TL;DR Focus on UWorld, consider review courses like Awesome Review or ACP, and manage test anxiety with strategic preparation.
Study Resources
UWorld is consistently recommended as a primary study resource for the ABIM exam. Many users have found success by completing UWorld multiple times, focusing on incorrect answers, and using it to build test stamina [1:3]
[2:1]
[4:5]. MKSAP is also mentioned frequently, though opinions vary on its effectiveness compared to UWorld
[2:1]
[4:9]. Some users suggest supplementing these resources with Board Basics or MedStudy videos
[5:2]
[5:3].
Review Courses
Several commenters recommend attending review courses such as Awesome Review or ACP's Internal Medicine Board Review Course. These courses can provide valuable test-taking strategies and help reinforce clinical knowledge [4:6]
[5:4]. However, it's noted that Awesome Review can be overwhelming if you don't already have a solid foundation in the material
[4:7].
Test Anxiety and Stamina
Managing test anxiety and building stamina are crucial components of preparing for the ABIM exam. Practicing timed question blocks can help simulate the exam environment and improve endurance [1:2]
[3:2]. Taking time to relax and refresh before the exam day is also advised to ensure you approach the test with a calm mindset
[1:3].
Personalized Study Plans
Creating a personalized study plan based on your learning preferences and weaknesses is important. Some individuals benefit from video lectures, while others prefer reading materials or flashcards [4:2]
[5:6]. It's helpful to identify which methods work best for you and tailor your study plan accordingly.
Additional Recommendations
If you're struggling with test-taking skills rather than content knowledge, consider seeking tutoring or coaching specifically focused on exam strategy and anxiety management [4:1]. Additionally, reviewing feedback from previous ITE exams can help pinpoint areas that need more focus
[5:6].
Sadly failed ABIM last year during the start of fellowship. Did a lot of reflection and created a better study plan and now I have the exam in less than two weeks and I'm nervous as hell.
I've completed UW and scored 69% on the first pass, and completed most of the incorrects. I've really used the last two months as a pseudo "dedicated" period, which I did not have last time. I also did the ACP board review course last month which I think helped a lot. I have only used MKSAP as a resource for individual topic review throughout the past few months. Now with a few weeks left I'm doing 60 q blocks on MKSAP just for volume and review. I'm worried about a lot of things but mainly my test stamina with 4 60 question blocks. I'm currently scoring in the high 70s low 80s on MKSAP but these questions are much shorter and seem easier. I'm hoping that's a sign that UW has worked and I'm in a much better position than last year. IIRC the actual exam questions were all a lot shorter than UW and there were a mix of gimmes and very challenging ones.
For reference, last year I did most of UW & that's it, and finished with a 60%. I wasn't doing them timed or untutored, I was half-assing them as I was trying to get settled in a new city/state/hospital/program/etc etc. I feel like I tried to coast through it and I regret that. I'm not a great test taker at baseline and my IM ITEs were all over the place. 5th%, 95th%, then 10th% my pgy3 year.
Any advice for the final two weeks? I'm a big ball of nerves right now.
I feel in a similar boat as a first time test taker (did I meet you last month lol). Scoring a bit lower than you on practice and ITE, but our preparation has been almost identical.
I think at this point it's highest yield information, screening guidelines, numbers you need to memorize and rest, rest rest!
Best of luck, my friend. I don't even know what is considered high yield anymore lol, cardiology maybe? It seems like everything is high yield for this exam. I think the stamina part is really something that sneakily throws me off with standardized exams. The first few blocks are okay but by the afternoon my brain is mush. So I think these next few days I'm trying to do two 60q blocks back to back to build up some exam stamina.
Looking at my Uworld performance, I usually dwindle at the end of each block. It's kind of interesting.
