Internal medicine shelf percentile

1. MISSION AND INTRODUCTION. Description of the Core Clerkship in Internal Medicine. The Medicine rotation teaches a logical and humanistic approach to patients and their problems. This process begins with a presenting complaint, through a comprehensive history and physical examination, to the formulation of a problem list, assessment of the ...

Internal medicine shelf percentile. This is for two reasons: 1. Self-assessments are one of the best ways to get a clear picture of your areas of strength and weakness so you can adjust the focus of your studies accordingly. If you can take an assessment before your final week of studies, that is still enough time to adapt your approach accordingly. 2.

What it is: Vodcast (video podcast) of lectures for a rapid review of Internal Medicine topics in a keyword-style format. Episodes 29-32. Pros: Topics discussed are extremely high yield for NBME exams. Cons: The vodcast series is ~11 hours in its entirety. Would recommend listening at 1.5x speed.

Feb 16, 2006 · A student with a score of 220 was one standard deviation above the mean or at the 84th percentile. The NBME subject (shelf) exams are reported as standard scores using a mean of 70 and a standard deviation of 8. This unfortunate choice of a two-digit scale can be easily confused with percents. Divine Intervention Episode 30 - Comprehensive Medicine Shelf Review Session 2. May 19, 2018August 5, 2019 ~ divineinterventionpodcast. In this Vodcast, we continue Part 2 of 4 of our medicine shelf review. Slides attached (we begin from 49). NBME Medicine Shelf Review Session 2. Video Download.Step 1 Calendar Year Mean (SD) 2020 235 (18) 2021 231 (19) 2022 Exam reported as pass-fail only. Step 2 Clinical Knowledge Academic Year Mean (SD) OB/GYN: 94 (100th percentile) Surgery: 91 (99th percentile) Peds: 96 (100th percentile) Neuro: 94 (99th percentile) Psych: 92 (92nd percentile) IM: 97 (100th percentile) The best thing you can possibly do to score well on shelf is to have a really solid base going into clerkships. I think this is going to become even more important for those ... Went through Uworld once (70%) and redid cards/gi/renal/pulm incorrects. Form1: 45/50 - 7 days b4. Form2: 40/50 - 2 days b4. Actual test was hard af. Already know of 5-10 that I plain goof'd on. Two questions in particular were laughably stupid. I predict I scored poorly. 3rd year blows fo'sho

The internal medicine shelf exam breakdown is quite complex, consisting of a myriad of topics that can be overwhelming for many students. Having a tutor helps to streamline the study process, assisting students to focus on key areas and improve their percentile in the NBME internal medicine shelf exam.Although we no longer have your Step 1 as a predictor of your Step 2 performance, medical students usually have a broad sense of their test-taking abilities relative to peers. Take a moment to honestly assess the average percentile you typically achieve in medical school examinations, encompassing NBME shelf exams, UWSAs, and similar assessments.Total Equated Percent Correct Score: 69% The chart below represents the performance of a v }vo }Z} }( µ v ( }u> D r ] u ] o Z}}o XThe ACP Internal Medicine In-Training Examination® is a web-based self-assessment exam designed for residency programs to assess the progress of their residents during training. The 2024 regular registration period will begin on May 1, 2024. The 2024 IM-ITE testing window dates are Thursday, August 15, 2024 through Wednesday, September 4, …Hello r/NBME, This post will contain the answers to the SHELF - Internal Medicine 1 Exam for educational discussion purposes. More info may be found here. Please remember to read the following rules carefully before contributing:IM or Surgery. Whatever comes first. As a male doing Internal, OB/GYN wasn’t my favorite either. Other than that, peds was good, family was my best score, psych was the easiest for everyone, and I felt surgery was slightly harder than IM. Weird personal trend but NBME breaks questions down by setting and I noticed I’m significantly better ...

