The Triple Trust Guarantee applies only to full-price and Multi-Purchase Discount purchases. The Residency & Fellowship Edition is not eligible for the Triple Trust Guarantee. When you purchase an API Board Review Course that is eligible for a “Triple Trust Guarantee” and do not pass your board exam, API will issue a 100% refund of your tuition, plus an additional 10% payment, plus online course access until you pass, tuition-free. To activate your guarantee, you must notify American Physician of your failure to pass within 45 days of the date of your exam fail notification. You will be required to submit a copy of your exam notification with the performance report for your guarantee payment to be processed. Terms & Conditions of the Triple Trust Guarantee.