The American Board of Internal Medicine administers this certification to assess clinical expertise in endocrinology, diabetes, and metabolism. The exam covers eight distinct domains, including adrenal and pituitary disorders, reproductive health, and metabolic conditions. It serves as a formal evaluation of a physician's ability to diagnose and manage complex endocrine diseases, ensuring practitioners meet the standards required for board certification in this medical field while demonstrating knowledge of patient care protocols and clinical management strategies.
Physicians seeking board certification in endocrinology, diabetes, and metabolism should take this exam. It is intended for medical professionals who have completed their internal medicine training and are pursuing formal recognition of their clinical expertise in managing various endocrine and metabolic disorders.
Review the official exam guide provided by the American Board of Internal Medicine to understand the distribution of the 240 questions. Focus your study on the high-weight domains, particularly diabetes mellitus and hypoglycemia, which account for 24% of the content. Utilize clinical resources and practice questions to reinforce your knowledge of diagnostic criteria and treatment protocols for the eight domains covered in the certification to ensure you are prepared for the assessment. Candidates should also note that calcium and bone disorders represent 15% of the exam content.
This domain covers the diagnosis and management of adrenal gland conditions and associated hormonal imbalances, requiring an understanding of clinical presentations and diagnostic testing for patients with adrenal insufficiency, hypercortisolism, and various adrenal tumors.
This domain focuses on the evaluation and treatment of pituitary gland disorders and related hormonal regulation, emphasizing the clinical management of pituitary adenomas, hypopituitarism, and the specific protocols required for effective prolactinoma management in diverse patient populations.
This domain addresses metabolic health, specifically lipid management, obesity, and nutritional interventions, requiring candidates to demonstrate proficiency in dyslipidemia management, evidence-based obesity treatment strategies, and the nutritional assessment of patients with complex metabolic health profiles.
This domain covers reproductive endocrine health in females, including hormonal cycles and related disorders, focusing on the clinical evaluation of menstrual irregularities, the diagnosis of polycystic ovary syndrome, and the systematic approach to infertility evaluation in clinical practice.
This domain focuses on male reproductive endocrinology, including testosterone regulation and related clinical issues, requiring candidates to understand the diagnostic and therapeutic approaches for hypogonadism, erectile dysfunction, and the management of male infertility within an endocrine context.
This domain is the largest, focusing on the management of diabetes mellitus and hypoglycemia, requiring mastery of insulin therapy, advanced glucose monitoring techniques, and the acute management of hypoglycemia to ensure optimal patient outcomes in clinical settings.
This domain covers the diagnosis and treatment of calcium metabolism and bone density disorders, focusing on the clinical management of osteoporosis, the evaluation of hypercalcemia, and the identification and treatment of vitamin D deficiency in patients.
This domain focuses on thyroid function, including hyperthyroidism, hypothyroidism, and thyroid nodules, requiring candidates to demonstrate expertise in thyroid hormone replacement therapy, the management of thyroiditis, and the systematic evaluation of thyroid nodules in clinical practice.
Arrive at the testing center prepared to complete 240 questions. Manage your time effectively across the eight domains, noting that diabetes mellitus and hypoglycemia represent 24% of the exam. Ensure you are familiar with the testing interface and follow all instructions provided by the American Board of Internal Medicine.
The ABIM Endocrinology Diabetes and Metabolism Board Certification consists of 240 questions. These questions are distributed across eight domains, with diabetes mellitus and hypoglycemia representing the largest weight at 24% of the total exam content, ensuring an assessment of clinical knowledge.
The American Board of Internal Medicine does not publicly disclose the specific passing score for this certification. Candidates should check with the American Board of Internal Medicine for the current certification path and scoring policies regarding the 240 questions included in the exam.
The official documentation does not specify the exact duration of the exam. For information regarding the time allotted to complete the 240 questions, check with the American Board of Internal Medicine for the current certification path and any updates to the testing schedule.
The exam covers eight domains: Adrenal Disorders, Pituitary Disorders, Lipids, Obesity, and Nutrition, Female Reproduction, Male Reproduction, Diabetes Mellitus and Hypoglycemia, Calcium and Bone Disorders, and Thyroid Disorders, which represent the full scope of the endocrinology and metabolism specialty.
The largest domain on the exam is Diabetes Mellitus and Hypoglycemia, which accounts for 24% of the total content. Candidates should prioritize this area while preparing for the 240 questions to ensure they meet the standards set by the American Board of Internal Medicine.
Verified 2026-09-13
This page was built by synthesizing the official exam guide from the American Board of Internal Medicine and verified domain weights to provide a structured, accurate overview of the certification requirements and the 240 questions included in the assessment.