ACP MKSAP - Help

MKSAP (Medical Knowledge Self-Assessment Program℠) is a comprehensive learning and assessment tool developed by the American College of Physicians (ACP). It is designed to help physicians, residents, and other healthcare professionals enhance their medical knowledge throughout their careers and prepare for certification or recertification exams. MKSAP includes a wide range of content, including:

Practice Questions: Test your knowledge with a large bank of multiple-choice questions based on current clinical guidelines, with in-depth explanations for each question offering detailed insights into the concepts.
Learning Resources: Study focused, concise materials covering the most important clinical knowledge for internal medicine physicians.
Customizable Study Plans: Create a customized learning plan based on your study goals and areas of focus.
Progress Tracking: Track your progress over time and identify areas needing improvement.
CME and MOC: Earn CME credit and MOC points for your work in MKSAP.
CORE: Test your knowledge, demonstrate proficiency, and document ongoing engagement in relevant education.

Over 100 physician experts in internal medicine and its subspecialties participate in ACP MKSAP’s rigorous, multistage content development and review process, ensuring a level of excellence our residents, practicing physicians, and educators have come to rely on. In addition, ACP MKSAP content experts and editorial staff implement psychometric evaluation to ensure ACP MKSAP addresses knowledge gaps and credibly reflects learners' knowledge. Content will be reviewed and updated regularly, and new questions will be added each year.

To report an error or submit feedback, please email us mksap_editors@acponline.org. Be sure to include details about the error and its location, such as the syllabus heading, or topic, to help us address the issue quickly and accurately.

Find your device type on App Store Links and Download Requirements page and use the link to download and install the ACP MKSAP app. Open the app and log in using your ACP MKSAP username/password. If you have any issues during the process, contact Member and Product Support for assistance.

Visit mksap.acponline.org to access ACP MKSAP from an up-to-date browser, such as Chrome, Firefox, Safari, or Edge, on desktops, laptops, and mobile devices commonly used operating systems.

Supported devices for MKSAP apps

• iOS Devices: iPhone, iPad, or iPod Touch running
• iOS 18.2 or later
  • 400 MB available disk space
• Android Devices: Smartphones or tablets running
• Android 13 or later
  • 400 MB available disk space.
• Desktop/Laptop: Up-to-date web browsers like Google Chrome, Safari, Firefox, or Microsoft Edge
  • Windows 11 or later
  • 750 MB available disk space
  • 4 GB RAM
• Mac OS
  • Mac OS X 15 (Sequoia) or later
  • 750 MB available disk space
  • 4 GB RAM

Internet Connection: A stable internet connection (Wi-Fi or mobile data) is required for downloading the app and syncing your progress. All app content can be accessed offline; your progress will sync automatically the next time you connect your device to the internet.

Account Requirements: You need a valid account (e.g., login credentials) to access the app’s features.

If you’re unsure whether your device meets these requirements, check your device’s settings or consult Member and Product Support.

Yes! With the free ACP MKSAP app, you can work offline and online. Your work is synched with your online account so you can always pick up where you left off.

1. Access the Menu:
   • Tap the Menu (represented by three stacked horizontal lines) located in the top-left corner of the top bar.
2. Open the Account Options:
   • Scroll to the bottom of the menu.
   • Find your name and tap the More Menu (three dots) next to it.
3. Select Account Profile:
   • Tap Account Profile to view and manage your account information.
4. Review Your Account Information:
   • Confirm that your account details, such as your name and email address, are correct.
5. Edit Your Password:
   • Tap the Edit Password button.
   • You will be redirected to ACP Online to update your password securely.
6. Edit Additional Account Details:
   • Tap the Edit Account Profile button to make further changes.
   • You will be redirected to the ACP Account management page to complete these updates.
7. Save and Exit:
   • After making changes, ensure that all updates are saved before exiting the account settings.
   • Return to MKSAP and refresh to see updated changes

If you encounter any issues, contact ACP support for assistance.

Tap the More menu (represented by three dots) located in the top right of the top bar. Select Display Settings. In the Display Settings, Locate the Font Size option. Use the + icon to increase the font size or the - icon to decrease it. Tap the A icon to reset the font size to the default setting.