Don’t overthink it. You’re doing well with your prep, you learned from your mistakes, and you’re in a better place now. In the final two weeks just keep doing questions to build test stamina, review weak subjects, and review missed questions. On the day before the test just do a quick review in the morning and then do something fun or relaxing the rest of the day. You need to go into the test refreshed and as relaxed as you can. When the first question comes up, close your eyes and take a few deep breaths, tell yourself “I’m doing this, I’m ready, and I’m going to pass.” Then go for it.
Thanks for this. This is oddly very reassuring.
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Hey all,
I'm looking for any tips/advice about building a study plan for ABIM next August. I'm a PGY3 IM and heading off to fellowship in July. My schedule lightens up quite a bit in the Spring and I'm hoping to take advantage of it. The downside is naturally, I'd say I'm a below avg test taker. Always struggled with board exams. Never failed but never did as well as I'd want for myself.
So far, I've gone through about 60% of MKSAP 19 since gaining access during my PGY1 year. Most of it has been casual reading chapters and doing Q's as I progress through. Everything I've heard has been along the lines of "do MKSAP then do UW". But how does that really look like. I'm hoping to build myself a better, more detailed plan. I'm not necessarily talking about "do 43 q's today, then 45 tomorrow.." but more general, I suppose.
As for ITEs, I did terrible my PGY1 year. Then fantastic my PGY2 year. My most recent ITE though took a dive. I admittedly didn't study like I did for PGY2 ITE as I was mostly focused on fellowship apps and all our tougher rotations during the start of PGY3. But my hope is that I know I did well on that second ITE so I know I can do it again.
For those who have taken their specialty boards and did well (i.e., pass comfortably), any advice? Even better if it is ABIM specific.
Thanks in advance!
My ITE was 25-30. My COMLEX score wasn’t good, I did MKSAP about 60% correct. Did UWORLD one pass with 55-60% correct and passed ABIM by a lot and I’m bad test taker.
Focus on UWORLD.
Just restart and finish all of MKSAP this last semester. Then start UWorld a month before fellowship and then take the test. By now, you should know if you learn better with videos, flash cards, etc. People that fail don't take the test seriously
One pass of uworld is all you need. Mediocre test taker and I passed comfortably.
Ask your PD not random people on Reddit for abim advice
Forget about mksap. That’s good for rotation learning. For the Abim uworld is all you need. All once, then at least repeat the wrong one. If have time/money the one board review I recommend is the awesome review. Ideally in person. Those notes read x2. ITE score doesn’t say anything. It’s all about how you prepare the 6-3 and 2 months before the ABIM.
Need advice on what else I should study. Before people say I’m prepared, I failed twice already and am a horrible test taker. I have a ton of test anxiety and tend to second guess myself when picking an answer but that has gotten better this year.
I’ve finished Uworld twice plus re-did my incorrects. Already went through MKSAP. I made anki out of the questions I got wrong on Uworld and am reviewing that daily but not sure what else I have left to cover.
First pass Uworld: 50-60% correct Second pass Uworld: 76% correct First pass MKSAP: 67%
Should I go through the awesome board review books from 2 years ago? Should I re do Uworld incorrect questions a second time? Should I read board basics and try to make anki cards out of concepts I don’t know there? What would be the highest yield at this point?
I don’t want to take two weeks off and relax completely because I feel it’ll let the knowledge go but at the same time I’m willing to loosen the reins a bit on intense studying.
If I was in your shoes would focus on weak areas. Why do you think you failed? Was it exam timing? Knowledge? Anxiety? Would try to focus on this in the next 2 weeks.
Personally, getting into a test taking pace helps me a lot prior to exam. Had 2 weeks off prior to my boards and all I did is timed questions. Spent minimal time reviewing the answers at that time.
Mostly test anxiety and just blanking on the exam. I'll plan to do more timed blocks closer to the date to get in the zone. Thanks!
When you failed twice, what was your initial UW percentage correct then? Had you completed UW before taking the exam?
Last year, I only completed about 75% of UWorld x1. I didn't have time to get through it all. It was probably in the 60s
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Bro I think you need to work on something other than studying or retaining information.. something more introverted
I’m Pathology but does AMBOSS have questions you can take?
