Browse the corpus

Margaret Wells, EAM Marissa Natelson Love, MD Director, Assessment and Education Programs Research Grants/Contracts: Lilly, Biogen, Eisai, Genentech Becky Krumm Senior Managing Editor Joshua Z. Willey, MD, MS Research Grants/Contracts Jackie Twomey Genentech Associate Managing Editor National Institutes of Health, NIH, PCORI Julia Nawrocki Other (adjudication of a clinical trial) Digital Content Associate/Editor Cardiovascular Research Foundation Linnea Donnarumma Tabassum Salam, MD, MBA, FACP Senior Medical Editor Consultantship Johnson and Johnson Amanda Cowley Medical Editor

Margaret Wells, EAM Marissa Natelson Love, MD Director, Assessment and Education Programs Research Grants/Contracts: Lilly, Biogen, Eisai, Genentech Becky Krumm Senior Managing Editor Joshua Z. Willey, MD, MS Research Grants/Contracts Jackie Twomey Genentech Associate Managing Editor National Institutes of Health, NIH, PCORI Julia Nawrocki Other (adjudication of a clinical trial) Digital Content Associate/Editor Cardiovascular Research Foundation Linnea Donnarumma Tabassum Salam, MD, MBA, FACP Senior Medical Editor Consultantship Johnson and Johnson Amanda Cowley Medical Editor Sandy Crump Acknowledgments Medical Editor The American College of Physicians (ACP) gratefully Georgette Forgione acknowledges the special contributions to the develop- Medical Editor ment and production of the 19th edition of the Medical Knowledge Self-Assessment Program" (MKSAP' 19) made Beth Goldner by the following people: Medical Editor Graphic Design: Barry Moshinski (Director, Graphic Suzanne Meyers Services), Mike Ripca (Technical Administrator, Graphic Medical Editor Services), Raymond DeJohn (Designer, Graphic Services) Elise Paxson Production/Systems: Dan Hoffmann (Director, Information Medical Editor Technology), Scott Hurd (Manager, Content Systems), Chuck Graver Neil Kohl (Senior Architect), and Chris Patterson (Senior Finance and Operations Administrator Architect).

Sandy Crump Acknowledgments Medical Editor The American College of Physicians (ACP) gratefully Georgette Forgione acknowledges the special contributions to the develop- Medical Editor ment and production of the 19th edition of the Medical Knowledge Self-Assessment Program" (MKSAP' 19) made Beth Goldner by the following people: Medical Editor Graphic Design: Barry Moshinski (Director, Graphic Suzanne Meyers Services), Mike Ripca (Technical Administrator, Graphic Medical Editor Services), Raymond DeJohn (Designer, Graphic Services) Elise Paxson Production/Systems: Dan Hoffmann (Director, Information Medical Editor Technology), Scott Hurd (Manager, Content Systems), Chuck Graver Neil Kohl (Senior Architect), and Chris Patterson (Senior Finance and Operations Administrator Architect). Kimberly Kerns MKSAP 19 Digital: Under the leadership of Steven Spadt Administrative Coordinator (Senior Vice President, Technology), the development of the digital version of MKSAP 19 was implemented by Disclosures of relationships with any entity producing, ACP’s Digital Products and Services Department, directed marketing, reselling, or distributing health care goods or and led by Brian Sweigard (Director, Digital Products services consumed by, or used on, patients. Individuals not and Services). Other members of the team included Dan listed below have nothing to disclose. Barron (Senior Web Application Developer/Architect), Callie Cramer (Data Visualization/Web Developer), Chris Davoren Chick, MD, FACP Forrest (Senior Web Application Developer), Kathleen Other (Owner) Hoover (Senior Web Developer), Kara Regis (Manager, Coding 101, LLC User Interface Design and Development), Brad Lord Daniel Harrison, MD (Senior Web Application Developer/Architect), and John Research Grants/Contracts McKnight (Senior Web Developer). EMD-Serono, Genentech The College also wishes to acknowledge that many other Consultantship persons, too numerous to mention, have contributed to EMD-Serono, Sanofi-Genzyme the production of this program. Without their dedicated Houman Homayoun, MD efforts, this program would not have been possible. Honoraria Medtronic

Kimberly Kerns MKSAP 19 Digital: Under the leadership of Steven Spadt Administrative Coordinator (Senior Vice President, Technology), the development of the digital version of MKSAP 19 was implemented by Disclosures of relationships with any entity producing, ACP’s Digital Products and Services Department, directed marketing, reselling, or distributing health care goods or and led by Brian Sweigard (Director, Digital Products services consumed by, or used on, patients. Individuals not and Services). Other members of the team included Dan listed below have nothing to disclose. Barron (Senior Web Application Developer/Architect), Callie Cramer (Data Visualization/Web Developer), Chris Davoren Chick, MD, FACP Forrest (Senior Web Application Developer), Kathleen Other (Owner) Hoover (Senior Web Developer), Kara Regis (Manager, Coding 101, LLC User Interface Design and Development), Brad Lord Daniel Harrison, MD (Senior Web Application Developer/Architect), and John Research Grants/Contracts McKnight (Senior Web Developer). EMD-Serono, Genentech The College also wishes to acknowledge that many other Consultantship persons, too numerous to mention, have contributed to EMD-Serono, Sanofi-Genzyme the production of this program. Without their dedicated Houman Homayoun, MD efforts, this program would not have been possible. Honoraria Medtronic Janet A. Jokela, MD, MPH, FACP, FIDSA MKSAP Resource Page Board Member The MKSAP Resource Page (www.acponline.org/ Mississippi Valley Regional Blood Center mksap19-resources) provides access to MKSAP 19 online iv

