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CHS Exam Dates 2026: Testing Windows, Deadlines & Scheduling

TL;DR
  • The 2026 CHS written exam window runs December 7-11, 2026 at Pearson Professional Testing Centers.
  • The corresponding oral exam sits in Dallas on June 4-5, 2027, roughly six months after the written window.
  • Initial fees total $4,900: $650 application, $1,750 written, $2,500 oral, paid before travel costs.
  • You must pass the written Part I before you are permitted to sit the in-person Part II oral exam.

2026 CHS Exam Dates at a Glance

If you're pursuing the American Board of Thoracic Surgery's Certification in Congenital Cardiac Surgery, often shortened to CHS on the board's own site, the calendar matters just as much as the content. Unlike open-enrollment assessments, this credential runs on fixed annual windows for both the written and oral components, and missing a deadline can push your certification timeline back an entire year.

For 2026, the two dates every candidate needs on their calendar are straightforward:

  • Part I Written Examination: December 7-11, 2026, administered at Pearson Professional Testing Centers
  • Part II Oral Examination: June 4-5, 2027, in Dallas

These two dates are linked. You cannot sit the oral exam without first passing the written exam, so the December 2026 window functions as the gateway to the June 2027 oral session. This guide walks through what each window means logistically, how the fee structure lines up with the timeline, and how to plan your preparation so you're not scrambling in the final weeks before testing opens.

Why the Gap Matters: The roughly six-month gap between the written window and the oral exam is intentional. It gives ABTS time to score and report written results, and it gives candidates a defined runway to prepare specifically for the oral case-based format after clearing the written hurdle.

The Part I Written Window: December 7-11, 2026

The written examination is a multiple-choice test covering the same content ground reflected in the 11 domains published in the ABTS Booklet of Information. As of 2025, questions use a three-option answer format rather than the traditional four or five options, which changes how you should approach elimination strategy and guessing on questions where you're not fully certain. For a full breakdown of what each domain actually tests, see the CHS Exam Domains 2026: Complete Guide to All 11 Content Areas.

The written window itself spans five days, December 7 through 11, 2026, but individual candidates are assigned a specific seat time within that window rather than choosing freely across all five days. That means your actual appointment could fall on the first day or the last, depending on availability at your chosen Pearson center and how early you complete registration.

What the Written Exam Draws From

The 11 unweighted content categories span the full spectrum of congenital cardiac pathology and perioperative management. Candidates should expect coverage across all of the following, without assuming any single domain carries more weight than another:

  • Septal Defects
  • Anomalies of Venous Connection
  • Anomalies of the Aorta, Aortic Arch, and Coronary Arteries
  • Anomalies of the Tricuspid and Mitral Valves
  • Anomalies of the Aortic Valve and Left Ventricular Outflow Tract
  • Anomalies of the Pulmonary Valve and Right Ventricular Outflow Tract
  • Conotruncal Anomalies
  • Anomalies of Atrioventricular Connection, Univentricular Heart, and Atrial/Visceral Situs
  • Diseases of the Myocardium
  • Pre-, Intra-, and Post-Operative Evaluation and Management of Congenital Cardiac Disease
  • Acquired Cardiovascular Diseases in Infants and Children

Because there's no published weighting across domains, treating each as equally testable is the safer planning assumption. That's a key reason candidates often underestimate how hard the exam actually is to prepare for broadly rather than deeply in a narrow area - a topic covered in depth in How Hard Is the CHS Exam? Complete Difficulty Guide 2026.

The Part II Oral Exam: June 4-5, 2027 in Dallas

Passing the written exam is the prerequisite, not the finish line. The oral examination is a separate, in-person assessment held over two days, June 4-5, 2027, in Dallas. This format is case-based rather than multiple-choice, meaning you'll be presented with clinical scenarios and expected to talk through decision-making, operative planning, and management reasoning in real time with examiners.

Because the oral exam sits roughly six months after the written window closes, candidates who pass in December 2026 have a defined preparation runway heading into June 2027. That gap is useful, but it's not unlimited - case-based oral prep benefits from sustained review rather than a last-month cram, particularly across domains like Conotruncal Anomalies and Anomalies of Atrioventricular Connection, Univentricular Heart, and Atrial/Visceral Situs, where operative decision trees are complex.

Key Takeaway

Don't wait until you receive written results to start oral-style review. Begin talking through operative scenarios for high-complexity domains as soon as your written exam is behind you, since six months disappears quickly around clinical duties.

Registration Timeline and Fee Deadlines

The full initial certification pathway carries a total cost of $4,900, broken into three distinct payments tied to different stages of the process:

Fee ComponentAmountWhen It's Paid
Application Fee$650At initial eligibility submission
Written Examination Fee$1,750Before the December 2026 window
Oral Examination Fee$2,500Before the June 2027 Dallas session

Note that these figures exclude travel, lodging, and any preparation resources you invest in separately. For a full accounting of what candidates actually spend across the entire pathway, review CHS Certification Cost 2026: Complete Pricing Breakdown.

Because the application fee is paid before you're confirmed eligible for a specific written window, it's worth starting the paperwork well ahead of the December testing dates. Program endorsement, operative case verification, and documentation review all take time, and delays here can push you out of the 2026 window entirely and into the following year's cycle.

Plan the Money Before the Calendar: Because fees are paid in stages tied to eligibility confirmation, written registration, and oral registration, budgeting the full $4,900 upfront - rather than fee by fee - prevents last-minute payment scrambles that can jeopardize your seat in a specific window.

Confirming Eligibility Before You Schedule

You can't schedule a written exam date until your eligibility is confirmed, and eligibility itself has several moving parts. Initial eligibility requires current primary ABTS certification, unrestricted medical licensure, qualifying thoracic and congenital cardiac surgery training, verified operative experience, and formal program endorsement.

