I. The Foundation: High-Scoring Study Strategy

Balance is key: learn on the wards while maximizing exam efficiency. Focus on active, question-based learning integrated into your daily clinical duties.

1. Question-First Learning

Train your brain to think like an NBME test writer. Utilize high-quality QBanks like UWorld or AMBOSS. Complete questions multiple times, review explanations thoroughly, and incorporate spaced repetition with Anki decks.

2. Rotation Management

• Clinical Question Log: Write down every case-related question for evening review.
• Golden Hour: Use the first hour at home for targeted 10-20 QBank questions.
• Reading on the Fly: Quick reference apps (AMBOSS, UpToDate) for high-yield bedside learning.

II. Core Resource Mastery

QBanks provide foundational knowledge, but real exam success requires pattern recognition and familiarity with high-frequency NBME topics.

The MedScoreMax Difference

Real exam recalls give you:

• Pattern Recognition: Understand NBME question structures.
• High-Frequency Topics: Focus on the NBME’s favorite testing areas.
• Efficiency: Maximize study impact with targeted material.

III. Specialized Shelf Study Guides

Every clerkship has unique high-yield topics. Focus strategically:

Internal Medicine Shelf

• High-Yield Systems: Cardiology, Pulmonology, Gastroenterology
• 80/20 Rule: 80% practice questions, 20% content review (Step Up to Medicine, OnlineMedEd)

Surgery Shelf

• Focus on perioperative care, fluid/electrolytes, acid-base, and post-op complications.
• Essential Resource: Dr. Pestana’s Surgery Notes + UWorld questions.

Pediatrics Shelf

• Focus on developmental milestones, congenital heart defects, infectious diseases, and vaccine schedules.

OB/GYN Shelf

• High-yield: Stages of labor, postpartum complications, contraception, cancer screening

Psychiatry Shelf

• DSM-5 diagnostic criteria, psychopharmacology, substance use disorders, mnemonics (e.g., SIGECAPS)

Family Medicine Shelf

• Broad exam integrating all other clerkships, focus on prevention, screening, and common outpatient conditions.

IV. Strategic Advantage: Flowcharts & Study Schedules

Structure is key. Use 4-week study schedules and diagnostic flowcharts to master the content efficiently.

V. Exam Management

NBME questions are clinical vignettes. Learn to:

• Read the question stem first
• Identify buzzwords
• Use labs and imaging efficiently
• Leverage MedScoreMax Recalls in the final week

VI. FAQs: Shelf Exam Insights

• How many practice questions per day? 40–80 questions with thorough review.
• Is a single QBank enough? No. Combine QBank, foundational reading, and targeted MedScoreMax recalls.
• How much do Shelf scores matter? Very. They influence Step 2 CK and residency applications.
• When to take practice NBME? Start final week (Day 21–23) for baseline and targeted review.