While no one can be sure exactly what questions and information will appear on the American Board of Internal Medicine (ABIM) Certification and Maintenance of Certification (MOC) exams, the ABIM does provide a blueprint of exam content. This exam blueprint (shown below) contains a list of the categories of medicine that will appear on the exam, along with percentages, so that you can see approximately how much of the exam is devoted to each specialty. Each year, the ABIM reviews and modifies the blueprint to keep it current.

NEJM Knowledge+ Internal Medicine Board Review is carefully mapped 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.

The contents of the internal medicine certification and recertification exams and their relative proportions are:

Medical Content Category% of a Typical Exam
Cardiovascular Disease14%
Endocrinology, Diabetes, and Metabolism9%
Geriatric Syndromes3%
Infectious Disease9%
Medical Oncology6%
Obstetrics and Gynecology3%
Otolaryngology and Dental Medicine1%
Pulmonary Disease9%

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)