Compete in the US Endocrinology Diagnostic Championship 2026 | EXIMION
Fall Open · through Dec 28

Where do you standin endocrinology?

Twenty real cases build your private map: where you’re solid, what to brush up. You compare yourself with the field. Nobody grades you.

15 minutes. One case. One clinical decision path. Go at your own pace — one case or the full season. Earn credit at every milestone and keep what you’ve earned. No schedule, no pressure.

Up to 4.0AMA PRA Category 1 Credits™
Up to 4.0ABIM MOC points

Not a lecture. Not a question bank. Twenty patients and the calls you would make.

Part of the US Endocrinology Diagnostic Championship 2026. Fall Open runs 12 weeks and closes December 28.

Your CME hours, aimed at your real gaps.

You National average

Sample view. Reach along a spoke = share of decision stages you called right.

Faculty

Built and reviewed by practicing endocrinologists.

Cases, scoring, and debriefs are built with a faculty committee spanning endocrinology subspecialties.

Amir Hamrahian, MD
Amir Hamrahian, MD
Professor of Clinical Medicine; Medical Director, Adrenal Center and Dynamic Testing Center · Johns Hopkins University · Baltimore, MD
Anupam Kotwal, MD, MSc, FACE, FRCP(Edin)
Anupam Kotwal, MD, MSc, FACE, FRCP(Edin)
Associate Professor, Division of Diabetes, Endocrinology, and Metabolism; Medical Director, Thyroid and Endocrine Tumor Program · University of Nebraska Medical Center · Omaha, NE
Kristen Gill Hairston, MD, MPH, FAHA
Kristen Gill Hairston, MD, MPH, FAHA
Professor, Internal Medicine – Endocrinology, Diabetes and Metabolism · Wake Forest University School of Medicine / Atrium Health Wake Forest Baptist · Winston-Salem, NC
Sarah Zaheer, MD
Sarah Zaheer, MD
Assistant Professor of Medicine, Division of Endocrinology, Metabolism and Nutrition · Duke University · Durham, NC

Faculty names appear here as each reviewer confirms and completes disclosure.
The committee is being assembled across endocrinology subspecialty areas.

Start now, no signup

See how you think. See where you stand.

Endocrinology is rarely about knowing one right answer. It’s about deciding what to test, and what to do next.

Explore challenging patient cases, navigate evolving clinical scenarios, and compare your decisions with endocrinologists across the country.

The US Endocrinology Diagnostic Championship 2026 is now open.

Participate on your schedule. Earn CME as you progress. Compete anonymously for your state and national ranking.
Try it free →
Patient

Three agents. A1c still 8.4%.

54-year-old man · engineer · type 2 diabetes, 9 years
History: Weight rising, blood pressure creeping up. No steroids reported.
Findings: HbA1c 8.4% on metformin, empagliflozin, and semaglutide. BP 148/92 on two agents.
Chart note: “Likely poor adherence.”
Question: Is this really an adherence problem?
Get started →
The 2026 season

The Fall Open. Drop in anytime.

Enter the Fall Open, earn CME credit case by case, and compete for a place in the inaugural national endocrinology standings for 2026.

Oct 5 to Dec 28, 2026

Fall Open

A 12-week flight of 20 branching simulations — 16 accredited for CME credit. Hidden conditions, real management decisions. Earn Faculty Honor, Top Champion, and State Champion.

What you compete for

National recognition. Earned, not assigned.

No nominations and no institutional gatekeeping. The leaderboard reflects the decisions you make inside the same clinical challenges as endocrinologists nationwide.

National · #1

Champion of US Endocrinology 2026

Top performer in the Championship Finals. The inaugural national title for US community endocrinologists.

National · Top 20

National Frontline

The physicians who first see, screen, and route the hard cases. Top 20 nationally for 2026.

State · #1

State Champion of Endocrinology 2026

Top performer in each state with at least 10 participants. State Frontline awarded in states with deeper fields.

Great endocrine care is built decision by decision.

Every case asks you to recognize risk, reduce uncertainty, and act at the right time.
Your score reflects the full pathway, not a single multiple-choice answer.

01

Spot the clinical patterns that should prompt targeted endocrine testing and distinguish them from common mimics.

02

Choose hormonal, dynamic, and imaging tests in the right sequence and read them against the right thresholds.

03

Use clinical, biochemical, and imaging clues to separate competing diagnoses.

04

Decide when to manage, when to keep testing, and when to refer. Rate your confidence and see how both affect your standing.

How you compete

Two ways to compete.

The simulator is the core of the program — duels put your reasoning to the test head-to-head.

Accredited for CME

Clinical Simulator

Work a full patient case the way you would in clinic, with feedback at every step.

Head-to-head

Duel

Challenge another endocrinologist to ten focused questions and earn points for the leaderboard.

Points from cases and duels rank you on national and state leaderboards. CME credit is earned only through the accredited simulations — duels and the leaderboard carry no separate credit.

Credit

CME Credit

Accumulate credits based on time spent viewing individual cases
and claim credits at your convenience.

Up to 4.0 AMA PRA Category 1 Credits™

Earned case by case across the Fall Open. Claim only the credit commensurate with your participation.

Up to 4.0 ABIM MOC points

Medical Knowledge points in the ABIM Maintenance of Certification program, equal to the CME credits you claim. Completing the evaluation is required.

The Opening Case is designated for 0.25 credits

Free, no full registration. Start it now, then claim the 0.25 credit with your name and email.

Joint Accreditation - Interprofessional Continuing Education

In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Eximion Medical Education. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Complete accreditation information is published on each activity page.

Validated methodology The same simulation platform, in its oncology debut season, put 1,319 physicians across five countries in front of more than 19,000 real clinical decisions — a 55 percent completion rate. The same engine now runs the endocrinology season.

1,319
Physicians enrolled across five countries
5
Countries in the validating cohort
19,000
Clinical decisions captured and benchmarked
55%
Completion rate
FAQ

Questions, answered.

The practical details before you start your first case.

Yes. No fee, no membership, no payment details. It's open to any US endocrinologist with an active NPI. A one-time NPI check applies only when you enter the ranked championship; the Opening Case needs no account at all.

Up to 15 minutes per simulation. You work through cases at your own pace, one sitting or many.

Up to 4 hours total for the accredited cases in a season. You can earn 0.25 CME credits per accredited case, up to 4.0 per season.

Yes. The simulations run in your browser on phone, tablet, or desktop. There's no app to install.

That's fine. Drop in and out at any point. Every credit you claim is yours to keep, whether you complete one case or all of them.

Your decisions are benchmarked anonymously against the national field. Everyone competes anonymously under a pseudonym; your real name and affiliation are never shown to anyone, including other participants.

No account needed for the Opening Case

Start with the Opening Case.

Start with a free 15-minute challenge — no account needed. Complete it, pass a one-time NPI check, and take your place in the national endocrinology standings before the Fall Open closes December 28.