Cheating is undesirable and unethical, but unfortunately, sometimes it does occur. Recent events at 2 ABMS specialty boards have illustrated the fact that the medical certification industry is not immune from this phenomenon either. Although there are numerous moral and professional implications involved with cheating, we wish to address the implications of cheating from a psychometric perspective. Our intent is to highlight some of the less obvious ways in which all ABFM diplomates could possibly be impacted should its diplomates and candidates resort to cheating on our examinations.