Internal Medicine MOC Exam Content
Blueprint for the Internal Medicine MOC Exam and Knowledge Check-In
ABIM has updated the Internal Medicine MOC blueprint (pdf)—the exam content outline—to ensure the exam reflects what internists find most important.
The two-year Knowledge Check-In uses the traditional MOC exam blueprint (pdf) and, like the MOC exam, contains questions that cover the breadth of the discipline. However, ABIM is continuing to explore focusing assessments on a subset of knowledge relevant to specific practice types.
- The updated blueprint was implemented starting with the Fall 2015 Internal Medicine MOC Exam.
- A sample of practicing general internists were asked to rate the frequency of blueprint topics in their practice and the importance of individual tasks (e.g., diagnosis, patient care) within these topics.
- These ratings, along with patient visit data from national surveys, informed adjustments to the distribution of medical content areas.
- Going forward, blueprint review will occur on a periodic basis to ensure that all MOC assessments reflect what internists themselves judge to be important to know in their practice.
- The blueprint shows which topics were rated low-frequency and reports the importance ratings for all topics and tasks in the blueprint.
- The blueprint also describes how ABIM is using the ratings to update the MOC exam by emphasizing high-importance content and limiting low-frequency topics.
The detailed Internal Medicine MOC exam blueprint (pdf) includes content areas covered and their relative percentages on a typical exam.
Multiple editions, or “forms,” of the exam are used, and they may differ in question order and content. Some questions require the interpretation of illustrative materials such as electrocardiograms, radiographs and photomicrographs (e.g., blood films, Gram stains, urine sediments).
A complete description of the process used to develop ABIM exams is available in How Exams Are Developed. Topics include:
- Question Development Process
- Test Assembly and Administration
- Standard Setting, and more
The exam consists of single best answer questions only. This type of question consists of a brief statement, case history, graph or picture followed by a question and list of possible options. You must choose the one answer that is better than the others; note that other options may be partially correct. Familiarizing yourself with the question format in advance may help you work more effectively. Take the tutorial.
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