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MKSAP 19 Features
For over 50 years, the Medical Knowledge Self-Assessment Program (MKSAP) has been the most trusted resource in continuous learning for internal medicine physicians and residents. The tradition continues with MKSAP 19.
What is MKSAP?
The Medical Knowledge Self-Assessment Program® (MKSAP) has been the “go-to” resource for board prep and lifelong learning since 1967.
Trusted. Proven. Guaranteed.
MKSAP 19 is the comprehensive learning management system that residents and practicing physicians have relied on to assess their knowledge, stay current in medicine, use as a clinical reference in their daily practice, and prepare for their Board exams.
Why MKSAP?
Regularly Updated Content.
MKSAP 19 offers the most up-to-date information, with incorporation of regular "New Info Updates" to reflect practice-changing information, guidelines, and expert recommendations.
Control Your Learning.
With MKSAP 19, you are in control of your learning and have access to the tools to help you achieve your goals. Unlimited custom quizzes help to identify knowledge gaps, digital flashcards with adaptive learning technology reinforce learning, and the new Learning Dashboard facilitates customized learning targets and plans. New for MKSAP 19, residents can upload their IM-ITE results to help identify areas requiring additional learning.
Trusted Board Prep Resources.
MKSAP 19 has been trusted by residents preparing for the ABIM Certification exam in ACGME-accredited allopathic and osteopathic programs, as well as by practicing physicians studying for the ABIM Maintenance of Certification Exam, and hospitalists taking the Focused Practice in Hospitalist Medicine exam.
Easily Earn and Submit To Meet Your CME/MOC Goals.
Meet your continuing education requirements with more CME credits and MOC points than ever before. With MKSAP 19, you can learn and earn CME and MOC gradually – a few questions at a time – to meet your professional goals on your own schedule.
High-value Learning.
MKSAP offers a value-packed learning management system for one subscription price and unlimited opportunities to clear your answers and create custom quizzes. With 12 comprehensive subspecialty-based syllabus sections, an extensive question bank, hundreds of high value care recommendations, dozens of useful, fact-filled tables and colorful images, multimedia enhancements, and a learner-centric dashboard with helpful learning links, MKSAP offers the most learning for the most value.
How MKSAP Is Developed
More than 100 experts in internal medicine and its subspecialties completely update, revise, and rewrite each new edition every 3 years using the latest clinical information.
Focused on Excellence.
Every 3 years, MKSAP is developed by more than 100 experts in the subspecialties of internal medicine and rigorously reviewed by our 12 committees and peer reviewers.
Relevant to Your Needs.
MKSAP contains clear, evidence-based core internal medicine content to help you deliver the best patient care. Whether you are focused on ambulatory or hospital-based medicine, preparing for your boards, or are a subspecialist trying to keep up-to-date in other subspecialty areas of internal medicine, MKSAP provides a targeted solution for your needs.
Reader-friendly Content.
MKSAP 19’s summary key points, high value care recommendations, incisive summary tables, and dynamic 4-color images accentuate the layout, enhancing readability.
What's New in MKSAP 19
In addition to updated and revamped syllabus content and all-new multiple-choice questions, MKSAP 19 has added multiple exciting new features.
Confirmation of Relevant Education (CORE) Questions
New! After you surpass the threshold of correctly answered questions in a given subspecialty area, you will be able to unlock additional bonus questions to challenge yourself and earn a badge in that subject area. The CORE Questions offers 180 new learning questions, answers, and critiques plus the ability to earn badges and print achievement certificates.
MKSAP 19 Complete Green
MKSAP 19 Complete Green is the newest format. This format is an all-digital version of the former MKSAP Complete. It gives you all the benefits of MKSAP 19 Digital PLUS Flash Cards, Virtual Dx, and MKSAP Quick Qs—all on an intuitive interface. MKSAP 19 Complete Green provides more questions than MKSAP Digital. With this format you can answer up to 3,000 different length and types of questions.