I had MKSAP 18 and it was so far from the exam. What I should buy or do to make sure that I will pass?
I’m considering:
Do you have any good tutors, services and lifehacks how to pass it next year?
I failed last year. All I did last year was MKSAP x2. This year I did medstudy videos. I realized video lectures are really helpful for me and that’s how I learn and retain information. I also realized that I would convince myself that I understood why I missed review questions when in reality I didn’t. This time when doing questions I would make sure to understand the topics if I missed them and I think that helped a lot. Also, I reviewed my score report the week before and went over the topics at the bottom that I missed which helped alot
I posted this in the "ABIM Results out. Site crashed" thread. But it's 10000% endurance. I have always been a terrible standardized test taker.
My stats: MCAT was 500. Went to a D.O school. My step scores were way below average, in the 200s when step 1 had a score and 210s on step 2. Scored the lowest on ITE in my internal medicine class and was borderline for remediation. Passed ABIM first attempt.
I did UWORLD 5 times, Awesome Review (because my program paid for it), and MKSAP 3 times. It was a struggle but definitely worth it.
Lots of posts there about people who failed multiple times and did very well on steps (by my standards) so you know it's not a knowledge based exam.
How the fuck did you have time to go through MKSAP 3 times and Uworld 5 times?!?
Going through MKSAP once makes me wanna fucking puke. Did you only just do questions and that’s it?
Yep, questions only for the most part and I referenced the Awesome Review notes for the ones I kept getting wrong. I started studying very early my third year because I'm a very bad test taker lol. I started Uworld 3 months or so into my third year and already went through MKSAP once by third year.
I used Awesome Review more as a confirmation of "I know this really well" or "I don't know this as well as I should" when he lectured. I also did Uworld questions at the end of each day on whatever he lectured on (cards, GI, endo, etc)
As the test got closer, I was doing roughly 100 questions a day and 200 on the weekends. I didn't do any studying the day before my exam and just chilled.
If you "omit" questions and create your question bank based of "omitted questions," it's essentially unlimited free resets on Uworld. MKSAP has unlimited resets if you clear all the questions.
My buffer for passing was pretty good. I figured that if I do questions enough times and correlate them with high quality notes, it HAS to eventually stick.
How do you normally do on tests? How do you best study for exams? I’m terrible with lectures. I read all the books in MKSAP 19, then did uworld twice and it was great prep for me
uworld uworld uworld. Do it a minimum of 2x, turn all the tables and charts into flash cards, you can also add on a review course (i did medstudy and i thought it was ok but a lot of people recommend awesome review), if you have time go through boards basics
I did awesome review. It is annoyingly long, but I I got so many questions from it.
I second that. More than anything, the tips and tricks that the guy tells help more than any clinical knowledge. Everyone knows the medical stuff by this time. All you need to learn is the way to answer tricky questions. I failed last year, passed this time
Yes, he teaches a LOT of test taking strategies. Super helpful when it came time for the exam.
I would say the caveat to awesome review is that you really need to have a foundation before taking the review course. I took awesome review, was overwhelmed with info, then read all of the mksap textbook after. In hindsight awesome review makes so much more sense only after having read mksap
The course is literally 3 days, from 7am-7pm, of listening to him rapidly speaking and jotting down all the notes. You don’t have time to process what he says, it’s just 3 days dedicated to copy down everything he says in 2 workbooks that he has shipped to you (if virtual) or hands out in person. He also goes on long tangents, sometimes 15+ minutes worth with some story that somewhat ties in to a concept, but by then my attention has totally fizzled out.
the days are LONG. Sitting down, listening to him talk forever… I didn’t benefit from the course as much as others. My attention just couldn’t handle it.
What worked for me is the watch-when-you want medstudy videos, which also comes with a written syllabus for you to write on. I was definitely happier with this.
In the end, it doesn’t hurt to do some sort of review course; i feel that Awesome review is more for those who are confident in their knowledge and want some additional tips and tricks to score more points on the exam; it’s not something you go to to learn the material, otherwise you get lost easily (me).
