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ABIM CERTIFICATION EXAMINATION OVERVIEW

The ABIM Certification Examination is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of certified internists. It ensures the ability to make appropriate diagnostic and management decisions with significant implications for patient care.

  1. Evaluate the ability to recognize and manage common and rare clinical problems.
  2. Test knowledge in making diagnoses, interpreting results, and applying evidence-based treatment.

ABIM CERTIFICATION EXAMINATION DETAILS

FormatComputer-based test with 240 multiple-choice questions.
QuestionsPatient scenarios, diagnostic reasoning, and management tasks.
DurationUp to 8 hours, including breaks.
MediaMay include images, ECGs, heart or lung sounds, and other media.
CategoryRelative %
Allergy and Immunology2%
Cardiovascular Disease14%
Dermatology3%
Endocrinology, Diabetes, and Metabolism9%
Gastroenterology9%
Hematology6%
Infectious Disease9%
Miscellaneous2%
Nephrology and Urology6%
Neurology4%
Obstetrics and Gynecology3%
Medical Oncology6%
Ophthalmology1%
Otolaryngology and Dental Medicine1%
Psychiatry4%
Pulmonary Disease9%
Rheumatology and Orthopedics9%
Geriatric Syndromes3%

Exam Blueprint

The content blueprint is reviewed annually by ABIM and reflects feedback from trainees and certified practitioners. Topics include:

  • Critical Care Medicine
  • Ethics
  • Health Equity
  • Clinical Epidemiology
  • Prevention and Nutrition
  • Palliative and End-of-Life Care

Additional Resources

  • A detailed tutorial on the exam format is available at abim.org ↗
  • The exam emphasizes health equity and may include content on healthcare disparities.
For more information, visit the abim.org ↗.
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