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Pulmonary Disease Exam Dates 2026: Testing Windows, Deadlines & Scheduling

TL;DR
  • AOBIM's pulmonary exam page still shows a March-July application window from 2025 - confirm the live 2026 dates before registering.
  • Training must be completed by August 15 of the exam year to meet the written-exam eligibility requirement.
  • Posted fees are $800 initial, $240 late - treat these as currently listed, not guaranteed 2026 checkout prices.
  • The exam itself is 300 multiple-choice questions administered over 7 hours.

2026 Testing Windows: What's Confirmed vs. Unconfirmed

Anyone searching for "Pulmonary Disease exam dates 2026" deserves a straight answer, and the straight answer is this: AOBIM's official pulmonary initial-exam page, as currently published, still displays a March-July 2025 application window. That is not a typo on our end - it reflects what the documents page shows at the time of this review. There is no independently confirmed 2026 application window, testing month, or exact calendar date published for the Subspecialty Certification in Pulmonary Disease exam at the time of writing.

This matters because several unrelated credentials share the "Pulmonary Disease" label, and importing a different board's calendar onto AOBIM's program would mislead candidates about deadlines that carry real consequences - missed application cycles, forfeited fellowship timing, or late fees. If you are preparing for the Subspecialty Certification in Pulmonary Disease through AOBIM and the American Osteopathic Association, the only trustworthy source for your 2026 sitting is the live AOBIM candidate portal and your authorization letter, not a third-party aggregator.

What AOBIM Does Confirm: AOBIM references an August examination timing as part of its general administration cycle, but an exact 2026 date is not recoverable from the dynamically rendered calendar. Treat "August" as a planning signal, not a locked date.

Practically, this means your 2026 preparation timeline should be built around eligibility milestones you control (fellowship completion, program-director reporting, application submission) rather than around a specific exam date you cannot yet verify. For a deeper look at how AOBIM structures the exam content itself, see our Pulmonary Disease Exam Domains 2026 guide, which breaks down all 21 content areas you'll need to master regardless of which month you sit for the test.

Application Deadlines and Fee Mechanics

The pulmonary certification page currently lists an initial-exam fee of $800 and a late fee of $240. No member/non-member fee tiers are published specifically for the pulmonary subspecialty page, which is worth noting because some other AOA/AOBIM-administered exams do split pricing that way.

Two mechanical points matter for 2026 planning:

  • Posted fees are not guaranteed 2026 prices. They are current figures tied to the same page that still shows 2025 dates. Fee schedules are frequently refreshed when a new application cycle opens, so the $800/$240 figures should be reconfirmed at checkout, not assumed.
  • Late fees are triggered by application-window timing, not exam-day timing. Missing the standard application deadline (whenever AOBIM formally opens the 2026 cycle) is what converts your fee from $800 to $1,040 total - not missing the test date itself.

If you want a complete breakdown of every cost component tied to this certification - including how fees interact with OCC renewal - our Pulmonary Disease Certification Cost 2026 breakdown walks through the full pricing picture in detail.

Key Takeaway

Submit your application the moment the 2026 window opens on AOBIM's portal rather than waiting until a deadline you've only seen referenced from a prior cycle - this avoids the $240 late fee entirely.

Eligibility Timing: The August 15 Cutoff

One date is specific and actionable regardless of when the 2026 exam itself lands: AOBIM's written-exam eligibility language requires that qualifying training - two years of an ACGME-accredited or AOA-recognized pulmonary fellowship, or the combined pulmonary/critical-care pathway - be completed by August 15 of the examination year.

This is the single clearest scheduling anchor fellows have right now. If you intend to sit in 2026, your program director's completion report and your fellowship end date both need to land ahead of that August 15 marker, independent of exactly when the written exam is administered that year.

