MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (2023)

MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (1)

If you have ever wonderedhow does the mir work, here we show you all the details to prepare for theMIR 2024 exam call. With this little guide you will discover the most relevant ins and outs of the exam that accredits medical students to practice their discipline professionally.

How the MIR 2024 exam works, everything you need to know:

  • What is the MIR exam and which is the responsible body
  • How the MIR exam works
  • How to pass the MIR exam
  • Key dates of the MIR exam
  • Places offered for the MIR 2024
  • Specialties in the MIR exam
  • surgical specialties
  • Medical-surgical specialties
  • Laboratory or diagnostic specialties
  • clinical specialties
  • most offered specialty
  • Latest news from the MIR
  • List of academies to prepare the MIR exam
  • AMIR
  • Mir Asturias
  • CTO Medicine
  • 👉🏻 Practice the MIR 2024 exam with Mirial

What is the MIR exam and which is the responsible body

HeMIR examis the proofthat gives validity to exercise asResident Internal Physicianin Spain. It is required for doctors, Spanish or foreign, who wish to access a position of this type.The MIR exams are held annually between January and February, habitually.

The responsible body is the Ministry of Health, although as we know, the transfers in this matter are transferred to the autonomous communities. Once the MIR exam is approved, the title ofMedical Specialist, which is what allows medicine to be practiced in any of the areas of theNational system of health.

How the MIR exam works

HeMIR examis a call thatdoes not have a defined official agenda. Those registered can be subjected to questions of all kinds related to medicine. The test consists of answering200multiple choice questions with four options, but only one is valid.

The questionnaire is completed with 10 reserve questions in case there are misprints or formulation problems.The maximum duration allowed to complete the exam is 4 and a half hours.

All issues are documented in usual manuals in the Faculties of Medicine.The grade obtained in this exam represents 90% of the final grade, while the remaining 10% corresponds to the academic record.

HeMIR examIt has a very marked dynamic that has been repeated for years, but periodically some modifications are introduced. The number of questions to solve, for example, has been reduced from 225 to 175, and has risen to 200 as of theMIR exam 2022. The calculation of the final mark has also changed, since now the MIR represents 90% of the qualification, compared to 75% a few years ago. Depending on the note obtained, you can access some MIR specialties or others.

Preparing for the MIR exam is one of the most important challenges any medical student faces, but thanks to the help ofMirial, with hisgamification system to get started in this challenge, you can learn more details aboutthe MIR exam and lose your nerves.

How to pass the MIR exam

Last year, to pass the test, applicants had to obtain 25% of the average of the ten best exam marks (MIR 2023).

The people who did not reach that minimum appeared in the provisional results as 'eliminated'.

Key dates of the MIR exam

Normally, and approximately (each year is usually the same), the key dates of the MIR exam are the following:

👉Mid/end of January. It is the date on which the MIR exam is usually held each year.

  • exam time: At 3:00 p.m. in peninsular time, one hour less in the Canary Islands, those summoned are called, and at 4:00 p.m. the test begins.

👉End of January. Five business days after the exam, Health publishes the answers considered correct by the Qualifying Commissions. Applicants dissatisfied with the results can claim for three more days.

👉End of February. Publication of the provisional results of the MIR exam.

👉End of March. Official results of the MIR exam.

👉End of April. Call for ordinary and extraordinary acts of awarding places.

Places offered for the MIR 2024

The Ministry of Health each year launches a call with a series of places. Last year,the call was for 11,171 placesof Specialized Health Training (FSE) for the 2022-2023 academic year, which are divided as follows:

👉8,550 will be for specialist doctors(MIR)
👉Nursing (1,961)
👉Pharmacy (308)
👉Psychology (231)
👉Biology (60)
👉Physics (42)
👉Chemistry (19)

For the year 2024, an increase in the number of places is expected.

Specialties in the MIR exam

In Spain there are a total of almost 50 MIR specialties that are divided intoclinical, surgical, medical-surgical and laboratory. In general, most of them are recognized in other countries, but some are typical of Spanish medicine.

surgical specialties

Surgical specialties are those practiced bysurgeons. they useinvasive methods to solve health problems. This includes all surgeries: cardiac, general and digestive system, oral and maxillofacial, orthopedic and traumatology, pediatrics, plastic, aesthetic and reconstructive, thoracic andneurosurgery.

Medical-surgical specialties

These are athalf way between surgery and pharmacological treatmentsSo they can use both ways. They include vascular surgery and angiology,dermatologymedical-surgical and venereology,obstetrics and gynecology, urology,ophthalmologyand otorhinolaryngology.

