Show Nav

Exam Guide

Exam Guide

Requirement: Complete the CACCP exam after attendance to all in-person and online seminars listed on the Pediatric tab in your account. 

The CACCP exam consists of 20 essay questions, one for each seminar module in the current program. When you have completed all classroom requirements, you are eligible to apply for the CACCP exam.  

Need Help? We're here to support you every step of the way. Contact our Exam Coordinator at with any questions you might have about completing the exam. 

Agreement of Ethical and Professional Standards

Please realize that failure to comply with any part of these ethical and professional standards may result in forfeiting your right to complete the exam and proceed with certification. Your checkbox during your registration process confirms your agreement to these terms: 

  • Once you receive your exam, its content and your subsequent answers are to remain confidential and private. This confidentiality is requested throughout the exam process and after your completion of the exam.
  • Sharing questions and/or answers with colleagues (regardless of their affiliation with the ICPA) is unacceptable. Taking the exam with others is also unacceptable. 
  • It is expected that your responses will be utilizing the academic and/or clinical material covered in class and in your notes, combined with your own clinical experience. It is important that your answers be your original work, in your own words. Extracts from the notes are not considered your own work. In the instance where you may quote from the notes, sources and authors must be provided. If you choose to utilize another person’s expertise to complement your answers, the required citing is in NLM Format. 
  • Plagiarism will NOT be tolerated. If your work is found to be plagiarized from any source, including the internet and/or taken from another candidate's exam, and/or taken from the notes without citation, you will fail the exam. 

Exam Process

Starting the Exam

After completion of all required seminars, you can register for the exam in your account. You must be a DC member.  We will email you the exam and the grading rubric within 2 business days.

Exam Fee: The exam is $500 USD and is non-refundable, regardless of whether you complete the exam or not. 

Confidentiality: Your identity is held in confidence. Only the ICPA Exam Coordinator is aware of your name. In order to keep your identity confidential, please do not put your name or practice name on any part of the examination and do not include it in any of your answers. 

Exam Format 

The CACCP exam is a comprehensive essay exam. The exam will consist of one set of questions from each seminar. You should expect to write 1 page per 4 hours of coursework (3 pages for a 12-hour course, 2 pages for an 8-hour course, 1 page for a 4-hour course). You must: 

  • Leave the question(s) as is and type your answers below the question(s).
  • Submit your exam as one complete Word document/Google doc.
  • Format your exam in Calibri 12 pt font, single-spaced.
  • Include a bibliography for each question (even if the only source is your seminar notes). 
  • Provide all citations in NLM Format
  • Direct quotes from source materials are not permitted. 

Tips for Success

Preparation: Review your notes extensively. One purpose of the exam is to provide you with the opportunity to revisit the seminar curriculum and recall information that you may have forgotten.

Time management: The CACCP exam takes between 3-6 months to complete, with a total of about 50-60 hours put towards working on the exam.  Please manage your time within the deadline accordingly. 

Correctness of information: Make sure you are answering the question as it was posed, and addressing all clinical information relevant to the question. For example, when asked to respond to a parent or practitioner, correctness is determined by the knowledge presented in class, and your practical application of this material in the context of to whom you are presenting. 

Thoroughness of information: Please clearly state your answers in essay format, leaving the question text intact. Some questions ask you to answer in list form.  You should do just this and number each list. Be sure to answer each part of each question, in the order presented.

Depth: Please keep in mind that this exam requires adequate time to develop the knowledge learned in class, your point of view and your clinical expertise related to the question. It is advised that you read through the entire class notes to “re-experience” the class. This bigger perspective may be very relevant to clarifying your clinical practices relating to the question. 

Length:  Each question is designed to be answered in 3 pages or less.  Please keep your answers concise and precise.  Your complete exam should be about 50-60 pages in length.  

Strong Writing/Clarity of Point: While the examiner does not grade your personal writing style, your ability to communicate your argument and material clearly is important. See the rubric for how grammar, syntax, and clarity of writing affect your grade. If English is not your first language, please indicate this next to your number and date of test completion. 


The Exam Coordinator will provide you with an exam deadline date, which is 90 days from when the exam is emailed to you. 

Late Exams

Late exams will be considered a failed grade unless you request and receive a special exception, in writing, from the exam coordinator. If you do not turn your exam in by the (initial or extended) due date, your exam will be filed as a “failure for non-return.” This means you will need to re-register for the exam and start the exam process from the beginning. 

Exam Extensions 

You can request up to (3) 30-day extensions. You must make this request prior to the exam due date. You are allotted only three (3) 30-day extensions or be subject to re-registering for the entire exam. 

Extension fee: $50 USD each (non-refundable).


You will receive a grading rubric with your exam. A passing grade is considered 80% or higher.  Your exam is graded anonymously by two members of the grading team, and you receive the higher score for each question.  

Exam Results

Passing Results: An 80% overall grade is needed to pass the exam. You will be notified of your final grade via email within 90 days of returning your exam to the Exam Coordinator.

Failed Results: Below an 80% overall grade requires all failed questions (below 80% individual grade) to be re-submitted.

Retaking Exam Questions: Each individual question that receives a failing grade must be retaken. You must redo all questions at the same time. You have 30 days from the date you are notified of your failed exam to register and pay for an exam retake. Failure to register for the retake within 30 days forfeits your retake option and you must start the exam process from the beginning.  

Retake fee: $300 USD 


1. Certification Program Guide

2. Seminar Guide

3. Exam Guide

4. Next Steps

Your Support Team

  • General seminar questions 
  • Help with rescheduling seminars 
  • CE questions

  • Questions about the exam
  • Submitting your exam
  • Exam retakes