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Exams / Internal Medicine (ABIM)

ABIM exams, explained

The American Board of Internal Medicine certifies internists and subspecialists, then maintains certification through MOC. Since 2022 the Longitudinal Knowledge Assessment has offered an alternative to the traditional 10-year exam, and ABIM says 85% of those due for assessment in 2026 chose it.

Last checked October 2026. Based on ABIM’s news posts and blog, a blueprint summary and third-party guides. Confirm details at abim.org.

Annual MOC fee
$220
First certificate
Each additional certificate
$120
Annual MOC fee
LKA choosers in 2026
85%
Of those due, per ABIM
Initial exam, per a blueprint summary
240
Up to this many questions

Everything on ABIM

Certification, MOC and fees

$1,430 exam fee, MOC fees and the 50% credit.

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Requirements

Training, licensing and the seven-year rule.

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Exam dates

August 2027 exam; register Dec 1 to Apr 15.

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How to register

Portal, Pearson VUE and refunds.

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Pass rates

87% first-time in 2024, per ABIM.

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Exam day guide

About 10 hours, four sessions.

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LKA vs 10-year exam

Which way to keep certification.

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Free resources

Blueprint, tutorials, reference ranges.

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Official links

Every ABIM page you need.

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ABIM board prep

Best ABIM prep

UWorld, MKSAP, Rosh Review and BoardVitals.

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Compare ABIM prep

Six head-to-head comparisons.

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Cheapest ABIM prep

From free ABIM material to $279.

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Discounts

Guarantees, resident pricing, fee credit.

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Common questions

Do I have to retake the exam every 10 years?

Not necessarily. A guide says you must pass an MOC assessment every 10 years, and you can meet it with the traditional exam or the LKA.

Official source & community discussion
ABIM (official) → See related questions on Quora →