HomeCoursesSelf Assessment Exam

How to Register

Register for the 2016 exam one of three ways:

1. Online (login required)
     Purchase for a general surgeon
     Purchase for ortho or plastic surgeons, allied health, or any other individual
2. Mail or fax (use the downloadable registration form)
3. Phone (call 312-880-1900 with credit card information)

How to Begin Testing

Take your exam one of two ways:

  1. In the online testing portal (ASSH login required)
  2. With the Self-Assessment app for iPhone and iPad (search "ASSH SAE" in the app store)

About the Exam

The American Society for Surgery of the Hand offers this annual exam to hand and upper extremity care professionals as a comprehensive review tool of basic principles and can also be used by practicing clinicians to stay abreast of new developments and concepts within the specialty. The examination covers diagnostic and therapeutic problems, both surgical and non-operative, basic science knowledge, and fundamental principles of hand surgery. The interpretation of the illustrative material (clinical photographs and radiographs) is an integral part of this examination.

CME Credit Hours

For Physicians:
The American Society for Surgery of the Hand designates this enduring material for a maximum of 20.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Society for Surgery of the Hand is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

For Physician Assistants:
This Self-Assessment CME program has been reviewed and is approved for a maximum of 20.00 AAPA Category 1 Self-Assessment CME credits by the Physician Assistant Review Panel. Approval is valid for one year from the release date of 04/01/2016 . Physician Assistants should claim only the credit commensurate with the extent of their participation in the activity. This program was planned in accordance with AAPA's CME Standards. 

Minimum Passing Score

In compliance with AMA policy, a minimum passing score of 50% is required for this exam. Only participants who meet the minimum passing score will receive CME credit for taking the examination. General surgeons need to achieve a minimum passing score of 75% to receive credit through ABS. Please check the ABS website for more information on MOC Part 2.

If you fail on your first attempt, you may retake the exam up to two additional times.  The American Society for Surgery of the Hand guarantees anonymity of examination results. The scoring will be by number and not by name. View the ASSH privacy policy.

Online Exam Platform

The Self-Assessment Examination is available in the ASSH e-Learning Portal. The online platform allows you to start and stop the exam as needed. When you submit your test for scoring, you will know instantly if you passed. You will also instantly receive details about which questions you answered correctly and which you answered incorrectly, and you will be able to view the discussions and references for maximum educational value.

A passing score will automatically credit your CME to your account, and you can download a CME certificate immediately through the testing platform. The CME will appear on your official ASSH transcript within 10 business days of successful test completion.

Exam Questions

The exam consists of 200 questions, preferred responses, discussion and literature references. A minimum passing score will be required to receive CME credit. There are seven sections:

  1. Basic Science
  2. Bone and Joint
  3. Neuromuscular
  4. Skin
  5. Vascular
  6. Ancillary
  7. Miscellaneous

Educational Objectives

  • Detect and differentiate injury mechanisms, pathologies, and applied anatomy associated with upper extremity conditions treated by hand surgeons.
  • Develop informed, evidence-based clinical decision practice options in the treatment of upper extremity disorders.
  • Differentiate and apply the range of conservative and surgical treatment options to deal with upper extremity problems that present to a hand surgeon’s practice.
  • Assess basic cognitive reasoning skills and clinical aptitudes required of all hand surgeons in practice to complete maintenance of certification.

Maintenance of Certification – CME and Self-Assessment

Credits earned by completing this Self-Assessment Examination can be applied to the scored and recorded self-assessment requirements as mandated by the ABOS Maintenance of Certification (MOC™) process and will count toward the CME credit requirement as well. If you are a plastic surgeon, please go to for more information on self-assessment requirements. If you are a general surgeon, please go to for more information on self-assessment requirements.

This program is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of The Royal College of Physicians & Surgeons of Canada, and approved by the Canadian Society of Plastic Surgeons on January 1, 2012. Remember to visit MAINPORT to record your learning and outcomes. You may claim a maximum of 20 hours (credits are automatically calculated).

Past Exams

Access your previously purchased exams or purchase old exams in the ASSH e-Learning Portal.


Refund Policy and Cancellation Fee
All refunds must be requested in writing to the ASSH Central Office by fax 847-384-1435 or email at A full refund less a $25 administrative fee will be given if the written notification is received by the Central Office on or before April 1, 2015. No refunds will be issued after April 1, 2015.

Confidentiality: The Self-Assessment Exam is the sole property of the American Society for Surgery of the Hand (ASSH) and scores are confidential. Individual results will only be shared with the test-taker. Each participant is assigned a number, and no names are used in the scoring process to further ensure confidentiality.

The material presented in this continuing medical education program is made available by the American Society for Surgery of the Hand for educational purposes only. This material is not intended to represent the best or only methods or procedures appropriate for the medical situation discussed, but rather is intended to present an approach, view, statement, or opinion of the authors or presenters, which may be helpful, or of interest, to other practitioners. The examinees agree to participate in this medical education program sponsored by ASSH with full knowledge and awareness that they waive any claim they may have against ASSH for reliance on any information presented in this examination. The approval of the US Food and Drug Administration is required for procedures and drugs that are considered experimental. Instrumentation systems discussed and/or demonstrated in or at ASSH educational programs may not yet have received FDA approval.

Questions? Contact us at (312) 880-1900 or

Testing Period

April 1 - July 31 at 11:59 PM Central

CME Credit Hours

20.00 AMA PRA Category 1 Credits™
20.00 AAPA Category 1 Self-Assessment CME Credits

Exam Fees

ASSH Member $215
Non-member $245
Allied Health $175

© 2016 American Society for Surgery of the Hand

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