Tap the More menu (represented by three dots) located in the top right of the screen. Select Display Settings. In the Display Settings, Locate the Dark Mode option. Toggle the switch to enable Dark Mode. The app interface will immediately switch to a darker theme for improved readability in low-light conditions.

1. Access the Menu:
   • Tap the Menu (represented by three stacked horizontal lines) located in the top-left corner of the top bar.
2. Open the Account Options:
   • Scroll to the bottom of the menu.
   • Find your name and tap the More Menu (three dots) next to it.
3. Select Account Profile:
   • Tap Account Profile to view and manage your account information.
4. Review Your Account Information:
   • Confirm that your account details, such as your name and email address, are correct.
5. Edit Your Password:
   • Tap the Edit Password button.
   • You will be redirected to ACP Online to update your password securely.
6. Save and Exit:
   • After making changes, ensure that all updates are saved before exiting the account settings.
   • Return to MKSAP and refresh to see updated changes

Your username and password are the same as those you use for most online products and services from ACP (e.g., Annals.org, ACP Online, and previous versions of MKSAP). If you wish to make changes, you can edit your account information on ACP Online.

Your username and password are the same as those you use for most online products and services from ACP (e.g., Annals.org, ACP Online, and previous versions of MKSAP). If you wish to make changes, you can edit your account information on ACP Online.

If you need assistance canceling your subscription, please contact our Member and Product Services team. They will be happy to assist you with the process.

Yes, you can access your account from multiple devices. Simply log in using your credentials on each device to stay connected.

1. Internet Connection Issues
   • Ensure both devices have a stable internet connection. Syncing requires an active and reliable network.
2. Not Logged into the Same Account
   • Verify that you are logged into the app using the same MKSAP account on all devices.
3. Outdated App Version
   • Check if the app is up to date on all devices. An outdated version may not sync correctly.
4. Pending Sync Completion
   • Allow enough time for the sync process to complete, especially if you’ve recently made significant updates or have a large amount of content.
5. Storage Limitations
   • Ensure that your device has sufficient storage space for the app to sync new data.
6. Conflicting Changes
   • If edits or updates were made simultaneously on multiple devices, it may cause sync conflicts.
7. Background App Restrictions
   • Check if your device is limiting the app’s ability to run or sync in the background (common in battery-saving modes).
8. Temporary Server Issues
   • There could be a temporary issue with the app’s servers. Try again later or contact support.

If none of these solve the problem, try logging out and back in, restarting the app, or reinstalling it. For persistent issues, contact our support team for assistance.

Contact our Member and Product Support team for help updating your subscription.

Your progress will be saved when your subscription ends, allowing you to pick up where you left off when you renew your subscription.

To access updated content or features in your app, make sure you have the latest version installed. Check for updates in your device's app store and download the newest version. Once updated, any new content or features will be available automatically. If you encounter any issues, please contact our support team for assistance.

The MKSAP syllabus refers to the comprehensive study content. It includes:

1. Detailed Topics: Each topic provides concise explanations and evidence-based information.
2. Key Points: High-level lists of the most important concepts within a topic for quick review.
3. Multimedia: Images, tables, videos to reinforce knowledge and support online learning.
4. Connected Questions: The syllabus is interlinked with scenario-based questions to test your knowledge and apply the concepts you’ve studied.

To maximize your use of the MKSAP syllabus, follow these best practices:

1. Plan Your Study Approach: Create a structured plan and schedule dedicated time for studying.
2. Track Your Progress: Use the "Mark as Read" feature to monitor which sections you've completed.
3. Engage Actively with the Content: Highlight key points, take detailed notes, and thoroughly review tables, figures, and videos to reinforce understanding.
4. Integrate Questions into Your Studying: Answer related questions to test your knowledge and retention.
5. Deepen Your Learning: For topics that require more focus, add them to your learning plan for further review.

By combining active engagement with strategic planning, you'll gain a deeper understanding and make steady progress in your studies.

MKSAP is organized into a comprehensive system designed to cover internal medicine thoroughly and efficiently. Content is divided into 16 main content areas. Each topic includes detailed, evidence-based discussions of diagnostic approaches, disease management, and clinical insights. Content is written and reviewed by leading experts in the field. Topics are linked to related MKSAP questions to check your knowledge, with detailed explanations for all answers to enhance learning. High-yield data are summarized in visual formats to aid in quick understanding and retention. This structure ensures MKSAP is a dynamic tool for learning, self-assessment, and exam preparation.

