ABPS Internal Medicine study materials
ABPS Internal Medicine study resources

ABPS Internal Medicine study plan

ABPS Internal Medicine · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Cardiovascular Disease

  • Build a one-page cardiovascular priority sheet covering heart failure, acute coronary syndrome, arrhythmia, valvular disease, and hypertension, and rank each topic by exam weight.

  • Calculate 12 cardiovascular risk or decision scores from memory, writing the inputs, interpretation thresholds, and common pitfalls for each.

  • Write 15 one-line ECG rhythm vignettes and identify the rhythm, urgent management step, and contraindication for each.

  • Solve 25 board-style cardiovascular vignettes and log every missed concept by mechanism rather than by question wording.

Your checkpoint

A one-page cardiovascular priority sheet plus a 25-question error log with at least 80% accuracy.

Week 2

Cardiovascular Disease & Pulmonary Disease and Critical Care

  • Re-test the week 1 cardiovascular error log and write 10 short compare-and-contrast rules for commonly confused pairs such as HFrEF versus HFpEF and STEMI versus NSTEMI.

  • Build a pulmonary priority sheet covering asthma, COPD, pulmonary embolism, pneumonia, interstitial lung disease, sleep apnea, and respiratory failure.

  • Interpret 12 arterial blood gas cases, calculate expected compensation, and write the first three management steps for each.

  • Solve 25 pulmonary vignettes and add each miss to a cumulative error log.

Your checkpoint

A closed-book 20-item cardiovascular-pulmonary quiz scored at 80% or higher, with a completed ABG interpretation log.

Week 3

Pulmonary Disease and Critical Care & Gastroenterology and Hepatology

  • Review residual pulmonary misses and write a concise oxygen delivery and ventilator strategy algorithm for acute respiratory failure.

  • Build a gastroenterology-hepatology priority sheet covering GI bleeding, pancreatitis, cirrhosis, viral hepatitis, inflammatory bowel disease, and biliary disease.

  • Calculate Child-Pugh and MELD scores in 10 cirrhosis vignettes and state how each result changes screening or management.

  • Solve 25 gastroenterology vignettes and categorize misses as diagnosis, testing, or treatment errors.

Your checkpoint

A one-page GI-hepatology algorithm sheet and a 25-question GI set scored at 80% or higher.

Week 4

Gastroenterology and Hepatology & Endocrinology, Diabetes, and Metabolism

  • Re-test gastroenterology misses and write 10 decision rules for when to scope, image, operate, or observe.

  • Build an endocrine priority sheet covering diabetes, thyroid disease, adrenal disorders, calcium disorders, pituitary disease, and obesity.

  • Practice insulin and oral agent selection in 10 vignettes, writing the starting dose, titration plan, and monitoring interval.

  • Solve 25 endocrine vignettes and record the single most likely diagnosis before reading the answer choices.

Your checkpoint

An endocrine decision table plus a 30-item mixed GI-endocrine quiz scored at 82% or higher.

Week 5

Infectious Disease & Nephrology and Fluid/Electrolyte Disorders

  • Build an infectious disease priority sheet covering sepsis, pneumonia, urinary tract infection, endocarditis, HIV, tuberculosis, meningitis, and Clostridioides difficile infection.

  • Create an antibiotic selection table for eight common syndromes, including empiric regimen, duration, and one adjustment for renal function.

  • Build a nephrology and electrolyte priority sheet covering acute kidney injury, chronic kidney disease, acid-base disorders, sodium, potassium, and diuretic use.

  • Solve 25 mixed infectious disease and nephrology vignettes and write why each incorrect option is wrong.

Your checkpoint

A one-page antibiotic table and a one-page electrolyte table plus a 25-question mixed set scored at 80% or higher.

Week 6

Hematology and Oncology & Geriatrics, Preventive Medicine, and Multisystem Care

  • Build a hematology-oncology priority sheet covering anemia, coagulopathy, thrombosis, leukemia, lymphoma, solid tumors, and oncologic emergencies.

  • Interpret 15 CBC, smear, and coagulation vignettes and write the next diagnostic step for each.

  • Build a geriatrics and preventive medicine sheet covering falls, dementia, polypharmacy, cancer screening, immunizations, and advance care planning.

  • Solve 25 mixed hematology-oncology and geriatrics vignettes and tag each miss by domain.

Your checkpoint

Two one-page summary tables and a 25-question mixed quiz scored at 82% or higher.

Week 7

Rheumatology and Immunology & Neurology

  • Build a rheumatology priority sheet covering inflammatory arthritis, vasculitis, systemic lupus erythematosus, scleroderma, gout, and biologic safety monitoring.

  • Write an autoantibody interpretation table and apply it to 10 clinical vignettes with pretest probability estimates.

  • Build a neurology priority sheet covering stroke, seizure, headache, multiple sclerosis, neuropathy, and delirium.

  • Solve 25 mixed rheumatology and neurology vignettes and state the safest next step before choosing a treatment.

Your checkpoint

An autoantibody interpretation table and a 25-question mixed set scored at 80% or higher.

Week 8

Dermatology & Psychiatry and Behavioral Medicine

  • Build a dermatology priority sheet covering common rashes, skin cancer, drug eruptions, and skin infections, and write five morphology-based descriptions.

  • Build a psychiatry priority sheet covering depression, anxiety, bipolar disorder, psychosis, substance use, and suicide risk assessment.

  • Complete a timed 60-question mixed exam spanning all 12 domains and review every incorrect or uncertain answer.

  • Create a final one-page high-yield pitfalls sheet distilled from all weekly error logs.

Your checkpoint

A timed 60-question mixed exam scored at 80% or higher plus a completed final pitfalls sheet.

Milestones

Week 2: Complete the cardiovascular and pulmonary error logs and score at least 75% on a closed-book 20-item quiz.

Week 4: Finish priority sheets for the four heaviest domains and score at least 80% on a 30-item GI-endocrine quiz.

Week 6: Maintain a cumulative error log for all completed domains and score at least 80% on a 25-item infectious disease-nephrology-hematology-geriatrics set.

Week 8: Score at least 80% on a timed 60-item mixed exam and submit the final one-page pitfalls sheet.