End of Rotation™: Blueprints & Topic Lists

PAEA End of Rotation exams are a set of objective, standardized evaluations intended to serve as one measure of the medical knowledge students gain during specific supervised clinical practice experiences.

These resources are used by exam development board members to guide the creation of exam content, and by the exam development staff when constructing exam forms. They will be useful to students when studying for the exam, and for faculty when determining which other SCPE evaluation components and program objectives may require additional assessment tools.

Current Blueprints and Topic Lists

Emergency MedicineBlueprintTopic List
Family MedicineBlueprintTopic List
SurgeryBlueprintTopic List
Internal MedicineBlueprintTopic List
PediatricsBlueprintTopic List
Psychiatry & Behavioral HealthBlueprintTopic List
Women’s HealthBlueprintTopic List

Updated Blueprints & Topic Lists

Updated exam blueprints and topic lists are now available to preview. New versions of the End of Rotation™ exams published to these blueprint specifications are scheduled to be published in July 2026. A detailed crosswalk of the upcoming changes to exam content and task areas can be found below.

Emergency MedicineBlueprintTopic ListCrosswalk
Family MedicineBlueprintTopic ListCrosswalk
Gynecologic, Sexual, and Reproductive Health
(formerly Women’s Health)
BlueprintTopic ListCrosswalk
Internal MedicineBlueprintTopic ListCrosswalk
PediatricsBlueprintTopic ListCrosswalk
Psychiatric & Behavioral HealthBlueprintTopic ListCrosswalk
Current students taking End of Rotation exams may begin to see exam items from the new content and task areas starting in October 2024. As a reminder, pretest items are not scored items and do not impact a student’s exam performance or score. Until these new exams are published, programs should continue using the current blueprints to prepare for an exam.
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Questions on the exams are considered only a sample of all that might be included for the clinical experience and may not reflect all content identified in the topic lists.

Disclaimer

The  End of Rotation exam Topic Lists, Blueprints, and Core Tasks and Objectives are resources used by PAEA to guide the development of exam content and construction of exam forms.  Questions on the exam are considered only a sample of all that might be included for the clinical experience, they are not  intended  to be all-inclusive, and may not reflect all  content identified in the Topic Lists. These resources will be useful to faculty when  determining which other supervised clinical education experience objectives may require additional assessment tools. These resources may also be useful to students when studying for the exam;  however the Topic Lists are not a comprehensive list of all the exam question topics. PAEA’s goal is not to provide a list of all the topics that might be on the exams, but rather to provide students with a resource when preparing for the exams.  PAEA recommends that students review the Topic List, Blueprint, and Core Tasks and Objectives in conjunction when preparing for the exam.

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