MKSAP 19 (Medical Knowledge Self-Assessment Program)

by American College of Physicians (ACP)  · Based in United States →Trusted. Proven. Guaranteed. Lifelong Learning for Internal Medicine.
Internal Medicine

Paid subscription
Regulatory Status Disclosed

Overview

MKSAP 19 (Medical Knowledge Self-Assessment Program) is a comprehensive learning management system and self-assessment tool developed by the American College of Physicians (ACP). It is designed for internal medicine physicians and residents to support board preparation, continuous professional development, and the earning of Continuing Medical Education (CME) and Maintenance of Certification (MOC) credits.

The program offers extensive educational content across 12 internal medicine subspecialties, featuring well-researched text sections, over 1,200 exam-like multiple-choice questions with detailed critiques, and digital flashcards with adaptive learning technology. Key features include a personalized Learning Dashboard to identify knowledge gaps, customizable quizzes, and regular ‘New Info Updates’ to reflect current practice-changing information and guidelines. MKSAP 19 also includes specialized resources like Board Basics for exam review, Virtual Dx for visual acumen assessment, and MKSAP Quick Qs for board-style practice.

For residency programs, MKSAP 19 offers a free Residency Program Tracker, enabling educators to monitor residents’ progress, create customized assignments, and assess learning improvement. While MKSAP 19 is no longer being updated as of February 2025 (succeeded by ACP MKSAP), access and credit earning are available through August 31, 2026.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • 12 comprehensive text sections (syllabus)
  • 1,200+ multiple-choice questions with critiques
  • Custom quizzes to identify knowledge gaps
  • Digital flashcards with adaptive learning technology
  • Personalized Learning Dashboard
  • Earn-As-You-Go CME/MOC credits
  • Regular content updates (New Info Updates)
  • Board Basics study guide
  • Virtual Dx (multimedia-based self-assessment)
  • MKSAP Quick Qs (concise, board-style questions)
  • Residency Program Tracker for educators
  • Mobile app access (online/offline)

Use Cases

  • ABIM Certification Exam preparation
  • ABIM Maintenance of Certification (MOC) Exam preparation
  • Lifelong learning and staying current in internal medicine
  • Earning CME/MOC credits and points
  • Clinical reference in daily practice
  • Identifying and addressing knowledge gaps for residents

Details

Category Medical Education & Training
Pricing Paid subscription
  • MKSAP 19 Digital: $410 (Resident/Fellow), $494 (Member), $658 (Non-member); MKSAP 19 Complete Green: $522 (Resident/Fellow), $629 (Member), $839 (Non-member)
DeploymentWeb-based, Mobile App
Compliance
BAA AvailableUnknown AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Not applicable AI-estimated
Integrations
EHR Not specified
Specialties Internal Medicine

What the Web Says

MKSAP 19 is widely regarded by physicians as a comprehensive and essential self-assessment tool for internal medicine, particularly for board preparation and continuing medical education. It is praised for its high-quality questions, detailed explanations, and up-to-date content, though some users find the sheer volume of material overwhelming and the digital platform occasionally clunky.

Overall: Positive

Strengths

  • Comprehensive coverage of internal medicine topics
  • High-quality, board-style questions with detailed explanations
  • Excellent for ABIM board preparation and MOC
  • Up-to-date medical content and guidelines
  • Offers both print and digital formats
  • Valuable for identifying knowledge gaps

Limitations

  • Can be very expensive for individual physicians
  • Large volume of material can be overwhelming
  • Digital platform (app/website) can be slow or have minor bugs
  • Some users desire more interactive features or adaptive learning
  • Explanations can be lengthy for quick review
  • Not always perfectly aligned with every individual's learning style

Based on reviews from: Reddit (r/internalmedicine, r/medicalschool), Physician blogs and forums, ACPOnline.org product reviews, Various medical education review sites

Last updated: 2026-08-07

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Press & Coverage

I.M. Matters Weekly from ACP
MKSAP 19, with new features, set for release Aug. 31
MKSAP 19, the latest edition of ACP's Medical Knowledge Self-Assessment Program, was released on August 31, 2021, featuring a new 'MKSAP Complete Green' digital-only format, 'Earn-As-You-Go CME,' and multimedia offerings.
2021-08
I.M. Matters Weekly from ACP
New IM-ITE feedback feature in MKSAP 19
ACP launched a new MKSAP 19 feature in December 2022 that allows residents to use feedback from the Internal Medicine In-Training Examination (IM-ITE) to create personalized learning plans.
2022-12
American College of Physicians
MKSAP 19 (Legacy) | Access, Updates & Transition to ACP MKSAP
MKSAP 19 is no longer available for purchase as of April 9, 2024, with the all-new, all-digital ACP MKSAP now available, though MKSAP 19 platform access will continue through August 31, 2026.
2024-04
MedStudy
MedStudy vs MKSAP: The Difference for ABIM Review
This article from March 2024 compares MedStudy and MKSAP 19 as study tools for the ABIM certification exam, highlighting MKSAP 19's focus on current trends and updates in Internal Medicine.
2024-03
American College of Physicians
MKSAP 19 - Errata and Revisions
This page, updated in December 2024, lists invalidated MKSAP 19 questions and revisions, including changes to reflect evolving guidelines on race as a predictor of cardiovascular risk.
2024-12
Reddit
MKSAP 19 Booms : r/Residency
A Reddit thread from July 2024 discusses the difficulty of obtaining MKSAP 19 textbooks, noting that only the online 'green version' is currently available.
2024-07
American College of Physicians
ACP announces the release of the all-new ACP MKSAPu2120, a comprehensive learning program for physicians to maintain and update medical knowledge
On February 3, 2025, the American College of Physicians released a new subscription-based edition of ACP MKSAP, an all-digital learning system with updated content, a robust question bank, and multimedia enhancements.
2025-02
ACP Online
Update your Knowledge with MKSAP 19 Q&A
This ACP resource from November 2025 offers MKSAP 19 Q&A to help physicians update their knowledge, emphasizing MKSAP's role as a trusted resource for self-assessment and continuous learning.
2025-11

Videos

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Suggest an Edit → | Last Verified: 2026-05-06 | First Added: 2026-05-06
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