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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.

Section: Request an Accommodation


To qualify for a testing accommodation under the ADA, you must demonstrate that you have a qualifying disability that necessitates the provision of a testing accommodation. A disability is defined by the ADA as a physical or mental impairment that substantially limits one or more major life activities, as compared to most people in the general population. Supporting medical documentation is your responsibility and is prepared and obtained at your expense.

To request a testing accommodation for a disability, submit your written request and all supporting documentation to:

Special Exams Coordinator
American Board of Internal Medicine
510 Walnut Street, Suite 1700
Philadelphia, PA 19106
Telephone/Fax: (215) 606-4126

All requests must be received by the examination registration deadline. However, we recommend submitting your requests as far in advance of the deadline as possible. Some requests involve a substantial investment of time to review if, for example, additional supporting documentation is needed and, once granted, to make the necessary arrangements.

Exam registration deadlines:

  • Spring MOC – February 28
  • Summer Internal Medicine Certification – May 1
  • Fall Certification – June 28
  • Fall MOC – August 15

New requests for an accommodation

Submit a written request to the address above that includes:

  • Name and contact information
  • Description of the accommodation(s) requested
  • Documentation demonstrating the existence of a physical or mental impairment
  • Documentation addressing whether the candidate's impairment substantially limits one or more major life activities within the meaning of the ADA
  • Documentation addressing whether and how the impairment limits the candidate's ability to take the examination under standard conditions
  • Title of exam for which you are seeking an accommodation

For a list of suggested medical documentation, please refer to the tabs at the top of the page.


  • Candidates seeking accommodations for multiple impairments that fall into two or more categories should submit documentation under each category.
  • If you are uncertain into which category your impairment or condition falls, please contact the ABIM Special Exams Coordinator for guidance.

In ABIM's experience, the vast majority of testing accommodation requests supported by the documentation described herein can be reviewed in a timely manner and are granted. The documentation requirements are intended to be limited to the minimum amount of information necessary for ABIM to determine whether a candidate is entitled to the requested testing accommodation.

Consistent with the requirements of the ADA, ABIM will consider all documentation submitted and recognizes that no one piece of evidence may be dispositive in making a testing accommodation determination. Therefore, if a candidate cannot provide results from a specific test or evaluation instrument, this may not necessarily preclude the candidate from receiving his or her requested accommodation, if the documentation otherwise provided by the candidate, in its entirety, is sufficient to demonstrate he or she has a qualifying disability and requires a testing accommodation.

After reviewing the supporting documentation, ABIM may need to request additional information to verify the existence of a disability and the need for a testing accommodation. ABIM cannot delay administration of an examination pending submission of any missing documentation. In addition, in some cases, ABIM may require an independent review. Therefore, if, in ABIM’s judgment, it is not clear whether a candidate is disabled or whether a requested accommodation is needed, ABIM may engage an outside expert at its own expense to review all submitted documentation and to render an opinion.

Request to apply an ABIM-approved accommodation to another ABIM exam

To request the same accommodation for another exam, e-mail with:

  • Name and contact information
  • Description of the accommodation(s) previously received
  • Description of the condition that necessitated the accommodation
  • Title and administration period of the ABIM exam(s) for which that accommodation was approved
  • Title of exam for which you are now seeking the accommodation

You do not need to re-submit medical documentation of your need for the same accommodation on a future examination.

Request to apply an accommodation previously approved by another organization to an ABIM exam

If you were previously approved for an accommodation by another organization similar to ABIM, you may be granted the same accommodation by ABIM. Candidates requesting such consideration should submit a written request for accommodation to the address above that includes:

  • Name and contact information
  • Description of the accommodation(s) previously received
  • Condition which necessitated the accommodation
  • Title of exam for which the accommodation was approved
  • Letter from the organization that administered the exam for which the candidate received the requested accommodation stating that the requested accommodation had been approved
  • Copy of any documentation sent to the other testing organization in support of the candidate's request
  • Title of exam for which you are an seeking the accommodation