At NEJM Knowledge+, we’re committed to ensuring that our products cover the breadth of knowledge that clinicians need for both clinical practice and Internal Medicine Board Exam preparation. NEJM Knowledge+ Internal Medicine Board Review already contains more than 1600 case-based questions on the most relevant and important topics in medicine today. We’re adding another 50 case-based questions now (and 50 more in December 2016) to further expand that knowledge base.

Most of the 50 new questions we’ve added relate to the following  topics:

  • Cardiology
  • Infectious Disease
  • Dermatology

Each year, we plan to add at least 100 new questions to NEJM Knowledge+ Internal Medicine Board Review — this is in addition to continually updating our content when guidelines change and in response to user feedback. Our goal is to become increasingly comprehensive in the learning we provide while remaining as clinically relevant and up-to-date as possible.

Covering the ABIM Blueprint with New Learning Objectives

In June 2015, ABIM rolled out a revised blueprint for the Maintenance of Certification (MOC) exam that not only listed the topics and subtopics but also showed the likelihood of which aspects of the subtopic will be on the exam, such as diagnosis, testing, and treatment.

Our editorial team analyzed the new ABIM blueprint and are prioritizing development of new IM questions that map to topics in the blueprint that are highly likely to be on the MOC exam.

We have derived learning objectives from the topic/task combinations in the blueprint; for example, ABIM lists six subtopics under “ischemic heart disease”:


Internal Medicine Blueprint for Cardiovascular Disease

These subtopics mostly fall into the “highly likely to be on the exam” bucket (green), so we recruited physician experts to write case-based questions that test those learning objectives that we did not already have at least one question on in our question bank. Here are some examples of the learning objectives we just added to the IM question bank:

  • Choose an optimal initial testing strategy for a patient with a prior acute anterior myocardial infarction who presents with a transient ischemic attack that has a suspected cardioembolic source.
  • Choose an appropriate treatment for improving the likelihood of survival in a patient who has depressed left ventricular systolic function after an acute myocardial infarction.
  • Choose appropriate evaluation for suspected heart failure with reduced ejection fraction.
  • Choose the most appropriate pharmacologic management for a patient who has a recent diagnosis of heart failure with reduced ejection fraction and is already taking an angiotensin-converting enzyme inhibitor.
  • Recognize heart failure with reduced left ventricular ejection fraction, secondary to ischemic cardiomyopathy.

Using this process for content development ensures that our question bank covers what you need to know for the board exam.

Case-Based Questions, Free from Outside Influence

All the questions we develop for NEJM Knowledge+ Internal Medicine Board Review meet the same high-quality standards you’ve come to expect from NEJM Group. The content was written by more than 300 clinicians from academic programs across the country and was subjected to a rigorous editorial process that included review by highly respected professional educators, leading specialists in their fields, generalists, PAs, and NEJM Group editors. You can be sure that what you’re learning in NEJM Knowledge+ is accurate, evidence-based, and relevant to your daily practice.

NEJM Knowledge+ offers a comprehensive question bank that reflects the breadth of primary care cases that physicians encounter in their practices today.

Personalized Learning, Tailored to You

NEJM Knowledge+ uses adaptive learning technology that tailors your learning to your needs. This adaptive learning technology continuously assesses the subjects you know and identifies the areas where you need reinforcement. It then delivers questions based on what you know already, what you need to study more, what you are struggling to master, what you think you know better than you do, and what you might be forgetting.

With the addition of these 50 new questions, NEJM Knowledge+ Internal Medicine Board Review now includes:

  • more than 1680 case-based questions
  • more than 4500 total questions tied to 2500 learning objectives

With the ability to earn:

  • CME credits
  • ABIM MOC points

All in all, we are strengthening one of the most comprehensive solutions available for continuous learning and board exam preparation.

More on NEJM Knowledge+ Content:

Roadmap to Great Content
Work Less and Learn More: Here’s How in NEJM Knowledge+
Content Updates