Aligned with the 2026 PAEA Internal Medicine EOR™ Blueprint
The Internal Medicine End of Rotation™ exam course has been aligned with the 2026 PAEA blueprint (effective July 2026). Sections were renamed and reweighted, Critical Care was retired as a standalone area, and Psychiatric/Behavioral Health was added. Organized to follow the official 2026 PAEA Internal Medicine EOR blueprint, each content area below links to a dedicated lesson with topic-level navigation, flashcards, and Quick Cram — so you study in the exact structure you’ll be tested on. We’re keeping both versions live for about six months (through ~December 2026), so you can study whichever blueprint your exam follows — the new 2026 lessons below, or the legacy (pre-2026) lessons further down the page.
Grab the free 2026 hyperlinked topic list PDF and the new 2026 Internal Medicine EOR Trello board below to study and track your progress in the exact structure you’ll be tested on.
2026 IM EOR Trello Board Legacy IM EOR Trello Board
⬇ Download the 2026 IM EOR Hyperlinked Topic List (PDF)
Still on the old blueprint? Jump to Legacy IM EOR Blueprint Lessons ↓
New to the 2026 blueprint? PAEA reorganized the Internal Medicine EOR around organ-system content areas — see exactly what changed below.
What Changed? — 2026 IM EOR Blueprint vs. Old Blueprint
Internal Medicine End of Rotation™ — 2026 Blueprint |
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| CARDIOVASCULAR 20% | |
| Go to 2026 Cardiovascular Lesson | |
| PULMONARY 15% | |
| Go to 2026 Pulmonary Lesson | |
| GASTROINTESTINAL 12% | |
| Go to 2026 Gastrointestinal Lesson | |
| ENDOCRINE 10% | |
| Go to 2026 Endocrine Lesson | |
| NEUROLOGIC 10% | |
| Go to 2026 Neurologic Lesson | |
| RENAL/GENITOURINARY 10% | |
| Go to 2026 Renal/Genitourinary Lesson | |
| RHEUMATOLOGIC/MUSCULOSKELETAL 8% | |
| Go to 2026 Rheumatologic/Musculoskeletal Lesson | |
| HEMATOLOGIC 5% | |
| Go to 2026 Hematologic Lesson | |
| INFECTIOUS DISEASES 5% | |
| Go to 2026 Infectious Diseases Lesson | |
| PSYCHIATRIC/BEHAVIORAL HEALTH 5% | |
| Go to 2026 Psychiatric/Behavioral Health Lesson | |
Legacy IM EOR Blueprint — Pre-July 2026
These lessons follow the pre-July 2026 PAEA Internal Medicine EOR blueprint. If your program is still on legacy exam forms, these resources remain fully valid. Testing after July 2026? Use the 2026 lessons above.
Internal Medicine End of Rotation (Legacy) |
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| Smarty PANCE is not sponsored, endorsed by, or affiliated with the Physician Assistant Education Association. All trademarks are the property of their respective owners. |
Download the PAEA Internal Medicine EOR Topic List mapped to Smarty PANCE lessons
| Internal Medicine Rotation: Cardiovascular (Legacy PEARLS) | |
| Go to Legacy Cardiovascular Lesson | |
| Internal Medicine Rotation: Pulmonology (Legacy PEARLS) | |
| Go to Legacy Pulmonology Lesson | |
| Internal Medicine Rotation: Gastroenterology and Nutrition (Legacy PEARLS) | |
| Go to Legacy Gastroenterology and Nutrition Lesson | |
| Internal Medicine Rotation: Orthopedics and Rheumatology (Legacy PEARLS) | |
| Go to Legacy Orthopedics and Rheumatology Lesson | |
| Internal Medicine Rotation: Endocrinology (Legacy PEARLS) | |
| Go to Legacy Endocrinology Lesson | |
| Internal Medicine Rotation: Neurology (Legacy PEARLS) | |
| Go to Legacy Neurology Lesson | |
| Internal Medicine Rotation: Urology/Renal (Legacy PEARLS) | |
| Go to Legacy Urology/Renal Lesson | |
| Internal Medicine Rotation: Critical Care (Legacy PEARLS) (legacy-only — retired from the 2026 blueprint) | |
| Go to Legacy Critical Care Lesson | |
| Internal Medicine Rotation: Hematology (Legacy PEARLS) | |
| Go to Legacy Hematology Lesson | |
| Internal Medicine Rotation: Infectious Disease (Legacy PEARLS) | |
| Go to Legacy Infectious Disease Lesson | |