The American College of Physicians, in collaboration with multiple other organizations, is engaged in a worldwide initiative to promote the practice of High Value Care (HVC). The goals of the HVC initiative are to improve health care outcomes by providing care of proven benefit and reducing costs by avoiding unnecessary and even harmful interventions. The initiative comprises several programs that integrate the important concept of health care value (balancing clinical benefit with costs and harms) for a given intervention into a broad range of educational materials to address the needs of trainees, practicing physicians, and patients.

HVC content has been integrated into MKSAP in several important ways. Look for the HVC icon designating HVC-identified key points in the text. You can also answer HVC-focused multiple-choice questions in a custom quiz.

Tables, figures, and videos are embedded within the syllabus or displayed as a link. These visual elements highlight key data or summarize information for better clarity.

To improve visibility, click or tap on tables or figures to expand them, and use the zoom-in and zoom-out tools as needed.

Visit the index of tables, figures, and videos to view them in a convenient list format. To access the index, visit the syllabus content area, tap the More menu, and select Tables, Figures, and Video index.

To keep track of what you've read in MKSAP, use the "Mark as Read" checkbox available at the top and bottom of each topic. When you check the box, the corresponding topic will be marked as read in the table of contents, helping you monitor your progress. This feature allows you to easily pick up where you left off and stay organized throughout your study.

To take notes while you read in MKSAP, follow these steps:

1. On Desktop:
   1. Open the Notes tool located on the right side of your screen.
   2. Select the section you want to associate your note with from the dropdown list and type your note. The note field will expand as you type.
   3. Once you're done, make sure to click Save to store your note.
2. On Mobile Devices and Questions:
   1. Open the More menu in the top right (represented by three dots icon).
   2. Select the Add Notes option, then choose the section you wish to associate your note with from the dropdown list.
   3. Type your note, and once you're finished, tap Save Note.

Your saved notes will appear both on the topic page and in the Notes and Highlighting Index, making it easy to review them later.

Yes! To highlight text in MKSAP, follow these steps:

1. On Desktop:
   1. Select the text you want to highlight by clicking and dragging your cursor over it.
   2. Once the text is selected, a toolbar will appear with the option to Highlight. Select highlight color to apply the highlight.
   3. To edit or remove the highlight, tap the highlighted text to reveal the toolbar again, where you can change the color or delete it.
2. On Mobile Devices:
   1. Tap and hold the text you want to highlight.
   2. Adjust the selection handles to cover the desired text.
   3. Once the text is selected, a menu will appear with the Highlight option. Tap it to apply the highlight.

Your highlighted text will be saved and can be reviewed later in the Notes and Highlighting Index for easy reference.

The MKSAP syllabus integrates seamlessly with the Question Bank by linking relevant topics directly to the questions. Each question in the bank includes a link to the related section of the syllabus, allowing you to review the associated topic in detail. You can also navigate from the syllabus to related questions for practice and reinforcement. Look for the Test Your Knowledge box at the top of sections that have related questions.

Yes, MKSAP content is updated regularly to reflect the latest evidence-based guidelines, clinical practices, and medical research. These updates ensure that the material stays current and relevant.

Typically, MKSAP is updated at least every 6 months, with significant revisions made to reflect new advancements in medicine, emerging therapies, and evolving best practices. Additionally, updates may be made throughout the year to address major medical guidelines or clinical findings that affect the content.

Content updates will be made automatically in the digital platform, so you always have access to the most up-to-date information.

Yes, you can access MKSAP offline using the native apps for iOS, Android, Windows, or Mac. The web version and some app features, including syncing and CME/MOC submissions, require an active internet connection.

To report an error, please email us mksap_editors@acponline.org Be sure to include details about the error and its location, such as the syllabus heading, question ID number, or topic, to help us address the issue quickly and accurately.

If you can’t access MKSAP, please try the following steps:

1. If using the web version, check your internet connection to ensure you're online.
2. Restart the app or your device to resolve any temporary issues.
3. Verify your login credentials to ensure they are correct.
4. Make sure the app is updated to the latest version from your device’s app store.

If the issue persists, please contact our support team for further assistance.

The app is updated regularly to ensure you have access to the latest content and revisions. To stay current, make sure your app is updated to the latest version.

