You might find websites claiming to offer free MKSAP 19 PDFs, but here’s what’s really happening:
❌ Copyright infringement – MKSAP is copyrighted. Downloading or sharing unauthorized copies violates federal law and ACP policies.
❌ Malware risks – Many “free PDF” sites infect your device with spyware, ransomware, or keyloggers.
❌ Outdated or fake content – Some downloads contain wrong answers, scrambled questions, or incomplete material.
❌ Ethical concerns – Using pirated materials undermines the work of medical educators and violates professional integrity standards.
If even discounted MKSAP is out of reach, these legal resources can supplement your studies:
| Resource | Cost | Question Count | ABIM Relevance | |----------|------|----------------|----------------| | NEJM Knowledge+ | $199–399 | 1,500+ | High | | MedStudy Q-Bank | $299 | 1,200+ | High | | BoardVitals | $99–199 | 2,000+ | Moderate-High | | AMBOSS (USMLE step 3/IM) | $199/year | 1,000+ (IM filter) | Moderate | | UWorld Internal Medicine | $239 | 1,300+ | Very High | | ACP’s Free MKSAP Sampler | Free | 25 | High |
Note: UWorld and MedStudy are also copyrighted—always purchase legally.
If you’re a resident or fellow, ACP membership + MKSAP 19 digital is heavily discounted — often under $250.
ACP offers MKSAP 19 at roughly 50% off for residents and fellows. If you’re a member (student membership is free), the digital version costs about $139–$199 instead of $399+.