2026 IM Residency Doctor's Dilemma Sign-Up

IM Residency Doctor's Dilemma Sign-Up
To confirm your Internal Medicine Residency's Spot in the 2026 Doctor's Dilemma Competition, please sign-up below.

Eligibility:
- All Texas IM Residency programs are invited to participate
- Each program must submit 10 Doctor's Dilemma questions as part of their application (may be categorical or random)
- Each program is requested to submit one volunteer to assist as an event judge
- Team Members (3) must be current TXACP members to compete
- Review and agree to the chapter's Doctor's Dilemma rules
Membership in the college for residents is $130/annually and registration is available online at https://www.acponline.org/membership/residents.

All Team Members must also register for the TXACP Annnual Meeting by October 25th.

Key Dates:
- September 21st: All teams must be submitted
- Tuesday October 13th - Virtual Preliminary Rounds
- Saturday, November 14th, 6:00PM: Championship Doctor's Dilemma will be held in Plano
- April 15-17, 2027: Doctor's Dilemma will be held at ACP IMM in Los Angeles, CA (TBD- The winning Texas team may have an opportunity to represent Texas at the National Competition).
Residency Program Requesting Slot:
IM Residency Program
City
Program Director

First NameLast Name
Program Director Email
example@example.com
Team Registration

Please update your team members, include first and last names and credentials
Player 1 Name (First, Last, Credentials)
Player 1 Email:
Player 1 ACP Number
All participants must be ACP members.
Player 2 Name (First, Last, Credentials)
Player 2 Email:
Player 2 ACP Number
All participants must be ACP members.
Player 3 Name (First, Last, Credentials)
Player 3 Email
Player 3 ACP Number
All participants must be ACP members.
Alternate Name (First, Last)
Alternate Email
Alternate ACP Number
All participants must be ACP members.
Volunteer Contact (must be available as a proctor/judge for either the virtual qualifying rounds, or to judge onsite)

First NameLast Name
Volunteer Contact Email
example@example.com
Question Format Example and Upload
Category Suggestions for Question Creation:
- Allergy and Immunology (AI)
- Biostatistics and Epidemiology (BE)
- Cardiovascular Medicine (V)
- Critical Care (CC)
- Dermatology (DM)
- Ear, Nose, and Throat (ENT)
- Endocrinology and Metabolism (EM)
- Ethics and Professionalism (EP)
- Gastroenterology and Hepatology (GI)
- Genetics and Genomics (GN)
- Geriatrics (GER)
- Hematology (HM)
- History of Medicine (HM)
- Infectious Disease
- Men's Health
- Nephrology (NP)
- Neurology (NR)
- Oncology (ON)
- Opthalmology (OP)
- Pharmacology (PH)
- Pulmonary Medicine (PM)
- Rheumatology (RM)
- Psychiatry (PSY)
- Travel Medicine
- Women's Health (WH)
Example Questions:

Question #1: This protein is low or deficient in Type I hereditary angiodema.

Answer: What is C1 inhibitor protein?

Fun Fact: Cinryze, a pharmaceutical grade C1 inhibitor, was approved for HAI in the U.S. in 2008 after having been available in Europe for decades.

Source: Cinryze. U.S. Food and Drug Administration. 12 July 2017. Archived from original on 22 July 2017. Retrieved 20 April 2020.

Question #2: This disease is caused by a deficit in nicotinamide adenine dinucleotide phosphate (NADPH) oxidase and involves recurrent bacterial and fungal infections.

Answer: What is chronic granulomatous disease?

Fun Fact: It is also known as Bridges-Good syndrome and Quie Syndrome. Difficulty forming the reactive oxygen compounds (most importantly the superoxide radical due to defective phagocyte NADPH oxidase) leads to granuloma formation.

Source: Heyworth, PG, Cross, AR, Curnette, JT. October 2023. Chronic granulomatous disease. Current opinion in Immunology. 15 (5): 578-84.
Doctor's Dilemma Questions:

Browse Files
Your questions are required at time of submission. NO EXCEPTIONS. Teams who upload incomplete documents or upload questions not formatted correctly may be disqualified in participating. Cancelof
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IM Residency Doctor's Dilemma Sign-Up

Residency Program Requesting Slot:

Team Registration

Question Format Example and Upload