American Board of Internal Medicine

American Board of Internal Medicine

The American Board of Internal Medicine (ABIM) is a non-profit, independent, physician-led organization in the United States that certifies physicians who practice internal medicine and its subspecialties. The ABIM is one of the 24 member boards of the American Board of Medical Specialties (ABMS). The organization aims to enhance the quality of healthcare by certifying internists and subspecialists who demonstrate the knowledge, skills, and attitudes essential for excellent patient care.

History

The ABIM was established in 1936 to answer the public and medical profession's demand for a standardized method of assessing the qualifications of internal medicine specialists. Since its inception, the ABIM has evolved to include certification and maintenance of certification (MOC) in various subspecialties of internal medicine, reflecting the growing complexity of the field.

Certification Process

The certification process by the ABIM involves a rigorous examination that tests a physician's ability to diagnose and treat a wide range of conditions. To be eligible for certification, candidates must complete a residency training program in internal medicine or one of its subspecialties accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Subspecialties

The ABIM certifies physicians in the following subspecialties:

• Cardiovascular Disease
• Endocrinology, Diabetes, and Metabolism
• Gastroenterology
• Hematology
• Infectious Disease
• Nephrology
• Oncology
• Pulmonary Disease
• Rheumatology
• And several others, reflecting the broad scope of internal medicine.

Maintenance of Certification (MOC)

The ABIM's Maintenance of Certification program is designed to promote lifelong learning and the continuous improvement of clinical judgment and patient care by certified physicians. The MOC process requires physicians to engage in ongoing learning activities, self-assessment, and periodic re-examination to ensure they maintain up-to-date knowledge and skills in their specialty.

Controversies

The ABIM has faced criticism and controversy over its MOC program, particularly regarding its cost, relevance, and evidence of effectiveness in improving patient outcomes. Some physicians and advocacy groups have called for reforms to the MOC process, arguing that it imposes an undue burden on practicing physicians without clear benefits to patient care.

Impact

Despite controversies, certification by the ABIM is recognized as a significant achievement in the medical community. It is often required by hospitals and health systems for credentialing and is seen by many as a benchmark for quality in patient care. The ABIM continues to play a crucial role in the ongoing education and certification of internal medicine physicians and subspecialists in the United States.