Nbme shelf exam percentiles

Which NBME Medicine Shelf exam assess a student's mastery both practical registration of general medicine knowing on adult patients. Items is ordinarily taken during to third year of medically school, after the medicines clerkship. It is adenine particularly intensive and difficult exam such covers a broad range of medical information.

4 Nbme Shelf Exam Percentiles 2022 2023-06-28 Gynecology McGraw Hill Professional Concise and easy to use, USMLE Step 2 Secrets, by prolific author Theodore X. O'Connell, MD, is an effective, high-yield review for achieving success on this high-stakes exam. Presented in the popular, time-tested Secrets® Q&A format, this bestselling USMLEAs of 2024, a passing score on Step 2 CK is 214. This is much higher than the passing score for Step 1. That being said, the percentiles for failing Step 1 and 2 CK are about the same. The mean score for Step 2 CK was 247 with a standard deviation of 15. This means that in recent years, the majority of test takers have scored between 232 and 262.NBME® Shelf Exams. AMBOSS is an all-in-one platform that helps you prepare for every aspect of your clerkship and is the only resource that serves as a clinical companion on the wards and helps you succeed on your NBME® Subject Examinations. The AMBOSS medical knowledge library has 1,200+ articles, which can be used for in-depth studying …3. Reaction score. 0. Apr 14, 2011. #1. Hey all, I guess the topic speaks for itself, but I need to make better than a 70% on the physiology shelf exam to pass the course. Fortunately, our school curves the score quite a bit, so I have a good chance of making the mark. Anyway, I've heard this shelf exam is quite brutal, so I'm worried.I was scoring in the 50s the week of the shelf. I did Zanki and force fed myself facts and then also read the study guides for OB, Gyn, and urogyn like 2x and scored an 85% on the shelf. The person who originally posted these said he went scored a 50th percentile on an Nbme the night before the exam, read these study guides and then scored in ...The exam is graded on a national average, though whether or not you pass your entire clerkship will depend on your individual medical school’s requirements. More specifically, the number of correct answers you get places you in a percentile, which is then measured across national grades.COMATS are the DO version of shelf exams, graded with an average of 100, and visually show how you did in each sub-topic in the score report. NBOME says a score below 93 is poor, a score between 93 and 107 is average, and a score above 107 is good or above average. This may change, so be sure to check before you take your COMAT.

Nbme Shelf Exam Percentiles Downloaded from dev.mabts.edu by guest CAREY POLLARD Assessment in Health Professions Education Oxford University Press Always study with the most up-to-date prep! Look for Dr. Pestana's Surgery Notes, ISBN 9781506276427, on sale October 5, 2021. Publisher's Note: Products purchased from third-partyFrequently Asked Questions (FAQs) for NBME® Self-Assessments: Free Exam Forms and Answer Explanations Updated April 2, 2020 Which Self-Assessments is NBME offering for free? Beginning on April 3, 2020, NBME will offer the following free Self-Assessments to help ... (Shelf) Exams? At this time, NBME is not offering free Clinical Science Mastery ...749. Reaction score. 47. Sep 1, 2013. #4. I'm not sure if an 85 means you only missed 15 questions, but that number is the score given on the NBME grade report. And while it relates to a specific percentile, if your clerkship is asking for a score of 85, I highly doubt it's the same thing as a percentile of 85. F.As far as I understand it, they don't provide them. They do give you the average and standard deviation though. So the best you can do is assume a perfect Gaussian distribution and use a calculator to find roughly where you fall. I used this one for all of mine. 1.NBME Contributions; Careers; News; Events; Main navigation. For Examinees. NBME Self-Assessments. USMLE® Step 1; USMLE® Step 2 CK; USMLE® Step 3; Clinical Science Subject Exam; IFOM® Clinical Science Exam; NBME Subject Exams; International Foundation of Medicine® (IFOM®) United States Medical Licensing Exam® (USMLE®) Health & Wellness ...Not all students have to take the NBME Surgery Shelf Exam, and it’s not obligatory for obtaining a U.S. doctor’s license. However, most medical schools have a required surgery clerkship, and the most popular way to test students is by using the NBME’s official Clinical Science Surgery Subject Examination.Students should note: the exam can only be …