💡👉 If you have doubts about which specialty to choose, this videocan guide you:

Through a debate between Dr. Antonio Martín Conejero (Vascular Surgeon at the San Carlos Clinical Hospital) and Dr. Nacho Botella (Endocrinologist at the Ramón y Cajal Hospital in Madrid), moderated by Dr. Roberto García Leal, you will be able to resolve possible doubts and reflect on both modalities of the medical career.

Laboratory or diagnostic specialties

Here are formedphysicians who support other physicians. They make diagnoses and suggest clinical treatments, but the relationship with the patient is more distant. Specialties of this type include radiodiagnosis, pharmacology, nuclear medicine, clinical analysis, clinical biochemistry orimmunology, among other.

clinical specialties

The latter are the ones that respond to themost popular doctor figure. They are those in which there is amore personalized care with the patientand they offerpreventive, diagnostic and therapeutic treatments.

The list is very long, but some well-known ones are cardiology, endocrinology, epidemiology, internal medicine, sports or rehabilitation medicine, oncology, pediatrics, and so on.

HeMIR examIt is a key process in the professional career of a doctor, since it is his welcome to professional medicine.

Mirial helps you to make the MIR exam more comfortable.

most offered specialty

The most offered specialty in each MIR call isFamily and Community Medicine (Family Medicine), with a total of2,455 placesthat intend to reinforce the first level of care. To them aspired, in the call of 2023, a total of12,668 physicians. As a curiosity, 74% of them came from Spanish universities, and 22% were from outside the EU.

The 10 most demanded specialties and how many sold out

The most and least demanded specialties do not vary much from one year to the next (they follow a fairly stable trend); that is, they are almost always the same and in the same number.

Specifically, in the MIR 2022, the 10 specialties that were previously sold out (and therefore the most in demand) were:

  • Medical-Surgical Dermatology:sold out at number 721.

  • Plastic, Aesthetic and Reconstructive Surgery: sold out at number 1,039.

  • Cardiology: sold out at issue 3,403.

  • Oral and Maxillofacial Surgery: sold out at number 3,700.

  • Anesthesiology and Resuscitation: sold out at number 3,733.

  • Ophthalmology: sold out at number 3,969.

  • Orthopedic Surgery and Traumatology: sold out at number 4,043.

  • Otorhinolaryngology: sold out at number 4,081.

  • Urology: sold out at number 4,172.

  • Neurosurgery: sold out at number 4,292.

The 10 least demanded specialties

On the other hand, the 10 least demanded specialties of the MIR 2022 (the last to run out) were:

  • Family and Community Medicineit was the last specialty that sold out its places, at number 9,930 (we must bear in mind that it is also the specialty that offers the most vacancies each year).

  • Preventive medicine and public health: sold out at number 9,912.

  • Clinical Biochemistry: sold out at number 9,908.

  • Work Medicine: sold out at number 9,895.

  • Clinical Analysis: sold out at number 9,776.

  • Microbiology and Parasitology: was awarded at number 9,705.

  • clinical pharmacology: sold out at number 9,253.

  • Geriatrics: sold out at number 9,075.

  • Pathological anatomy: sold out at number 8,455.

  • Nuclear medicine: sold out at number 8,332.

Latest news from the MIR

HeMIR exam 2023It came with two important new features that should be taken into account:

👉The quota of places for non-EU citizensrose 6%(513).

👉The cutting notedropped from 35% to 25%of the average of the 10 best test scores.

List of academies to prepare the MIR exam

We leave you a list of academies where you can prepare for the MIR exam in Spain:


MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (4)

Mir Asturias

MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (5)

CTO Medicine

MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (6)


MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (7)

The portalCasiDoctorsHe made a comparative table with some of the most important academies, which may be useful to extract general information, with information about their experience, locations, contact, etc.:

MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (8)Fuente:Casimedicos.com

💡👉If you don't know how to choose an academy, you can check our blog article,How to choose the academy for the MIR?, with practical and entertaining information and experiences of opponents in the respective academies.

👉🏻 Practice the MIR 2024 exam with Mirial

MIR Exam: Everything you need to know to be a Resident Internal Physician - Mirial (9)

And above all, don't forget to practice with Mirial! Remember that in ourAppYou will be able to learn and reinforce the contents in an entertaining way. In heryou will find more than 3,000 updated questions from other years, on all specialties and of different levels of difficulty.

In addition, you will be able to compete with your friends in a trivial format game andearn netflix or hbo subscriptionsif you are the first in the monthly ranking.

