Notice: Fall 2017 exams affected by natural disasters... More >

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ABIM knows that we have many physicians whose lives have been upended by recent natural disasters. If you live or work near an affected area, we understand that the weather may have impacted your ability to take your Fall 2017 exam as scheduled. We have developed a series of options to help you get through this process as smoothly as possible. If you have any questions, please call us at 1-800-441-ABIM (2246) or email request@abim.org.

American Board of Internal Medicine home page

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

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.

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

Evaluations & Rating Guide

Evaluation Determines Exam Eligibility

Program directors and administrators will fill out FasTrack® evaluation to determine residents' and fellows' eligibility for initial certification in Internal Medicine and the subspecialties. Eligibility for certification is based upon the successful completion of training requirements and an evaluation of competence by the training program. Trainees must be evaluated satisfactorily each academic year of training in order to be admitted to ABIM's Certification examinations.

Important Note

Prioritize your evaluations so that graduating trainees are evaluated first as this final evaluation will be required for ABIM Certification.


Eligibility Based on Competencies

ABIM eligibility policies are based upon the framework of the six ACGME/ABMS Competencies and Overall Clinical Competence (procedural competencies are required for some subspecialties). The internal medicine and subspecialty Milestones will not be used by ABIM to establish eligibility for Certification. FasTrack, however, will reflect an evaluation approach that is more competency-based than in prior years.

Six ACGME/ABMS Competencies:

Nine-point rating scale becomes Yes/No/Conditional on Improvement judgment about competence.

  • Residents and fellows not in the final year of training may receive an evaluation of “Unsatisfactory” or “Conditional on Improvement” and not be required to repeat a year of training.
  • Program directors will be asked to comment on a “Conditional on Improvement” or “Unsatisfactory” rating.
  • Residents and fellows in the final year of training must receive an evaluation of “Yes” on all competencies in order to be eligible for Certification.

Overall Clinical Competence:

Marginal rating becomes Conditional on Improvement.

  • Residents and fellows not in the final year of training may receive two consecutive “Conditional on Improvement” ratings and not be required to repeat a year of training.
  • Program director will be asked to comment on a “Conditional on Improvement” or “Unsatisfactory” rating.
  • Residents or fellows in the final year of training cannot be rated “Conditional on Improvement” and be eligible for Certification.
  • Residents or fellows in any year of training who receive an “Unsatisfactory” rating must repeat a year of training.
Important Note

ABIM will NOT certify candidates with less than an assessment of “Yes” in all six of the ACGME/ABMS Competencies and less than a satisfactory assessment in Overall Clinical Competence during the final year of training in residency or fellowship.

FasTrack Rating Guide

Six ACGME/ABMS Competencies:

The resident/fellow is demonstrating satisfactory development of the knowledge, skill and attitudes/behaviors needed to advance in training. S/he is demonstrating a learning trajectory that anticipates the achievement of competency for unsupervised practice that includes the delivery of safe, effective, patient-centered, timely, efficient and equitable care.

Six ACGME/ABMS Competencies*
Components and Ratings Residents/Fellows:
Not Final Year of Training
Residents/Fellows:
Final Year of Training

* The six required competencies are: (1) patient care and procedural skills, (2) medical knowledge, (3) practice-based learning and improvement, (4) interpersonal and communication skills, (5) professionalism and (6) systems-based practice.

At the discretion of the program director, training in the final year may be extended as necessary to achieve satisfactory ratings in overall clinical competence and/or the six ACGME/ABMS competencies.

Yes Full credit Full credit
Conditional on Improvement Full credit No credit; must achieve satisfactory rating before receiving credit
No Full credit No credit; must repeat year

Overall Clinical Competence

This rating represents the assessment of the resident/fellow's development of overall clinical competence during this year of training:

Overall Clinical Competence
Components and Ratings Residents/Fellows:
Not Final Year of Training
Residents/Fellows:
Final Year of Training
* At the discretion of the program director, training in the final year may be extended as necessary to achieve satisfactory ratings in overall clinical competence and/or the six general competencies.
Satisfactory or Superior Full credit Full credit
Conditional on Improvement Full credit No credit; must achieve satisfactory rating before receiving credit*
Unsatisfactory No credit; must repeat year No credit; must repeat year

Questions? Contact ABIM's Tracking Department at tracking@abim.org or 1-800-441-2246.