Run the Board: EM Sim

Practice the ABEM Certifying Exam anywhere. Realistic oral board cases with POCUS clips, 12-lead EKGs, voice input, and scored reports. Free to try.

Run the Board simulates the ABEM Certifying Exam. An AI examiner runs you through realistic cases, adapts to your clinical decisions in real time, and scores you against ABEM's published criteria.

ALL 8 CASE TYPES Every case type on the new Certifying Exam:

• Clinical Decision-Making
• Prioritization
• Reassessment
• Difficult Conversations
• Managing Conflict
• Patient-Centered Communications
• Procedures
• Ultrasound

BUILT FOR THE NEW FORMAT Clinical Decision-Making runs as a structured discussion, not a resuscitation drill. Cases open undifferentiated. You commit to a differential before any result is released, say what each test rules in or out, and justify your management. The examiner asks why, not just what.

AI EXAMINER Each case pairs you with an examiner that presents a new patient, responds to your workup, introduces complications, and probes your reasoning. It never confirms, corrects, or hints. Mistakes show up in the patient's course, the way they do on exam day.

REAL ULTRASOUND CLIPS POCUS video across cardiac, FAST, aorta, biliary, renal, DVT, lung, IVC, soft tissue, OB/GYN, ocular, and procedural guidance. You explain the study to a standardized patient, choose your own views, and interpret real pathology on screen. At least one image comes back suboptimal and you have to name the fix.

12-LEAD EKGs STEMI, NSTEMI, arrhythmias, heart blocks, PE, hyperkalemia, and more. Tap for full screen, pinch to zoom, examine each lead. EKGs update dynamically after treatment.

PROCEDURE CASES Perform the procedure step by step and hear what you encounter after each one. Indications, consent with the patient, technique, complications, and post-procedure care.

ABEM SCORE REPORTS Every case is scored against criteria drawn from ABEM's published standards for that case type. Clinical Decision-Making scores 9 domains. Communication cases score 5 to 6. Ultrasound scores 3. Each rated Excellent, Competent, Developing, or Needs Improvement.

MOCK EXAM Full-length simulation in the Certifying Exam format. 4 Clinical Care cases at 15 minutes, then 6 Communication and Procedure cases at 10 minutes. Hard timers, structured debriefs, full performance summary.

VOICE INPUT Speak your responses instead of typing. On-device transcription via WhisperKit with medical terminology support. Audio never leaves your device.

QUICK ACTIONS A categorized panel of common orders, labs, imaging, exam steps, and communication phrases. Chips adapt to each case type.

FREE TO TRY Your first case is free. Unlock unlimited cases, Mock Exam, and every feature with a one-time purchase.

IMPORTANT Run the Board is not affiliated with, endorsed by, or approved by the American Board of Emergency Medicine. Case content is AI-generated and may contain inaccuracies. For practice purposes only.