Egyptian Board Internal Medicine study plan
Egyptian Board Internal Medicine · Give each week a clear focus.
8 weeks · About 6 hours per week
Cardiology
Build a one-page decision map for acute coronary syndromes covering ECG localization, troponin interpretation, and reperfusion timing thresholds
Recite and apply the four-stage classification of heart failure with the guideline-directed drug sequence for reduced ejection fraction
Differentiate the mechanisms and management of narrow-complex versus wide-complex tachycardias using a written stepwise algorithm
Interpret a 12-lead ECG for chamber enlargement, conduction block, and electrolyte patterns in 20 self-written practice tracings
Your checkpoint
A single condensed cardiology summary sheet (max 2 pages) with ECG algorithm and heart failure drug ladder, plus 20 solved ECG cases with your reasoning written out
Cardiology & Chest and Respiratory Medicine
Explain the indications, contraindications, and complications of pericardiocentesis and the management of cardiac tamponade physiology
Compare valve lesion findings on auscultation and echocardiographic criteria for severe aortic stenosis and mitral regurgitation
Construct a diagnostic pathway for pleural effusion using Light's criteria and match the top three causes to first-line management
Outline the initial workup and severity assessment of community-acquired pneumonia and apply a validated severity score
Describe the approach to obstructive sleep apnea including screening tools, diagnostic testing, and treatment indications
Your checkpoint
A comparison table of valve lesions plus a pleural effusion algorithm, each with 5 short case vignettes you write and answer yourself
Chest and Respiratory Medicine & Gastroenterology and Hepatology
Build a stepwise algorithm for dyspnea that separates cardiac, pulmonary, and systemic causes using bedside findings and initial tests
Classify interstitial lung disease patterns and state the first-line management for each major category
Differentiate the causes of upper and lower gastrointestinal bleeding and state the timing of endoscopy and transfusion thresholds
Apply the diagnostic criteria and stepwise therapy for inflammatory bowel disease flares
Explain the approach to abnormal liver enzymes by pattern and select the appropriate next serologic tests
Your checkpoint
A dyspnea algorithm and a liver enzyme interpretation flowchart, each tested against 10 self-written vignettes with answers
Gastroenterology and Hepatology & Nephrology and Fluid-Electrolyte Disorders
Stage chronic liver disease and apply the management of ascites, varices, and hepatic encephalopathy in sequence
Interpret arterial blood gases including mixed acid-base disorders using a systematic four-step method
Calculate and apply the anion gap, delta gap, and urine osmolal gap in complex acid-base cases
Differentiate the causes of hyponatremia and apply the correct rate of correction with the risk of osmotic demyelination
Classify acute kidney injury by mechanism and select the initial diagnostic and management steps for each
Your checkpoint
A one-page acid-base and sodium correction worksheet plus 15 solved ABG and electrolyte cases with your calculated values shown
Nephrology and Fluid-Electrolyte Disorders & Endocrinology and Metabolism
Apply the diagnostic criteria for glomerular disease and distinguish nephritic from nephrotic presentations with first-line management
State the indications and complications of dialysis and the approach to a patient with a rising creatinine on the ward
Build a diagnostic algorithm for hyperglycemia that distinguishes type 1, type 2, and atypical diabetes
Apply the management sequence for diabetic ketoacidosis and hyperosmolar hyperglycemic state including fluid, insulin, and potassium thresholds
Interpret thyroid function tests in complex scenarios including sick euthyroid and drug-induced thyroid dysfunction
Your checkpoint
A nephrology and endocrine decision sheet covering AKI, DKA protocol, and thyroid interpretation, with 15 solved cases
Hematology & Rheumatology and Clinical Immunology
Differentiate microcytic, normocytic, and macrocytic anemia using the reticulocyte index and iron studies
Apply the diagnostic criteria for the major thrombophilias and myeloproliferative neoplasms
Interpret a peripheral blood smear description and match the finding to the likely diagnosis
Apply the classification criteria for rheumatoid arthritis, systemic lupus erythematosus, and vasculitis to a clinical presentation
Select the appropriate autoantibody panel for a suspected connective tissue disease and interpret a positive result in context
Your checkpoint
An anemia algorithm and an autoantibody interpretation table, each with 10 self-written vignettes and answers
Infectious Diseases & Neurology
Select empiric antimicrobial therapy for common infections based on site, severity, and resistance risk, with de-escalation criteria
Apply the diagnostic criteria and treatment for tuberculosis, brucellosis, and endemic infections relevant to the region
Localize a neurological lesion using a structured cranial nerve, motor, sensory, and reflex examination framework
Differentiate the causes of acute stroke and apply thrombolysis and thrombectomy time windows
Classify seizure types and select first-line antiepileptic therapy with monitoring requirements
Your checkpoint
An antimicrobial empiric therapy table and a stroke and seizure management protocol, each with 10 vignettes you write and solve
Clinical Pharmacology and Therapeutics & Critical Care and Emergency Medicine & General Internal Medicine and Geriatrics
Apply pharmacokinetic principles including volume of distribution, clearance, and half-life to dose adjustment in renal and hepatic impairment
Identify clinically significant drug interactions and apply therapeutic drug monitoring for narrow-therapeutic-index drugs
Apply a structured approach to shock including fluid responsiveness, vasopressor selection, and reassessment
Prioritize management in a deteriorating patient using a systematic assessment and escalation framework
Apply a geriatric assessment framework including falls, polypharmacy, delirium, and functional decline
Complete two full timed mock examinations and review every incorrect answer to a written learning point
Your checkpoint
A pharmacology and critical care summary plus two completed timed mock exams with a written error log listing every missed concept and the corrected reasoning
Milestones
Week 2: Score at least 70% on a 40-question self-made cardiology and respiratory set, and confirm every ECG algorithm step is written from memory without notes
Week 4: Correctly solve 12 of 15 acid-base and electrolyte cases on the first attempt with all calculated values shown, and complete the liver disease and AKI review without reference material
Week 6: Score at least 70% on a 40-question hematology and rheumatology set, and reproduce the anemia algorithm and autoantibody table from memory
Week 7: Complete one full timed mock exam under exam conditions and score at least 65%, with the error log showing a specific learning point for every incorrect answer
Week 8: Score at least 70% on the second timed mock exam, show improvement over the first, and confirm the error log has no repeated concept errors