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To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

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Nephrology Training

In-Training Examination for Nephrology Fellows: FAQ

Q. What is the ASN In-Training Examination (ITE)?

A. The ASN ITE is an internet-based test developed in conjunction with the National Board of Medical Examiners (NBME). The ASN ITE closely mimics the American Board of Internal Medicine's initial certifying exam in nephrology. The results of the exam will allow nephrology training program directors to compare fellows from their institution to other examinees. The program directors will be able to identify problematic subject areas that need further attention on a general and individual basis. The exam was created by a subgroup of the ASN Training Program Directors Executive Committee and has been given annually since 2009.

Q. How do you register for the exam?

A. Registration will open Monday, December 5, 2022 and close Wednesday, February 15, 2023 on the ASN website. Fellows must be members of ASN and login to the website to register.

Fellows must choose only one test date and one testing center.

Fellows may not register to take the examination at an institution with which they are not currently affiliated without obtaining prior permission from both the training program director at that institution and ASN.

Payments must be made online via credit card (Visa, MasterCard, and AMEX are accepted.) If the institution is responsible for payment, the program directors and/or fellowship coordinators responsible will need to complete the ITE Group Registration Form available here.

Please note, group registrations will not be processed until payment is received, so please plan accordingly to work through your institution's request process so that payment is submitted by the registration deadline of February 15, 2023.

Q. How many fellows take the exam each year?

A. Approximately 900 fellows take the exam each year.

Q. What are the details of the exam (i.e. date, cost, etc.)?

A. The In-Training Examination will take place March 15 - 17, 2023. The cost is $295 per fellow. The test will begin at 8:00 a.m. in each time zone, unless noted otherwise by the institution and ASN. The exam will take approximately seven hours to complete. Fellows can only sit for the exam on one of the three scheduled dates. We apologize for the inconvenience, but ASN is unable to schedule alternative testing dates. Please check with your program director before selecting a date.

Q. Where will the exam take place?

A. The exam will take place onsite at registered institutions. The National Board of Medical Examiners (NBME) will administer the exam remotely. Technical support will be available from 8:00am- 6:00pm EST during the exam days.

Q. How can a program receive the test materials?

A. They cannot. The exam will be administered electronically and each program site will be provided a specific login prior to test day. A link to the practice exam is included in the proctor's manual to distribute to fellow. If you have not received your program site login at least two weeks prior to the exam, please contact

Q. Is this exam open only to second-year fellows?

A. No, any nephrology fellow can take the exam at the discretion of the program director.

Q. What if a fellow needs to take the exam at an alternate test site?

A. Please contact

Q. What if a fellow needs special testing accommodations?

A. Please contact to request special testing accommodations by Wednesday, February 8, 2023.

Q. When will the scores be available?

A. The scores will be available approximately eight weeks following the exam. Scores will be sent from ASN to program directors only. The program directors will then distribute scores to fellows.