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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.

Candidates for Special Consideration

ABIM has four special consideration pathways to enable osteopathic or international trained physicians to obtain ABIM Board Certification.

Learn more about specific eligibility requirements below, or check out pathway requirements at a glance (pdf).

Pathway A: International Medical Graduates who are Full-time US or Canadian Faculty

A full-time faculty member at an LCME- or Canadian-accredited medical school, or at an ACGME- or Canadian-accredited residency or fellowship program, who has successfully completed training in internal medicine and/or a subspecialty abroad, may become eligible to achieve ABIM Board Certification in Internal Medicine and/or a subspecialty as a candidate for special consideration.

The candidate may not propose him/herself for consideration in this pathway, but must be proposed by the Chair of the Department of Medicine, or the internal medicine and/or the subspecialty program director at the institution where the candidate holds a current full-time faculty appointment.

Who is Eligible?

Eligible faculty will have:

  • Completed three or more years of verified graduate medical education training in internal medicine and/or a subspecialty abroad.
  • Certification in Internal Medicine from ABIM for certification in a subspecialty.
  • An academic rank of Assistant Professor or higher.
  • A full-time faculty appointment for a minimum of three (3) immediately prior and consecutive years at the same institution.
  • Full-time faculty members are those who supervise and teach trainees (students, residents or fellows) in clinical settings that include direct patient care.
  • The appointment must be at an LCME- or Canadian-accredited medical school or at an ACGME- or Canadian-accredited internal medicine residency or subspecialty fellowship training program.

Pathway A Application (pdf)

Pathway B: Program Directors of ACGME-accredited training programs under the Single Accreditation System

A program director of an ACGME-accredited residency or fellowship training program under the Single Accreditation System who has successfully completed training in internal medicine and/or a subspecialty in an AOA-accredited residency and/or fellowship training program may become eligible to achieve ABIM Board Certification in Internal Medicine and/or a subspecialty as a candidate for special consideration.

Who is Eligible?

Eligible program directors will have:

  • Designation as the program director of an ACGME-accredited internal medicine and/or subspecialty training program.

Pathway B Application (pdf)

Pathway C: Faculty members of ACGME training programs accredited under the Single Accreditation System

A faculty member of an ACGME-accredited residency or fellowship training program under the Single Accreditation System who has successfully completed training in internal medicine and/or a subspecialty in an AOA-accredited residency and/or fellowship training program may become eligible to achieve ABIM Board Certification in Internal Medicine and/or a subspecialty as a candidate for special consideration.

The candidate may not propose him/herself for consideration in this pathway, but must be proposed by the internal medicine and/or subspecialty program director at the institution where the candidate holds the full-time faculty appointment.

Who is Eligible?

Eligible faculty will have:

  • AOBIM Certification in Internal Medicine and/or a subspecialty.
  • A full-time faculty appointment for a minimum of three (3) immediately prior and consecutive years at the same institution.
  • Full-time faculty members are those who supervise and teach trainees (students, residents or fellows) in clinical settings that include direct patient care.
  • The appointment must be at an ACGME- or Canadian-accredited internal medicine residency or subspecialty fellowship training program.
  • Faculty at ACGME-accredited residency and/or fellowship programs may still qualify if the program became ACGME-accredited less than three years ago.

Pathway C Application (pdf)

Pathway D: Graduates of AOA-accredited training programs who have completed ACGME-accredited fellowship training

A graduate of an ACGME-accredited fellowship program who has successfully completed training in internal medicine in an AOA-accredited residency program may become eligible to achieve ABIM Board Certification in Internal Medicine as a candidate for special consideration.

AOBIM Certification does not meet the underlying certification requirement for ABIM Board Certification in a subspecialty.

Who is Eligible?

Eligible fellows will have:

  • Completed three or more years of verified graduate medical education training in internal medicine in an AOA-accredited residency program and/or certified by the AOBIM.
  • Completed all required subspecialty training in an ACGME accredited fellowship program.
  • Satisfactory subspecialty training must be attested for each year of subspecialty fellowship training via ABIM's FasTrack Clinical Competence Evaluation System. Those who pass ABIM's Internal Medicine Certification Examination would then become eligible for subspecialty certification.

Pathway D Application (pdf)