Exam Information

Challenging Level 1 – NOW FULLY ONLINE!

Effective 2021 the AIM Level 1 Challenge Exam will be presented and answered online (no paper exam booklet) and the sittings will be virtually invigilated via Zoom.

You will need two devices to take the Online/Virtual exam:

  1. One device to take the online exam (no camera required on this device – suggest laptop or desktop computer) 
  2. One device to facilitate the virtual Zoom monitoring (camera required on this device – a cellphone is acceptable).

There is also a mandatory practice test that needs to be completed in order to ensure your personal device is compatible with the exam software. 

There are Level 1 Exam sessions scheduled as follows:

June 15, 16, 22, 23, 2024. Registration closes May 8.
Register for June 2024

September 21, 22, 28, 29, 2024. Registration closes August 8.
Register for September 2024

December 14, 15, 21, 22, 2024. Registration closes November 8.
Register for December 2024

You will get to select the exact date and time of your exam via email once your application has been received.

Click here for Candidates Guide to Level 1 MCQ – ENGLISH 

Click here for Candidates Guide to Level 1 MCQ – FRENCH 

Click here for Level 1 MCQ Sample Questions

The New Orthopaedic Division e-Manuals (online) are the suggested reference materials for Challenging the Level 1 Exam. The fee for the e-Manuals is a ONE-TIME fee of $125.00+tax which grants you access to the Clinical Techniques manual for the Level you are currently enrolled at as well as the e-Theory Manual. If you pay the $125.00 now at Level 1, you will not need to pay again at Level 2/3/4/5 so long as you enrol in a Level course every two years. If two years lapse since your last course with us, you will still have access to the electronic manuals if you’ve downloaded them to your browser, but not their future updated versions.

If you would like to purchase the manuals in order to prepare for the Level 1 Exam, please indicate this on your application form when registering for the exam and instructions to pay for and access the e-Manuals will be sent to you by email.

Level 2-3 Exams

Re-writing these exams after taking a course and being unsuccessful with the exam or having to make up a missed exam or deadline can be completed via the same procedure as challenging the Level 1 Exam. Please select your preferred sitting from the options above.


2024 AIM Advanced Examination

Registration for the fall Advanced Exam will begin June 15, 2024 and close July 31, 2024. The application will be available for online registration during this time.

Candidates will be required to upload Level 4 AND Level 5 course certificates, proof of completion/registration of the Introduction to Clinical Research Course (offered through UWO and Laval University).

Mentorship hours and completed Clinical Reflection must be uploaded by August 30, 2024.

The following date is scheduled for the written component of the Advanced Exam:
  • Saturday September 21, 2024 – MCQ
  • Sunday September 22, 2024 – Case History Exam
The following dates are scheduled  for the Practical component of the Advanced Exam:
  • November 2-3, 2024 – East
  • November 16-17, 2024 – West
  • November 23-24, 2024 (alternate date, if needed)
If you have any questions, please contact Kate Gladney at manipexams@hotmail.com


Attention All Potential Advanced Exam Candidates

As of Fall 2022, all Advanced Exam Candidates must have completed the following course –
The Grandfather period has lapsed, and all applicants must have proof of Course completion.
Completion of a Masters or PhD with evidence of a Critical Appraisal course within the curriculum would be exempt.


Clarification of Mentorship Requirements

During this transitional period there has been a lot of confusion regarding who is required to complete the mentorship hours. Please read below to determine whether you will need to complete the mentorship hours prior to registering for the Intermediate or Advanced Exams.


Intermediate Exam Requirements:

You must complete the 90 Mentorship hours prior to registering for the Intermediate Exam if one of the following scenarios applies to you:

  1. You registered to complete one or all components of the Intermediate Exam prior to 2005 and did not attend the Exam.
  2. You registered for one or more components of the Intermediate Exam prior to 2005 and failed all of the components for which you registered. Failure to successfully complete one or more components of the Intermediate exam prior to 2005 does not constitute successful entry into the “old system”.
  • Example 1: An individual who registered for only the case study component in 2005 and failed will be required to complete the 90 hours prior to registering for the Intermediate Exam in the future.
    You will be exempt from the 90 mentorship hours only if you successfully completed at least one component of the Intermediate Exam prior to 2005 but still have to complete the remaining component(s).
  • Example 2: An individual who registered for the case and the written components in 2005 and failed the case only, would be exempt from the 90 hours.

Advanced Exam Requirements

You must complete the 60 Mentorship hours prior to registering for the Advanced Exam if you have not yet attempted the Advanced Exam.

You will be exempt from the 60 mentorship hours only if you attempted the Advanced Exams prior to 2005 and were unsuccessful.