
ACC’s training programs offer an annual in-training benchmarking exam that helps fellows track topic-level progress and prepare for ABIM certification.
As participation grew, the third-party testing platform became costly and restrictive, with limited reporting and little insight into learner or program performance.
How could the association scale its exam and protect revenue without raising prices?

Examinees increased from ~2,400 to ~3,700 annually
Participation expanded to ~300 medical training programs
Operational costs remained controlled despite national-scale growth


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