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Understanding MOC Requirements
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The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
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No, only the web-based exam will be offered.
The IM-ITE consists of 300 questions, and is modeled after the blueprint for the American Board of Internal Medicine’s certification exam. Here is the breakdown of topics:
The total testing time is 9 hours, with 7 hours allotted for completing all test questions. The examinees are encouraged to take advantage of the scheduled breaks to avoid testing fatigue. There are optional 10-minute scheduled breaks after examinees complete sections 1, 2, 4, 5, and 6, and an optional 60-minute lunch break after examinees complete section 3. Examinees should be encouraged to take a break during the allotted time scheduled for breaks. If an examinee takes a break when exam is being administered (that is, an unscheduled break), he or she will lose testing time because the timer on the exam will continue running.
Yes, you can switch the date on which an examinee takes the exam as long as he/she takes the exam during the examination window.
No, the exam cannot be extended beyond the approved exam dates.
Residents may use the results to identify areas of deficiency that require further learning, to compare their performance with that of their peers in training programs throughout the world, and to help career choices. Program directors may use the results to provide educational counseling to residents, develop curricula, and validate the need for planned curricular changes. Physicians may use the results to help them prepare for the maintenance of certification examination.
The IM-ITE is designed for residents at the midpoint in their training, but residents at all postgraduate training years are encouraged to participate. In addition, faculty members, program directors, and other physicians and health care professionals with an interest in internal medicine may take the examination to test their medical knowledge against that of residents or to prepare for the maintenance of certification exam.
The program director decides who will take the exam. The sponsoring organizations impose no requirements. More than 26,000 residents from 12 countries participate in the exam.
The examination is neither a qualifying nor a certifying instrument. It should not be used for determining who should be promoted, who should be eligible to take the American Board of Internal Medicine certifying examination, or who may be qualified for postresidency fellowship training. It is designed only as a self-assessment tool.
However, program directors are encouraged to include IM-ITE results in semiannual reviews of resident performance and reporting on attributes of the Medical Knowledge competency. As part of the Internal Medicine Milestone Project, this activity may contribute to a residency program’s participation in the Next Accreditation System (NAS) to determine the overall progress of residents. However, the release of any score, either at an individual or aggregate level, to any person or organization outside the residency program, is strictly prohibited.
The IM-ITE is written by a committee of 11 expert physician-authors, including four representatives from the American College of Physicians and six representatives from the Alliance for Academic Internal Medicine (AAIM). The final committee member is a rotating representative from ACP or AAIM.
Preparation for the IM-ITE begins 18 months before administration. Each committee member reviews and writes questions in one or more of the 11 subspecialties listed on the content blueprint (see next three paragraphs) and according to well-established principles of exam construction. All questions used in any examination have undergone several reviews and revisions.
The internal medicine questions are written at the level of proficiency expected from second-year residents and cover a wide spectrum of knowledge in internal medicine, including acute and chronic care, in-patient and ambulatory problems, and essential clinical skills. The exam emphasizes a range of content areas considered important during the training of a general internist, including cardiology, endocrinology, gastroenterology, general internal medicine (including, but not limited to, dermatology, ophthalmology, preventive medicine, psychiatry, geriatrics, women's health, nutrition, medical ethics, and biostatistics), geriatric medicine, hematology/oncology, infectious diseases, nephrology, neurology, pulmonary and critical care medicine, and rheumatology.
The IM-ITE is administered annually at each training site during a prescribed period. Program directors select the day within this period that is most convenient for them. If the examination cannot be administered to all residents on the same day, programs are encouraged to administer it to second-year residents initially, although this is no longer a requirement. The purpose of these guidelines is to ensure uniform, secure examination administration conditions, which are important if the exam is to provide accurate scores and norms for gauging resident and program performance.
The goal of the IM-ITE is to gauge progress in training, not to achieve a certain level of performance. Examinees, therefore, are advised not to study for the exam. Studying may result in an inaccurate self-assessment of the training experience and an inability to plan appropriately for correcting deficiencies.