Eligibility Components to Track

Beyond the training completion date, AOBIM requires several concurrent pieces before you're cleared to sit:

  • Active AOA/AOBIM primary certification in internal medicine
  • Completed application and payment of fees
  • Adherence to AOA ethics requirements
  • A program-director report establishing clinical competence and training completion
  • An active, unrestricted medical license

Also remember the six-year board-eligibility window that general AOBIM policy describes: it closes December 31 of the sixth year following fellowship completion. If your fellowship ended several years ago and you're only now scheduling your 2026 attempt, confirm you're still inside that window before paying any fees. For a full rundown of every prerequisite, see our dedicated Pulmonary Disease Requirements 2026 guide.

Exam Day: Format, Time, and Delivery

Whatever date your 2026 sitting lands on, the exam-day mechanics are consistent year to year based on AOBIM's published specifications:

  • 300 multiple-choice questions for initial certification (this count applies to the initial exam only - do not assume it carries over to OCC recertification testing).
  • 7 hours total administration time, as described by AOBIM. The page does not separately break out active testing time versus tutorials or breaks, so build in a mental buffer rather than assuming a clean 7-hour block of pure question time.
  • Written, computer-based format covering basic science and clinical knowledge and interpretation. No adaptive-testing behavior has been verified for this exam.

On the delivery side, AOA's remote-exam guidance (which AOBIM's documents page points candidates toward) specifies a Windows/Mac computer with administrator access, a mobile camera device for room scanning, a private testing space, identity verification, and a secure browser. The guidance also confirms that on-platform lab values, a calculator, and a scratchpad are provided - personal external references are not authorized. That said, the specific pulmonary initial-exam page does not itself name a delivery vendor or confirm remote administration for every 2026 sitting, so your individual candidate authorization letter is the final word on logistics, not general AOA policy pages.

Passing Threshold Reminder: A passing score is 500 or higher on AOA's 200-800 scaled system - this is a scaled result, not a raw 62.5% correct-answer threshold. For the full mechanics of how scoring works, see our Pulmonary Disease Passing Score 2026 explainer.

Scheduling Your Study Around the 21 Domains

Because your exact 2026 exam date may not be locked until closer to the cycle opening, the smartest move is to build a study plan anchored to content weight rather than a calendar countdown. AOBIM's blueprint lists 21 content areas with percentage ranges, not fixed weights - so allocate study time proportionally rather than chasing exact question counts.

Highest-Yield Domains to Schedule First

Two domains are jointly the largest at 10-14% each, making them natural anchors for early study weeks:

  • Interstitial lung disease (10-14%) - classification, HRCT pattern recognition, and management nuances
  • Pneumonia/pulmonary infections (10-14%) - community vs. hospital-acquired distinctions, pathogen-specific therapy
  • Interpretation of PFTs (7-11%) - a skill-based domain that rewards repeated practice over memorization
  • Tuberculosis (6-10%) - latent vs. active disease, multidrug regimens, screening protocols

Once those four high-weight areas are underway, layer in the mid-weight domains - Chronic bronchitis and emphysema (4-8%), ARDS/respiratory failure (4-8%), Asthma (3-7%), and Sleep disorders (3-7%) - before finishing with the lower-weight but still-tested domains such as Bronchiectasis/cystic fibrosis (1-3%), Sarcoidosis (1-3%), and ICU management/ventilatory care (1-5%).

Weeks 1-3

Interstitial lung disease, Pneumonia/pulmonary infections, Interpretation of PFTs

  • Work through PFT pattern-recognition sets daily since this domain is skill-based, not fact-recall
  • Build a comparison chart of ILD subtypes by imaging pattern
Weeks 4-6

Tuberculosis, ARDS/respiratory failure, Chronic bronchitis and emphysema

  • Drill multidrug TB regimens and screening algorithms
  • Review ventilator strategies for ARDS alongside ICU management topics
Weeks 7-9

Asthma, Sleep disorders, Pulmonary hypertension/vascular disorders, PE/DVT

  • Pair asthma and sleep-disorder review since both involve stepwise management protocols
  • Use spaced repetition on PE/DVT risk-stratification tools, since this domain rewards quick recall under time pressure
Weeks 10-12

Remaining lower-weight domains and full-length review

  • Cover Sarcoidosis, Bronchiectasis/cystic fibrosis, Occupational disorders, Lung abscess, and the remaining structural/injury domains
  • Run timed practice sets simulating the 7-hour, 300-question format

For the complete breakdown of all 21 domains - including the ones with lower percentage ranges that still appear on every form - see our Pulmonary Disease Exam Domains 2026 guide. And if you're still deciding how much total preparation time to budget, our How Hard Is the Pulmonary Disease Exam difficulty guide offers useful context before you lock your schedule.

