ABIM Internal Medicine study plan

Construct a one-page chest pain framework covering ACS risk stratification, troponin interpretation, and reperfusion timing

Map antihypertensive agent selection by comorbidity (CKD, diabetes, heart failure, pregnancy) into a single comparison table

Build a guideline-directed heart failure medication titration chart listing starting doses, target doses, and monitoring parameters

Work 80 board-style cardiology questions and log every miss with the underlying knowledge gap

Interpret 20 twelve-lead ECG tracings read from written descriptions and score at least 80% accuracy

Differentiate the major valvular murmurs by timing, maneuver response, and associated findings in a comparison grid

Assemble a preventive care screening table (USPSTF intervals for colorectal, breast, cervical, lung, and osteoporosis screening)

Calculate ASCVD risk and apply statin intensity thresholds to 15 written patient vignettes

Draft a deprescribing checklist for the older adult on 10 or more medications, citing Beers-type high-risk classes

Outline first-line and augmentation pharmacotherapy selection for depression and anxiety by patient profile

Build an asthma versus COPD differentiation table with stepwise inhaler escalation and exacerbation treatment

Summarize spirometry interpretation steps, including post-bronchodilator criteria for obstruction and restriction

Complete 90 mixed questions spanning general internal medicine and pulmonary disease

List indications, settings, and contraindications for noninvasive ventilation and mechanical ventilation in COPD and ARDS

Build a diabetes medication selection matrix indexed by eGFR, heart failure, ASCVD, cost, and hypoglycemia risk

Map thyroid function test patterns (TSH/free T4/uptake) to a differential diagnosis and next step

Outline inpatient and outpatient hyperglycemia management, including DKA and HHS fluid and insulin protocols

Complete 100 mixed pulmonary and endocrine questions and reconcile every miss against the tables built earlier

Create a liver enzyme pattern algorithm (hepatocellular vs cholestatic) with a first-pass serologic workup for each branch

Sequence the acute upper and lower GI bleeding management pathway from resuscitation through endoscopy timing

Categorize antibiotics by mechanism and spectrum, then pair empiric regimens to common syndromes

Interpret CSF cell count, protein, and glucose patterns across bacterial, viral, TB/fungal, and autoimmune meningitis

Complete 90 mixed gastroenterology and infectious disease questions

Build a stroke localization table with thrombolysis and thrombectomy eligibility windows and contraindications

Distinguish primary headache syndromes from red-flag secondary headaches in a screening checklist

Solve 15 acid-base problems using a stepwise worksheet and score at least 85% accuracy

Classify AKI by cause and pair each category with the expected urine sodium, osmolality, and sediment findings

Complete 90 mixed neurology and nephrology questions

List oncologic emergencies (febrile neutropenia, tumor lysis, cord compression, hypercalcemia, SVC syndrome) with first-line management steps

Summarize surveillance and toxicity monitoring expectations for the common cytotoxic and targeted agents

Build a CBC-based anemia algorithm that ends in a specific next test for microcytic, normocytic, and macrocytic patterns

Match anticoagulant and antiplatelet reversal strategies to bleeding scenarios and agent classes

Differentiate anaphylaxis from isolated angioedema and outline epinephrine dosing, observation, and testing referral

Redo every previously missed question from all eight error logs and confirm the underlying concept is now correct

Complete two full-length timed question blocks under exam conditions, simulating real pacing and break structure

Perform a teach-back of one high-yield concept from each of the four lowest-scoring domains

Consolidate all one-page reference sheets into a single final review packet and flag any remaining gaps for continued review