Depending on when you took the shelf the percentile of the same raw score goes up or down. My school says YOU got X right out of 100 but then clerkship directors use the PERCENTILE to determine who can get H/HP. ... of my fourth year. Step II was mostly Internal Medicine and after that hard shelf, I really focused on Medicine. After Match Day ... Data provided by the National Board of Medical Examiners, which administers the USMLE, indicate that the average score for Step 2 CK for U.S. medical graduates hovers just above 240. Generally, it’s been 242 to 243 over the past few years. The 25th percentile is around 232, while the 75th percentile is near 256. Reaction score. Nov 12, 2005. #5. Long Dong said: I thought there was already an IM thread. Here is my input anyway, blueprints, MKSAP-2, pre tests, Qbook (400 IM questions). Kaplan qbook was on point with a very similar format to the shelf in terms of length of passages and content tested. Can't tell how I did yet, since I just took it last week.97 percentile nationally. i did UWorld, MKSAP (questions only), and read Pocket Medicine (both for clinical competence and shelf knowledge). i decided against reading stuff like step 2 to medicine (too long) and went with something the residents use on a daily basis on the wards (and proved very helpful for the shelf too)Hi there, I wanted to know basically how bad my issues will be during the match process. In internal medicine clerkship got a CP ( conditional pass), because of well, basically I fought hard against some of the powers that be, and won somewhat. However I got an H in my elective and a good...Ohio. -Colombus, Cleveland. -Average salary here was 255-260k, all places offered RVU as well as satisfaction score bonuses. They were claiming 85% of their physicians took home at least 75% of their combined bonuses, putting them around 285-300K (Doubt, but thought id report for completeness's sake. Pennsylvania.

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HOSA Pharmacology. 1,578 terms. gvmedex. Preview. Study with Quizlet and memorize flashcards containing terms like Progressive Prolongation of PR interval followed by a dropped beat, Cannon A Waves on Exam Regular P-P interval and regular R-R interval, Varying PR interval with 3 or more morphologically distinct P waves in the same lead (Old ...To answer the original poster's question, you get a 2 digit score back from the folks at NBME. According to gossip/legend, a score of 59 is something like 3rd percentile, and >80 is 95+ percentile. Apparently it's a pretty narrow distribution. I'm not sure how it correlates with the fraction of correct answers on the exam.The average is a 222 with a standard deviation of 15 or so. Mean score of the shelf is 70 with a std deviation of 8. They could re-scale it so a mean was a 20 or a 120. So you were around the 70-80th percentile. How that equates to your rotation's grade is entirely up to your school. Sep 27, 2012. #3.Step 2 of 260 is 82nd percentile so that actually makes complete sense, especially given how unreliable Step scores are. I think people forget how much of a difference there is between Step 1 and Step 2 percentiles. 250 on Step 1 is 82nd percentile but 59th on Step 2. Or 245 is 72nd percentile versus 46th. 245 is below median for Step 2!!!!Internal Medicine Shelf.. hey guys.. so i have an internal medicine shelf coming up and everyone in my class has been really using "the test is like another board exam" quite frequently. is this true? ... Got a 90 percentile. All I did was learn as much as I could during the rotation and go through Pretest once. Pretest is seriously underrated.

PE will show hypertension. Diagnosis is made by assay of urinary catecholamines and metanephrines, and plasma metanephrine levels. Most commonly caused by catecholamine-secreting tumor located in the adrenal glands. Treatment is surgery, alpha-blocker (i.e., phentolamine, phenoxybenzamine) prior to beta-blockade to prevent unopposed alpha-agonism.I just used amboss for my OBGYN shelf and it covered it pretty well. I can outline some pros/cons for you: PRO +IMO Questions are of the same quality as UW questions. +Have their own notes that are annotated well and are easy to navigate through when going through Questions (unlike UW) +Better notes than medbullets +Have 1418 questions and they add about 200-300 new questions each month ...Mar 22, 2022 ... medicine clerkship. ... • Less than or equal to 1st percentile (or the lowest reported percentile for the quartile on the ... Internal Medicine 1, ...The NBME® Surgery Shelf Exam. The NBME® Surgery Shelf is a case-based exam that tests students on their ability to diagnose and manage surgical patients, including determining when surgical management is required. It can cover a broad range of topics, including relevant cases from Ob-Gyn, Medicine, and Pediatrics.Download Data (Excel) Survey Item: Indicate if NBME subject (shelf) tests are required in one or more of the following areas or if none are required. n indicates the total number of medical schools that selected any of the listed subject. N indicates the total number of medical schools that participated in the survey for the given academic year. Source: LCME Annual Medical School Questionnaire ...BacktoBasics8's Guide to M3 Shelf Exams. Redpancreas. Aug 29, 2017. This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. Aug 29, 2017. #1. This guide is my subjective and opinionated guide to Year 3 Shelf exams based on mainly my experience as well as some things I have heard.Jul 1, 2023 ... ... Internal Medicine Shelf. I estimate this video can add 4-7 points to your USMLE Step 2 if you're currently scoring 220-250, and 2-4 points ...In terms of difficulty I would rank the shelf exams in order of difficulty: Most difficult: Peds, Internal Medicine, Family Medicine Somewhat difficult: Surgery, OB-Gyn Not at all difficult: Psychiatry Many of my classmates put Surgery in the Most Difficult category and some put OB-Gyn into the "Not at all difficult" category.Cumulatively, your score(s) for the examination(s) is (are) listed in the last column: Examination National Mean Minimum Passing Score Internal Medicine 75.2 58 Obstetrics / Gynecology 72.6 56 Pediatrics 74.6 58 Psychiatry 76.3 51 Family Medicine 72 49 Surgery 71.8 54International Foundations of Medicine Individual Registration (IFOM) Health & Wellness Coaching Exams. Administrators, Faculty & Program Directors. MyNBME℠ Services Portal Subject Examinations Customized Assessment Services (CAS) International Foundations of Medicine (IFOM)Anyone have a link for the chart converting raw percent correct —> percentile rank for internal medicine shelf from last year? Would really appreciate it! Archived post. New comments cannot be posted and votes cannot be cast. 3.

