PGY4 here, with a question for those who have taken the initial ABPN certification recently. My dearest friend has scheduled her wedding the Saturday two days before the Monday-Tuesday board exam. The difficulty is that her wedding is in California, and I live in Boston. I am feeling very torn as this is truly my dearest friend in the universe, but I understand the consequences (financial, professional) of failing the boards. It's not something I am willing to risk, which she understands as she is also a physician. So, assuming that I study adequately in the months beforehand, and am very good at standardized tests, do either of these options seem reasonable? - Fly out on Friday night or Saturday AM for wedding and don't stay up late. Study on Sunday. Take test locally on Monday-Tuesday. - Fly out on Friday PM / Sat AM, return home on Sunday. Take test at home on Monday-Tuesday. I realize that another option is to get there earlier, give myself more time to adjust to the time difference, and then take the test locally, but I won't have enough vacation time yet at my new job to do this. Thanks for your honest opinions.