If you have doubts about how the application works, do not hesitate to consult our articleMirial Frequently Asked Questions.

Test yourself with more than 3,000 questions from the MIR Exam!

Download or play Mirial online, challenge your friends and win prizes


How to prepare for internal medicine board certification? ›

Preparing for the Internal Medicine Board Exam
  1. Understand the Structure of the Exam. ...
  2. Know What to Expect on Exam Day. ...
  3. Plan Out a Study Strategy. ...
  4. Find a Smart ABIM Question Bank. ...
  5. Practice & Re-Practice. ...
  6. Identify & Attack Weak Areas. ...
  7. Treat Your Body Right. ...
  8. During the Exam.
May 9, 2023

What is the pass rate for ABIM internal medicine boards? ›

2018: 91% pass rate. 2019: 91% pass rate. 2020: 93% pass rate. 2021: 88% pass rate.

How hard is the Internal Medicine Board exam? ›

How hard is the ABIM exam? The ABIM exam is one of the most difficult exams a doctor will take throughout their career. There are 240 case-based, single-best-answer multiple-choice questions that cover a wide range of Internal Medicine topics.

How many questions are on the ABIM internal medicine exam? ›

The exams are given in modular format with a maximum of 60 multiple-choice questions per exam session. Answer every question because your score will be determined by the total number of questions answered correctly. There is no penalty for guessing. For each question, there is one best answer.

What is the hardest board exam in the medical field? ›

1. MCAT. Before being admitted to medical school in the U.S., Canada, Australia, or the Caribbean Islands, you'll need to take the Medical College Admission Test (MCAT). Used for over 90 years, tens of thousands of would-be physicians sit for the exam each year.

What is the best study guide for ABIM? ›

If you're looking for the most flexible, effective way to prepare for your ABIM exam, NEJM Knowledge+ Internal Medicine Board Review is proven to work.

What percentage of people fail ABIM? ›

Overall ABIM pass rates fell from 90% passing in 2009 to just 78% passing in 2013 for first-time test takers of the Maintenance of Certification (MOC) internal medicine board exam, according to statistics released annually by the American Board of Internal Medicine (ABIM).

How many questions do you have to get right to pass ABIM? ›

In order to get an ABIM passing score, you need to score at least a 366, which is 64% of questions correct on the ABIM exam. The 2022 ABIM certification pass rate was 87% and the maintenance of certification exam pass rate was 94%.

How many times can you fail ABIM? ›

The ABIM Internal Medicine Certification Exam cannot be taken more than three times in a row (over 3 consecutive years). After three failed attempts, you must wait one year before being able to register for the exam again.

Is ABIM exam open book? ›

The day is divided into several sessions, each containing a maximum of 60 multiple-choice questions. Each session is open-book, meaning that you will have access to an online external resource (UpToDate®) for these questions.

How many years does it take to pass ABIM? ›

To stay certified, earn 100 MOC points every 5 years. In 10 years, you must pass an MOC assessment, which can be the traditional, 10-year MOC exam, the Longitudinal Knowledge Assessment, or a Collaborative Maintenance Pathway assessment (available in Cardiovascular Disease and cardiology subspecialties).

What happens if you fail ABIM board exam? ›

What Happens If You Fail an ABIM Certification Exam? If you fail the ABIM certification exam, you can retake the exam two more times for a total of three attempts. If you fail three attempts of the ABIM exam, you will need to wait one year before registering for the exam again.

What is the best resource for ABIM exam? ›

The most commonly used question banks are MKSAP and UWorld. They have different styles of questions and explanations but both hit on the content you need for the ABIM board certification exam.

How many people fail medical boards? ›

Doctors are smart. But before you buy into the myth that every doctor has breezed through school and could fall out of bed with a #2 pencil and crush an exam without thinking about it, consider that over 1,100 internal medicine doctors fail their board exam every year.

What is the average Step 1 score for internal medicine? ›

IMGs: Average Step 1 Scores by Specialty (2022 Match)
Step 1, US IMG (Matched)Step 1, Non-US IMG (Matched)
Family Medicine211219
General Surgery236238
Internal Medicine225238
Internal Medicine/Pediatrics220230
18 more rows

What is the longest exam in med school? ›

USMLE Exam (United States Medical Licensing Examination)

The first step of the exam takes eight hours, the second step takes nine hours, and the third step takes two days (seven hours for day one and nine hours for day two, respectively).

