Exactly who knows which questions will be on the American Board of Internal Medicine (ABIM) Certification and Maintenance of Certification (MOC) exams? Only the members of the ABIM Internal Medicine Board Exam Committee. And committee members are contractually prohibited from writing for any board review products.

The only insight anyone has into the nature of the board questions comes from the publicly available ABIM blueprint. This document, which guides the ABIM in exam development, specifies “the content areas covered and their relative proportions on the exam.” Each year, the ABIM reviews and modifies the blueprint to keep it current.

NEJM Knowledge+ Internal Medicine Board Review is carefully designed to map to the ABIM blueprint. That means the breakdown of subspecialties and topics covered in our question bank and practice exams mirrors those found on a typical ABIM exam.

We extended the ABIM blueprint to guarantee a representative balance of questions that

  • Cover inpatient and outpatient settings
  • Deal with prevention, screening, evaluation, diagnosis, and treatment
  • Address various core medical competencies
  • Address several other key dimensions such as patient age, chronicity of disease, and sex

Thus, NEJM Knowledge+ represents a comprehensive survey of internal medicine. And like the board exam, it focuses on the clinical scenarios most relevant to primary care and hospital medicine. As a result, you can approach the exam feeling prepared.

The ABIM Exam Certification/Recertification Blueprint

Links to the complete list of all ABIM exams and their blueprints can be found here.

In June 2015, the blueprint was updated to reflect changes to the Fall 2015 exam. The contents of the internal medicine certification and recertification exams and their relative proportions are:

Medical-Content Category% of Previous MOC Exams% of Fall 2015 Exam
Allergy/Immunology2%2%
Cardiovascular14%15%
Dermatology3%3%
Endocrinology, Diabetes, and Metabolism9%10%
Gastroenterology9%10%
Geriatric Syndromes3%3%
Hematology6%4%
Infectious Disease9%10%
Medical Oncology6%6%
Miscellaneous2%1%
Nephrology/Urology4%6%
Neurology3%4%
Obstetrics/Gynecology6%3%
Ophthalmology1%1%
Otolaryngology/Dental Medicine1%1%
Psychiatry4%3%
Pulmonary Disease9%8%
Rheumatology/Orthopedics9%10%
Total100%100%

To see a general breakdown of topics covered under each category, go to:
Internal Medicine Certification Examination Blueprint (pdf)
Internal Medicine Maintenance of Certification Examination Blueprint (pdf)