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Print-Friendly Page Print | Email Email Internal Medicine In-Training Examination 


Developed by the American College of Physicians (ACP), APM, and APDIM, the Internal Medicine In-Training Examination (IM-ITE) is a well-validated and reliable self-assessment instrument. The examination was first offered in 1988 and is now administered annually to more than 92% of internal medicine residents in the United States, Canada, Lebanon, Japan, Jordan, Saudi Arabia, Ireland, Barbados, Jamaica, Iceland, and Qatar. Residents at all levels of training in categorical, primary care, and medicine-pediatrics programs participate in IM-ITE.

 Use of IM-ITE Results

The examination is intended solely as an educational program to help guide the learning of residents and to assist program directors with curriculum design. The examination clearly states results should not be used in determinations regarding promotion, eligibility to take the American Board of Internal Medicine (ABIM) Certifying Examination, or qualifications for post-residency fellowship training. This long-standing policy is supported by APM, APDIM, and ACP.

This one-day examination is administered annually in October. Written at the level of proficiency expected from second-year residents and covering a wide spectrum of knowledge in internal medicine, including acute and chronic care, inpatient and ambulatory problems, and essential clinical skills. The examination emphasizes 10 content areas central to the training of a general internist: cardiology, gastroenterology, endocrinology, pulmonary and critical care medicine, rheumatology, nephrology, hematology/oncology, infectious disease, neurology, and general internal medicine. A committee of 10 expert physician-authors creates the content blueprint, writes test items according to well-established principles of examination construction, and reviews each question on multiple occasions before inclusion. This committee includes four ACP representatives, three APM representatives, and three APDIM representatives. ACP provides expertise in test development. The National Board of Medical Examiners scores the examination and prepares analytic reports.

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