ABAARM Certification - How It Works

The ABAARM Certification consists of an oral exam and a written exam. With each exam a set of requirements is needed. These requirements do not have to be submitted prior to sitting for the exam but are due within six months of completing the oral exam.

PART I (Written Test):

  • Membership in the American Academy of Anti-Aging Medicine (A4M)
  • Attendance at two or more consecutive A4M approved/sponsored conferences
  • An MD, DO, DPM or MBBS degree from an accredited medical school
  • An active medical license in the state, province, or nation where the applicant resides
  • Curriculum Vitae (Resume) demonstrating a minimum of 5 years of clinical practice experience(residency training applicable)
  • Passing score on written exam
  • At least 200 hours of Continuing Medical Education (CME) credits (or equivalent study) referable to the clinical practice and some aspect of preventive medicine, Anti-Aging medicine, nutritional medicine or diagnostic medicine during the past eight years. In nations where CME is not offered, exception to this requisite may be granted on an individual basis, as determined by case-by-case review by the ABAARM Board

PART II (Oral Test):

  • Submission of 5 multiple-choice examination questions, with correct answers supported by
  • medical/scientific references
  • Passing scores on oral exam
  • Completion of the oral portion of the examination within 24 months of passing the written exam
  • Six (6) patient charts to be reviewed by ABAARM board. To request a sample write at boards@A4M.com
  • Annual certification maintenance fee - $215
  • No significant disciplinary actions against the applicant, or a written appeal including full disclosure of all disciplinary actions accompanied by a full explanation of those actions accompanied by a request for a waiver of this requirement

Written exam Content


  • Fundamentals of Preventative Medicine: 6-10%
  • Mechanisms of Aging and Disease & Lifespan Research: 8-12%
  • Cardiovascular Disease: 10-14%
  • Cognitive and Neurodegenerative Diseases & Impairments: 10-14%
  • Diagnostics & Assessments: 6-10%
  • Endocrinology: 10-14%
  • Immune System & Infectious Diseases: 4-6%
  • Metabolic Dysfunctions & Diseases: 8-12%
  • Musculoskeletal Diseases & Impairments: 3-5%
  • Respiratory Diseases & Impairments: 2-3%
  • Sensory System Disease & Impairments: 1-3%
  • Sexual-Reproductive System Diseases & Impairments: 1-3%
  • Cancer: 8-12%

Percentages are estimates for general informational purposes; not to be construed as guarantee of actual exam composition.

RECOMMENDED RESOURCES: The ABAARM Review Kit (available from A4M)

Oral Exam Content

The candidate will be examined by one or a group of two examiners/physicians and audio
recorded for quality assurance.

The oral examination process (40 minutes) consists of a variety of case study questions, during which the examiners will analyze the candidate’s knowledge in regards to aging, diseases of aging, causes of aging, theory of aging, how to intervene (prevent) and/or address (treat) the aging process and disorders of aging and review possible side effects of treatments.

Key topics to cover:

  • Appropriate charting and record keeping (data necessary for patient’s medical record)
  • Includes discussion of biomarkers of aging and tests expected to be done in order to assess the aging process and effectiveness of treatment – normal values, pathophysiology of normal disease of aging
  • May include discussion of hormones, growth hormone therapy and treatment protocols, growth hormones secretagogues, DHEA, thyroid, testosterone, estrogen, melatonin, etc.,as medically relevant
  • May include review of the most commonly prescribed therapies and medications
  • May include discussion of nutritional supplementation, diet, exercise, and other nonpharmacological treatment options
  • May include discussion of appropriate pharmacological intervention options, potential side effects of such medications
  • The primary purpose of the Oral Examination is to judge fluency and clinical judgment in the application of anti-aging diagnostics and therapeutics. Rote knowledge is not necessarily being assessed; the Oral Examination seeks to ascertain the physician’s capacity to thoroughly assess a patient’s medical needs and provide judicious guidance and therapy.

Credentials after completion

ABAARM candidate shall not use the term "Certified" until they have completed both Parts I and II of the ABAARM examination process. Passing Part I (Written Exam) entitles the physician to a status as "Diplomate." Only after passing Part II (Oral Exam), completing the necessary application and written requirements of ABAARM, and maintaining membership in good standing in A4M may the physician refer to him/herself as Certified in anti-aging medicine.

The American Board of Anti-Aging Medicine makes information on the status of physicians as Diplomates and Certified available to medical professionals and the general public. The complete listing of "Certified" physicians is presented in the American Academy of Anti-Aging Medicine's Anti-Aging Physicians Directory. This publication is made available to members and non-members of A4M and is a benefit of A4M Membership. Patients requesting physician referrals from A4M may be directed to physicians based on this information.

ABAARM Certification is valuable to a physician's professional credentials. Part II (Oral Exam) is an important determinant of proficiency as it includes a chart review process. By becoming Certified, the physician demonstrates he/she is capable of providing safe and efficacious diagnostic evaluations and treatment protocols.

Any physician who is using the credential "Diplomate" or "Certified" by ABAARM erroneously or falsely that is brought to the attention of the ABAARM Ethics Committee and shall be issued a notification letter to cease until such time as he/she has passed the examination section as appropriate to the credential. Said notice may remain as a permanent part of the individual's academic credentials file if so deemed appropriate by the ABAARM Ethics Committee.

The American Board of Anti-Aging Medicine (ABAARM) advises all ABAARM candidates that the only recognized preparatory session for ABAARM Part I (Written Examination) is that which is conducted by ABAARM. ABAARM Part I candidates will be notified of ABAARM Official Review Classes by the Board Coordinator. No instruction, either of a formal or casual nature, arranged or offered by parties other than ABAARM, are sanctioned by ABAARM or A4M.