The SPEX ® is a computerized, multiple-choice examination of current knowledge requisite for the general, undifferentiated practice of medicine. The examination is used to re-examine a physician's ongoing level of basic medical knowledge and is intended for physicians who currently hold, or who have previously held, a valid, unrestricted license to practice medicine in the US or Canada.
State boards may require SPEX for endorsement of licensure, reinstatement, or reactivation of a license after a period of inactivity. If the board has or is aware of concerns and/or questions about a physician's fitness to practice, SPEX results should be evaluated in conjunction with other available evidence to determine a physician's competence and fitness to practice.
The SPEX fee is currently $1300 per application. Effective June 1, 2022, the fee will be $1400 per application; all applications submitted on or after that date will require the new fee.
Detailed information about SPEX eligibility requirements, applying for SPEX, scheduling an exam, preparing for the exam, and score reporting is available at: http://www.fsmb.org/spex-plas/spex-application/.
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