There are several ways to answer questions within MKSAP, depending on your preferred approach:

1. Question Bank - Shuffle Across All Content Areas:
   • Access the Question Bank and answer randomly selected questions from all available content areas for a diverse practice session.
2. Question Bank - Shuffle Within a Single Content Area:
   • Choose a specific content area (e.g., Cardiology or Neurology) and answer randomly selected questions for focused practice.
3. Question Bank - Create a Custom Quiz:
   • Build a custom quiz by selecting content areas, question types, your saved questions, or previously unanswered questions, among other options to filter for the most relevant questions for your learning goals.
4. Syllabus - Embedded Related Questions:
   • Answer related questions directly within the syllabus sections to reinforce learning as you review content.
5. Learning Plan - Questions by Topic:
   • Browse or add Learning Plan topics to answer questions tailored to a single topic, helping you focus on specific areas of improvement.

Yes, you can review previously completed questions in the MKSAP Question Bank using the Review link on the Question Bank page. Questions are shown by educational objective and listed by completion date, with the most recent appearing first. You can use filters to narrow your results by answer status, content area, or question type. To view a specific question, click or tap it to open it in a modal window.

To reset your question bank or clear your answers, follow these steps:

1. Navigate to the Question Bank page and select a content area.
2. Tap the More Menu (three dots) in the top-right corner.
3. Choose Clear Your Answers from the menu.
4. Select the answers you want to delete. You can choose:
   • All answered questions
   • Correctly answered questions
   • Incorrectly answered questions

Please note that clearing your answers is final and cannot be undone. However, this action will not affect your progress toward CME/MOC or CORE.

To delete your incorrect answers, navigate to a content area within the question bank. Tap the more menu (three dots) in the upper-right corner and select Clear Answers from the list. You will then have the option to delete:

• All your answered questions
• All your correctly answered questions
• All your incorrectly answered questions

To view Hospitalist questions or questions in a hospital care setting, follow these steps:

1. Navigate to the Question Bank, then create a new Custom Quiz.
2. Select More Filter Options to reveal additional quiz choices.
3. Under Care Type, choose Hospital.

This will display questions related to hospital care.

The American College of Physicians, in collaboration with multiple other organizations, is engaged in a worldwide initiative to promote the practice of High Value Care (HVC). The goals of the HVC initiative are to improve health care outcomes by providing care of proven benefit and reducing costs by avoiding unnecessary and even harmful interventions. The initiative comprises several programs that integrate the important concept of health care value (balancing clinical benefit with costs and harms) for a given intervention into a broad range of educational materials to address the needs of trainees, practicing physicians, and patients.

HVC content has been integrated into MKSAP in several important ways. MKSAP includes HVC-identified key points in the text and HVC-focused multiple-choice questions. To view HVC questions, follow these steps:

1. Navigate to the Question Bank, then create a new Custom Quiz.
2. Select More Filter Options to reveal additional quiz choices.
3. Check the box to Limit to High Value Care questions.

If you have the MKSAP app downloaded, you can use it offline. Once you're connected to the internet again, the app will automatically sync to update your progress and any new content.

Yes, The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. You can earn up to 0.25 AMA PRA Category 1 credits for each question answered if you maintain a score of 50% correct. Navigate to CME/MOC/CPD to claim your credits and track your progress.

Yes, you can earn up to 0.25 ABIM MOC points for each question answered as long as you maintain a score of 50% correct. Navigate to CME/MOC/CPD to claim your credits and track your progress.

To report an error, email us at mksap_editors@acponline.org. Use the clipboard icon in the top right corner to copy the question ID number. Providing the question ID number will help us address the issue quickly and accurately.

To create a custom quiz, there are a few options:

1. Directly from the Question Bank: Navigate to the question bank and tap on the Create Custom Quiz button. If you've previously created a custom quiz, you can tap the View Custom Quiz button to modify it.
2. Customize Your Quiz: Follow the quiz form's prompts to choose from the question options to tailor your quiz to your needs.
3. From Saved Questions or Learning Plan: Custom quizzes can also be created from your saved questions or by selecting a topic question within your learning plan.

This allows you to build quizzes that focus on specific areas of interest or topics.

You can build an unlimited number of custom quizzes. Feel free to create and take as many as you need to focus on different topics or areas of interest.

