Abstract
The purpose of this article is to provide a method of appraising skills in surveillance, assessment, and public health emergency investigation by using an examination based on an actual outbreak occurrence. This article presents an examination that uses a problem-based approach that works sequentially through the steps of an outbreak investigation to assess the investigation skills of individual students. Designed for graduate public heath students enrolled in a course in infectious disease epidemiology at East Carolina University, the examination can be used to appraise the outbreak investigation skills of medical students or practitioners.