TMOD®

Treatment and Management of Ocular Disease



The TMOD exam assesses candidates’ clinical thinking and decision-making with a particularly heavy emphasis on diagnosis, treatment, and management of ocular disease.

The TMOD examination is composed of 100-120 items presented as full cases, solo items, and minicases administered in a single session. Candidates will have 2.75 hours to complete the exam. The TMOD is offered as a stand-alone examination or as an embedded portion of the PAM examination. Those candidates registering to take the PAM exam do not also need to register for TMOD. Candidates who may have passed the overall PAM exam but did not pass the TMOD portion may elect to register for the stand-alone version of the TMOD.



In order to be classified as a TMOD item, the content of the item must pertain to one or more of the following:

  • Formulation of most appropriate disease diagnosis which will be treated and/or managed
  • Selection of treatment/management, including systemic considerations
  • Dose, form, schedule, and duration of treatment
  • Contraindications and side effects of medication, including systemic considerations
  • Follow-up and prognosis, including reassessment of diagnosis after initiating treatment
  • Treatment and management of ocular emergencies and urgencies


A tutorial for the TMOD can be found in the “EXAM INFORMATION” tab. Candidates are strongly encouraged to review the tutorial prior to their exam day to familiarize themselves with the mechanics of taking the exam by computer. Candidates will have 10 minutes to go through the tutorial on exam day.