To include only questions you've answered incorrectly, navigate to the Custom Quiz area and choose the template Retry Incorrect Questions to shuffle questions you're previously missed. You can also make additional refinements in the quiz form to further customize the quiz based on your needs.

Yes, you can save your custom quizzes. After you've made your question selections for a quiz, the quiz form will prompt you to name it for future use. Name your quizzes in a way that makes them easy to identify when you return. You can access your saved quizzes at any time from the Custom Quizzes section. You can also duplicate existing quizzes to save time when creating similar quizzes in the future.

Yes. If you’re taking a timed quiz, you can tap the Pause button on the timer located at the bottom of the page to temporarily stop the countdown. Simply tap it again to resume. Keep in mind that navigating away from the page will cancel the timer.

If you selected an untimed quiz, you can stop at any point and pick up right where you left off whenever you return.

If you have the MKSAP app downloaded, you can use it offline, including custom quizzes. Once you're connected to the internet again, the app will automatically sync to update your progress and any new content.

The Learning Plan lets you create a personalized course of study based on your strengths and knowledge gaps. Add MKSAP topics to your Learning Plan to target them for further review. Tracking tools are provided to monitor your progress. When you're confident in your knowledge, you can remove the topic from your Learning Plan. Your Learning Plan is designed to evolve with your learning needs over time.

A Learning Plan topic integrates specific, related materials from all MKSAP products into a targeted study experience. Each topic includes all related multiple-choice questions, a syllabus topic outline with detailed reading material, tables, and multimedia such as figures and video. You'll also find key points summarizing essential concepts, related flashcards, and Board Basics topics for concise review. Learning Links connect you to related educational resources from across ACP, like podcasts, articles, and videos.

Think of the Learning Plan as your personal workspace. From the Learning Plan page, you can add or remove topics freely as your learning needs change. Use the filters to quickly find specific topics to focus on. While exploring MKSAP, look for the Add Topic to Learning Plan button to include related topics. You can also add topics through the IM-ITE Feedback or the Board Exam Topic Guide, which use mapped content to help you decide if a topic aligns with your learning goals.

Yes, you can get help filling out your Learning Plan in a few ways:

1. Use IM-ITE Feedback: If you’ve recently taken the Internal Medicine-In Training Examination, you can import your exam results. Using the educational objectives of the questions you missed, the IM-ITE Feedback tool shows related content and suggests Learning Plan topics to help you target areas for improvement.
2. Use the Board Exam Topic Guide: Review ABIM's exam blueprint linked to related MKSAP content. This tool identifies topics with higher and lower priorities, helping you focus your study efforts and add relevant topics to your Learning Plan.

Use the Add Topic button to view a list of MKSAP topics. Filters help narrow your search, and toggle buttons for adding or removing topics make the process quick and easy. To remove a topic, tap the More button (three dots) on the topic card and select Remove from Learning Plan.

As you work through MKSAP and as your learning needs change over time, remove Learning Plan topics you've covered and add new ones to review.

Navigate to the Learning Plan to view the topics you have added to your Learning Plan. Each topic includes details about your progress, such as completed tasks and question performance. Each topic includes:

• Task Completion Status: A group of boxes representing the number of tasks completed.
• Progress Bars: Visual indicators showing your progress in each topic or question set.
• Syllabus Section Checkmarks: Checkboxes at the end of each section that you can mark as complete.

These tools provide a clear and organized way to monitor your progress and stay on track with your goals.

If you encounter a technical problem, follow these steps to resolve it:

1. Refresh or Restart: Refresh your browser or restart the application to see if the issue resolves itself.
2. Check Your Internet Connection: Ensure you have a stable internet connection.
3. Try a Different Device or Browser: Switching to a different device or browser can help determine if the issue is device specific.
4. Contact Support: If the problem persists, reach out to our support team.
   Contact Form: https://www.acponline.org/contact
   Phone: Call toll-free, 800-523-1546, Monday through Friday, 9 AM to 5 PM EST
   Provide details like:
   1. A description of the issue.
   2. Screenshots or error messages (if applicable).
   3. The browser or device you’re using.

We’re here to help, and our support team will respond as quickly as possible to assist you.

