easy to administer.



Each End of Rotation exam consists of 120 multiple-choice questions. 100 of these questions are scored, and the other 20 questions are unscored pre-test items which are used to gather statistics. The exam is divided into two sections of 60 questions each.


Students have 60 minutes to complete each of the two sections. Time may not be carried over from the first section. Once a section is completed students cannot go back to any questions in that section.

Programs may choose to configure their exams with breaks in between the two sections. 5, 10, or 15-minute breaks are available.

Americans with Disabilities Act (ADA) Compliance

ADA accommodations are also available and may be added for individual students at the time exams are scheduled.


All End of Rotation exams require direct supervision by a proctor. A proctor is an impartial supervisor designated by the program to administer and monitor the exams. Proctors may include, but are not limited to, program administrative staff, faculty, and clinical preceptors.

Proctors must:

  • Be physically present at the site where the exams are administered
  • Verify that students are present
  • Monitor the proctor screen for “lost focus” and “lost connection” alerts
  • Monitor the testing environment, observe, and report any irregular behavior

Proctors ensure the security of End of Rotation exams by:

  • Circulating around the room throughout the administration of the exams
  • Not answering questions from examinees about the exam content
  • Guarding against improper use and/or distribution of exam material as well as unauthorized access to content prior to or after administration
  • Not allowing any portion of the exams to be reproduced by any means, electronic or mechanical