Medical School MD + DO Mastery

A 4-year, board-aligned study system for medical school and licensing exams.

Walk the full Year 1–4 curriculum — foundational sciences, organ-system blocks, clinical clerkships and advanced practice — each with mastery checklists and linked learning resources, plus a dedicated review system for school exams, Shelf/COMAT, USMLE Step 1–3 and COMLEX-USA Levels 1–3.

FAMILY MEDICINE - NBME SHELF / COMAT TRANSFER

YEAR 3 | PAGE 31H - PREVENTION + OUTPATIENT SEQUENCING + OFFICIAL BLUEPRINT

G. WHAT THE CURRENT OFFICIAL EXAMS ARE ASKING YOU TO DO

LaneCurrent official signalHow to prepare
NBME Family Medicine CSMSFamily Medicine is a Clinical Science Mastery Series subject. Each current form contains 50 MCQs; standard-paced testing is 75 minutes and provides answer explanations plus approximate Subject Exam score translation.Use a timed form late in the clerkship. Review every incorrect, guessed and low-confidence correct for the prevention rule, diagnostic discriminator or next-step sequence that decided the item.
COMAT Family Medicine - contentCurrent blueprint spans community/wellness, reproduction, endocrine, neuro/mental health, MSK, GU/renal, GI/nutrition, CV, heme/onc/immunology, respiratory, integumentary and HEENT. Each form includes about 10-20% patients under 18.Do not study Family Medicine as a small set of adult chronic diseases. The exam samples whole-person primary care across ages and organ systems.
COMAT Family Medicine - tasksHealth promotion/disease prevention/health-care delivery 10-20%; H&P; including diagnosis 25-30%; diagnostic technologies 25-30%; management 20-25%; scientific mechanisms 10-20%.Practice who needs screening, which test is actually indicated, what can be managed outpatient and what requires escalation. DO learners should integrate OPP/OMM when clinically appropriate.
STFM clerkship frameworkThe National Clerkship Curriculum is organized around principles of Family Medicine, acute care, chronic disease, health promotion/disease prevention and the role of Family Medicine.Use these lanes to prevent over-studying one domain such as screening while neglecting acute complaints, chronic care and continuity.
Step 2 CK transferStep 2 CK explicitly includes Health Maintenance/Disease Prevention (5-10% of physician tasks) and uses integrative clinical-science questions rather than a separate Family Medicine category.Family Medicine should strengthen prevention, ambulatory management, risk-based testing and longitudinal decision-making for Step 2.

H. FAMILY MEDICINE QUESTION-REVIEW ALGORITHM 1. Identify the visit type: acute complaint, chronic follow-up, preventive visit, medication problem or mixed visit? 2. Check for red flags: is the patient too unstable, toxic or high-risk for routine outpatient sequencing? 3. Define the exact task: diagnosis, next test, treatment, screening, counseling, follow-up, referral or disposition? 4. Use age + risk + prior history: especially for screening, vaccination, STI/reproductive questions and pediatric/older-adult care. 5. Prefer the least invasive adequate next step: avoid premature imaging, antibiotics, broad lab panels and specialty referral when focused outpatient care is appropriate. 6. Close the loop: what monitoring, return interval, repeat test, safety-net instruction or referral tracking is required? I. 7-DAY FAMILY MEDICINE EXAM FINISH

DayExecution
7-6Map misses into prevention, acute complaints, chronic disease, MSK/derm, women/reproductive, pediatrics/adolescents, behavioral health and older-adult care. Repair the two largest gaps.
5-4Timed Family Medicine / ambulatory question blocks. Review every incorrect, guess and low-confidence correct; update a one-page prevention + outpatient-next-step error sheet.
3Take NBME Family Medicine CSMS or COMAT-SE if scheduled/available. Use domain feedback to redirect the final review rather than chasing one isolated question.
2Mixed timed work: screening/vaccines, hypertension/diabetes/lipids, URI/dysuria/headache/back pain/rash, contraception/STI, pediatrics and older-adult prevention.
1Light retrieval only: screening anchors, vaccine framework, common red flags, medication safety and your error sheet. Stop heavy new learning early and protect sleep.

H. FAMILY MEDICINE QUESTION-REVIEW ALGORITHM 1. Identify the visit type: acute complaint, chronic follow-up, preventive visit, medication problem or mixed visit? 2. Check for red flags: is the patient too unstable, toxic or high-risk for routine outpatient sequencing? 3. Define the exact task: diagnosis, next test, treatment, screening, counseling, follow-up, referral or disposition? 4. Use age + risk + prior history: especially for screening, vaccination, STI/reproductive questions and pediatric/older-adult care. 5. Prefer the least invasive adequate next step: avoid premature imaging, antibiotics, broad lab panels and specialty referral when focused outpatient care is appropriate. 6. Close the loop: what monitoring, return interval, repeat test, safety-net instruction or referral tracking is required? I. 7-DAY FAMILY MEDICINE EXAM FINISH

MASTERY GATE: You are clerkship-ready when you can manage a mixed outpatient visit by setting priorities, recognizing red flags, selecting only useful tests, choosing an evidence-based initial plan, identifying prevention gaps and specifying follow-up. Readiness should be judged by repeated Qbank and official-assessment trends, not one isolated score. NBME - Clinical Science Mastery Series NBOME - COMAT Clinical Family Medicine UWorld - USMLE Step 2 CK AMBOSS - Step 2 / Clerkship Question Bank USMLE - Step 2 CK Content Specifications 2026/27 clerkship-expanded edition - verify school and official exam updates before testing