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Welcome to the General lnternal Medicine 2 Section of MKSAP 19! To address the ever-growing role ofgeneralists and the broad and comprehensive spectrum ofillnesses they treat, General Internal Medicine has been expanded into tvvo sections for MKSAP 19. In these pages, you will find updated information on routine care of the healthy patient; patient safety and quality improvement; hospital medicine principles: perioperative medicine; obesity; men's and women's health; eye, ear, nose, mouth, and throat disorders; and dermatologic conditions. The General Internal Medicine 1 section, published in MKSAP 19 Part A, features content on clinical decision making and inter preting the medical literature, medical ethics and professionalism, common symptoms, pain, palliative medicine. common musculoskeletal problems, dyslipidemia, mental and behavioral health, geriatric medicine, and genetics' All of these topics are uniquely focused on the needs of generalists and subspecialists in internal medicine' MKSAP 19 strives to provide the clinical knowledge its learners need to navigate their longitudinal learning paths. MKSAP l9's core content contains essential, newly researched information in 11 subspecialty areas of internal medicine created by dozens of expert generalists and subspecialists. Development of MKSAP 19's syllabus and its 1200 all-new peer reviewed. psychomet rically validated multiple choice questions (MCQs) has been informed by ABIM Certification and Maintenance of Certification (MOC) requirements, emerging internal medicine knowledge, and our learners' feedback. MKSAP 19 continues to include High Value Core (HVC) recommendations and MCQs, based on the concept of balancing clinical benefit with costs and harms. Hospital-based internists can continue to trust that MKSAP's comprehensive hospitalist content, integrated throughout the syl labus, and hospitalist focused MCQs, specially designated with the blue hospitalist icon (E), continue to align with the ABIM's Focused Practice in Hospital Medicine MOC exam blueprint and enhance learning for hospital based practitioners.

MKSAP 19 strives to provide the clinical knowledge its learners need to navigate their longitudinal learning paths. MKSAP l9's core content contains essential, newly researched information in 11 subspecialty areas of internal medicine created by dozens of expert generalists and subspecialists. Development of MKSAP 19's syllabus and its 1200 all-new peer reviewed. psychomet rically validated multiple choice questions (MCQs) has been informed by ABIM Certification and Maintenance of Certification (MOC) requirements, emerging internal medicine knowledge, and our learners' feedback. MKSAP 19 continues to include High Value Core (HVC) recommendations and MCQs, based on the concept of balancing clinical benefit with costs and harms. Hospital-based internists can continue to trust that MKSAP's comprehensive hospitalist content, integrated throughout the syl labus, and hospitalist focused MCQs, specially designated with the blue hospitalist icon (E), continue to align with the ABIM's Focused Practice in Hospital Medicine MOC exam blueprint and enhance learning for hospital based practitioners. More than ever before, MKSAP 19 Digital focuses on individualized learning and convenience. In addition to custom quizzes and interlinked questions and syllabus sections, MKSAP 19 Digital's new learning dashboard enables users to create a self- directed learning plan, with topic-specific links to resources within MKSAP and ACP Online. Multimedia formats, including whiteboard animations and clinical videos, will benefit our audiovisual learners, while MKSAP's Earn-as-You-Go CME/MOC feature now allows subscribers to earn CME/MOC as they answer individual questions. In addition to Extension Questions and New Info Updates, MKSAP 19 Complete and Complete Green continue to offer Virtual Dx and Flashcards and non,offer brand new enhancements: MKSAP Quick Qs, a set of concise questions mapped to high frequency/high-importance areas of the ABIM blueprint mirroring boards-style MCQs, and an embedded digital version of Board Basics for easy-access exam prep.

More than ever before, MKSAP 19 Digital focuses on individualized learning and convenience. In addition to custom quizzes and interlinked questions and syllabus sections, MKSAP 19 Digital's new learning dashboard enables users to create a self- directed learning plan, with topic-specific links to resources within MKSAP and ACP Online. Multimedia formats, including whiteboard animations and clinical videos, will benefit our audiovisual learners, while MKSAP's Earn-as-You-Go CME/MOC feature now allows subscribers to earn CME/MOC as they answer individual questions. In addition to Extension Questions and New Info Updates, MKSAP 19 Complete and Complete Green continue to offer Virtual Dx and Flashcards and non,offer brand new enhancements: MKSAP Quick Qs, a set of concise questions mapped to high frequency/high-importance areas of the ABIM blueprint mirroring boards-style MCQs, and an embedded digital version of Board Basics for easy-access exam prep. Language can be imprecise and imperfect, but MKSAP 19's Editors and contributors commit to using language and images that support ACP's commitment to being an anti racist organization that supports diversi$, equity, and inclusion through out health care and health education. ACP also continues to ensure diversity among MKSAP's physician-contributors. When appropriate, the MKSAP Editors also rely on MKSAP 19 Digital's expanded use of multimedia enhancements, including video and audio, to explore and more fully explain issues surrounding the presentation of MKSAP 19 clinical content as it relates to race and ethnicity. MKSAP 19 users are encouraged to contact the Editors at mksap_editors6racponline.org to help us identiff opportunities for improvement in this area. On behalf of the many internists and editorial staff who have helped us create our new edition, we are honored that y,ou have chosen to use MKSAP 19 to meet your lifelong learning needs. Sincerely, Davoren Chick, MD, FACP Editor in Chief Senior Vice President Medical Education Division Amcrican C<-rllege of Physicians ll