The NBME transcript, called the NBME “Record of Scores” or “Endorsement of Certification,” includes identification information and passing history of NBME Part examination scores. NBME Part failing history is reported when specifically requested or required by a licensing authority.The NBME Shelf Exams question banks have been specifically adapted for the Medical School Student Level. They include thousands of multiple choice questions (MCQ), vignettes, and long form questions for use during clerkship rotations. ... NBME Percentile Requirements. OBGYN requires a score at the 22nd percentile to pass;passing threshold for NBME Shelf Exams in the clerkship phase o The passing threshold will be reviewed at least every three (3) years, but may be reviewed ... Scoring • To ensure consistency across the clerkships, the minimum passing threshold for shelf exams will be set using a percentile for the yearly academic norm.A shelf offering is a sale of stock by a company over time. It allows a firm to act quickly when the time is right to issue additional shares to the market A shelf offering is a sa...Did uw seem similar to the actual shelf to you? I felt like the shelf was a mixture of the practice nbmes and uw. It felt fair. psych shelf had a really tough curve, the actual exam was fine. I think I got percent correct in the low 80s but had a 50th percentile.NBME® SUBJECT EXAMINATION PROGRAM (Medical School Services - MSS, including International Foundations of Medicine- IFOM) Actions Locate Schedule ... Note: you don't need a Scheduling Number to use this tool, however you cannot use this tool to schedule your exam appointment. To schedule, please click "Schedule" in the left-hand menu of ...

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The exam is a web-based test consisting of 110 questions, the majority of which are single-best answer multiple choice questions, administered over 2 hours and 45 minutes. The content of the NBME exam covers basic internal medicine knowledge as determined by a committee of content experts, most of whom are internal medicine medical educators. The University of Tennessee Health Science Center (UTHSC) Aug 5, 2013 · 749. Reaction score. 47. Sep 1, 2013. #4. I'm not sure if an 85 means you only missed 15 questions, but that number is the score given on the NBME grade report. And while it relates to a specific percentile, if your clerkship is asking for a score of 85, I highly doubt it's the same thing as a percentile of 85. F. M2 here, my school has Subject-Specific Shelf NBME Exams in Pharmacology, Pathology, and Microbiology. Are there any question banks/retired NBME Qs available for the NBME Shelf (i.e. Not Step1 resource)? I have been using UWorld, but looking for something more specific to the shelf-style in the days leading up to my exams.The NBME shelf exams were originally scaly toward a mean of 70 and a standard deviation of 8. Keep in mind, this is not recalculated every year. The actual avg includes a given year features tended to creep up and is usually someplace in to low-to-mid 70s. ... When your NBME score is >92-93, your percentile is generally greater than 99% (with ...

Got super nervous with such a huge drop with NBME10. Not really sure what happened there. I had been scoring ~75-85th+ percentiles on shelf exams throughout third year. I would have liked to have taken more time to study, but with aways, it just didn't work out. I'm very grateful that things played out as they did.The NBME® Obstetrics & Gynecology (OB-GYN) Shelf exam tests a student’s ability to assess women’s health and to manage pregnancy, childbirth, and the postpartum stage. …The Basic and Clinical Science Subject Exams are often used as a final assessment at the end of a course or clerkship, while the Comprehensive Exams are used to gauge …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 ...NBME Self-Assessments for USMLEs have ~200 questions each. The Shelf-specific assessments have only 50 questions. Even the Shelf exams themselves are shorter than the USMLEs. Each Shelf exam is 110 questions, whereas Step 1, which has the fewest questions, has 280 items.Frequently Asked Questions (FAQs) for NBME® Self-Assessments: Free Exam Forms and Answer Explanations Updated April 2, 2020 Which Self-Assessments is NBME offering for free? Beginning on April 3, 2020, NBME will offer the following free Self-Assessments to help ... (Shelf) Exams? At this time, NBME is not offering free Clinical Science Mastery ...I Will Update as I keep chugging along but what were people's NBME scores vs their Actual Surgery Shelf Score? My exam is next week currently: UWorld Surgery pre-incorrects - 48% NBME 5 - 78% NBME 6 - 62% -ouch NBME 7 - 68% NBME 8 -58% Actual - 69% Actual experience: Super hard, ran out of time on easily the last 15. Shocking! Educators typically use the Clinical Science Subject Exams to assess third-year medical students’ knowledge in specific disciplines at the end of clerkships. NBME works with task forces made up of medical school faculty who review the content outline, write and review items, and adjust the exams’ blueprints based on updates to national ... The Psychiatry Shelf exam is formatted as an online test consisting of 110 questions which must be answered in 165 minutes. It shares the same interface as the USMLE® Step exams, with each question presented as a hypothetical clinical scenario. The exam is graded on a national average, though whether or not you pass your entire clerkship will ... "Percentile Ranks" for the Academic Year or. Quarterly testing period of interest. This number indicates the percentage of examinees that scored at or below ... No. It's predicting that you would get approximately 73% of the questions on an actual shelf exam correct. What percentile 73% puts you in depends on the shelf and the distribution that particular cohort. It does not mean you are approximately in the 73rd percentile. 6.

