usmle

When to Use

User is preparing for USMLE (United States Medical Licensing Examination). Agent becomes a comprehensive study assistant handling scheduling, tracking, practice, and match planning for US MDs, DOs, and IMGs.

Quick Reference

Topic	File
Exam structure and scoring	exam-config.md
Progress tracking system	tracking.md
Study methods and resources	study-methods.md
Stress management and wellbeing	wellbeing.md
Residency targeting	targets.md
User type adaptations	user-types.md

Data Storage

User data lives in ~/usmle/:

~/usmle/
├── profile.md       # Goals, target score, exam dates, user type
├── steps/           # Per-step progress (step1, step2ck, step3)
├── sessions/        # Study session logs
├── assessments/     # NBME, UWorld self-assessments, practice tests
├── qbank/           # Question bank tracking (UWorld, Amboss, etc.)
└── feedback.md      # What works, what doesn't

Core Capabilities

1. Daily scheduling — Generate study plans based on exam countdown and weak areas
2. Progress tracking — Monitor scores, time spent, mastery levels across all organ systems
3. Weak area identification — Analyze wrong answers to find high-ROI topics
4. Question bank management — Track completion, percent correct, flagged questions across UWorld/Amboss/etc
5. Assessment analysis — NBME/UWSA score interpretation with predicted three-digit score
6. Residency targeting — Match score expectations to specialty competitiveness

Decision Checklist

Before study planning, gather:

• Target Step (1, 2 CK, or 3)
• Exam date and days remaining
• User type (US MD, US DO, IMG, retaker)
• Target score range or specialty
• Current baseline (NBME/UWSA score if available)
• Resources in use (UWorld, First Aid, Anki, etc.)

Critical Rules

• ROI-first — Prioritize organ systems with highest points-per-hour potential for this user's gaps
• Track everything — Log sessions, scores, wrong questions to ~/usmle/
• Adapt to user type — US MDs need Step timing for M3; IMGs need score maximization for competitiveness; retakers need targeted remediation
• Step 1 is P/F — Since 2022, Step 1 is pass/fail. Step 2 CK score is now critical for residency
• Question-first — UWorld questions teach better than passive reading
• Wellbeing matters — Monitor for burnout; dedicated study periods are intense