More Content Sections
General Internal Medicine (GIM) has been expanded into two sections. GIM 1 with Part A released in August 2021, and GIM 2 with Part B released in January 2022. Additionally, Oncology and Hematology have been separated into separate sections.
MKSAP Quick Qs
250+ concise, boards-style questions, mapped to the ABIM blueprint and developed to enhance exam prep. Accessible to MKSAP 19 Complete Green subscribers. CME/MOC available.
Multimedia Enhancements
An enhanced, audiovisual learning experience with multimedia in the form of short whiteboards and clinical/diagnostic videos throughout MKSAP. Accessible to all MKSAP 19 subscribers.
Customized Learning Plans
Create a customized learning plan based on your areas of learning need. As you progress through MKSAP 19, you can create an individualized plan to guide you through additional reading, questions, flashcards, and links to other ACP resources.
Earn-As-You-Go CME and MOC
Earn CME credit and MOC points a few questions at a time without having to complete all of the questions within a subspecialty section.
Board Basics
A newly integrated Board Basics study guide is now available as part of MKSAP 19 Digital. Accessible to MKSAP 19 Resident-Fellow Members and all other MKSAP 19 Complete Green subscribers. MKSAP 19 Digital subscribers can purchase Board Basics separately for $130.
Certification and MOC
Your go-to source for ABIM exam preparation.
More than 94% of Internal Medicine residents use MKSAP to prepare for the Boards. Whether preparing for the ABIM certification exam or the MOC exam, study confidently with MKSAP!
Study Tips for MKSAP 19:
- Use the new MKSAP 19 Board Exam Topic Guide to focus on content most likely to be tested
- Build a personalized learning plan that targets areas for more in-depth review
- Use our Self-Assessment Questions for deep learning and board prep, and use MKSAP Quick Qs to simulate the Boards
- Create custom quizzes based on questions you've starred, previously answered incorrectly, or by topic area. Use “Study Mode” (untimed) or “Exam Mode” (timed)
- Create a practice exam using randomly selected questions based on the ABIM blueprint
- View peer statistics to compare your performance to other MKSAP 19 learners
- Clear your answers as many times as you like to ensure you have mastered the MKSAP content
- Solidify your comprehension of MKSAP by reviewing Board Basics 1 month before exam day
Stay Current, Earn CME and MOC, Prepare for the Boards
Whatever option you choose for maintaining your certification, MKSAP 19 can help. With the ABIM’s upcoming new Longitudinal Knowledge Assessment (LKA) pathway, Diplomates can stay current through the five-year cycle by choosing to answer sets of 30 questions that will be delivered each quarter over that period instead of sitting for the 10-year maintenance of certification exam. To learn more about this new pathway, visit the ABIM website.
Learn more about how MKSAP 19 can help you prepare for the LKA.
Whether you stay with the 10-year exam or choose the LKA, these MKSAP 19 features will keep you on track:
- Earn-As-You-Go CME and MOC: New for MKSAP 19, Earn-As-You-Go CME allows learners to earn CME credit and MOC points a few questions at a time without having to complete all of the questions within a subspecialty. Learn More
- Opt-in for MOC Points: Opt-in once for automatic MOC submission any time you submit for CME.
- Board Exam Topic Guide: With this interactive guide, you can select MKSAP topics for further review based on their frequency and importance on the ABIM exam blueprint.
- Personalized Learning Plan: Create an individualized learning plan to help guide you through your exam preparation. Assess your knowledge gaps and designate specific learning targets that link to related text sections, questions, flashcards, and other ACP resources.
Exam Prep Tools included with MKSAP Complete Green
MKSAP Money-Back Guarantee
If you don’t pass the ABIM exam and have answered and submitted all 1,200 questions before taking the exam, send us a copy of your notification of failure from the ABIM within 1 year of taking your exam to receive a refund. Details
MKSAP 19 Available with Your ACP MKSAP Preorder
Preorder ACP MKSAP to receive instant free access to MKSAP 19 Complete Green. You’ll have access to MKSAP 19 through August 31, 2026 and your ACP MKSAP subscription will begin on February 3, 2025.
