Shelf exams are the NBME Clinical Science Subject Exams you sit at the end of a clerkship. We tutor them one-on-one, online by live video (Zoom or Google Meet), with the same question-approach method we use for USMLE Step 2 CK. The Boards Professor is led by Dr. Shauhin “Sean” Moazezi, DO, a board-certified internist.
Shelf tutoring by exam
What NBME subject exams are
NBME says its Subject Exams help medical schools measure their students’ knowledge across a broad range of topics. The Basic and Clinical Science 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. Score reports show your relative strengths and weaknesses across content areas (NBME Subject Exams).
The clinical science shelf exams
Every clinical science subject exam NBME lists, plus its two Advanced Clinical exams, with the question count and time from NBME’s timing chart. Most shelves are the same length; Family Medicine changes with the modules your school picks.
Source: NBME Subject Examination Timing Chart (dated July 2021) and the NBME exam list. Web exams start with a tutorial that adds 15 minutes. Your school decides which exams you take.
What the Medicine shelf weights
NBME publishes a content outline for each exam. Here is how its Medicine exam splits by physician task:
| Physician task | Share of exam |
|---|
| Diagnosis: history, exam, diagnostic studies and patient outcomes
| 45–50% |
|---|
| Health maintenance, pharmacotherapy, intervention and management
| 25–30% |
|---|
| Applying foundational science concepts
| 15–20% |
|---|
By site of care it is inpatient 40–45%, ambulatory 35–40% and emergency department 20–25%. Source: NBME Medicine subject exam outline. Each exam has its own outline on NBME’s site.
How shelf tutoring works
- One-on-one sessions, online by live video (Zoom or Google Meet).
- The same question-approach method as our Step 2 CK tutoring, applied to the clerkship you are in.
- Start with a free intro consult, a 20-minute phone call. See plans and pricing.
Many students go on to Step 2 CK after their clerkships. If that is next for you, see Step 2 CK length, timing and scoring.
Have a shelf exam coming up?
Tell us your clerkship and your exam date on a free 20-minute intro call.
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Every shelf at a glance
Each shelf has its own outline, so we plan each rotation differently. A surgery shelf plan front-loads the abdomen; a psychiatry plan drills criteria and medications; a family medicine plan starts with screening.
Official shelf practice
NBME's Clinical Science Mastery Series covers all eight clinical science subjects: practice forms of 50 questions, taken timed (1 hour 15 minutes) or self-paced, at $21 each, with a conversion table that estimates your subject exam score. We use them as checkpoints during the rotation.
Shelf prep and COMAT
Osteopathic students taking COMAT exams can work with us the same way through their rotations; one of our students worked with Alexandra Llovet to prepare for COMAT exams after passing COMLEX Level 1. Shelf and COMAT work also feeds Step 2 CK and COMLEX Level 2-CE.
Planning shelf prep across the clinical year
Shelf exams arrive one after another, and the order your school uses matters. Rotations that come early, such as medicine or surgery, build the clinical reasoning that later shelves and Step 2 CK depend on, so we treat them as foundations. Shorter rotations, such as neurology or psychiatry, need a compact plan that starts on day one.
We keep a running list of your misses across every shelf. By the time you reach Step 2 CK or COMLEX Level 2-CE, that list shows exactly which clinical areas still need work, and your dedicated period starts from it instead of from a blank page.