The syllabus

The ABIM Internal Medicine Certification Examination blueprint (January 2026), in its own order: 18 categories with their share of the exam, then their subsections and topics. One lesson per topic; a topic ABIM lists in two places is one lesson. ABIM's blueprint (PDF).

1. Allergy and Immunology2%

1.4 Food allergy · <2%

1.7 Drug allergy other than drug-induced urticaria and angioedema · <2%

2. Cardiovascular Disease14%

2.1 Hypertension · 5%

NOTE: This total includes the Hypertension content listed under Endocrinology, Diabetes, and Metabolism; Nephrology and Urology

2.11 Preoperative consultation · <2%

2.12 Lipid disorders · <2%

2.13 Antithrombotic therapy in cardiovascular disease · <2%

2.14 Miscellaneous cardiovascular disease (physical examination findings, murmurs) · <2%

3. Dermatology3%

3.4 Acne and rosacea · <2%

3.10 Alopecia · <2%

3.12 Cutaneous manifestations of nutritional deficiencies · <2%

3.13 Disorders of the nails · <2%

3.14 Environmental injury of skin · <2%

3.15 Pressure injuries · <2%

3.16 Dermatologic emergencies · <2%

4. Endocrinology, Diabetes, and Metabolism9%

4.3 Endocrine causes of secondary hypertension · <2%

4.9 Hypothalamic disorders · <2%

4.10 Anterior pituitary disorders · <2%

4.11 Posterior pituitary and water homeostasis · <2%

4.13 Hypoglycemia not due to insulinoma · <2%

4.14 Polyglandular autoimmune disorders · <2%

5. Gastroenterology9%

5.8 Gastrointestinal complications of HIV infection · <2%

6. Hematology6%

6.3 Hemoglobinopathies and thalassemias · <2%

6.7 Porphyria · <2%

6.9 Myelodysplastic syndrome · <2%

6.11 Transfusion medicine (principles and complications) · <2%

6.12 Hematologic complications of HIV infection · <2%

6.13 Bone marrow transplantation (late complications only) · <2%

7. Infectious Disease9%

7.12 Infectious arthritis · <2%

7.13 Osteomyelitis · <2%

7.15 Rheumatic fever · <2%

7.16 Poststreptococcal glomerulonephritis · <2%

7.17 Procedure-and device-associated infections · <2%

7.20 Travel-related illness (fever, rash, diarrhea, and other) · <2%

7.21 Infectious disease outbreaks · <2%

7.23 Fever of unknown origin · <2%

8. Miscellaneous2%

8.1 Primarily epidemiology · <2%

8.2 Primarily ethics · <2%

8.3 Primarily safety and quality improvement · <2%

9. Nephrology and Urology6%

9.3 Tubulointerstitial disease · <2%

9.5 Hypertension · 5%

NOTE: This total includes the Hypertension content listed under Cardiovascular Disease

9.7 Nephrolithiasis · <2%

9.9 Urologic cancer screening · <2%

10. Neurology4%

10.1 Seizures · <2%

10.12 Multiple sclerosis and other demyelinating diseases · <2%

10.15 Miscellaneous neurologic disorders · <2%

11. Obstetrics and Gynecology3%

11.1 Diseases of the vulva and external genitalia · <2%

11.5 Vaginal disorders other than vulvovaginitis · <2%

11.8 Menopause - management, risks, and benefits of therapy · <2%

11.9 Family planning and reproductive health · <2%

11.10 Sexually transmitted diseases and infections of reproductive organs · <2%

12. Medical Oncology6%

12.1 Lung cancer (clinical presentation and diagnosis) · <2%

12.2 Breast cancer · <2%

12.7 Bone tumors · <2%

12.11 Soft tissue cancer · <2%

12.12 Oncologic complications of HIV infection · <2%

12.13 Cancer of unknown primary · <2%

13. Ophthalmology1%

13.2 Glaucoma · <1%

13.3 Cataracts · <1%

13.7 Uveitis · <1%

14. Otolaryngology and Dental Medicine1%

14.4 Diseases of the larynx and airway · <1%

15. Psychiatry4%

15.2 Eating disorders -(not including obesity) · <2%

15.3 Substance use disorder · <2%

15.4 Schizophrenia and delusional (paranoid) disorders · <2%

15.7 Sexual disorders and gender dysphoria · <2%

15.8 Sleep disorders · <2%

15.9 Factitious disorders · <2%

15.10 Personality disorders · <2%

15.11 Neuroleptic malignant disorder · <2%

16. Pulmonary Disease9%

16.8 Bronchiectasis · <2%

16.13 Management of ventilators · <2%

16.14 Pulmonary complications of HIV infection · <2%

16.16 Miscellaneous pulmonary disorders (indications for spirometry) · <2%

17. Rheumatology and Orthopedics9%

17.11 Osteoarthritis · <2%

17.12 Sports injuries and trauma · <2%

17.13 Charcot-Marie-Tooth Disease · <2%

17.14 Mixed connective tissue disease · <2%

17.15 Select topics in Rheumatology · <2%

18. Geriatric Syndromes3%

18.2 Venous ulcers and chronic wounds · <2%

18.3 End-of-life and palliative care of the elderly · <2%

18.5 Constipation in the elderly · <2%

18.6 Disorders of swallowing in the elderly · <2%

18.7 Urinary tract infections in the elderly · <2%

18.8 Incontinence in the elderly · <2%

18.9 Dementia in the elderly · <2%

18.10 Delirium in the elderly · <2%

18.11 Dizziness and vertigo in the elderly · <2%

18.12 Nutrition in the elderly · <2%

18.15 Hip fracture in the elderly · <2%

18.16 Common foot problems in the elderly · <2%

18.17 Principles of the geriatric assessment · <2%

18.18 Rehabilitation and the elderly · <2%