Board Basics, derived from MKSAP, is a concise exam-prep digest featuring key facts, tables, test-taking tips, and images. It helps you:

• Absorb key diagnostic and treatment takeaways.
• Avoid tricky incorrect answers.
• Test yourself with case-based questions.
• Simplify complex concepts with study tables.
• Interpret visual findings effectively.

Access Board Basics via the left navigation bar, select a content area, and use integrated MKSAP features like highlighting and adding topics to your Learning Plan.

The key difference between Board Basics and the MKSAP syllabus lies in their format and focus:

• MKSAP Syllabus: A comprehensive resource covering a wide range of internal medicine topics in detail. It provides in-depth explanations, clinical guidelines, and evidence-based information to enhance your overall medical knowledge.
• Board Basics: A streamlined, digest-style review designed specifically for board exam preparation. It condenses key facts from the MKSAP syllabus tables, mnemonics, and test-taking strategies into a high-yield format, helping you focus on the most critical information for an assessment.

In summary, the syllabus is ideal for in-depth learning, while Board Basics is tailored for efficient, assessment-focused review.

To keep track of what you've read in Board Basics, use the Mark as Read checkbox at the top and bottom of each topic. When you check the box, the corresponding topic will be marked as read in the table of contents, helping you monitor your progress. This feature allows you to easily pick up where you left off and stay organized throughout your study.

The Notes tool is located on the right side of your screen. The note field will expand as you type. Once you're done, make sure to tap Save to store your note.

MKSAP’s Confirmation of Relevant Education, or CORE, offers an opportunity for assessment with a standardized passing threshold after meeting requirements for ongoing engagement with relevant education in MKSAP. Successful participants earn a badge and a printable certificate for their professional portfolio.

CORE Questions are organized by content area. To access them, you must meet a threshold of correctly answered multiple-choice questions within a content area, tracked across the MKSAP platform. Once the threshold is met, the CORE quiz for that content area unlocks.

After unlocking, you can complete the CORE quiz at your own pace over multiple sessions. To pass, answer all questions and meet the passing threshold. Upon completion, review your results, access learning links, and retake the quiz if desired. Each quiz attempt presents questions in a randomized order.

Earned badges and certificates showcase your commitment to ongoing education and professional growth.

MKSAP's interactive Board Exam Topic Guide provides easy access to MKSAP material linked to ABIM MOC blueprint topics. It identifies topics of higher and lower priorities to guide your study.

Choose a content area to review ABIM exam topics. Topics the ABIM denotes as low frequency are marked with LF. Under each topic, a list of associated tasks is shown with their relative importance (low, medium, high) in the exam blueprint, as well as related MKSAP content. When you identify a topic you need to study, add the related MKSAP content to your Learning Plan.

Available to residency programs, MKSAP's Internal Medicine In-Training Examination^® (IM-ITE) Feedback helps identify the topics for ITE questions you answered incorrectly and then makes it easy to incorporate those topics into your personalized MKSAP Learning Plan.

If you recently took the ITE, begin on your MKSAP home page and click View My Feedback. Feedback is available for the 2024 exam, and feedback for future exams will be added to MKSAP within a few weeks after exam results are released in October. You only need to set up your ITE results once for each exam. You will need your Candidate ID and Program ID, found on your ITE Score Report. Contact your program director if you don’t have your Candidate or Program ID. After you submit your information, your personalized ITE feedback will be loaded into your MKSAP account.

Use your IM-ITE Feedback to build your Learning Plan. You can quickly add the related MKSAP topics for all your missed ITE questions with the Add All to Learning Plan button. To review your ITE results and related MKSAP content, choose a content area to view the educational objective of each ITE question you answered incorrectly alongside the related MKSAP content. Then, you can choose which topics to add to your Learning Plan for further study.

MKSAP can help you excel in the Longitudinal Knowledge Assessment (LKA) by offering comprehensive resources:

• MKSAP Search: Quickly find detailed explanations and answers to LKA questions using MKSAP's robust search tool.
• Board Exam Topic Guide (BETG): Focus your preparation with content organized by test categories to study topics most likely to appear in assessments. Consider adding high-importance topics to your Learning Plan.
• LKA 4-Minute Practice Quiz: Sharpen your time management skills and get comfortable with the LKA format by practicing with MKSAP’s timed quizzes.

These tools work together to reinforce your knowledge and improve your confidence in tackling the LKA.