Specifically, clerkships that use the National Board of Medical Examiners (NBME) Clinical Science subject examination (shelf exam) must decide how to use this exam score when determining the overall clerkship grade.

Take a moment to honestly assess the average percentile you typically achieve in medical school examinations, encompassing NBME shelf exams, UWSAs, and similar assessments. While this metric may be less reliable with varied percentiles, consistently landing around, let's say, the 65th percentile could be a reasonable predictor of your ..."Nbme Shelf Exam Percentiles" our focus shifts to the heart of the Nbme Shelf Exam Percentiles experience—the digital library. Navigating this virtual repository of knowledge is a skill in itself, with Nbme Shelf Exam Percentiles readers and publishers alike finding new ways to explore and interact with digital collections. The Infinite ShelvesYes, vouchers are good for one year from the NBME date of issue. Institutions will receive credit for unused vouchers associated with orders submitted through the NBME store. ... USMLE Exams & Transcripts NBME Parts Exam Transcripts. MyNBME℠ Examinee Portal NBME Self-Assessment Services (NSAS) International Foundations of Medicine Individual ...Need more practice before taking your real estate exam? Check out our list of the six best real estate exam prep courses to help you pass. Real Estate | Buyer's Guide REVIEWED BY: ...NBME Parts Exam Transcripts. MyNBME℠ Examinee Portal NBME Self-Assessment Services (NSAS) International Foundations of Medicine Individual Registration (IFOM) Health & Wellness Coaching Exams. Administrators, Faculty & Program Directors. MyNBME℠ Services Portal Subject Examinations15+ Year Member. Jan 31, 2010. #9. I thought the NBME standardized all scores to a mean of 70 with a deviation of 8. So 62 is the 1st SD and 54 is the 2nd SD on all Shelf exams. Minimum passing score for all Shelf exams is 54 at my school.The exam is a web-based test consisting of 110 questions, the majority of which are single-best answer multiple choice questions, administered over 2 hours and 45 minutes. The content of the NBME exam covers basic internal medicine knowledge as determined by a committee of content experts, most of whom are internal medicine medical educators.