Additional Ordering Information
ACP staff is working in a hybrid schedule in the office and incoming fax messages are delayed. If you need to send documents or orders to ACP, please:
1) Complete the documents without any credit card information. Scan and email these documents to help@acponline.org.
2) Call ACP to provide your credit card information at 800-227-1915.
Please have the order details such as the number of orders or memberships and the total dollar amount you are approving for charging to the credit card.
A MKSAP subscription is for individual use only
ACP will not set up MKSAP CME/MOC accounts for purchasers of MKSAP sold by unauthorized sellers (e.g., Amazon, e-Bay), with whom ACP has no relationship. We do not honor third party sales.
MKSAP® 19 Audio Companion
The MKSAP 19 Audio Companion, by Oakstone Publishing, sheds light on the latest diagnostic approaches, management strategies, and treatment guidelines through lively discussions with host Donald L. Deye, MD, FACP, along with esteemed colleagues.
MKSAP 19 - Questions
Prepare efficiently. Derived from MKSAP’s 12 subspecialty syllabus sections, MKSAP's 1,200 self-assessment questions feature one-best answer, clinically relevant, patient-based multiple-choice questions. Plus, MKSAP's questions cover the same topics included in the ABIM exam blueprint to help you prepare smartly.
Test yourself with MKSAP’s unsurpassed question-writing excellence. A tremendous amount of effort goes into developing MKSAP's board-like multiple-choice questions, written by a team of 12 expert subspecialty committees using the highest standards in question writing. Each MKSAP self-assessment question is pretested by physicians like you and psychometrically validated to ensure it is well-structured, accurate, and fair.
Study with a variety of question formats. Depending on the format you purchase, MKSAP 19 offers variety in both number and type of questions, including traditional self-assessment questions, Extension Questions focusing on new information and learning gaps, Virtual Dx (image-based) Questions, flashcards (one-question/one-answer questions, adaptive learning enhanced), and MKSAP Quick Qs to focus your study and prime you for your boards.
| Format | Total Questions | Question Type |
| MKSAP 19 Digital |
1,400 |
1,200 traditional self-assessment questions + 200+ Extension Questions |
| MKSAP 19 Complete Green | 3,000+ |
1,200 traditional self-assessment questions + 200+ Extension Questions + 400+ Virtual Dx questions + 1,200+ digital flashcards + 250 MKSAP Quick Qs |
MKSAP 19 – Hospitalist Content
Trust MKSAP 19 to keep you up-to-date in hospital medicine and meet your requirements for the ABIM Focused Practice in Hospital Medicine program.
MKSAP 19 Features for Hospitalists:
- Hundreds of multiple-choice questions specifically devoted to hospitalist topics
- Content covering high-importance FPHM exam blueprint topics
- Topics include Direct and Systems Patient Care-Related Safety and Quality Issues, Measurement of Quality Improvement, Principles of the Critically Ill Patient, and Common ICU Conditions among many others
- Hospitalist practice-focused multiple-choice questions allow creation of hospital practice-focused custom quizzes
MKSAP 19 is a comprehensive learning solution to keep you abreast of important information in the hospital setting and to help you pass the Focused Practice in Hospital Medicine MOC exam.
MKSAP 19 - Digital-Only Exclusives
Enjoy using these tried and trusted MKSAP Digital features:
- Create a practice exam based on the ABIM blueprint to mimic the exam experience
- Create timed or untimed custom quizzes to assess your learning
- Monitor your progress and proficiency with MKSAP’s Learning Dashboard
- Automatically receive regular content updates with the New Info Updates feature
- Get more practice answering questions with 200 MKSAP 19 Extension Questions
- Use the MKSAP 19 Apps online or offline, from any device, so you never lose your work
Plus! Try out these new digital features:
- Customized MKSAP 19 Learning Dashboard: Create a customized learning plan based on your learning proficiency. As you progress through MKSAP 19, identify your knowledge gaps and create an individualized plan to guide you through additional reading, questions, flashcards, and links to other ACP resources.
