In-Training Examination

Order Change Request Form

All changes to In-Training Examination orders must be submitted via the Order Change Request Form. Change requests submitted by email or phone will not be processed.

In-Training Examinations

Use this form to submit changes to your In-Training Order Form

Please use this form only for submitting changes to your In-Training Order Form. Please note, changes will not be made to your roster. Please allow three (3) business days for changes to be made.

Note: Any missing or incomplete information will delay the processing of your change request. You will be notified via email once the change has been made.

Please keep the following deadlines in mind:

Order Deadline: Friday, January 5, 2024
Payment Deadline: Tuesday, January 30, 2024 (US/Canadian programs) and Wednesday, February 7, 2024 (international programs)
Seating Chart Deadline: Tuesday, January 30, 2024 (US/Canadian programs) and Wednesday, February 7, 2024 (international programs)
No changes will be accepted after January 19, 2024. (A $300 change fee will be assessed for each change received between January 5th and January 19th)

The deadline to submit order changes for this year’s ABSITE, VSITE, and PSITE has passed. This form will not be available until next year.

2024 In-Training Exam – Order Change Request Form

Email(Required)

ABS Program Number(Required)

Program Name(Required)

Provide email address of where to send the order change confirmation (if different than above):

What type of change do you need to make?(Required)

Change in Clinical Level:(Required)

Examinee Name

New Clinical Level

Change in Examinee Name:(Required)

(List the incorrect name that’s been provided AND the new/correct name)

Incorrect Name

New/Correct Name

Delete Examinee from order form(Required)

(List the FULL NAME of the examinee who you would like deleted from your order)

First Name Last Name Suffix

Add an Examinee to Order Form:(Required)

(Provide BOTH the examinee name AS WELL AS clinical level at which exam is scored)

Examinee Name

Clinical Level

Change in the Host Program Site:(Required)

(Provide the name of the examinee AS WELL AS the name of the ACGME-accredited general surgery program where the examinee will take the exam)

Examinee Name

Name of New Host Program Site

If your change is not addressed by any of the above options, please provide a brief description of the change:

Accommodations

What type of accommodation does the examinee need?(Required)

A testing accommodation for a learning disability needs to be added for an examinee:(Required)

(Provide the examinee name):

First Name Last Name Suffix

Provide the testing accommodation time:(Required)

A nursing mother time accommodation needs to be added for an examinee:(Required)

(Provide the examinee name):

First Name Last Name

Provide the testing accommodation time you are adding for the nursing mother:(Required)

Name

This field is for validation purposes and should be left unchanged.