ABAM and The Foundation are governed by two separate Boards, composed of the same fifteen (15) Directors, with distinct responsibilities for each organization. The composition of the Boards of Directors reflects the breadth of the field of addiction medicine. One (Specialty) Director is elected from each of the eight specialties that provide significant prevention of or treatment for addictive disorders: emergency medicine, family medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry, preventive medicine and surgery. An additional seven (At-Large) Directors are elected, without regard for their medical specialty, in order to provide special skills to ABAM and The ABAM Foundation and their committees. Directors must be board certified by a member board of the ABMS, unless the ABAM Directors vote to grant an exemption for a prospective Director. Two of the seven At-Large Director seats are designated for representatives of the American Society of Addiction Medicine.