Failed SPEX Time for a Special Purpose Exam Tutor Failing SPEX sadly has become a common event amongst test takers. The Special Purpose Examination was designed to fail. Contrary to the Federation of States Boards’ information sheets SPEX questions are far from standard medical practice. Most clinicians have narrow medical specialties where they would not encounter the information embedded in this extensive exam. Much of the literature on the market for SPEX is antiquated. These books, flashcards and videos have not kept up with this test’s broad contents. Failing SPEX is not only a stigma to the physician the price to take the exam is extremely expensive. In my experience as a SPEX tutor I have accumulated a vast array of information that is reflected in current exams. Few can walk into this exam and expect to pass. After hearing the woes of many who failed I began to gather information from former test takers, open sources of informat