Geriatric psychiatry was the first subspecialty area for which The Ame
rican Board of Psychiatry and Neurology, Inc. (ABPN) offered an examin
ation for added qualifications. The American Board of Medical Specialt
ies approved the proposed specialty in 1989, and the first examination
was administered in 1991 to 661 candidates, and the second, 1 year la
ter, to 578 candidates. This paper describes the test development and
standard-setting procedures, test results, and candidates' feedback ab
out the examination.