Content Outline and Assessment Objectives
The Internal Medicine examination is designed for end-of-course or end-of-clinical rotation/clerkship assessment for students enrolled at a college of osteopathic medicine (COM). Individual COMs may also administer the examination at other times in accord with their curriculum goals and mission. This examination emphasizes core knowledge and elements of osteopathic principles and practice in the discipline of Internal Medicine that are essential for the pre-doctoral osteopathic medical student.
The exam blueprint below contains the Internal Medicine topics covered in two dimensions: Dimension 1 – Patient Presentation and Dimension 2 – Physician Tasks.
Dimension 1: Patient Presentation
Dimension 2: Physician Tasks
|Health Promotion/Disease Prevention||5–15%|
|Scientific Mechanisms of Disease ||15–25%|
General Learner-Centered Objectives
Based on general learner-centered objectives, as outlined in the Internal Medicine Examination Blueprint, the examinee will be required to demonstrate the ability to apply:
- Foundational content knowledge to situations and patient presentations encountered in clinical settings and important to Internal Medicine.
- Foundational content knowledge and clinical problem-solving ability related to particular physician tasks critical to Internal Medicine.
- Knowledge and clinical problem-solving as related to the Fundamental Osteopathic Medical Competency Domains, including osteopathic principles and practice and OMT, osteopathic medical knowledge, interpersonal and communication skills, practice-based learning and improvement, systems-based practice, professionalism and patient care.
- Osteopathic principles and practice in commonly encountered patient care scenarios.
Selected Specific Learner-Centered Objectives for Internal Medicine
For Internal Medicine, the examinee will be required to demonstrate the ability to diagnose and manage selected patient presentations and clinical situations involving, but not limited to:
- Allergy/Skin/Miscellaneous: atopic diseases, anaphylaxis, drug allergy, common dermatological conditions and skin lesions and chemical exposure
- Cardiovascular: acute coronary syndromes, arrhythmias, chronic ischemic disease of the heart, congenital heart disease, hyperlipidemia, peripheral vascular disease, congestive heart failure, aortic dissection, valvular heart disease, pericarditis and endocarditis
- Endocrine: weight gain/loss, adrenal disorders, diabetes mellitus, parathyroid and thyroid disturbances, pituitary disorders, disorders of the testes and women’s health
- Gastrointestinal: diseases of the upper and lower gastrointestinal tract, liver, gallbladder and pancreas; gastrointestinal disease prevention, gastrointestinal tract cancer and other gastroesophageal issues
- Hematology/Oncology: coagulation disorders, anemia, solid tumors, hematologic malignancies and screening and disease prevention
- Infectious diseases: commonly encountered infectious and immunological diseases and host responses, HIV infections, bioterrorism, and infectious disease treatment and prevention/prophylaxis
- Musculoskeletal: osteoporosis, somatic dysfunction, viscerosomatic relationships, inflammatory and non-inflammatory rheumatic diseases, vasculitis, and disorders of bone and muscle
- Neurology: brain anatomy/function, stroke, disorders of the spinal cord and peripheral nerves, disorders of cerebral function and central nervous system neoplasms
- Renal/Hypertension: fluid and electrolyte disorders, acute renal injury, chronic kidney disease,renal calculi, glomerular and tubulointerstitial disorders, obstructive uropathy and arterial hypertension
- Respiratory: respiratory tract cancer, asthma, chronic obstructive pulmonary disease, pneumonia, pulmonary embolism, critical care medicine and respiratory failure
Selected Student and Faculty Learning Resources for Internal Medicine
In addition to the aforementioned objectives, examples of supplementary resources used by the NBOME to inform the development of the Internal Medicine exam are listed below:
- American College of Physicians (ACP) – IM Essentials for Use in the Internal Medicine Clerkship and to Prepare for USMLE Step 2 CK
- American Osteopathic Association (AOA) and American College of Osteopathic Internists (ACOI) – Basic Standards for Residency Training in Internal Medicine
The Internal Medicine Practice Exam is primarily designed to assist the candidate in navigating through the examination, and it is provided to facilitate the actual testing experience. It is NOT designed to give the candidate a score or provide information about how a candidate might actually perform on the examination. When an answer choice is selected, it will not be recorded for scoring and the selection will not be saved once another item is viewed. If you wish to track your answer choices, you must record them on your own. A special function is provided that allows you to view the correct answer for each item by clicking on the “Show Answer” button located below the answer choices. The “Show Answer” button will NOT appear on the actual examination.
Launch the Internal Medicine Practice Exam
Following is a select number of resources related to the discipline of Internal Medicine:
|Cecil Textbook of Medicine||Goldman||25th Edition||2016|
|Harrison’s Principles of Internal Medicine||Kasper||19th Edition||2015|
|Current Medical Diagnosis & Treatment 2016||Papadakis||52nd Edition||2015|
|Resident Readiness: Internal Medicine||Klamen||1st Edition||2013|
|The Washington Manual of Medical Therapeutics||Godara||34th Edition||2014|
|The Washington Manual of Outpatient Internal Medicine||De Fer||1st Edition||2010|
|An Osteopathic Approach to Diagnosis and Treatment||DiGiovanna||3rd Edition||2004
|Foundations of Osteopathic Medicine||AOA||3rd Edition||2010
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