What's the hardest class in med school? ›

Below are the five most difficult USMLE topics according to students who have passed their exams with flying colors.
  • Biochemistry. Most medical students agree that biochemistry is by far the most difficult topic you will find on the USMLE. ...
  • Microbiology. ...
  • Pathology. ...
  • Ethics/Medical Legal Issues. ...
  • Neuroanatomy.
Oct 10, 2020

What is the hardest year of medical school? ›

The third year of medical school is by far the hardest, current and former med students will almost always agree.

Is ABIM harder than mksap? ›

The American College of Physicians' MKSAP is another popular choice for ABIM board studying. MKSAP questions are slightly easier, with little to no reading between the lines.

How do I know if I passed ABIM exam? ›

Sign in to your ABIM Physician Portal. From the Menu at the top select "My Assessments." Click on the blue arrow next to the name of the exam/assessment. Select "View Score Report."

Which question bank is best for ABIM? ›

In other words, we think NEJM Knowledge+ is THE Internal Medicine question bank you need to prepare for and pass your ABIM certification exam!

When should I start studying for ABIM? ›

Medical educators typically recommend making a plan that starts at least six months before your exam date, with dedicated study time set aside each week, and generally increasing the amount of time in the two months before the exam.

How many hours is the ABIM exam? ›

Internal Medicine Board Certification Requirement #5: Pass the ABIM Internal Medicine Certification Examination. The examination is a secure examination administered in a dedicated testing center. It consists of a maximum of 240 questions and takes approximately 10 hours to complete (including breaks).

What is the ABIM 7 year rule? ›

If the candidate does not become board certified during the seven-year period of Board Eligibility, the candidate will no longer be deemed “Board Eligible” and may no longer represent himself or herself as “Board Eligible.”

How do I prepare for board certification? ›

How to Study for Boards: 10 Tips and Strategies to Prepare for Your Board Exam
  1. Discover your learning style. ...
  2. Plan to continually and consistently put in the time. ...
  3. Start a study group. ...
  4. Avoid burnout. ...
  5. Exercise during your breaks. ...
  6. Take advantage of digital resources to study for boards. ...
  7. Find a better study environment.

When should I start studying for ABIM boards? ›

Medical educators typically recommend making a plan that starts at least six months before your exam date, with dedicated study time set aside each week, and generally increasing the amount of time in the two months before the exam.

What is the best way to study for the ITE? ›

The best way to prepare for the ITE is to read and take practice questions. I recommend MKSAP, which you can purchase with your education funds. MKSAP is well-written, concise, and realistic. Its questions closely parallel those on the ITE and Boards.

What is the best resource for ABIM boards? ›

The most commonly used question banks are MKSAP and UWorld. They have different styles of questions and explanations but both hit on the content you need for the ABIM board certification exam.

How long is the IM board exam? ›

The examination is a secure examination administered in a dedicated testing center. It consists of a maximum of 240 questions and takes approximately 10 hours to complete (including breaks). Learn more about the certification examination.

What is the difference between board certified and board qualified? ›

Individuals who are Board Qualified are not members of ABFAS but are “in progress.” Board Certified status indicates that the podiatric surgeon has passed the Part II examination(s), holds hospital privileges, and has an active license. Individuals with Board Certified status are members of ABFAS.

What is the difference between certified and board certified? ›

Ultimately, board certification is a symbol that a doctor has undergone additional training in their area of specialty, proven a high level of expertise in that specialty, and are therefore better qualified to practice in that specialty compared to a non-certified doctor.

What is a passing score on ABIM ITE? ›

Overall performance is reported on a standardized scale ranging from 200 to 800 points. Your performance on the entire exam determines the exam pass- fail decision. To pass the exam, your standardized score must equal or exceed the standardized passing score of 366.

What is a passing score on the ITE? ›

There is no passing score on the ITE, since the purpose of this examination is to assess your progress over the years of your residency training.

What is the pass rate for ITE to basic? ›

Using this information with the data presented in the table above, if your ITE score was average, you fall into the 94% BASIC pass rate. And if you are above average, you have an even higher likelihood of passing.

What is the best question bank for internal medicine boards? ›

Of course, we hope you'll choose NEJM Knowledge+ Internal Medicine Board Review, which delivers personalized learning, has more than 5,100 questions, two practice exams, and includes many other features that will help you pass your ABIM exam.

What is the pass rate for ABIM MOC? ›

In their response letter to the anti-MOC petitioners in July 2014, ABIM attempted to clear up the confusion about first-attempt pass rates versus ultimate pass rates (which include retakes), saying first-attempt pass rates have been declining over the past 5 years, but ultimate pass rates have remained fairly constant ...


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