Otolaryngology candidates have one of the highest board exam pass rates of any medical specialty. Candidates must first take a written qualifying exam followed by a separate oral exam. Many candidates report feeling well-prepared by their training after taking the exam, particularly the written portion. The Otolaryngology in-training exam is a good predictor of success on the board exam. According to the official journal of the American Academy of Otolaryngology, candidates who score in the bottom quartile for their in-training exam are at a high risk of failing the written portion of the certification test.