With an extensive array of lectures, case discussions, and board preparation sessions, this program is the most comprehensive review of Internal Medicine offered by the clinical faculty of Harvard Medical School. The program offers accelerated learning both for clinicians seeking a practical and comprehensive Internal Medicine review and for physicians preparing to take the ABIM board examination.
The Acclaimed Clinical Update and Board Review
The 49th annual Intensive Review of Internal Medicine will be held July 19–26, 2026. You have the option to attend either live online or in person in Boston, MA. All sessions will be recorded and made available to all participants to view online, at your convenience, for 60 days following the course.
With an extensive array of lectures, case discussions, and board preparation sessions, this program is the most comprehensive review of internal medicine offered by the clinical faculty of Harvard Medical School. It offers accelerated learning:
>> For clinicians seeking a practical and comprehensive review that ensures you are up to date across all major fields of internal medicine:
New options for diagnosis: what to choose, when, and why
Treatment and care management strategies to optimize patient outcomes
How to avoid medical mistakes
Improved approaches to common and complex clinical challenges
Navigating screening controversies
Additional details
>> For physicians preparing to certify or recertify and seeking a rigorous, proven preparatory course in advance of taking the ABIM board examination:
Board review questions
Sessions to guide efficient preparation and study
Four practice exam sessions
Study guides
Test-taking strategies and skills development
Additional details
>> New in 2026: Four workshops dedicated to advancing your understanding and clinical use of artificial intelligence:
AI for Clinician Experience and Beyond
Escaping the AI Rut: Reimagining Learning, Purpose, and Power in Medicine
The Die Is Cast: Two Competing Views of the Future of Physician-AI Collaboration and the Future of the Clinical Mind
AI Is Not Coming for Your Job: An Insider Industry Perspective
OUTCOMES-DRIVEN EDUCATION
This past year has introduced an avalanche of critically important updates and medical advances that need to be understood and deployed for state-of-the-art patient care. Intensive Review of Internal Medicine (IRIM) synthesizes this vast amount of information and presents it with efficiency and effectiveness to ensure that you are current with these updates and the best ways to incorporate them into practice in today’s health care environment.
Sessions and board preparation span all major fields of internal medicine and are led by Harvard Medical School’s most distinguished clinical faculty in the fields of:
Cardiovascular Medicine
Oncology
Neurology
Critical Care
Nephrology
Hematology
Gastroenterology
Infectious Diseases
Pulmonary Medicine
Women’s Health
Rheumatology
Endocrinology
Allergy and Immunology
Hospital Medicine
Dermatology
Biostatistics
General Internal Medicine
Who Should Participate
» PHYSICIANS, NPs, PAs seeking a comprehensive update of the state of the art in Internal Medicine
» PHYSICIANS preparing to certify or recertify
+ Topics:
001 – Acute Kidney Injury
002 – Revisiting Electrolytes
003 – Chronic Kidney Disease
004 – Acid-Base Basics
005 – Nephrology Q&A
006 – Proteinuria, Hematuria, and Glomerular Disease
007 – Dialysis and Transplantation
008 – Hot Topic in Nephrology – Imagine Stopping Progression of Kidney Disease in Type 2 Diabetes
009 – Nephrology Q&A
010 – Nephrology Board Review
011 – Challenging Case Discussion
012 – Hypertension Cases
013 – Electrolyte and Acid-Base- Challenging Q&A – Part 1
014 – Electrolyte and Acid-Base- Challenging Q&A – Part 2
015 – Nephrology- Additional Clinical Pearls & Take-Home Messages
016 – Anemia
017 – Hypercoagulable States and New Anticoagulants
018 – Hematology Q&A
019 – Hematology Cases – Common, Complex, Rare
020 – Bleeding Disorders
021 – Hot Topic in Hematology – Gene therapy in Hemoglobinopathies and Hemophilia
