Quality Health Care, Public Trust...Setting the Standards in Family Medicine.
02/19/2026
⏰ Late Fee Deadline: February 26
ABFM Diplomates with an exam due in 2026 or who gained initial certification in 2025—don’t miss the deadline to register for your 5-Year Cycle and avoid late fees.
The good news? Our redesigned registration process takes less than 20 minutes. Once complete, you’ll have immediate access to your longitudinal assessment exam questions.
A 28-year-old gravida 1 para 0 has been in labor for 9 hours. She is fully dilated and effaced with an epidural in place. The fetus is at 0 station with reassuring heart tones.
Which one of the following would be associated with having her start pushing now as opposed to waiting for at least an hour to allow the head to come down?
A. A reduced likelihood of spontaneous vaginal delivery
B. A reduced likelihood of operative vaginal delivery
C. A decreased risk for chorioamnionitis
D. An increased likelihood of cesarean section
02/12/2026
Have you updated your contact info lately? 📞
Whether you’ve recently graduated or been in practice for years, keeping your email, phone number, and mailing address current helps ensure you don’t miss important notifications about your certification.
Life changes. Roles change. Contact details change.
Take a minute to log in to your MyABFM Portfolio today and confirm your information is up to date here: https://bit.ly/3Nl90xQ
02/10/2026
A 43-year-old male presents for follow up of his migraine headaches. He has a 20-year history of intermittent migraines without aura that had been occurring approximately twice a month and were fairly well controlled with use of naproxyn 500 mg until about 6 months ago when his work schedule changed and he began experiencing more frequent headaches that were very typical of his migraine headaches. The headaches initially responded well to sumatriptan (Imitrex), 50 mg, which he took one to two times weekly. Over the course of several months, however, the headaches have worsened in frequency, and he is now taking sumatriptan 2-3 times a week for more severe headaches and naproxen almost every day of the week. His headaches are relieved with this therapy but recur almost every day. A physical examination is normal, including neurologic and fundoscopic examinations. Depression screening is negative. You make a diagnosis of medication overuse headache.
Which one of the following strategies would be most appropriate?
A. Stop both sumatriptan and naproxen today
B. Slowly taper the sumatriptan and naproxen
C. Stop sumatriptan and continue only the naproxen
D. Stop sumatriptan and naproxen and start Erenumab injections (Aimovig)
E. Continue sumatriptan and naproxen and add propranolol for prophylaxis
02/06/2026
New research reveals a critical gap in preventive healthcare: While family physicians are trained to provide nutrition counseling, structural barriers are blocking them from delivering this care when it matters most. Read the full article: https://bit.ly/4axqtzj
02/03/2026
A 68-year-old male with type 2 diabetes comes to your office for follow-up. His medical history includes diabetic retinopathy, stage 3 chronic kidney disease (glomerular filtration rate 50 mL/min/1.73 m2), and a previous myocardial infarction. He is on a maximum dosage of metformin, and his hemoglobin A1c increased from 6.9% at his last visit 6 months ago to 7.9% today.
Which one of the following would be most beneficial to add to his current regimen?
A. Empagliflozin (Jardiance)
B. Glipizide
C. Insulin glargine (Lantus)
D. Pioglitazone (Actos)
E. Repaglinide (Prandin)
02/03/2026
02/02/2026
Family medicine never stands still, and neither do ABFM Diplomates.
Maintaining ABFM Board Certification helps family physicians stay current, confident, and prepared to meet patients’ needs at every stage of care. It reflects ongoing learning, accountability, and a commitment to excellence.
A 55-year-old male with severe COPD sees you for worsening dyspnea with exertion. His COPD is treated with olodaterol/tiotropium (Stiolto). His medical history also includes hypertension treated with lisinopril (Zestril), 40 mg daily. As part of the work up for his exertional dyspnea, you order a pharmacologic stress myocardial perfusion imaging test which is positive and follow-up coronary CT angiography reveals a non-stentable distal lesion in his right coronary artery. An echocardiogram shows and ejection fraction of 45%. Results of a fasting lipid panel include an LDL-cholesterol level of 140 mg/dL, an HDL-cholesterol level of 35 mg/dL, and a triglyceride level of 205 mg/dL.
