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Date Updated: February 09, 2012

Pediatrics Advanced Clinical Examination (ACE) Pilot

The Pediatrics ACE is a web-based examination designed to assist residency program directors in assessing the baseline competency of new residents, and to measure the effectiveness of the fourth year subinternship experience at medical schools. This assessment aids in identifying knowledge gaps early so that instruction may be tailored accordingly. The exam consists mainly of test items that describe clinical situations and require examinees to provide one or more of the following:

  • a diagnosis
  • a prognosis
  • an indication of underlying mechanisms of disease
  • the next step in medical care, including preventive measures

In addition to the traditional multiple-choice, one-best-answer items, the exam includes several sequential item sets that unfold and challenge residents to use their clinical knowledge in problem solving and in managing patients over time. The ACE is delivered using test administration and proctoring software developed by the NBME, and a variety of test delivery environments can be supported. Total test session time is 2 hours.

Program directors can access preliminary percent-correct scores by logging into the NBME Services Portal 48-72 hours after test administration. Additional feedback is contingent upon the number of residents tested during the pilot phase.

Contact Information
Residency Programs: gmeliaison@nbme.org

A 2-month-old infant has a 5-cm strawberry hemangioma on the cheek that is increasing in size. No other lesions are noted. Which of the following is the most appropriate next step in management?

  1. Observation of the lesion
  2. Solid carbon dioxide application to the lesion
  3. Intralesional corticosteroid treatment
  4. Laser therapy to the lesion
  5. Surgical removal of the lesion


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