For international medical graduates (IMGs) aiming to secure a residency position in the U.S., the United States Medical Licensing Examination (USMLE) Step scores play a crucial role in determining competitiveness. The "Charting Outcomes in the Match" 2024 report by the National Resident Matching Program (NRMP) provides valuable data on the...

If you’ve reached the point where you’re staring at your ERAS interview spreadsheet, a color-coded Google Doc, and five half-finished notes titled “RANK LIST???” - congratulations. You survived residency interview season. Now comes the part that feels both empowering and terrifying: making your rank list.   Ranking residency programs sounds...

If you’ve ever stared at a USMLE Step 1 question and thought, “I know I’ve seen this before… why can’t I pull it out of my brain?”, you’re not alone. In fact, forgetting high-yield material is one of the most universal (and frustrating) experiences in medical school. It happens to...

Medical school is not just more school, it’s essentially a full-time job as you are almost always spending more times in the classroom and studying than a normal 9-5. It is also a personal and professional journey, and for many, some of the most intense period of training they will...

Let’s face it - there are a few things in medical school that will drain your spirit quite like seeing a low score on an NBME Step 1 practice exam. After the days and nights of review, Anki cards, reading First Aid, and watching Pathoma, a disappointing practice test score...

Pharmacology is one of the most challenging topics of medical school, and many students struggle with it during their preparation for Step 2 CK. Unlike Step 1, where pharmacology is heavily mechanism-focused, Step 2 CK emphasizes on clinical implications. In general, it is critically important that you understand which medications...

If you’ve recently passed Step 1 or you’re preparing to take Step 1 and Step 2 close together, you’ve probably heard that Step 2 is just Step 1 with longer clinical vignettes. While this is a commonly shared idea, it doesn’t quite hold up. Step 2 isn’t simply a longer...

Why tricky questions aren’t “tricks”, and how to start thinking like the test writers.   If you’ve ever left an NBME feeling like the test was out to get you, you’re not alone. Students often describe NBME exams as filled with tricks, traps, or wordplay designed to confuse you. But...

Medical school is a marathon, not a sprint. Long study blocks, whether for preclinical courses, shelf exams, or Step 1/Step 2 prep, can feel overwhelming. It’s easy to start a study session with full energy and then feel your motivation fade after a few hours, days, or weeks. The key...

This blog was originally published in October 2025 by Dylan Eiger and updated in April 2026 by Kala Frye Bourque.   NBME shelf exams have evolved. Today’s shelves are longer, more reasoning-focused, and often mirror Step 2 CK in style. They emphasize next-step management, guideline-based care, and outpatient medicine more...