In addition to starting him on a high-intensity statin and aspirin, which one of the following would be most appropriate?
A. Add ezetimibe (Zetia)
B. Add metoprolol succinate (Toprol XL)
C. Add spironolactone
D. Stop the LABA and continue tiotropium monotherapy
01/20/2026
You decide to start dapagliflozin in a 67-year-old male with newly diagnosed type 2 diabetes. He has a history of chronic kidney disease, with an estimated glomerular filtration rate of 41 mL/min/1.73 m2. He is already taking lisinopril (Zestril), 20 mg daily. He is very concerned about his renal function.
As you counsel him about starting dapagliflozin (Farxiga), which one of the following would be an accurate statement?
A. Being male increases his likelihood of benefitting from dapagliflozin
B. His kidney function, determined by his estimated glomerular filtration rate, is likely to slightly decline in the short term
C. His diabetes makes him less likely to receive the drug's benefit of renal protection
D. His risk of long-term dialysis will be cut in half
01/19/2026
Dr. King believed that healthcare was an important facet of the Civil Rights Movement. To support that vision, ABFM invites you to review our most recent Health Equity Progress Report to learn more about our commitment to advancing equity in family medicine. Read the report: https://bit.ly/49j8I6B
To honor the memory and sacrifice of Dr. Martin Luther King Jr., the American Board of Family Medicine will be closed this , January 19, 2026.
01/16/2026
New research in the Family Medicine journal examines first-year insights on ERAS program signals in family medicine residency matching. Read the study now: https://bit.ly/4k33Xln
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Founded in 1969, ABFM is a not-for-profit, private organization whose mission is to improve the health of the public through Board Certification, Residency Training, Research, Leadership Development, and promoting the development of the specialty of Family Medicine. As of summer 2018, ABFM has more than 92,000 Diplomates and is the third largest of 24 boards that make up the American Board of Medical Specialties (ABMS). Through ABMS, the specialty boards work together to establish common standards for physicians to achieve and maintain board certification.
ABFM was the first purely primary care specialty board of ABMS. ABFM administered its first Certification Examination in 1970 and was the first ABMS specialty board to issue time-limited certificates, requiring recertification every seven years over the Diplomate’s (the term used to describe a board-certified physician) professional lifespan. Other notable facts include being: the first board to require continuing medical education (CME) for re-certification; the first, and currently only, board to include other specialists on its Board of Directors; the only board that has the same standard of knowledge for initial certification as it does for recertification; among the first to have public members on its Board; and the only one to publish its own journal.
ABFM’s primary role is to support family physicians who are committed to achieving excellence in improving the health of their patients, their families, and their communities. Certification is voluntary, requires attaining high standards and a lifelong commitment to learning and professional development. In addition to maintaining the highest ethical standards, Diplomates must continuously hold medical licenses which meet the licensure requirements of the Guidelines for Professionalism, Licensure, and Personal Conduct. Every 10 years, Diplomates must pass an independent test of medical knowledge. What follows gives more detail about each of the components of certification, along with the rationale and current evidence of effectiveness.
AMERICAN BOARD OF FAMILY MEDICINE MISSION
ABFM's mission is to improve the health of the public through:
Certification: ABFM certifies family physicians who are highly skilled and effective at improving the health of their patients, their families, and their communities, and assists Diplomates in maintaining high professional standards through professional development and lifelong learning.
Training Standards: ABFM sets standards for the training that prepares Family Medicine residents for board certification.
Research: ABFM funds, conducts, and publishes research that is devoted to creating, evaluating, and maintaining cutting-edge certification methods, and to advancing the scientific basis of Family Medicine.
Leadership Development: ABFM cultivates leaders in Family Medicine to expand the specialty’s contribution to the health of the public.
Collaboration: ABFM collaborates with other specialty boards and organizations to promote better health care, drive better outcomes, and manage health care resources responsibly.