022 – Hematology Q&A
023 – Board Review in Hematology
024 – Leukocytosis and Leukopenia
025 – Hematology- Additional Clinical Pearls and Take-Home Messages
026 – Chronic Liver Disease and Its Complications
027 – Esophageal Disorders
028 – Acute and Chronic Diarrhea
029 – Gastroenterology Q&A
030 – Acute and Chronic Pancreatitis
031 – Hot Topic in Gastroenterology – New Treatments for Upper Gastrointestinal Bleeding
032 – Gastroenterology Board Review
033 – A Challenging Case in Rheumatology
034 – Peptic Ulcer Disease
035 – Inflammatory Bowel Disease
036 – Hepatitis B and C
037 – Challenging Gastroenterology Cases
038 – GI- Additional Clinical Pearls and Take-Home Messages
039 – Hot Topics in Radiation Oncology – Novel Technologies in Precision Oncology – Stereotactic Body Radiation Therapy
040 – Prostate, Testicular, and Bladder Cancer
041 – Breast Cancer
042 – Oncology Q&A
043 – Lung Cancer
044 – Leukemia and Myelodysplastic Syndrome
045 – Oncology – Clinical Pearls
046 – Oncology Q&A
047 – Board Review in Oncology
048 – Multiple Myeloma
049 – Lymphoma
050 – Gastrointestinal Cancers
051 – Oncology- Take-Home Messages
052 – AI for Clinician Experience and Beyond
053 – Challenges in Venous Thromboembolism Management
054 – Heart Failure (Including HFpEF)
055 – Prevention of Cardiovascular Disease
056 – Cardiovascular Medicine Q&A
057 – Atrial Fibrillation and Common Supraventricular Tachycardias
058 – Inflammation in CardiovascularDisease – Update for 2026
059 – Adult Congenital Heart Disease
060 – Cardiovascular Medicine Q&A
061 – Board Review in Cardiology
062 – Challenging Case Discussion – Challenging Patients in Infectious Disease – A Diagnostic Toolkit for Internal Medicine
063 – Acute Coronary Syndromes
064 – Update in Valvular Disease
065 – Peripheral Artery Disease (Including Carotid and Aortic Disease)
066 – Cardiovascular Medicine Q&A
067 – Bradycardias, Syncope, and Sudden Death
068 – Hot Topic in Cardiology – Evolving Strategies for Diagnosis and Management of Cardiac Amyloidosis
069 – Pericardial Disease- Key Concepts
070 – Must-Not-Miss ECG Diagnoses Pt.1
071 – Must-Not-Miss ECG Diagnoses Pt.2
072 – Cardiomyopathies (including HCM, Amyloidosis)
073 – Cardiology – Take-Home Messages and Clinical Pearls
074 – Escaping the AI Rut – Reimagining Learning, Purpose, and Power in Medicine
075 – Diagnosis and Management of Infective Endocarditis
076 – Infection in the Immunocompromised Host
077 – Adult Immunization
078 – Infectious Disease Q&A
079 – Pneumonia in Hospitalized Patients
080 – Sexually Transmitted Diseases
081 – Hot Topic in Infectious Diseases – The Next Pandemic – Are We Prepared..
082 – Infectious Disease Q&A
083 – Infectious Disease Board Review
085 – Challenging Case Discussion Altered Mental Status in ESKD
086 – Challenging Infectious Disease Cases
087 – Tropical Medicine and Parasitology
088 – HIV Disease – An Overview
089 – Urinary Tract Infections
090 – Tuberculosis for the Non-ID Specialist
091 – Infectious Diseases- Additional Clinical Pearls and Take-Home Messages
092 – Contraception – An Update
093 – Medical Complications of Pregnancy
094 – Evaluation of the Patient with Menstrual Irregularities
095 – Women’s Health Q&A
096 – Clinical Updates and Practical Considerations in Menopause Care
097 – Osteoporosis and Metabolic Bone Disease
098 – Hot Topic in Women’s Health – New Options and Guidelines for Screening for and Preventing HPV and Cervical CA
099 – Women’s Health Q&A
100 – Women’s Health Board Review
101 – Medication Abortion and the Internist
102 – A Trauma-Informed Approach to Intimate Partner Violence
103 – Women’s Health – Take-Home Messages and Clinical Pearls
104 – The Die Is Cast – Two Competing Views ofthe Future of Physician-AI Collaborationand the Future of the Clinical Mind
105 – Pulmonary Hypertension (For the General Internist)
106 – Chronic Obstructive Pulmonary Disease
107 – Pulmonary Overview
108 – Pulmonary Medicine Q&A
109 – Asthma
110 – Pleural Effusions – A Case-Based Review
111 – Interstitial Lung Disease