Know Thy Shelf: Internal Medicine. It is the purest and most noble of all shelf exams. (According to the internists, that is.) The Internal Medicine shelf is likely the broadest, most comprehensive NBME shelf exam that you will encounter during your clerkship years. How does one begin to study for a test that might ask you the most common ...

International Foundations of Medicine Individual Registration (IFOM) Health & Wellness Coaching Exams. Administrators, Faculty & Program Directors. MyNBME℠ Services Portal Subject Examinations Customized Assessment Services (CAS) International Foundations of Medicine (IFOM)The 2023 MGMA DataDive Provider Compensation data set reveals modest gains in physician and advanced practice provider (APP) productivity and compensation in 2022, as staffing shortages were a key hurdle to higher productivity for most healthcare providers. In our new data summary report, Benchmarking for the Future of Your Physician and APP ...The internal medicine shelf exam is the most important exam for medical students because it tests your knowledge of the most common medical concepts encountered on rotations such as cardiology, gastroenterology, hematology/oncology, rheumatology, pulmonology, neurology, nephrology, infectious diseases, endocrinology, and primary care medicine. ...In this grading system example, the conjunctive scoring model requires a shelf exam score of at least 80 to qualify for an overall clerkship grade of honors. The compensatory scoring model, meanwhile, assigns different percentage values (weightings) to the three clerkship assessments.Feb 6, 2010 · Cumulatively, your score(s) for the examination(s) is (are) listed in the last column: Examination National Mean Minimum Passing Score Internal Medicine 75.2 58 Obstetrics / Gynecology 72.6 56 Pediatrics 74.6 58 Psychiatry 76.3 51 Family Medicine 72 49 Surgery 71.8 54 It changes based on the time of the year you take it. Thanks so much! We recently took the computerized Microbiology shelf. For that exam they set the average score at 50 with a standard deviation of 10 points. So if you got a 60, you'd be at roughly the 84th percentile, 95th with a 70, etc.The ACP Internal Medicine In-Training Examination® is a web-based self-assessment exam designed for residency programs to assess the progress of their residents during training. The 2024 regular registration period will begin on May 1, 2024. The 2024 IM-ITE testing window dates are Thursday, August 15, 2024 through Wednesday, September 4, 2024 ... Improving your percentile from how you did on step to shelves is a harder topic imo. Talking solely about shelf scores will just reiterate the same advice from everyone who did amazing on step, with similar variations of UW/Anki/EH/Amboss, ignoring that their preexisting knowledge may look very different to yours. 6. BigBonita.