MKSAP flashcards feature adaptive learning technology to reinforce knowledge through repeated exposure to key concepts. Pre-built decks eliminate the need for copying and pasting, and the periodic check-in feature helps you track progress and focus on areas needing review. Flashcards adjust dynamically as you learn, ensuring a personalized study experience.

The adaptive algorithm in MKSAP flashcards works by tailoring the frequency of flashcard reviews based on your selections as you answer each flashcard:

• Red: If you choose Red, the flashcard will appear more frequently to reinforce learning.
• Yellow: Choosing Yellow signals moderate confidence, so the card will reappear regularly for review.
• Green: Marking Green reduces the frequency of that card, as the algorithm assumes you're confident in the material.

The algorithm dynamically reorganizes and shuffles your flashcards, prioritizing concepts that need more practice while gradually reducing exposure to material you’ve learned.

MKSAP does not currently allow for user-created flashcards. MKSAP flashcards are pre-built with key concepts selected from the content, saving you time and ensuring a comprehensive study experience.

Yes, flashcards include explanations. After selecting "Reveal Answer," you can:

• Tap the Related Text link to view the associated syllabus content in a modal.
• Tap the More button (three dots in the upper right corner) and select Related Text.

Yes, you can reset your flashcard progress. Select the content area, tap the More menu (three dots in the upper right corner), and choose Reset Deck Progress. Note that resetting will erase all performance data, and this action cannot be undone.

Tracker is a free enhancement to MKSAP designed as an educator’s toolbox. It allows program directors and educators to:

• Monitor residents’ progress as they work through MKSAP multiple-choice questions.
• Organize residents into groups for easier management.
• Assign MKSAP questions to groups or individuals, which appear directly in the residents’ MKSAP accounts for completion.
• Review performance using detailed reports and comparison tools to evaluate individual or group progress.

Tracker also helps programs meet their documentation needs by serving as a reliable source for tracking and documenting resident performance.

Access the Tracker assignment via the "Assignments" section in your MKSAP account. Answers submitted elsewhere (e.g., Questions or Custom Quizzes) will not count toward progress on the assignment. When you have answered all the questions assigned to you, you will see a confirmation that the assignment has been completed and recorded within Tracker.

Contact our Member and Product Support team to update your account.

Visit ACP Online for sign-up instructions and more information about Tracker.

The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. To earn CME credit and MOC points, answer at least one of two questions correctly (earning a score of at least 50%). Each single ACP MKSAP self-assessment question qualifies for 0.25 AMA PRA Category 1 Credits™ and ABIM MOC points. Enter your answers by accessing the MKSAP Questions through the left-panel Questions Bank tab. Start answering randomized questions from all content areas by clicking "Answer Questions," or choose a content area to answer questions on that content. When you qualify for CME credit and are ready to submit, click the CME/MOC/CPD tab in the left-panel menu. Use the "Claim Credit Now" button to submit. Learners should keep in mind their yearly CME and MOC deadlines when determining the appropriate time to submit. You can track your CME/MOC submission progress and print out certificates on the ACP MKSAP CME/MOC/CPD page.

When you claim Continuing Medical Education (CME) credits and/or American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) points, they will appear on your CME/MOC/CPD dashboard. You can view or print your submission history by year.

The American College of Physicians (ACP) serves as the accredited provider of CME for MKSAP and maintains official records for all CME credits earned and submitted. However, the American Board of Internal Medicine (ABIM) is responsible for implementing and managing all Maintenance of Certification (MOC) points.

When you submit for MOC points through MKSAP, we send your information directly to ABIM. They are responsible for receiving, processing your data, and officially tracking and awarding MOC points.

Because of this, MOC points will not appear on your transcript immediately after submission. Please allow approximately 2 weeks for processing before your MOC points are reflected on your ABIM transcript.

More details about how to submit for continuing education credit outside the U.S. are available on MKSAP's CME page.

To use the search feature in MKSAP:

1. Access the Search Bar: Locate the magnifying glass icon at the top of the screen in the MKSAP interface. Click or tap to open the search bar.
2. Enter Keywords: Type in specific keywords, topics, or phrases related to the information you’re looking for.
3. Refine Your Results: Use filters, such as content type, content area, or by multimedia, to narrow down your search results.
4. Navigate Search Results: Click on the relevant result to view content, including text sections, tables, and questions.