The major steps involved to prepare for the IM-ITE are as follows:
The cost of the exam is $120 per examinee. There is an additional $30 fee for late registrations. ACP has a strict no-refund policy for the IM-ITE. Once you have registered your examinees and paid, your payment will not be refunded.
When necessary, alternative arrangements for administering the IM-ITE will be made for examinees with disabilities. Test accommodations will include, but will not be limited to, the following:
The deadline for submitting special accommodation requests is 7/27/18.
Workstation certification for institution-based computers is required prior to the examination. This process checks that the computers to be used for testing meet the requirements for web-based testing and provides feedback for correcting problems if computers fail to meet the requirements. At the end of the check, the computer connects to a short sample. A separate version of workstation certification is available for examinee-owned personal laptop computers and may be done remotely 7 to 14 days before the examination.
The IM-ITE can be administered in the computer lab, lecture hall, or classroom of any registered institution provided your test facility can meet the technical requirements. Also, programs should run the workstation certification process on a few "extra" computers, which should be available in the testing room(s) in the event any computers malfunction during testing. The IM-ITE CANNOT be given in commercial testing sites.
Testing on virtual machines or thin clients is not supported. Programs can use laptops or desktops.
If your residency program will test examinees at both your main location and a satellite location you wil need to send notification to ACPITE@nbme.org prior to completing registration. The satellite test site will be set up as an extension of your parent institution, with an alphabetical addition to your program number to distinguish it.
Yes, procuring IT staff to assist with technical issues in the weeks prior to and on test day is mandatory. However, IT staff do not need to be present for the duration of testing on test day, but must be available if they are needed.
Yes, the NBME will be available on test day to address technical issues should they arise, except on Labor Day Monday. The NBME will also be on call to provide support to our international programs 24/7, except for Labor Day Monday. Each institution must procure dedicated technical support staff with administrative privileges prior to and on test day(s) to assist with technical issues.
Each site must have one Chief Proctor and may have an unlimited number of additional proctors depending on the needs of the Chief Proctor. The Chief Proctor is responsible for performing any actions that affect ALL examinees, such as starting the exam session, ending the exam session, and submitting the Test Administration report via the Chief Proctor Resource Site. The Chief Proctor is also responsible for recruiting Assistant Proctors for the test session.
An Assistant Proctor who is assisting a Chief Proctor in the same testing room does not require a dedicated computer station. However, and Assistant Proctor who is assigned to a separate testing room requires his or her own computer workstation to monitor the exam. Assistant Proctors may also relieve the Chief Proctors and other Assistant Proctors monitoring exam rooms to allow them to take breaks. Assistant Proctors who are being recruited to simply circulate and monitor examinee behavior do not need a separate login. Both Chief and Assistant Proctors should be identified during registration.
No, the Chief Proctor must initiate the exam, after which the Assistant Proctor is able to log on to monitor the exam from his or her computer screen.
The Chief Proctror should schedule a meeting with all proctors prior to test day. The following items should be reviewed at the meeting:
In August, ACP will email to Chief Proctors login information and a link to the Chief Proctor's Manual, which will contain instructions on how to perform the workstation certification process, examinee instruction sheets, and a link to the examinee practice exam. Fourteen days before the exam administration, Chief Proctors will receive the ticket number and URL necessary for accessing the workstation certification utility. This utility will check workstations for compatibility with web-based testing and must be run on all institutional and student-owned laptops that will be used for the exam.
You can obtain prior score reports by calling Kim Kerns at 215-351-2568, or by emailing Kim Kerns at firstname.lastname@example.org. Please note that there will be a $25 processing fee for obtaining prior year score reports.
More questions? Contact ACP by phone or email. For general information about the IM-ITE, call 215-351-2568 or send us an email at IM-ITE@acponline.org.