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I thought there was a glitch because I kept scoring 25 on the IM NBME’s. They’re pretty predictive. Ended up with a 90, a few points above 25 (~87) 5. IllustratorKey3792. • 1 yr. ago. I think I ranged from 20-25, ended up with 91 on shelf. You can probably add 5-10 points to your practice nbme. 3.This document is a publication of the AAMC. It was created in collaboration with the AAMC MSPE Task Force and has been endorsed by the AAMC Council of Deans Advisory Board. The Association of American Medical Colleges serves and leads the academic medicine community to improve the health of all. www.aamc.org.Remember the difference between the percentage of questions answered correctly and your percentile. For a PGY2, the 50th percentile correlates with answering ~2/3 of the questions correctly and the 75th percentile correlates with getting ~3/4 correct. A few of our residents have scored in the 100th percentile, which correlates with 90% right.November 08, 2013 / SUNIRKUMAR, Oncology is an essential part of the Internal Medicine Medical Clerkship, ABIM Board exam, ABFM Board exam and the PANCE Board exam. According to the ABIM exam blueprint, questions testing Oncology topics comprise ~7% of the exam. Initially, oncology seems like a very difficult subject given how the treatment regimens of the many types of carcinomas are ever ...A failing score on Step 3 falls somewhere between the 2nd and 3rd percentiles. Although the USMLE is not entirely transparent with its scoring algorithm, a passing score correlates with about 60% correct. The mean score, 228, is much lower than the mean scores for step 1 (232) and step 2 (246), which speaks to the fact that these …This is a comprehensive review of Internal Medicine related topics for the shelf exams and Step 2 CK. This review can be the best place to start as many of t...Percentile conversions for this examination are therefore only available through the 2021-2022 testing cycle. An interim percentile score is available for candidates who have taken or who will take Level 2-CE in the 2023-2024 testing cycle. These candidates should select the dates “June 2023 – May 2024” when checking their percentile.A special function, unique to the practice exam, is provided that allows the candidate to view the correct answer for each item by clicking the "Show Answer" button located below the answer choices. COMAT practice questions are available to provide candidates an actual testing experience. You will find the practice questions in the links ...I did all of UWorld's medicine questions, and watched Emma Holliday's review 3 times before the test and I had a 76 on the test (just a bit above average I believe). I also made ANKI flash cards. If your goal is an A (high honors or whatever) a bit more than that should be fine. Keep in mind, the medicine shelf covers a crazy amount of material.Apr 19, 2020. #2. This says 85th percentile is around 80 - 83. It's not completely accurate, but it has been pretty consistent with my shelf grades thus far this year. 1 user. Apr 19, 2020. #3. I remember the surgery shelf being pretty hard. I think the numerical score for 85th percentile is around 80, depending on the time of year.Internal Medicine Shelf Suggestions . 1 week to go and I still have ~500 UW questions to do (with another 300-400 completed that still need reviewing). I've pretty much been doing MKSAP5 (~50% complete), UW, and light-reading about my patients. ... Sadly my school uses raw score rather than percentile when determining our grade. More posts you ... ….