The search feature is designed to help you quickly locate the content you need across all MKSAP resources.

MKSAP search includes content from the syllabus, Board Basics, and questions. Tables, figures, and videos are also included.

1. Access the Notes Feature: On any text or question page, click the Notes tab on the right side of your screen.
   1. On mobile, click or tap the More menu (represented by three dots) in the upper right corner and select Add Note.
2. Add Your Note: This will open a text area where you can type your note.
3. View or Edit Existing Notes: All notes previously created for that topic will be listed for easy reference.
4. Associate Notes: On text pages, you can associate a note with a specific section by using the drop-down that appears in the note panel.

This feature allows you to keep track of important information and review your notes later.

To highlight text in MKSAP, follow these steps:

On Desktop:

1. Select the text you want to highlight by clicking and dragging your cursor over it.
2. Once the text is selected, a toolbar will appear with the option to Highlight. Select highlight color to apply the highlight.
3. To edit or remove the highlight, tap the highlighted text to reveal the toolbar again, where you can change the color or delete it.

On Mobile Devices:

1. Tap and hold the text you want to highlight.
2. Adjust the selection handles to cover the desired text.
3. Once the text is selected, a menu will appear with the Highlight option. Tap it to apply the highlight.

Your highlighted text will be saved and can be reviewed later in the Notes and Highlighting Index for easy reference.

While you can’t currently edit notes directly, you have the flexibility to delete a note and create a new one that better fits your needs. Open the Notes and Highlights index on the home page and use the Actions button to review and delete notes. Highlights can be easily deleted from the Notes and Highlights index, or by clicking the highlight in the content where it appears and clicking the delete button, shaped like a trash can.

Create as many notes as you like. MKSAP allows for unlimited notes.

Yes! You can view all your notes and highlights in one convenient place. On the Home page, you'll find a link to your Notes and Highlights index. If you’ve created a note or highlight in a content area, that content area will be displayed with your notes and highlights.

Highlighting is saved on a per-paragraph basis. To highlight across multiple paragraphs, begin a new highlight at the start of a paragraph.

The purple highlight color is used to distinguish highlights that will be cleared if/when you clear the answer for that question or if you re-answer the question in a future study session. Highlights created in question critiques will be retained, even if you clear the answer for that question.

From any question page with laboratory values, clicking the beaker icon will display the normal range for that lab test. In addition, clicking the More menu (represented by three dots) in the upper right corner from any question or text page will bring up a menu. Clicking Reference Ranges will open a lookup tool for lab tests' normal ranges. Enter any portion of the test name and select the test to display MKSAP's normal reference range. If you prefer to view, print, or store a PDF version of the Reference Ranges, select the View Reference Ranges PDF button at the top of the lookup tool to download a PDF of the entire Reference Ranges document.

Yes, MKSAP content is updated regularly to reflect the latest evidence-based guidelines, clinical practices, and medical research. These updates ensure that the material stays current and relevant.

Typically, MKSAP is updated at least every 6 months, with significant revisions made to reflect new advancements in medicine, emerging therapies, and evolving best practices. Additionally, updates may be made throughout the year to address major medical guidelines or clinical findings that affect the content.

Content updates will be made automatically in the digital platform, so you always have access to the most up-to-date information.

To report an error or submit feedback, please email us mksap_editors@acponline.org. Be sure to include details about the error and its location, such as the syllabus heading, question ID number, or topic, to help us address the issue quickly and accurately.

The app is updated regularly to ensure you have access to the latest content and revisions. To stay current, make sure your app is updated to the latest version.

At the bottom of every page is a notation of when the content of that page was last updated.

American College of Physicians, Inc. takes the following measures to ensure accessibility of MKSAP:

• Provide continual accessibility training for our staff.
• Assign clear accessibility goals and responsibilities.
• Utilize third-party experts to generate accessibility reviews, recommendations, and road maps.

External accessibility experts conduct multiple accessibility reviews of MKSAP. We continue to iteratively advance our compliance with accessibility standards, informed by the recommendations in these accessibility reviews.

MKSAP welcomes media submissions from ACP members. Opportunities to serve as a MKSAP peer reviewer are posted in ACP's volunteer portal when available.

Email: Forward your question through the email form.

Phone: Call toll-free, 800-523-1546, Monday through Friday, 9 AM to 5 PM EST.