ABIM Endocrinology study plan
ABIM Endocrinology · Give each week a clear focus.
8 weeks · About 7 hours per week
Diabetes Mellitus and Glucose Metabolism
Classify diabetes subtypes (type 1, type 2, LADA, MODY, secondary, gestational) using autoantibody, C-peptide, and clinical clues across 20 written vignettes.
Apply ADA diagnostic thresholds for A1c, fasting plasma glucose, 2-hour OGTT, and symptomatic random glucose, stating when confirmatory retesting is mandatory.
Individualize A1c targets for older adults, pregnancy, CKD, and hypoglycemia-unaware patients, writing the justification for each target chosen.
Interpret a CGM report using time in range, time below range, glucose management indicator, and variability, then convert it into three concrete therapy changes.
Your checkpoint
A one-page diagnostic and glycemic-target reference card, self-tested to at least 80% recall on 25 written items.
Diabetes Mellitus and Glucose Metabolism
Sequence type 2 medication selection by dominant comorbidity (ASCVD, heart failure, CKD, obesity, cost) and defend each choice in a written comparison table.
Calculate basal-bolus insulin doses using carbohydrate ratio and correction factor across 10 worked dose-adjustment problems.
Differentiate DKA from HHS and write a stepwise protocol covering fluids, insulin infusion, potassium replacement, and bicarbonate use.
Stage diabetic kidney disease, retinopathy, and neuropathy using eGFR, urine albumin-to-creatinine ratio, and guideline screening intervals.
Rank causes of recurrent hypoglycemia and match each cause to a specific corrective regimen.
Your checkpoint
Complete 50 timed diabetes vignettes at 75% or better accuracy, logging every miss with a one-line corrected rule.
Pituitary and Adrenal Disorders
Map each anterior pituitary hormone axis to its deficiency syndrome, confirmatory stimulation test, and replacement strategy.
Interpret prolactin, IGF-1, and cortisol testing patterns to separate prolactinoma, acromegaly, and Cushing syndrome.
Distinguish central from nephrogenic diabetes insipidus using water deprivation and desmopressin response patterns.
Outline sellar mass evaluation and the emergency sequence for pituitary apoplexy, including steroid administration before imaging.
Your checkpoint
A one-page pituitary decision tree covering test ordering, imaging sequence, and first-line therapy for each axis.
Pituitary and Adrenal Disorders
Distinguish primary, secondary, and tertiary adrenal insufficiency using ACTH, cortisol, renin, and aldosterone together.
Select and sequence screening tests for primary aldosteronism, pheochromocytoma, and Cushing syndrome while naming medications that interfere with each test.
Write stress-dose and taper glucocorticoid plans for surgery, sepsis, and chronically suppressed patients.
Assemble a written adrenal crisis checklist covering resuscitation, hyperkalemia management, and fludrocortisone use.
Your checkpoint
A 60-question pituitary and adrenal block at 75% or better, plus a rewritten summary sheet for every missed concept.
Thyroid Disorders
Interpret TSH, free T4, total T3, and radioactive uptake patterns to classify hyperthyroid and hypothyroid states, including subclinical and central disease.
Compare antithyroid drugs, radioiodine, and surgery by indication, and write monitoring schedules for agranulocytosis and hepatotoxicity.
Stratify thyroid nodules by ultrasound risk features and translate Bethesda cytology categories into next-step management.
Apply trimester-specific thyroid ranges and medication adjustment points to pregnancy cases.
Your checkpoint
Author 20 original thyroid vignettes with answer rationales and score at least 80% when retested one week later.
Obesity, Lipids, and Nutrition
Apply ASCVD risk estimation and set LDL, non-HDL, and triglyceride targets for primary and secondary prevention.
Combine statin, ezetimibe, PCSK9 inhibitor, and bempedoic acid therapy by risk tier and statin-intolerance pattern.
Evaluate severe hypertriglyceridemia and pancreatitis risk, specifying fibrate, icosapent ethyl, and dietary actions.
Build a weight-management plan integrating lifestyle, incretin-based pharmacotherapy, and bariatric surgery criteria with comorbidity matching.
Screen for secondary causes of dyslipidemia and for nutritional deficiencies after bariatric surgery.
Your checkpoint
A combined lipid and obesity treatment algorithm plus 40 vignettes at 75% or better accuracy.
Reproductive Endocrinology and Bone/Mineral Metabolism
Work up amenorrhea and infertility by ordering gonadotropins, prolactin, androgens, and pelvic imaging in the correct sequence.
Separate PCOS, hypothalamic amenorrhea, and premature ovarian insufficiency using Rotterdam criteria and match each to management.
Evaluate male hypogonadism with morning total testosterone, confirmatory repeat testing, and contraindication screening before therapy.
Interpret DXA, FRAX, and bone turnover markers, then sequence antiresorptive versus anabolic therapy in osteoporosis.
Diagnose primary hyperparathyroidism and distinguish it from familial hypocalciuric hypercalcemia and vitamin D deficiency.
Your checkpoint
A 25-case bone and reproductive workbook listing final diagnosis and next best test for every case.
Diabetes Mellitus and Glucose Metabolism & Pituitary and Adrenal Disorders
Re-answer every missed item from weeks 1 through 7, verbalizing the governing rule before each retry.
Complete two 60-question timed mixed blocks spanning all five domains and review each question in full.
Consolidate drug-monitoring intervals, diagnostic thresholds, and screening schedules into a single four-page summary.
Rehearse exam-day logistics including pacing, break scheduling, and flag-and-return strategy.
Your checkpoint
A full 120-question mixed mock at 70% or better, with a written 48-hour remediation list.
Milestones
Week 2: Diabetes self-quiz at 75% or better; error log holds at least 15 entries, each with a corrected rule written out.
Week 4: Cumulative 110 vignettes at 75% or better; pituitary and adrenal decision trees complete and retrievable from memory in under five minutes.
Week 6: Cumulative 150 vignettes at 75% or better; lipid and obesity algorithm cross-checked line by line against current guideline statements.
Week 8: Final mixed mock at 70% or better overall and 65% or better in each of the five domains; four-page summary sheet finished.