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Initial Certification indicates that physicians have met rigorous standards through intensive study, accredited training and evaluation and that they have the clinical judgment, skills and attitudes essential for the delivery of excellent patient care.

MOC is a professionally determined standard that attests that an internist is staying current in knowledge and practice throughout his/her career.

For more than 75 years, Certification by ABIM has stood for the highest standard in internal medicine and its 20 subspecialties.

Forms of Accommodation

Whether a given testing modification is appropriate will be evaluated based on the candidate's impairment and the individual circumstances of the candidate's case, taking into account the candidate's specific limitations and needs.

As a matter of fairness to all candidates and consistent with ADA principles, ABIM will not grant requests that would:

  • Fundamentally alter the measurement of the skills or knowledge that a particular examination is intended to test.
  • Result in an undue burden on ABIM.

If it is determined that a requested modification would fall into either of these categories, ABIM will contact the candidate to determine whether some other form of modification will satisfy their needs.

The following is not an all-inclusive list of possible testing accommodations but rather a list of common accommodations that have been requested and, if appropriate, granted by ABIM:

  • Additional testing time
  • Anti-glare computer screen
  • Custom testing schedule
  • Extra break time
  • Large-font exam materials
  • Left-handed mouse set-up
  • Permission to have and use diabetic supplies
  • Permission to have and use light provisions, including water in a spill-proof bottle and/or a small snack
  • Portable air supply
  • Prescribed medication (other than pills)
  • Separate testing room
  • Trackball mouse

In fairness to all candidates and to help ensure the integrity of the certification process, ABIM examinations are only available on computer. ABIM considers the full range of available accommodations to assist candidates with disabilities. Providing a paper-assisted exam is very difficult and usually not considered a reasonable accommodation.

Candidates who wish to receive extra time, extra breaks or a separate testing room must agree to refrain from discussing exam content with other candidates for the duration of their examination. When providing certain accommodations, ABIM reserves the right to determine the location of the exam administration on the basis of the feasibility of providing necessary services.

Pearson VUE Comfort Aids Policy

Pearson VUE does not require candidates to seek prior approval from ABIM in order to bring certain comfort aids into the testing room. Examples of comfort aids that Pearson VUE has allowed in the past include:

  • Insulin pump
  • Must be non-Bluetooth capable
  • Permission to bring and use diabetic supplies
  • ABIM will now be requesting candidates to bring a small container for blood-related waste material
  • Asthma inhaler
  • Canes
  • Cough drops
  • Crutches
  • Eyeglasses
  • Eye drops
  • Headphones (noise-blocking and regular)
  • Hearing aids
  • Pillow or support cushion

The above items will be allowed in the testing room upon visual inspection by the Pearson VUE testing center staff before being taken into the testing room. For items attached to the candidate, a visual inspection will be done by examining the item without directly touching it or the candidate and without asking the candidate to remove the item.

View a current list of allowed items on the Pearson VUE website.