- Earn-As-You-Go CME Credit. Earn CME credit and MOC points gradually by answering a few questions at a time without having to complete all of the questions within a subspecialty section to qualify.
- MKSAP 19 Quick Qs: Includes 250+ concise, boards-style questions mapped to high-importance/high-frequency areas of the ABIM blueprint, developed specifically for efficient and effective exam prep. This feature is accessible to MKSAP 19 Complete Green subscribers only. Offers CME/MOC.
MKSAP 19 Residency Tracker
The MKSAP 19 Residency Program Tracker enables residency programs to assess potential knowledge gaps and create appropriate remediation plans as residents work through MKSAP 19’s individualized learning platform.
Features include:
- Customized question assignments based on MKSAP 19 subspecialty topic or area requiring improvement as demonstrated through MKSAP 19 self-assessment question scores
- Ability to measure learning improvement by creating pre-intervention and post-intervention question assignments
- Review residents’ responses to individual questions to identify incorrectly selected distractors and address potentially confusing points
- Review aggregate data to identify areas for potential curricular adjustment
MKSAP 19 - Earn-As-You-Go CME/MOC submission
With MKSAP 19, you can earn a quarter of a point for each question when you answer one of two questions correctly (50% correct). This same formula will apply to MKSAP Quick Qs, Virtual Dx, and Extension Questions. You will still have multiple attempts to answer questions correctly to earn the maximum number of points per section.
Interested in earning CME/MOC as quickly as possible? MKSAP 19 allows you to focus only on questions that have not yet been used in a CME/MOC submissions claim.
| Part A Sections |
# of MCQs* | CME/MOC* |
|---|---|---|
| Gastroenterology and Hepatology | 96 | 24 |
| General Internal Medicine 1 | 114 | 28.5 |
| Infectious Disease | 108 | 27 |
| Oncology | 72 | 18 |
| Nephrology | 108 | 27 |
| Neurology | 96 | 24 |
| Total | 594 | 148.5 |
| Part B Sections |
# of MCQs* | CME/MOC* |
|---|---|---|
| Cardiovascular Disease | 120 | 30 |
| Endocrinology and Metabolism | 84 | 21 |
| General Internal Medicine 2 | 126 | 31.5 |
| Hematology | 77 | 19.25 |
| Pulmonary and Critical Care Medicine | 103 | 25.75 |
| Rheumatology | 96 | 24 |
| Total | 606 | 151.5 |
*Learners earn .25 points per correctly answered question, up to the maximum number of points/credited listed for each subspecialty section.
MKSAP 19 Enhancements CME/MOC credits/points are listed below.
| MKSAP 19 Activity | # of MCQs | CME/MOC |
|---|---|---|
| Extension Questions |
50*/set, 200* total | 12.5* per set/50* for all sets |
| Virtual Dx |
420* | 105* |
*Learners earn .25 points per correctly answered question, up to the minimum number of total points/credited listed for the estimated number of questions per activity.
MKSAP 19 Extension Questions CME Schedule
Earn up to 12.5 AMA PRA Category 1 Credits™ and/or MOC Points with each set of Extension Questions or 50 AMA PRA Category 1 Credits™ for all sets.
- Extension Questions Set 1: 7/31/22 to 1/31/25
- Extension Questions Set 2: 1/15/23 to 1/31/25
- Extension Questions Set 3: 7/31/23 to 1/31/25
- Extension Questions Set 4: 1/15/24 to 1/31/25
MKSAP 19 CME/MOC Accreditation
MKSAP 19 is specifically intended for physicians who provide personal, nonsurgical care to adults. Specifically, general internal medicine physicians and primary care physicians, subspecialists who need to remain up-to-date in internal medicine, residents preparing for the Certification Exam in internal medicine, and physicians preparing for the Maintenance of Certification Exam or Longitudinal Knowledge Assessment in internal medicine.
