The format of
the recertification examination changed beginning in 2011. The
examination will continue to be a four-hour, proctored, computerized examination
administered annually at nearly 200 Pearson VUE testing centers located
throughout the United States, Canada, and Puerto Rico in October each year.
The examination will no longer consist of five modules covering the domains of
urology, three of which are selected by the candidate. It was replaced
by a 100 question examination covering the domains of urology, with very few
pediatric questions. Pediatric questions remaining on the examination will
relate to very common pediatric conditions. Statistics from past
examinations show that with the exception of the pediatric module, which very
few examinees except pediatric urologists select, candidates selected nearly
equally from the other four modules.
The rationale for the change in format is to provide consistency with other ABU
examinations, increase the psychometric validity of the examination, address the
numerous complaints from Diplomates regarding the verification of which modules
they selected on the examination, and eliminate concerns expressed by many
Diplomates regarding whether the modules they selected were the ones that were
The examination for recertification and maintenance of certification emphasizes clinical management. As many as 30% of the questions on the exam are derived from AUA Self-Assessment Study Program (SASP) booklets from the past 5 years. Another 15% of the exam questions are based on the AUA Guidelines.