112 – Hot Topic in Pulmonary Medicine – Gene and Stem Cell Therapy in Pulmonary Medicine
113 – Pulmonary Medicine Q&A
114 – Pulmonary Board Review
115 – Challenging Case Discussion
116 – Pulmonary Function Testing
117 – Sleep Apnea
118 – Chest X-Ray Interpretation for the Boards
119 – Granulomatous Lung Disease
120 – Evaluation of Unexplained Dyspnea
121 – Assessment and Management of the Patient with Chronic Cough
122 – Cystic Lung Disease
123 – Pulmonary Medicine- Additional Clinical Pearls and Take-Home Messages
124 – Updates in Stroke Diagnosis and Management
125 – Headache
126 – Seizure Disorders
127 – Neurology Q&A
128 – Autonomic Neuropathy
129 – Hot Topic in Neurology – Approach to Concussion
130 – Neurology Q&A
131 – Board Review in Neurology
132 – Movement Disorders
133 – Multiple Sclerosis
134 – AI Is Not Coming for Your Job – An Insider Industry Perspective
135 – End of Life – A Framework for Advance Care Planning Conversations
136 – Obesity – Focus on Weight Loss Medications
137 – General Internal Medicine and Primary Care Q&A
138 – Evaluation of Cardiac and Pulmonary Risk in the Preop Patient
139 – Treating Opioid Use Disorder
140 – Challenging General Internal Medicine Cases
141 – Hot Topic in General Internal Medicine – Cannabis in General Medicine
142 – General Internal Medicine and Primary Care Q&A
143 – General Internal Medicine Board Review
144 – Challenging Case Discussion – Message in a Bottle – A 43-yo Woman Presents to the Emergency Room
145 – Morning Report- Instructive Cases
146 – Workshop- General Internal Medicine Case Studies
147 – Update in Geriatrics
148 – Hyperlipidemia
149 – General Internal Medicine- Additional Clinical Pearls & Take Home Messages
150 – Sepsis and Septic Shock
151 – Cardiogenic Shock, CHF, and Malignant Arrhythmias
152 – Hot Topic in Critical Care – Palliative Care in the ICU
153 – Critical Care Q&A
154 – Mechanical Circulatory Support Devices
155 – Evidence-Based Preventative Therapy in the ICU
156 – Popular ICU Topics
157 – Respiratory Failure
158 – Critical Care Q&A
159 – Board Review in Critical Care
160 – Mechanical Ventilation- Basics to Advanced Concepts
161 – Optimizing the ABCDEF Bundle
162 – Best Practices for the Management of Severe COVID-19 Pneumonia
163 – Critical Care- Additional Clinical Pearls and Take-Hom Messages
164 – 2026 Diabetes Overview
165 – Diabetes – Managing Common Complications
166 – Overview of Transgender Care
167 – Endocrinology Q&A
168 – Thyroid Disease
169 – Hot Topic in Endocrinology – Advances in Diabetes Technology
170 – Calcium Cases
171 – Endocrinology Q&A
172 – Endocrine Board Review
173 – Challenging Case Discussion – A Missed Diagnosis
174 – Adrenal Disorders
175 – Pituitary Disorders
176 – Primary Care for Transgender and Gender Diverse People
177 – Testosterone Therapy in Men
178 – Endocrinology- Additional Clinical Pearls and Take-Home Messages
179 – Approach to Joint Pain
180 – Rheumatoid Arthritis – Diagnosis and New Treatment
181 – Rheumatology Q&A
182 – Vasculitis-GCA-PMR
183 – Spondyloarthritis, Including Psoriatic Arthritis
184 – Hot Topic in Rheumatology – Cardio-Rheumatology
185 – Rheumatology Q&A
186 – Rheumatology Board Review
187 – Update in Rheumatic Diseases – Scleroderma, Sjögren’s and Myositis
188 – Systemic Lupus Erythematosus and the Antiphospholipid Syndrome
189 – Osteoporosis
190 – Gout and CPPD Disease
191 – Rheumatology – Take-Home Messages and Clinical Pearls
192 – State of the Art – POCUS
193 – Biostatistics Board Review
194 – Update in Hospital Medicine
195 – Q&A
196 – Physician Wellness and Burnout – How to Prevent It
197 – On the Emergency Room’s Front Line
198 – Setting Your Leadership GPS – 5 Steps to Leading Yourself and Others to Extraordinary Outcomes
199 – Board Review Practice – 1
200 – Board Review Practice – 2
201 – Board Review Practice – 3
202 – Board Review Practice – 4
203 – Emerging Topics for the Boards – Bringing Health Equity
204 – Diagnostic Errors in Medicine
205 – Depression Update
206 – Dermatology
207 – 2026 Allergy and Immunology Overview and Update




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