answer sheets for transcribing answers from the print of Certification Examination, or engaged with the ABIM edition; access to MKSAP 19 Digital; Board Basics’ ; Focused Practice in Hospital Medicine program information on Continuing Medical Education (CME), Maintenance of Certification (MOC), and international Continuing Professional Development (CPD) and MOC; Earn CME Credits or MOC Points Online errata; and other new information. To earn CME credits or to apply for MOC points, MKSAP users need to answer at least one of two questions correctly (earning ascore of at least 50%) and click the Submit CME button. International MOC/CPD Each single MKSAP 19 self-assessment question qualifies for Information and instructions on submission of interna- one quarter of a CME credit hour or ABIM MOC point. tional MOC/CPD is available by accessing the CME/MOC/ MKSAP 19 Subscribers can enter their self-assessment CPD tab on the left navigation menu of MKSAP 19 Digital. question answers and submit for CME/MOC in two ways: 1. Users of MKSAP 19 Complete who prefer to use their print Continuing Medical Education books and a paper answer sheet to study and record their The American College of Physicians is accredited by the answers can use the printed answer sheet at the back Accreditation Council for Continuing Medical Education of this book to record their answers. The corresponding (ACCME) to provide continuing medical education for online answer sheets, which are available on the MKSAP 19 physicians. Resource Page, may be used to transcribe answers onto

1. Users of MKSAP 19 Complete who prefer to use their print Continuing Medical Education books and a paper answer sheet to study and record their The American College of Physicians is accredited by the answers can use the printed answer sheet at the back Accreditation Council for Continuing Medical Education of this book to record their answers. The corresponding (ACCME) to provide continuing medical education for online answer sheets, which are available on the MKSAP 19 physicians. Resource Page, may be used to transcribe answers onto The American College of Physicians designates this enduring the online answer sheets. Users may then submit their material, MKSAP 19, for a maximum of 300 AMA PRA answers to qualify for CME credits or MOC points (see Category 1 CreditsTM. Physicians should claim only the below for information on Opting in for MOC). Users who credit commensurate with the extent of their participation prefer to record their answers on a paper answer sheet in the activity. should save their answer sheet for future use. Users who study with MKSAP 19 print can also submit their answers Up to 24 AMA PRA Category 1 CreditsTM are available from directly within MKSAP 19 Digital by accessing the self- August 31, 2021, to August 31, 2024, for the MKSAP 19 assessment questions dashboard and selecting the pre- Neurology section. ferred subspecialty section to begin answering questions.

in the activity. should save their answer sheet for future use. Users who study with MKSAP 19 print can also submit their answers Up to 24 AMA PRA Category 1 CreditsTM are available from directly within MKSAP 19 Digital by accessing the self- August 31, 2021, to August 31, 2024, for the MKSAP 19 assessment questions dashboard and selecting the pre- Neurology section. ferred subspecialty section to begin answering questions. 2. Users of MKSAP 19 Digital can enter their answers Learning Objectives within the digital program by accessing the self-assessment The learning objectives of MKSAP 19 are to: questions dashboard and selecting the preferred sub- specialty section to begin answering questions and e Close gaps between actual care in your practice and clicking the Submit CME button once they qualify for preferred standards of care, based on best evidence CME and are ready to submit. Learners should Keep in e Diagnose disease states that are less common and some- mind their yearly CME and MOC deadlines when deter- times overlooked or confusing mining the appropriate time to submit. e Improve clinical management decisions that affect patient safety and quality of care Learners’ CME/MOC submission progress will be shown on ¢ Determine when to refer patients for care by medical the MKSAP 19 Digital CME/MOC/CPD page. subspecialists, surgeons, and other members of the health care team

2. Users of MKSAP 19 Digital can enter their answers Learning Objectives within the digital program by accessing the self-assessment The learning objectives of MKSAP 19 are to: questions dashboard and selecting the preferred sub- specialty section to begin answering questions and e Close gaps between actual care in your practice and clicking the Submit CME button once they qualify for preferred standards of care, based on best evidence CME and are ready to submit. Learners should Keep in e Diagnose disease states that are less common and some- mind their yearly CME and MOC deadlines when deter- times overlooked or confusing mining the appropriate time to submit. e Improve clinical management decisions that affect patient safety and quality of care Learners’ CME/MOC submission progress will be shown on ¢ Determine when to refer patients for care by medical the MKSAP 19 Digital CME/MOC/CPD page. subspecialists, surgeons, and other members of the health care team e Pass the ABIM Certification Examination Opting in for MOC e Pass the ABIM Maintenance of Certification Examination MKSAP 19 users can opt in for simultaneous submission of CME and MOC points as they answer self-assessment questions. To opt in, users will be required to complete Target Audience a form requesting their name, date of birth, and ABIM ¢ General internal medicine specialists, including primary number. The MOC Opt-in Form will be presented during care physicians and hospitalists a user’s first CME submission and needs to be completed e Internal medicine subspecialists who desire to remain up only once. to date in internal medicine e Residents preparing for the ABIM Internal Medicine Certification Examination ABIM Maintenance of Certification e Physicians engaged in the ABIM Maintenance of Successful completion of the CME activity, which includes Certification Longitudinal Assessment Option, participation in the evaluation component, enables the preparing for the ABIM Internal Medicine Maintenance participant to earn up to 300 medical knowledge MOC points