Medstudy worked better for me in that it essentially re-taught me all the info i lost during my specialty training (when you see cards all day you forget what the heck a PFT looks like), but also has a nice pause button so i can take breaks and recharge and ultimately kept my focus up.
you can use mksap for general studying throughout residency for personal learning and ite. Definitely uworld for dedicated, i’d probably try to get through it a few times during dedicated
I know this has been asked plenty of times so I’m sorry about that. I just graduated IM residency. (Switched to anesthesiology and am now a PGY-1) so I am working and trying to study for my exam which is on August 26. I’m not the best test taker - my PGY-3 ITE was 63% correct with a 15th percentile.
I’m like 300 questions into UWorld. I have the MedStudy videos which I also plan to watch. Almost done with MKSAP, did that during residency but I probably forgot a lot of it. How do you guys suggest studying for the next 5 weeks? Can I realistically pass? I have been studying passively over the past few months but nothing serious to be quite honest but I’m ready to lock in for the next 5 weeks. I do have the week before the exam completely off as well which I hope will help. I’d really love to pass and have this behind me. Are there any other quick reviews or study guides to go through that are free? Thanks so much everyone!
I just did Uworld and Awesome Review. Also study the Board Basics book.
Thank you! Is it too late to do Awesome Review though?
I did mine in May. And I took the test in August. If you didn’t already do it, then focus on Uworld and Board Basics. Others said MKSAP was good too. But I didn’t do MKSAP.
How helpful were the notes from awesome review? I have taken the course and thinking of reviewing the notes before the exam
How long to go through Board Basics?
It’s one single book! It’s not bad at all. You can search it it’s easy to find
If you really want videos I’d recommend ACP’s videos (which have great lectures from best faculty and come with extra study tools) over Awesome (which are done by one guy). But if you haven’t really worked through the MKSAP syllabus and questions yet you might not need videos. Don’t forget to use the MKSAP ITE feedback tool to study your weaker areas in more depth. It helps you set up a learning plan and points you to other good resources like reviews and podcasts that you can use to give your studies some variety.
Hey thank you so much! Where can I find the ACP videos? Do you have to pay for them?
ACP course recordings cost less than Awesome as well as being better. If you are an ACP member you get an additional discount. That said, courses and recordings will always be more expensive than MKSAP because of the live teaching expenses. https://www.acponline.org/meetings-courses/acp-courses-recordings/internal-medicine-board-review-courses/2024-acp-internal-medicine-board-review-course-recordings
Do you think the MedStudy videos are worth it? I’m trying to decide if I should purchase them but they are pricey. I take my exam aug 26th as well
They’re a really good review yes! I only have the videos and not the books, just watching them and taking notes when I can. If you don’t have time maybe get the Mometrix ABIM secrets book it’s $50 on Amazon?
Should I get uworld? Test same day
Only 60% through MKSAP since starting this summer and scoring 72% so far. My ITE last year I was 50th percentile
Need advice on what else I should study. Before people say I’m prepared, I failed twice already and am a horrible test taker. I have a ton of test anxiety and tend to second guess myself when picking an answer but that has gotten better this year.
I’ve finished Uworld twice plus re-did my incorrects. Already went through MKSAP. I made anki out of the questions I got wrong on Uworld and am reviewing that daily but not sure what else I have left to cover.
First pass Uworld: 50-60% correct Second pass Uworld: 76% correct First pass MKSAP: 67%
Should I go through the awesome board review books from 2 years ago? Should I re do Uworld incorrect questions a second time? Should I read board basics and try to make anki cards out of concepts I don’t know there? What would be the highest yield at this point? Do I have a strong chance at passing at this point?
I don’t want to take two weeks off and relax completely because I feel it’ll let the knowledge go but at the same time I’m willing to loosen the reins a bit on intense studying.