So for example, IM was my first shelf and I didn't keep up with studying. Got like 55-60% on the NBME practices, thought I would fail. Ended up getting like 50th percentile on the real thing w/ a % correct in the mid 70's. This trend was consistent for me throughout the year. I scored in the average to slightly above average range on everything ...The Kansas University School of Medicine – Wichita (KUSM-W) Internal Medicine (IM) clerkship is an 8-week learning experience. There are two, 3-week hospital ...Read across the table to the percentile rank column labeled Step 1. An examinee with a Step 1 score of 225 is at the 31st percentile. The 31st percentile means that 31% of the Step 1 first-takers from LCME-accredited US/Canadian medical schools in the three-year cohort described previously scored lower than 225.High self-esteem was not associated with increased odds of having a shelf score ≥ 80th percentile (OR 2.18, 95% CI 0.59–8.00 ... We analyzed the association of personality domains and traits and self-esteem with internal medicine clerkship final grade as well as components of the grade using the OCEAN Five Factor Model of personality …However, average scores for Level 2-CE are generally 20-30 points higher than Level 1. For the 2021-2022 testing cycle, the national mean for Level 2-CE was 554.71. While the passing score is the same at 400, this score represents the 5th percentile for Level 2-CE. Mirroring the transition to the Pass/Fail system of the Step 1 exam, the changes ...For the love of god study straight internal medicine on Uworld. Hit the big four of GI, Cardio, Pulm, and Renal. The surgery exam is just a medicine shelf with bad make up! Do at minimum GI internal Med UWorld. the amount of my classmates that missed 50th percentile cause they didn’t study medicine is staggering.1) Subtract the mean from your score. 2) Divide that number by the SD (10) to find the z score. 3) Convert the z-score to a percentile using a z score to percentile calculator online. Example: You scored 118 on the Surgery COMAT. 118-100 = 18. 18/10= 1.8 (you are 1.8 SD above the mean).All requests must be received within six months of the results' release date. Include your name, ABIM ID, the examination to be rescored, and a check for $250.00 payable to the American Board of Internal Medicine. Send to: Rescore Request American Board of Internal Medicine 510 Walnut Street, Suite 1700 Philadelphia, PA 19106-3699Medicine. It outlines the requirements for ... o Clinical Phase: Students who fail to reach an equated percentile score of the ... unremediated shelf exam failures. Internal medicine shelf percentile, Established in 2011, the COMAT exam suite is designed for standardized assessment in core osteopathic medical and foundational biomedical sciences knowledge and administered as end-of-course or clinical rotation assessments. Presented in a style and format comparable to the COMLEX-USA examination series, COMAT exams can be flexibly and securely ..., just got the score back from the IM shelf exam, 90% which was the highest score for the group of 30 students who finished the clerkship at my medical school. the groups average was 74. the way i studied was the following: MKSAP 3 went through it 2 times, Medicine Pre-Test 2 times through, read medicine case-files, and read Hospital Medicine Secrets once through., Watch Online MedEd videos, do corresponding Uworld block, repeat till done with Uworld, take practice shelfs, profit. Our rotations are 6 weeks so I studied 5 1/2 weeks (and took off 5 evenings) - just did UW 1x, Step up to medicine when relevant (got through 70%), and 90% of the OME video. aka you'll be fine its week 1., Raw 91 (99th percentile) Did ~750 Uworld questions on tutor mode Got through roughly 2/3 of SU2M (skipped derm, neuro, ambulatory, and renal). Watched online med ed videos x2 (once before starting rotation, once during), read the OME notes as well Read Thaler's EKG book (highly recommend this book) Read about patients on …, The core clerkships that have a shelf exam are internal medicine, surgery, family, neurology, ... How to calculate your USMLE Step 1 or USMLE Step 2CK score percentile is a common question many medical students ask. Here are the 2020 USMLE Step 1 and Step 2CK percentile charts to see how you compare to other students., 1) Subtract the mean from your score. 2) Divide that number by the SD (10) to find the z score. 3) Convert the z-score to a percentile using a z score to percentile calculator online. Example: You scored 118 on the Surgery COMAT. 118-100 = 18. 18/10= 1.8 (you are 1.8 SD above the mean)., Your internal medicine shelf will be like a mini level 1 or step 1 exam. Internal medicine spans MANY different specialties and is the actual base of the medicine stepping stool. You need to know a lot about a lot for this shelf. So pace yourself a bit because it is a lot of information. Topics they like (at least on my shelf):, Feb 6, 2010 · Cumulatively, your score(s) for the examination(s) is (are) listed in the last column: Examination National Mean Minimum Passing Score Internal Medicine 75.2 58 Obstetrics / Gynecology 72.6 56 Pediatrics 74.6 58 Psychiatry 76.3 51 Family Medicine 72 49 Surgery 71.8 54 , For first quarter medicine shelf exam from last year the national mean was 72.6 with a standard deviation of 8.3. ... It is the 83rd percentile if you are just comparing it to those that took the test in the first quarter of the school year. ... May have failed internal medicine shelf...again. grindtillgrave; May 20, 2023; Replies 3 Views 3K ..., Medical Student Communities. Medical Students (MD) . UWorld percentage to IM shelf. Thread starter The ... 76% correct on uworld, got 99th percentile or 92 on the shelf. Reactions: 1 user bananafish94 Full Member. Verified Member. 