Preparation for eventual board certification begins the day you start your training, regardless of specialty. The Board certification process is composed of three parts: a written examination, an oral examination, and some kind of case log. The written exam is fairly straightforward. Throughout your training, and after, you will systematically study all of the disciplines and take a multiple choice test. If you pass, you will be permitted to take the oral exam, which will not only test your knowledge, but will actually test your personal skills by demonstrating to the examiner(s) that you are the kind of person who will be safe enough to be considered board certified.