I'm also in the same boat. The test anxiety gets worse every time I take an exam. I made a list of topics I was not certain about and run through a few everyday, in addition to doing timed tests of 2nd round of UWorld. I finished at 57% first pass and a few hundred in on round 2 at 77%. I also am going to make sure I hit some high yield stuff regularly as well: thyroid eval and treatment, murmurs, EKGs, hyponatremia, post-transplant infections, syphilis, blood smears, and medications that have odd effects like amiodarone, bactrim, CYPs
omg the endocrine stuff hits me so hard! that's a good idea, I could probably focus on some weaker areas at this point..
sent you pm
Anyone who took the exam, are you available to talk/guide? I am scoring in the 60-70s on uworld, have learnt (need 1 more revision) good chunk - maybe 60% of tables , scoring in the 70-80s now on the incorrects but I feel I know the options, and not always the exact reason why not the other options.. just to change a bit , i did mksap 1 block today and dropped to 58% and started panicking.. please guide
How did you have time to study that much?? I have my test in 2 days and I only did Uworld once!!! I’m proud of you and now I’m thinking I’m underprepared
Honestly don't be - I started in January and slowly worked my way through MKSAP and UWorld while working. I had only planned to take 3 weeks dedicated off work then my hospital laid a bunch of people off, including docs, so I essentially ended up with an extra month. Blessing in disguise I suppose
They laid off docs?? I thought we were safe… Also, I have my exam in 2 weeks with similar percentages as you. Tried to do awesome review but couldn’t get through it. I’m just doing uworld and board basics at this point.
I’m in the same boat as you. I truly think it was a matter of badluck with my previous exam along with being underprepared. I’m convinced that some people get extremely easy exams because I had a buddy who said he did uworld once and studied two weeks before the exam and still passed
I envy those, really don't understand how they do it
Took my entire moral down after finding some vague way of testing and options in mksap.. cardiac mri etc which was not something i saw in uworld
Note: I was not paid for any of this and this is not suggesting what to buy, I just know when I wanted to look at others opinions of review sources, I couldn't find a very good thorough review of anything.
I wanted to share my opinions on some study materials I used for the exam this year and provide some comments on the quality of items tested as people start buying study materials for their certification exam.
Note: I am not good at studying simply by reading, I am more of a do questions/flash cards to keep information focused, but I do discuss the books below.
​
*Denotes material I did not finish during my review for my exam, only my impressions
YMMV, only use things you feel like would work for you!
What would I personally consider going back:
3 years out: I would honestly just get a basic set of review questions or flash cards, too busy to do detailed study this far out and would not recommend using any of the major 3 Qbanks yet as people inherently remember the questions on their second time through and not necessarily why they know the material. Can give a false sense of security. Probably something like NEJM Knowledge+ to do targeted review if I was to get anything not provided by my residency or flash cards.
2 years out: Depends on your learning style, I would recommend something Anki style; whether that be NEJM Knowledge+ or taking notes from Medstudy/MKSAP/UW and turning them into Anki review material. Consider reviewing the MKSAP Board Basics book if you are not a huge reader, otherwise would recommend reading the Medstudy books for focused exam material rather than a slimmed down Harrison's like MKSAP.
1 year out: Uworld and MKSAP; getting through both Qbanks. Or choose another QBank, there are many more out there. Those are just sort of the front runners for "Gold Standard" when discussed among peers.
6 Months: Questions, Questions, Questions. Personally I need something that I haven't done before, so I would consider a different Q bank over doing the same one again, but that works for some people.
Hopefully this helps some people going forward!
Could you share the PDF or any files you have available that you think might be useful?
Could you share the PDF or any files you have available that you think might be useful?
Thank you so much for crafting this post. This is exactly what I was looking for! 👍
Thanks. This is great.
Thanks for spending time to compile this!
Happy to help, only reason it was not as widely noticed was due to a moderator block for 2 days, which I assume was concern if I was advertising any products. Regardless it is resolved. Hopefully those who are interested will think to search for it, not going to repost it as I did not do it for the Reddit karma anyway.