Learning Objectives
- Close gaps between actual care in your practice and preferred standards of care, based on best evidence.
- Diagnose disease states that are less common and sometimes overlooked or confusing.
- Improve clinical management decisions that affect patient safety and quality of care.
- Determine when to refer patients for care by medical subspecialists, surgeons, and other members of the health care team.
- Pass the ABIM Certification Examination.
- Pass the ABIM Maintenance of Certification Examination.
CME Accreditation
The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American College of Physicians designates each enduring material for the number of AMA PRA Category 1 Credits™ listed below. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of these CME activities, which includes participation in the evaluation component, enables the participant to earn MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program as listed below. Participants will earn MOC points equivalent to the amount of CME credits claimed for each activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- MKSAP 19 Gastroenterology and Hepatology:
- 24 AMA PRA Category 1 Credits™
- 24 medical knowledge MOC points
- MKSAP 19 General Internal Medicine 1:
- 28.5 AMA PRA Category 1 Credits™
- 28.5 medical knowledge MOC points
- MKSAP 19 Infectious Disease:
- 27 AMA PRA Category 1 Credits™
- 27 medical knowledge MOC points
- MKSAP 19 Oncology:
- 18 AMA PRA Category 1 Credits™
- 18 medical knowledge MOC points
- MKSAP 19 Nephrology:
- 27 AMA PRA Category 1 Credits™
- 27 medical knowledge MOC points
- MKSAP 19 Neurology:
- 24 AMA PRA Category 1 Credits™
- 24 medical knowledge MOC points
- MKSAP 19 Cardiovascular Medicine:
- 30 AMA PRA Category 1 Credits™
- 30 medical knowledge MOC points
- MKSAP 19 Endocrinology and Metabolism:
- 21 AMA PRA Category 1 Credits™
- 21 medical knowledge MOC points
- MKSAP 19 General Internal Medicine 2:
- 31.5 AMA PRA Category 1 Credits™
- 31.5 medical knowledge MOC points and patient safety credit
- MKSAP 19 Hematology:
- 19.25 AMA PRA Category 1 Credits™
- 19.25 medical knowledge MOC points
- MKSAP 19 Pulmonary and Critical Care Medicine:
- 25.75 AMA PRA Category 1 Credits™
- 25.75 medical knowledge MOC points
- MKSAP 19 Rheumatology:
- 24 AMA PRA Category 1 Credits™
- 24 medical knowledge MOC points
- MKSAP 19 Extension Questions Set 1:
- 50 AMA PRA Category 1 Credits™
- 50 medical knowledge MOC points
- MKSAP 19 Extension Questions Set 2:
- 50 AMA PRA Category 1 Credits™
- 50 medical knowledge MOC points
- MKSAP 19 Extension Questions Set 3:
- 50 AMA PRA Category 1 Credits™
- 50 medical knowledge MOC points
- MKSAP 19 Extension Questions Set 4:
- 50 AMA PRA Category 1 Credits™
- 50 medical knowledge MOC points
- MKSAP 19 Quick Qs:
- 62.5 AMA PRA Category 1 Credits™
- 62.5 medical knowledge MOC points
Virtual Dx CME/MOC Accreditation
CME credits and MOC points are available March 31, 2022 to January 31, 2025.
Virtual Dx is intended for physicians who provide personal, nonsurgical care to adults. Specifically, general internal medicine physicians and primary care physicians, subspecialists who need to remain up-to-date in internal medicine, residents preparing for the Certification Exam in internal medicine, and physicians preparing for the Maintenance of Certification Exam in internal medicine.
Learning Objectives
- Recognize visual presentations of common and rare conditions.
- Increase skills in interpreting image-based findings.
- Properly diagnose ECG findings.