OCC Recertification Testing Windows

Certification under this program is valid for 10 years, conditional on maintaining Osteopathic Continuous Certification (OCC) and an active license. The current Component 3 page lists Pulmonary Disease among the subspecialty exams administered on an annual, remotely proctored basis - and candidates may begin the recertification exam process up to two years before their certification's expiration date.

This two-year lead window is useful for 2026 planning: if your certification is set to expire in 2027 or 2028, you are already eligible to sit in 2026 rather than waiting until the final year. Spreading your recertification attempt earlier in that window can reduce the pressure of a single hard deadline.

Separately, for the 2025-2027 CME cycle, time-limited diplomates need 60 CME credits total, including 15 Category 1 and/or Category 1-A credits, plus one quality-improvement activity attestation per three-year cycle. These CME obligations run on their own cycle and are not synchronized to your exam-sitting choice within the two-year OCC window.

Key Takeaway

Do not assume general internal medicine or cardiology longitudinal-assessment changes apply to pulmonary OCC - pulmonary remains on the annual remotely proctored exam model described on AOBIM's current Component 3 page.

A Pre-Registration Verification Checklist

Given how much of the 2026 calendar remains unconfirmed on AOBIM's own page, build your registration process around verification steps rather than assumed dates:

  1. Log into the live AOBIM candidate portal and check the application window currently displayed - do not rely on cached or third-party dates.
  2. Confirm the posted $800 initial fee and $240 late fee are still current before submitting payment.
  3. Verify your fellowship completion date falls on or before August 15 of your intended exam year.
  4. Confirm your program director has submitted the clinical competence/completion report.
  5. Check your six-year board-eligibility window if your fellowship ended more than a year or two ago.
  6. Review your official candidate authorization letter for the specific testing platform and delivery mode assigned to your sitting - don't assume it matches general AOA guidance by default.
Planning ItemWhat's ConfirmedWhat to Verify Yourself
Application windowPage historically shows a spring-to-summer cycle (2025 dates posted)Exact 2026 open/close dates on live portal
Exam monthGeneral AOBIM reference to August timingSpecific 2026 calendar date
Fees$800 initial / $240 late, currently postedConfirm unchanged at 2026 checkout
Training deadlineCompletion required by August 15 of exam yearYour own program's reporting timeline
Delivery modeAOA guidance describes remote-proctoring requirementsYour individual authorization letter

Once your date and eligibility are locked, shift your focus fully to content. Our Pulmonary Disease Study Guide 2026 lays out a first-attempt-focused approach, and you can benchmark your readiness using full-length practice exams on the main practice test platform well before your confirmed sitting.

Frequently Asked Questions

Is there a confirmed exam date for the 2026 Pulmonary Disease certification exam?

Not as of this writing. AOBIM's pulmonary initial-exam page still displays a March-July 2025 application window, and no independently confirmed 2026 date has been published. Check the live AOBIM candidate portal directly.

What happens if I apply after the deadline?

AOBIM lists a $240 late fee on top of the $800 initial exam fee for the pulmonary subspecialty exam, though exact late-window dates should be confirmed on the current portal.

When must my fellowship training be completed for a 2026 sitting?

AOBIM's written-exam eligibility language requires training completion by August 15 of the examination year, regardless of the exact test date assigned that year.

How long is the exam and how many questions does it have?

The initial certification exam is 300 multiple-choice questions administered across 7 hours, per AOBIM's published format.

Can I start my OCC recertification exam before my certification expires?

Yes. AOBIM's Component 3 page allows candidates to begin the recertification exam process up to two years before their certification's expiration date, and pulmonary is tested annually.

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