Thanks for this
Plz give me hope
Following! Everyone on Reddit seems to have studied UWx3/video lectures/MKSAPx2 and still 9/10 stories are about failing ):
I talked to some of the fellows who were like “yeah I did maybe 1/4 of MKSAP.” Honestly that’s impressive
I did like 70% of UWorld and about 75% of MKSAP. I studied hard for probably about 5 weeks.
I did 1/2 of uworld and no mksap
Studied for a week. Realized that there isn’t enough time to actually learn anything. Yolo’d the exam and scored above average
Is it similar difficulty level to ITE? I know ITE is 300 questions but residents get "passing scores" even without the intensity we do now for the boards. Is ITE an easier version of the real thing?
I thought it was similar difficulty to ITE.
Questions were probably harder on average but there were more gimmes and some questions with only three answer choices (eg less, same, more).
Did about 60% Uworld 10 days before the exam. I should add I scored relatively okay on all the inservice exams (40-45 percentile ish every year) but legit barely passed the ABIM. It’s random. Would not postpone a year though just take it a failure does not matter for this and basically counts the same as a postponement in admins eyes. Take a pray. If you still have a few days also don’t underestimate how much studying you can get done in crunch time either. Most of my studying was truly like 5 days before the exam.
[deleted]
In the same exact boat, here’s hoping we both pass! Everyone is pretty much telling me UW, also board basics if you have time. I’d focus your energy on Cardio/GI/Pulm as that’s the bulk of the exam, good luck!!
Keep reviewing Uworld, incorrect and marked questions. Also try to memorize all the important flowcharts.
Similar here, 66% first pass. 1/2 second pass done scoring 80-90%. I’ll do only incorrects now. I usually do 2 blocks everyday, 1 uworld 1 MKSAP 20. I feel uworld is not helping me at this point to focus since I already know many of the answers. For this reason I do MKSAP 20 to keep the stamina.
Almost done with all my UW incorrect and I wasn’t worried about failing but with how many of these posts I’ve been seeing I’m starting to get worried…. Is there something about this test everyone but me knows?
I got around that percentage at the end of it. I felt the exam was more straightforward than uworld (less tricky questions and stems were generally shorter)
Honestly I think you will pass
To really maximize the high yield points on the exam if time permits cross reference the questions on uworld with the ABIM blueprint. Lots of questions are derived from that forreal.
What to study ? I took Awesome review and it was Mehhh.. I have not done uworld yet
Exam is in August typically.
What are you doing in July? Are you starting fellowship or working or taking time off?
If you have a solid 6 weeks uninterrupted I would try to do MKSAP and UWorld. If you’re doing fellowship then I would take a series of practice tests/randomly generated questions, identify key weak points and then do questions on those, at least 10 a day.
You're going to get a variety of answers consisting of MKSAP, Uworld, review course or combinations of the above. That's it. There's no one true way.
I did MKSAP only, I have coresidents that did UW only and both and some of us passed, some didn't. Godspeed, doc
How's your MKSAP study schedule go and how'd you do on the exam?
I just tried to get through MKSAP once over the 3 years. And I would read about diagnosis and management of anything relatively exotic that my patients had. My program paid for a virtual review course from Cleveland Clinic, but I didn't find it overly helpful. It was like 40 hours of content over 5 days.
I took ABIM about a year ago and it went fine. I think I got like 70th% percentile or something
MKSAP and UWORLD
There are tons of threads on this already. Do UWORLD
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How do I prepare for the ABIM
Preparing for the ABIM (American Board of Internal Medicine) Exam: Key Considerations
Understand the Exam Format:
Create a Study Plan:
Use Quality Study Materials:
Practice Questions:
Join Study Groups:
Take Care of Yourself:
Simulate Exam Conditions:
Recommendation: Start your preparation early, ideally 6-12 months before the exam date. This allows ample time to cover all material thoroughly and revisit challenging topics. Regular self-assessment will help you gauge your progress and adjust your study plan as needed. Good luck!
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