I mean, you briefly mentioned this, but how does the ABP come up with the questions and pick the articles and decide when to cut out a question?

Yeah, so the questions are made up from all the panels that write questions for us, but they refer to something we call a content outline.

It's like an outline of what we should be doing in the field.

All of that is also made by pediatricians.

So I mentioned the concept of standard setting to set a passing standard.

We have something called a practice analysis, which we engage pediatricians through surveys to find out what they're doing in practice.

And that practice analysis is what makes up our content outline for our exam.

Well, I mean, you mentioned about private practices, but what about like in community hospitals or rural areas where it might be a little difficult to implement certain practice or implementing complete changes? What are your what's your advice to help them complete the part four?