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The efforts on the NBME shelf exam comprise 25% of the total Neurology Clerkship score. There is not a minimum exam pass score for the clerkship. However, students who score below the 5th percentile nationally (65) need to meet with the clerkship director to discuss whether a test taking remediation plan should be developed to promote improved ...Typical scores fall within the range of 80 to 120. Since the COMAT score is used as part of the student's clerkship grade, we scale the NBOME standardized score to a 100-point score. We employ a formula which sets the national mean (100) to a TCOM scaled score of 82, and anchors the score 1.7 standard deviations below the national mean (83 ... NBME Contributions; Careers; News; Events; Main navigation. For Examinees. NBME Self-Assessments. USMLE® Step 1; USMLE® Step 2 CK; USMLE® Step 3; Clinical Science Subject Exam; IFOM® Clinical Science Exam; NBME Subject Exams; International Foundation of Medicine® (IFOM®) United States Medical Licensing Exam® (USMLE®) Health & Wellness ... 1,492. Sep 30, 2003. #6. shelf exams are scored by the NBME. They will give your school a raw score/percentile. Your clerkship director decides how to scale the scores based on how your classmates did, as well as how much weight to put on the exam, compared with your evaluations, oral exams, etc. B.NBME Parts Exam Transcripts. MyNBME℠ Examinee Portal NBME Self-Assessment Services (NSAS) International Foundations of Medicine Individual Registration (IFOM) Health & Wellness Coaching Exams. Administrators, Faculty & Program Directors. MyNBME℠ Services Portal Subject ExaminationsScoring well on a Shelf Exam requires rigorous and thorough test prep. Each Shelf Exam is 130 minutes with 100 questions, giving you roughly a minute of time to answer per question. Hence, NBME Shelf Exam test prep is advisable ahead of time. Preparation for your Shelf Exam during your clinical clerkships is a good idea so that you can pace ...The NBME Shelf Exams question banks have been specifically adapted for the Medical School Student Level. They include thousands of multiple choice questions (MCQ), vignettes, and long form questions for use during clerkship rotations. ... NBME Percentile Requirements. OBGYN requires a score at the 22nd percentile to pass;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 ... ….

IM shelf last year had μ=78 and σ=7 which does correlate to 76th percentile, but surgery shelf μ=74 and σ=8, which correlates to 83rd percentile. Your school should have sent you a score report with your class and nat'l avg and sd (if they haven't yet, they might soon). Use that and this chart to approximate your percentile."Leave out my school because people might be able to figure out it's me because of the score. You can use my NBME and step scores anonymously that's alright with me." NBME 15: 260 - 93% NBME 16: 264 - 95% NBME 17: 260 - 92.5% NBME 18: 273 - 97.5% Free 150: 98% UWSA 1: 265 UWSA 2: 265 Step 1: 273The NBME offers a web-based self-assessment service for US and international medical students and graduates, who may find it to be a valuable tool as they prepare to take the United States Medical Licensing Examination ® (USMLE ® ). In addition, the NBME also offers web-based self-assessments, as part of a Clinical Science Mastery Series, to ...Internal Medicine Shelf vs the IM NBME Practice Exams [Clinical] Clinical. Am I the only one getting wrecked by the IM NBME practice exams online? Anyone else feel the same and then end up doing well on the actual Shelf exam? My score has dropped from NBME 3, 4, and 5. Taking 6 soon and I'm pretty stressed with how these scores are going.Help understanding NBME Shelf self-assessment score. Hi all, I did the NBME medicine self-assessment form 3 today, and received an assessment score of 25. According to the table in the assessment, this is an "approximate subject exam score" of 87. Does that mean 87th percentile, or 87 as a raw score and I should use the Texas Tech chart ( This ... NBME Contributions; Careers; News; Events; Main navigation. For Examinees. NBME Self-Assessments. USMLE® Step 1; USMLE® Step 2 CK; USMLE® Step 3; Clinical Science Subject Exam; IFOM® Clinical Science Exam; NBME Subject Exams; International Foundation of Medicine® (IFOM®) United States Medical Licensing Exam® (USMLE®) Health & Wellness ... SUBJECTEXAMINATIONPROGRAM PSYCHIATRYEXAMINATION SCOREINTERPRETATIONGUIDE ExamineePerformanceReport ...High-Yield Study Tips for the Pediatrics Shelf Exam. 1. Know Normal. Boring, uneventful…"normal.". A lot of vignettes on your pediatric shelf will be just that. They will give you a long-winded presentation of a pediatric patient, riddled with esoteric phrases that make him or her seem like a real problem child.I'm pulling it off the top of my head, but I think my first-pass percentage