Internal Medicine EOR: 2026 blueprint changes
The PAEA Internal Medicine EOR shifts weight into endocrine, neurologic, and renal/genitourinary content for 2026, adds a Professional Practice task area, and drops its standalone Critical Care content area.
PAEA releases the updated exams on July 27, 2026; legacy versions remain available through July 2027, so programs can transition on their own timeline.
A new Professional Practice task area (7%) was added to this exam (Health Maintenance is retained).
Task-area weightings: old vs 2026
Task areas are the medical-knowledge categories every Internal Medicine EOR question is written against. Here is how they shift for 2026:
| Task area (medical knowledge) | Old | 2026 |
|---|---|---|
| History & Physical | 15% | 15% |
| Diagnostic Studies | 10% | 14% ↑ |
| Diagnosis | 25% | 22% ↓ |
| Health Maintenance | 10% | 7% ↓ |
| Clinical Intervention | 10% | 10% |
| Clinical Therapeutics | 20% | 18% ↓ |
| Scientific Concepts | 10% | 7% ↓ |
| Professional Practicenew | — | 7% |
Biggest content-area changes
- Endocrine, neurologic, and renal/genitourinary content each rose from 8% to 10%.
- Rheumatologic/musculoskeletal down from 12% to 8%.
- Psychiatric/behavioral health added as a 5% content area.
- The standalone Critical Care content area (7%) was removed (redistributed).
- Diagnostic Studies (task area) up from 10% to 14%.
- Professional Practice added at 7% (Health Maintenance retained at 7%).
What to study now — free Internal Medicine resources
Practice the areas that carry more weight in 2026. These free FirstPassPA resources are mapped to the new blueprint:
Practice the 2026 Internal Medicine blueprint on FirstPassPA
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Start studying free → Compare PANCE question banksInternal Medicine EOR 2026 FAQ
What changed on the 2026 Internal Medicine EOR?
Endocrine, neurologic, and renal/GU content each rose to 10%, rheumatologic/MSK fell to 8%, psychiatric/behavioral health was added at 5%, the standalone Critical Care area was removed, Diagnostic Studies rose to 14%, and a 7% Professional Practice task area was added.
Source & disclaimer. Weightings are summarized from PAEA's publicly posted 2026 End of Rotation blueprints and crosswalk documents as of June 2026; PAEA is the authoritative source — always confirm current details there. FirstPassPA is an independent study tool and is not affiliated with, endorsed by, or sponsored by PAEA or NCCPA. PANCE® and PANRE® are registered trademarks of the National Commission on Certification of Physician Assistants; End of Rotation™ is a program of the Physician Assistant Education Association.