The TSDA In-Training Exam (ITE), held annually in March or April, is designed to assess the general thoracic and cardiac surgery knowledge of current residents. The goals of the exam are to prepare cardiothoracic surgery residents and fellows for the written portion of the ABTS Written Examination; to help residency program directors gauge the knowledge base of their residents; and to determine whether residents possess the knowledge and cognitive skills for safe and effective performance in the profession.