was about 12% lower than my raw score for the shelf. Uworld correct % was 56% on first pass, got 80 on the IM shelf. IM was my first shelf. UWorld percentage was around 45-50% I believe, and I scored an 85% on the IM shelf. Nbme shelf exam percentiles, The Basic and Clinical Science Subject Exams are often used as a final assessment at the end of a course or clerkship, while the Comprehensive Exams are used to gauge readiness for the USMLE®. Taking an NBME Subject Exam enables you to demonstrate your mastery of the knowledge and skills needed to become a successful physician and progress on ..., Nov 17, 2008. #5. dbaldes said: All of the shelf exams are scaled such that the national mean is 70 and the standard deviation is 8. Just look at the NBME website. Thats what I was thinking but that goes against my most recent shelf score and the corresponding percentile. Joined. Messages. Reaction score., The exam is graded on a national average, though whether or not you pass your surgery clerkship will depend on your individual medical school’s requirements. More specifically, the number of correct answers you get …, In my experience taking said exams and tutoring tons of people who have taken said exams, I would say that the 2CK exam looks a lot like the shelf exams. That's why in general people that crush the shelf exams tend to crush 2CK as well. My 2CK percentile was in perfect lockstep with my shelf scores. 19., Though costlier than traditional policies, no-exam life insurance policy might make sense for people with pre-existing medical conditions or dangerous occupa... Get top content in ..., NBME SHELF EXAMS. The NBME provides both a percentage correct score and a percentile score for each exam. The percentage correct score is utilized for overall grade calculations. The percentile score is used to determine if the student passed. Clerkships require the students score meet a minimum percentile score for passing., The NBME® Clinical Neurology Shelf Exam, or Clinical Neurology Subject Examination, evaluates a student’s mastery of neurology and its application when diagnosing patients. Though the clerkship is relatively short (about 4-6 weeks), the exam features long and challenging stems that don’t always cover what comes up in rotations., NBME® SUBJECT EXAMINATION PROGRAM (Medical School Services - MSS, including International Foundations of Medicine- IFOM) Actions Locate Schedule ... Note: you don't need a Scheduling Number to use this tool, however you cannot use this tool to schedule your exam appointment. To schedule, please click "Schedule" in the left-hand menu of ..., UWorld 1st pass percentile compared to the actual Step 2 CK score, ... check against, all scores were within a 14 pt SD and most were closer to +/- 5, so I think this is good. Out of these exams, NBME 10, UWSA 2, and NBME 11 are the top three most "predictive" scores. ... Great work, thank you! I do wish I could find a correlation between shelf ..., A score confirmation entails retrieving the original test responses, checking for testing or data abnormalities, rescoring using a process different from the operational scoring process, and comparing the rescored results with the originally reported scores. Results of a score confirmation will be sent to the school coordinator by NBOME Client ..., recommended minimum passing score based on the 2021 Angoff results is a subject exam score of 56. This score is slightly below the acceptable range of minimum passing scores (57 to 68) computed from the 2021 Hofstee results. The recommended minimum passing score based on the 2021 Hofstee results is a subject exam score of 65., For example it says on the peds one "a self-assessment score of 20 approximates a pediatrics subject exam score of 74." I'm assuming that equates to 74th percentile, or is that 74% raw score? Neither, it’s super weird. Depending on the time of year, a 74 on family mecidicine could be between the 50’s to 30’s for percentile., The correlation is massive. If you do well on your shelves all year and spend 2-4 weeks studying hard for dedicated, you will crush step 2. Got mostly low 70s, a few high 70s, and mid 80 on my peds shelf. My IM and surgery were right around 68-70. Busted ass in dedicated for Step 2 and got a 258., SUBJECTEXAMINATIONPROGRAM PSYCHIATRYEXAMINATION SCOREINTERPRETATIONGUIDE ExamineePerformanceReport ..., Jan 7, 2018 · 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. , Reply. [deleted] •. Get 8 hours of sleep and eat at least 3 times per day. Do Uworld. Divide the number of questions by the number of days you have until the shelf. Do slightly more than that per day so that you have time to review. Learn how to study during downtime. Try to pick one thing to learn from each patient., NBME SELF-ASSESSMENTS COMPREHENSIVE BASIC SCIENCE SELF-ASSESSMENT ( ) EXAMINEE PERFORMANCE REPORT ® CBSSA Performance