2024 Formative Assessment Order Form

Applications for this program can be submitted either by residents on their own behalf or by program directors on behalf of a group of eligible residents.

ELIGIBILITY REQUIREMENTS:

This program is open to residents who meet the following eligibility:

A first- or second-year Family Medicine resident (both DO and MD Family Medicine residents are eligible).
Have not taken the osteopathic In-Service Exam within the last year.
Did not receive financial support from their program for the osteopathic In-Service Exam.

Please note: To be eligible for this grant, residents must not receive financial support from their program for the osteopathic In-Service Exam. If your program offers financial support, please register for the In-Service Exam via ACOFP here.

I am a Program Director/Coordinator applying on behalf of my ResidentsI am a Resident applying on behalf of myselfOther

YesNo

Program Name*

Program ACGME ID*

Program City and State*

Street Address

Street Address Line 2

CityState / Province

Program Director Name*

First NameLast Name

Program Director Email*

example@example.com

Program Director Credentials*

MD, DO, Other

Coordinator Name*

First NameLast Name

Coordinator Phone*

(999) 999-9999Format: (000) 000-0000.

Coordinator Email*

example@example.com

List of Residents (If AOA ID is unknown, write UNKNOWN)*

Today's Date*

DayMonthYear

REMINDERS:

There is no cost to residents or your residency program.
After submitting this form, ACOFP will review the submission and contact you within 1-2 business days with confirmation.
The exam window takes place October 1 – 15, 2025, via smartphone, tablet, or computer/laptop on the CATALYST platform and consists of 265 questions, 75 of which are OPP/OMM related.
Assessments delivered on the CATALYST platform provide both immediate performance feedback and educational resources for the concept being assessed.
This is an un-proctored test, taken anywhere/anytime within the exam window. The exam is self-paced.
Residents may answer test items immediately, or on their own schedule, but must complete within the two week allotted time. Items time out after 2 minutes.

ADDITIONAL INFORMATION:

Further information on each formative exam can be found on the ACOFP website: ISE

DISCLAIMER:

By submitting data through this form, you acknowledge and agree that the information provided will be shared with the National Board of Osteopathic Medical Examiners (NBOME) for purposes of administering the formative exams. ACOFP and NBOME are committed to maintaining the confidentiality and security of shared data. However, it's important to understand that no method of transmission over the internet or electronic storage is entirely secure. By consenting to data sharing, you acknowledge the inherent risks involved.

2025 ISE Grant Application