The SPEX is a computerized, multiple-choice examination of current knowledge requisite for the general, undifferentiated practice of medicine. The examination is intended for physicians who currently hold, or who have previously held, a valid, unrestricted license to practice medicine in a U.S. or Canadian jurisdiction.

The SPEX is used by state medical boards to re-examine a licensed or previously licensed physician's ongoing level of basic medical knowledge. Situations in which a medical licensing board may require a physician to take SPEX include endorsement of licensure, reinstatement or reactivation of a license after a period of inactivity (due to illness, disciplinary action, etc.). In instances where the state medical board has or is aware of concerns and/or questions about a physician's fitness to practice, the results of the SPEX exam should be evaluated in conjunction with other available evidence to determine a physician's competence and fitness to practice.

For more information, please see the SPEX Overview. You may also contact the Federation of State Medical Boards at spex@fsmb.org or call (817) 868-4041, Monday-Friday 8 a.m. - 5 p.m. (CST) or write to the address below. Please include your name, phone number and mailing address on all correspondence.

		Post-Licensure Assessment System (PLAS)
		Federation of State Medical Boards
		P.O. Box 619850
		Dallas, TX 75261-9850