CME Accreditation
The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American College of Physicians designates this enduring material, Virtual Dx for a maximum of 105 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MKSAP Quick Qs
New for MKSAP 19! Accessible to MKSAP 19 Complete Green subscribers only.
Test yourself with concise, board-like questions that are mapped to the high-frequency/high-important areas of the ABIM blueprint. With at least 250 questions, MKSAP Quick Qs are specifically created to help you prepare for the ABIM Certification and MOC exams. With the MKSAP Quick Qs, you can create custom quizzes in Exam and Study mode to facilitate your learning.
Earn a minimum of 62.5 PRA Category 1 CME credits and MOC points.
MKSAP 19 - Board Basics
Count on Board Basics for an intensive ABIM Board review. Board Basics is derived from MKSAP 19 content, but presented in a succinct digest style with key facts, tables, and test-taking tips to help you prepare for your Boards. An integrated digital version of the Board Basics study guide is included for MKSAP 19 Resident/Fellow Members and Complete Green subscribers.
This ABIM board review digest can help you:
- Absorb key takeaways on the diagnosis and treatment of the many disease entities discussed in MKSAP 19 in a condensed format
- Avoid Being Tricked by identifying incorrect answers that masquerade as correct choices
- Test Yourself with abbreviated case histories to recognize how to “decode” question vignettes
- Deconstruct complex concepts with Study Tables
- Learn to interpret visual findings with more than 100 four-color images
The integrated digital version is included with your MKSAP 19 Complete Green subscription. If you are an ACP Resident/Fellow Member, you will receive an integrated digital version with your purchase of MKSAP 19 Complete Green or MKSAP 19 Digital.
MKSAP 19 - Digital Flashcards
With 1,200 "byte-sized" questions, the MKSAP 19 digital flashcards help you review for the Internal Medicine Board exams. Accessible to MKSAP 19 Complete Green subscribers only.
- Each flashcard is linked to an important MKSAP 19 concept
- Study flashcards to quickly and easily reinforce learning of question concepts
- Mobile-friendly format allows you to study on-the-go
- Mark incorrect answers and try them again later
- Create a learning plan using the detailed flashcard review answer sheet
MKSAP 19 - Virtual Dx
This new edition of the online, image-based self-assessment program is both fun and challenging. Accessible to MKSAP Complete Green subscribers only.
- Quiz yourself with over 400 high-resolution images in 12 major categories spanning internal medicine and its subspecialties
- Useful for Board prep or to gauge the strength of your visual diagnostic skills
- Zoom in for more detail, choose your best answer, and find out if you’re correct and where you stand among your peers
- Earn up to a maximum of 105 PRA Category 1 CME credits and MOC points
MKSAP - Guarantee
MKSAP is designed with our learners’ needs in mind – and top among these needs is engaging our subscribers in lifelong learning, including preparation for exam day. If, however, you do not pass your ABIM Certification Examination or Recertification Examination after you have prepared for your test with MKSAP’s focused syllabus and rigorously developed multiple-choice questions, we will send you a full refund on your purchase of MKSAP.*
*To qualify for the refund, you must verify use of MKSAP PRIOR TO TAKING YOUR Certification or Recertification EXAM by meeting the following requirements:
- Completion of 100% of MKSAP’s 1200 self-assessment questions
- Scoring at least 50% for each of MKSAP’s 12 completed sections
- Submission of CME credit for all 1,200 completed questions
Please note that if you complete any of the MKSAP 1200 self-assessment questions after the date of your Certification/Recertification examination, you are not eligible for a refund.
Subscribers who meet the qualifications described above should send a copy of their letter from the ABIM notifying them of failure along with the Refund Request Form within 1 year of your examination to:
MKSAP Guarantee
attn.: Kim Kerns
American College of Physicians
190 N. Independence Mall West
Philadelphia, PA 19106
email: kkerns@acponline.org
MKSAP 19 - Preview Content
View the table of contents and sample Text and Questions pages from each section in MKSAP 19.