Please note that (similar to Stage 1 and Stage 3 decisions) non-approval at any stage can be appealed by the candidate. The candidate must specify the grounds on which the appeal is made. The alleged grounds of the appeal must document violations of the Specialty Board’s procedures. Appeals that fail to demonstrate the Board’s non-adherence to exam procedures are generally not upheld. The appeals process is described in detail under the specialty board Manual found in the Document Library.