by System ' v oW ]v ] o 71 óì íîríò9 ZÀ]} o, o Z E À}µ ^Ç u l^ ]o^ v 66 óï õríï9 Z } µ À v } ]v ^Ç u 53 óð õríï9 Z ] } Çv Z volh ]v Ç^Ç u 63 óì õríï9, This study analyzed third-year medical students’ National Board of Medical Examiners (NBME) Clinical Science Pediatrics Shelf Exam scores at the conclusion of …, after which the examination is reported as pass/fail only. Page 1 of 4 Updated 12-September-2023. USMLE Score Interpretation Guidelines . Description of Examinations . Step 1* assesses whether the examinee understands and can apply important concepts of the . sciences basic to the practice of medicine, with special emphasis on principles and ..., Educators typically use the Clinical Science Subject Exams to assess third-year medical students’ knowledge in specific disciplines at the end of clerkships. NBME works with task forces made up of medical school …, Local, Remote and Prometric Testing Fee* (Per Examinee) July 1, 2023 - June 30, 2024. Subject Exam. Local. Remote. Prometric Test †. Advanced Emergency Medicine. $49. $51., Five High-Yield Content Topics. Diagnostic workup and treatment of Acute Coronary Syndrome (ACS). Heart sounds, both physiologic and pathologic, and which physical exam maneuvers affect them. The classifications of asthma, including objective diagnostic criteria such as FEV, and the various stages of step-up therapy., Educators typically use the Clinical Science Subject Exams to assess third-year medical students’ knowledge in specific disciplines at the end of clerkships. NBME works with task forces made up of medical school faculty who review the content outline, write and review items, and adjust the exams’ blueprints based on updates to national ... , At the end of each COMLEX-USA testing cycle, three-digit scores from all candidates testing in that cycle are used to calculate percentiles for that cohort. (Note: Typically, the NBOME updates the percentiles in July/August when the complete testing cycle data is available.) Percentile scores are dependent on the performance of all candidates ..., The fact of that matter is the 5th percentile for any shelf is doing very poorly in terms of gross percentage. ... Just look at the nbme practice exams from 6 forms ago compared to the ones now. ... and step 2. For each of my shelf exams and for step 2, the exams focused largely on high yield, essential topics. It is also far from an impossible ..., Shelf exams count for approx 20-30% of the grade depending on the rotation 3. There is no study time to prepare for shelf exams. ... Grades: below 10th percentile you fail the shelf. You must achieve >50th percentile to be considered "high pass" and greater than 70-80th percentile for honors depending on the clerkship. If you fail you are ..., Though costlier than traditional policies, no-exam life insurance policy might make sense for people with pre-existing medical conditions or dangerous occupa... Get top content in ..., NBME Exam score. The Clinical score is 95 for a student who achieves Clinical Honors and 85 for a student who passes but does not receive honors. The NBME Exam score is a scaled score based on historical norms. If a student fails and retakes the NBME Exam, the first (failing) score is still used in the raw score calculation., Feb 23. 11 min. 411 Views. In the journey to residency, medical students' shelf exam performance holds significant weight in applications. Shelf exams, designed to assess students' knowledge and clinical reasoning in specific core clerkships, can play a pivotal role in shaping the narrative of a medical student's academic capabilities., NBME OBGYN Form 6 - Answers & Explanations. • Bartholin cyst gland abscess - mixed enteric and skin flora. • Patient is demonstrating signs and symptoms of septic shock: fever >38C (41C), tachycardia (130/min), tachypnea (30/min), and hypotension. • Puerperium = period of ~6 weeks after childbirth, during which, the mother's ..., NBME Parts Exam Transcripts. MyNBME℠ Examinee Portal NBME Self-Assessment Services (NSAS) International Foundations of Medicine Individual Registration (IFOM) Health & Wellness Coaching Exams. Administrators, Faculty & Program Directors. MyNBME℠ Services Portal Subject Examinations, Nbme Shelf Exam Percentiles 2022 Dr. High Yield's Internal Medicine Notes (for the Step 2 CK & Shelf Exams) Steven Vuu, MD 2020-05-22 Enter the mind of a top scorer for the Step 2 CK and Shelf medical board exams. These personal notes are ultra condensed for maximum repetition and solidification of knowledge., Prepare for the NBME Subject Exams with City Test Prep. In-person or Online / Live 1-to-1. We have a successful track record helping students score into the top percentile even after working with other test prep companies. Whether you're looking for academic tutoring, standardized test prep, or help passing the medical boards, City Test Prep ...