ABIM Endocrinology study materials
ABIM Endocrinology study resources

ABIM Endocrinology study plan

ABIM Endocrinology · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.