7+ Year Member. Joined Oct 28, 2015 Messages 3,425 Reaction score, Overview. Self-assessments from the Clinical Mastery Series are designed for students taking an NBME Clinical Science Subject Exam. They feature multiple-choice questions on clinical science content typically covered during a clerkship or medical education course. In addition to helping you gain a familiarity with NBME-style questions, the ..., A shelf registration is the filing with the SEC for a security offering that is released to the public market incrementally over a period of time. A shelf registration is the filin..., My overall performance score is in the 72nd percentile--I got 60% of the test bank questions correct. I was studying for a solid two months, but ..., Before you say, I've already used the search bar and read pretty much every post about the family shelf. The consensus seems to be Case Files, AAFP questions, USPSTF recommendations the ambulatory section from SU2M. People have also mentioned that those who have done internal medicine get a much easier ride than those who have not., 3rd year Internal Medicine Learn with flashcards, games, and more — for free., The table below converts standard scores into percentile scores for COMAT Clinical subject exams. Percentile scores provide normative information about the relative rank of test takers’ performance in comparison to others who took the examination. Standard Score. Percentile., Hello everyone, I am confused on how to interpret practice shelf scores from the NBME. In order to pass at my school, I would need to score in the 5th+ percentile and in order to honor I would need to score in the 80th+ percentile. The NBME score report provides us with a "self-assessment score" and "approximate subject exam score" (e.g. 22 and ..., For example, if your first shelf was in internal medicine and you got 73% correct, this would tell you that you would be in the 56th percentile. The same score would get you the 44th percentile if it was the last one of the year., I'd say a good score is above 60th percentile. Good enough to moonlight is probably 30-60th (program dependent). Good enough for chief is probably at least 70th at minimum intern year with improvement as well. Good enough to get mentioned on your LoR is probably 80th and above. Reply., Exam Pass Rates. The American Board of Internal Medicine annually computes and reports for each internal medicine residency program accredited by the Accreditation Council for Graduate Medical Education the cumulative pass rates across the three most recent certification examinations in internal medicine. This report is updated each spring., To answer the original poster's question, you get a 2 digit score back from the folks at NBME. According to gossip/legend, a score of 59 is something like 3rd percentile, and >80 is 95+ percentile. Apparently it's a pretty narrow distribution. I'm not sure how it correlates with the fraction of correct answers on the exam., For CBSSA/USMLE Step 1: the equated percent correct score. At the top of your score report for CBSSA, instead of finding a 3-digit score you will a total equated percent correct score: #%. Per the NBME, this number reflects the percentage of how much of the content assessed by the CBSSA you have mastered. It may slightly differ from …, Prepare for the ABIM Exam with UWorld’s 1200+ practice questions, in-depth explanations, flashcards & more. Buy ABIM question bank today!, Prioritizing in final few days before medicine shelf [Clinical] [Vent] So I take the internal medicine shelf on Friday. It will be my second shelf exam (had psych but that was easy). Ended up not being able to finish as much as I thought I could in the 8 week rotation. Did about 1000 questions very thoroughly but there are 300 I have not done., experiences in the disciplines of Internal Medicine, Family Medicine, Pediatrics, Obstetrics and Gynecology, Psychiatry, General Surgery, and Emergency Medicine. ... above the 90th percentile of the national cohort for the quarter in which the student took the shelf exam, where month 1 in the TEC curriculum is March and month 12 is ..., hi -- yeah, the "average of 70, mean of 8" is what the shelf is supposed to be ideally, but in fact, the organization provides a different mean and SD for each "quarter" or the year. For example, in medicine, a raw score of 79 corresponds to the 80th percentile in the first quarter but only the 72nd percentile in the 2nd quarter., Anyone have a link for the chart converting raw percent correct —> percentile rank for internal medicine shelf from last year? Would really appreciate it! Archived post. New comments cannot be posted and votes cannot be cast. 3. , No, it won't really help. Because the family medicine shelf doesn't just include internal medicine but questions geared around outpatient and preventative medicine. Which, the questions on the aafp site do a great job of helping with that. Sent from my One using Tapatalk. #13., IM shelf: NBME forms vs real exam . 🏥 Clinical How do y'all think the NBME forms compare to the real shelf exam. I've scored a 70 on form 3 and 4 and a 73 on form 5. ... Got a 71! 37th percentile. It was definitely tough, but I think the practice tests helped gauge my progress. My uworld percentage was only about 51/52%. This was also my ..., Aim to view two to three videos per day to complete the videos at least a week before the NBME shelf test. Select an Anki deck and stick with it in the work's opening. The most popular options are AnKing and Zanki for Step 2. Let's push ourselves to complete all medical cards (at least 50 new and 200 reviews per day)., percentile for height, weight, and head circumference. A physical exam conducted in the pediatrician's office is normal. What is the next best step in the management of this patient? a. 2 month prescription for diphenhydramine. b. Recommendation of an exercise and weight loss program. c. Polysomnography studies for obstructive sleep apnea. d., The internal medicine Shelf exam will require more intense studying given the volume of information within the clerkship. Given the internal medicine Shelf exam includes the majority of the different organ systems, it is extremely important to stay on track with your studying throughout the rotation. With over a thousand UWorld questions for ..., OB/GYN: 94 (100th percentile) Surgery: 91 (99th percentile) Peds: 96 (100th percentile) Neuro: 94 (99th percentile) Psych: 92 (92nd percentile) IM: 97 (100th percentile) The best thing you can possibly do to score well on shelf is to have a really solid base going into clerkships. I think this is going to become even more important for those ...