Training requirements tightened for newer fellows. Anyone starting fellowship on or after July 1, 2023 needs two consecutive years in a single ACGME-accredited program, plus at least 150 major congenital cases overall, with a minimum of 50 of those cases completed in the first year. If you're still confirming whether your training pathway satisfies these thresholds, the detailed breakdown in CHS Requirements 2026: Eligibility, Prerequisites & How to Qualify walks through each qualifying pathway.

Practically speaking, this means the "exam date" conversation actually starts much earlier - during fellowship case logging and program endorsement - not when you sit down to pick a Pearson center. Candidates who wait until a few months before the December window to confirm their case counts and endorsement status risk finding gaps too late to fix in time.

Pearson Testing Center Logistics

Part I is administered at Pearson Professional Testing Centers, which operate on a network model rather than a single fixed location. Once your written registration is confirmed, you'll select from available centers and appointment slots within the December 7-11, 2026 window. A few practical points worth building into your planning:

  • Center availability during a five-day window can fill quickly, especially near major metro areas - registering early gives you more flexibility on date and location.
  • Because the exam uses a three-option multiple-choice format introduced in 2025, pacing at the testing center may feel different than exams you've taken with four- or five-option questions - plan a brief mental adjustment rather than assuming identical pacing.
  • Standard Pearson identification and check-in procedures apply, so confirm requirements on the current ABTS and Pearson pages before your appointment date rather than relying on memory from prior standardized exams.

Building a Study Calendar Around the December Window

With a fixed date rather than rolling registration, your preparation calendar can work backward from December 7, 2026 with real precision. A useful approach is to allocate dedicated review blocks to each of the 11 domains in the weeks leading up to the window, rotating through higher-complexity domains more than once.

Weeks 1-2

Foundational Anatomy Domains

  • Septal Defects
  • Anomalies of Venous Connection
  • Anomalies of the Aorta, Aortic Arch, and Coronary Arteries
Weeks 3-4

Valve and Outflow Tract Domains

  • Anomalies of the Tricuspid and Mitral Valves
  • Anomalies of the Aortic Valve and Left Ventricular Outflow Tract
  • Anomalies of the Pulmonary Valve and Right Ventricular Outflow Tract
Weeks 5-6

High-Complexity Structural Domains

  • Conotruncal Anomalies
  • Anomalies of Atrioventricular Connection, Univentricular Heart, and Atrial/Visceral Situs
Weeks 7-8

Management and Acquired Disease Domains

  • Diseases of the Myocardium
  • Pre-, Intra-, and Post-Operative Evaluation and Management
  • Acquired Cardiovascular Diseases in Infants and Children

This is one workable structure, not the only one - the point is to schedule review sessions against your December 7-11 target date rather than studying without a defined finish line. A more comprehensive week-by-week plan, including how to layer practice questions on top of domain review, is available in the CHS Study Guide 2026: How to Pass on Your First Attempt. You can also work through domain-specific practice questions on our practice test platform to gauge readiness before locking in your final review weeks.

Key Takeaway

Reserve extra review time for Conotruncal Anomalies and Anomalies of Atrioventricular Connection, Univentricular Heart, and Atrial/Visceral Situs - these domains tend to involve the most intricate decision trees and benefit from repeated passes rather than a single review cycle.

After the Written Exam: What Happens Before Dallas

Once the December 2026 written window closes, ABTS reports results before the June 2027 oral session. Given the small cohort sizes reported for 2025 - 7 passes among 8 written examinees and 4 passes among 4 oral examinees - it's worth interpreting any pass-rate discussion cautiously rather than drawing broad conclusions from a handful of candidates. For more context on how these numbers should and shouldn't inform your prep strategy, see CHS Pass Rate 2026: What the Data Shows and CHS Passing Score 2026: Exactly What You Need to Pass.

Between written results and the June oral exam in Dallas, candidates typically shift preparation mode entirely - from recall-based multiple-choice review to verbal case reasoning. If you haven't already reviewed how case presentations are typically structured during Part II, building that familiarity early in the six-month gap reduces pressure as June approaches.

It's also worth revisiting why you're pursuing this credential in the first place during this window - whether that's access to specific surgical roles, program requirements, or long-term practice goals. That broader context is explored in Is the CHS Certification Worth It? Complete ROI Analysis 2026 and CHS Salary Guide 2026: Complete Earnings Analysis, alongside a look at where certified surgeons typically practice in CHS Jobs.

Continuing Certification Note: Once certified, keep in mind that since January 2024, ABTS continuing certification uses non-time-limited certificates conditional on five-year milestone compliance, including 150 Category 1 CME credits per period. Passing your initial exams is the beginning of an ongoing compliance cycle, not a one-time event.

Frequently Asked Questions

When exactly is the 2026 CHS written exam?

The Part I written examination window runs December 7-11, 2026, administered at Pearson Professional Testing Centers. Individual candidates are assigned a specific appointment within that five-day span.

Can I take the oral exam before passing the written exam?

No. Written success is required before you're permitted to sit the in-person Part II oral examination, which for this cycle is scheduled for June 4-5, 2027 in Dallas.

How much does the entire CHS certification pathway cost?

Initial fees total $4,900: a $650 application fee, a $1,750 written examination fee, and a $2,500 oral examination fee, not including travel or preparation costs.

What changed about the written exam format in 2025?

Written multiple-choice questions began using three answer options starting in 2025, a shift from the traditional four- or five-option format used in many other standardized exams.

Do the 11 content domains carry different weights on the written exam?

No official weighting is published. The 11 categories function as unweighted coverage areas, so candidates should prepare across all domains rather than prioritizing a subset based on assumed emphasis.

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