1-on-1 · Online by live video (Zoom or Google Meet)

Shelf Exam Tutoring

One-on-one help for the NBME Clinical Science Subject Exams you sit at the end of each clerkship, using the same question approach as Step 2 CK.

$349 per 50-minute session

Dr. Shauhin “Sean” Moazezi, DOFoundersince 2017

Reviews that name this exam

Student reviews that mention shelf exam

5.0 from 47 Google reviews · 5.0 from 283 Wyzant ratings (all exams, as of October 29, 2026)

  • review

    Just gonna give my flowers to Sean. I was straight up LOST in the middle of my journey to taking Step 1. He helped me make a plan, pass on my first attempt, got me then through all my clinical rotations to pass my Shelf exams on the first try, got me a good Step 2 score, coached me on my Interview season (where I got a good amount of interviews bc of my scores) and just matched into Residency. Literally one of the smartest people I know. …

    Tim SGoogle review ·

  • review

    … Edit: Sahith has also been helping me through my shelf exams, and the same strategies have carried over really well. I feel much more confident in how I approach questions now, and it’s made a huge difference in my performance!

    Mira NakhleGoogle review ·

Read all student reviews

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.

Questions and testing time by exam (bars drawn to scale)
ExamItemsTime
Medicine, Surgery, Pediatrics, Obstetrics & Gynecology, Psychiatry, Clinical Neurology, Ambulatory Care110 each2 h 45 min
Family Medicine: Core902 h 15 min
Family Medicine: Core + Chronic Care1002 h 30 min
Family Medicine: Core + Chronic Care + Musculoskeletal1102 h 45 min
Emergency Medicine (Advanced Clinical)1102 h 45 min
Internal Medicine (Advanced Clinical)1002 h 30 min

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 taskShare of exam
Diagnosis: history, exam, diagnostic studies and patient outcomes45–50%
Health maintenance, pharmacotherapy, intervention and management25–30%
Applying foundational science concepts15–20%

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.

Book a free intro consult

Every shelf at a glance

Shelf examLargest area on NBME's outlineTutor page
Internal MedicineCardiovascular and multisystem, 10–15% eachMedicine shelf
SurgeryGastrointestinal system, 20–25%Surgery shelf
PediatricsMultisystem processes, 10–15%; 65–70% ambulatoryPediatrics shelf
OB/GYNPregnancy and female reproductive system, 40–45% eachOB/GYN shelf
PsychiatryBehavioral health, 65–70%Psychiatry shelf
NeurologyNervous system, 60–65%Neurology shelf
Family MedicineAmbulatory 100%; prevention 20–25%Family medicine shelf
Emergency MedicineManagement 60–65% of questionsEmergency medicine shelf

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.

What students say about shelf exam tutoring

Quoted word for word from our student reviews, with the source of each one.

review

Just gonna give my flowers to Sean. I was straight up LOST in the middle of my journey to taking Step 1. He helped me make a plan, pass on my first attempt, got me then through all my clinical rotations to pass my Shelf exams on the first try, got me a good Step 2 score, coached me on my Interview season (where I got a good amount of interviews bc of my scores) and just matched into Residency. Literally one of the smartest people I know. When he’s been busy, he has other people who are extremely smart and helpful too. Some of the smartest people I know! Thankful for everything they have done for me and literally getting me to this point. I can honestly say I wouldn’t be at this point without him. They are people I know I can contact whenever I need advice

Tim SGoogle review
review

My step 2 score went from a 199 to a 248 in 5 weeks with Sean and Alex’s help. Their approach to NBME style questions helped me reverse some detrimental testing habits and optimize my fund of knowledge. They are experts at STEP 2 and got me through it after I had a difficult time passing shelf exams this year.

Sara ZandvakiliGoogle review

Quoted word for word from our student reviews.

Shelf exam questions

What is a shelf exam?

“Shelf exam” is the common name for an NBME Subject Exam. NBME says its Basic and Clinical Science Subject Exams are often used as a final assessment at the end of a course or clerkship (NBME).

How many questions are on a shelf exam?

On NBME’s timing chart, the Medicine, Surgery, Pediatrics, Obstetrics & Gynecology, Psychiatry, Clinical Neurology and Ambulatory Care exams each have 110 questions in 2 hours 45 minutes. Family Medicine Modular has 90, 100 or 110 depending on the modules (NBME timing chart).

How long is a shelf exam?

2 hours 45 minutes for the 110-question clinical science exams, per NBME’s timing chart. NBME notes that web exams start with a tutorial that adds 15 minutes (NBME timing chart).

Do you tutor shelf exams?

Yes. Shelf tutoring is one-on-one by live video (Zoom or Google Meet) and uses the same question-approach method as our Step 2 CK tutoring. Book a free intro consult, a 20-minute phone call, to talk through your rotation and exam date.

Do shelf scores matter?

Your school decides how shelf scores count toward your clerkship grade, so check your clerkship handbook. Beyond grades, the same clinical science is tested again on Step 2 CK and COMLEX Level 2-CE.

When should I start studying for a shelf?

On the first day of the rotation. Most rotations are a few weeks long, and a steady daily plan works far better than a last-week push.

Can I get help with just one shelf?

Yes. Some students work with us for a single difficult rotation, others through the whole clinical year. A single class is $349, and bundles lower the price per class; see tutoring cost.

Tell us your clerkship order and exam dates on the intro call and we will map the year with you.

Book a free intro call

Twenty minutes on the phone about your test date and practice scores. Sessions after that are $349 per 50-minute session.

Dr. Shauhin “Sean” Moazezi, DO5.0 from 283 Wyzant ratings5.0 from 47 Google reviews