Customized Assessment Services is an exam building tool featuring a large pool of NBME basic and clinical science questions, allowing you to create custom assessments tailored to your unique curriculum with the flexibility to adjust the length and difficulty.

Exam Content

The Customized Assessment Services Program features a large pool of questions covering topics commonly taught and tested in medical schools.

This allows you to:

  • Incorporate both foundational and clinical science content when building your exam
  • Match your content to a curricular approach (e.g. organ system or discipline-based)
  • Use high-quality questions written by committees of medical school faculty

How It Works

Customized Assessment Services is available through the MyNBME Services Portal. For information on accessing the portal, view the Customized Assessment Services Program Guide.

Upon logging into the NSP or the MyNBME Services Portal, you can create your custom exam in 3 simple steps.




Start by building your blueprint. Use filters and keywords to select your desired content areas and choose a target number of exam items for each.



Next, browse exam items in each content area and select those that align with your curriculum and desired difficulty.



Review and finalize your exam. Once you’re satisfied with your selected items, order your exam through our online ordering system.

Score Reports

Customized Assessment Services gives you access to the following score reports:

Details the performance of your students at the individual and aggregate level for both the entire exam and for specific content areas.

Provides the norm performance of your students within a single administration or across multiple administrations of the same form.

Highlights the strengths and weaknesses across content areas for each individual student.

Helps you better understand your exam through statistical indices that describe the performance of each item.

*Note: Some reports will only be generated upon meeting specific criteria.


Customized Assessment Services offers the flexibility to create unlimited customized exams during a 12-month subscription period for an annual fee of $1,500.

This subscription includes:

  • Program set-up
  • Support for test construction and administration activities
  • Construction of all examinations
  • Score reports for each examination

Administration fees are based on the number of test items in a customized exam and will be assessed when your exam is ordered for administration.


Administration Fees for July 1, 2022 – June 30, 2023

Number of items on test Fee per examinee
1-25 $17
26-150 $31
151+ $40


Visit the links below to learn more about the Customized Assessment Services.

Interested in learning more about Customized Assessment Services or another NBME product?

Complete the consultation request form to get in touch with NBME staff.