What is the hardest shelf to honor?

The hardest shelf exam to honor is generally considered Internal Medicine due to its immense breadth and depth, but Surgery, OB/GYN, and Family Medicine are also frequently cited as challenging because of vast material, high clinical demands, or mismatch between clerkship focus and exam style. Difficulty is subjective, often depending on a student's interests, but IM's comprehensive nature and the need to choose the best answer among multiple plausible options make it notoriously tough.

Which shelf is the hardest?

The internal medicine (IM) shelf is often considered the hardest shelf exam out there. It is extremely broad, covering everything from cardiology to infectious disease, and it rewards both depth and clinical reasoning.

Is 75 on IM shelf good?

Percentiles between the 55th and 75th typically fall into high pass territory and reflect above-average mastery. Percentiles above the 75th are considered excellent and are usually associated with honors designations if you're only considering the shelf.

Is medicine or surgery shelf harder?

Each shelf has its own qualities that make it challenging.

Most students would agree the surgical shelf is difficult, not only because of its content, but also because of the time constraints the surgical rotations—after all, you're in the OR or on the floor for 12+ hours a day and barely have time to study!

How hard is the psych shelf?

The Psychiatry NBME shelf exam is considered to be one of the easiest exams in the NBME series. As a result, students sometimes do not adequately prepare for the exam, and their inadequate preparation is reflected in their scores.

4 vital tips for acing clinical shelf exams

Is Psych a regretted major?

Many people regret majoring in psychology because they are not familiar with the dedication required, they become interested in another field, or it is difficult to find a job that meets expectations. Learn more about the top reasons people regret majoring in psychology below.

Is Step 2 harder than shelf exams?

The difficulty also depends on your test-taking skills: If you thrive with focused studying, shelf exams might feel more manageable. If you like connecting concepts across specialties, Step 2 CK might be easier for you.

What doctor makes $500,000 a year?

Doctors in surgical and high-demand procedural specialties frequently earn over $500,000 annually, with top earners often being Neurosurgery, Orthopedic Surgery, Plastic Surgery, Cardiology, and Thoracic Surgery, driven by complex skills, high demand (especially with aging populations), and lucrative elective procedures or emergency needs. Other fields like Radiology, Gastroenterology, Urology, and Anesthesiology also see average incomes exceeding this threshold.
 

What is the rarest doctor?

There isn't one single "rarest" specialty, as it varies by location and data, but fields like Pediatric Ophthalmology, Wound Care, Undersea & Hyperbaric Medicine, Medical Microbiology, and Fetal & Perinatal Pathology consistently rank among the least common due to extensive training, niche focus, or limited demand, with some specialties like Clinical Cardiac Electrophysiology also having very few active physicians. 

What surgery is called the mother of all surgeries?

The surgery nicknamed the "Mother of All Surgeries" (MOAS) is Cytoreductive Surgery (CRS) combined with Hyperthermic Intraperitoneal Chemotherapy (HIPEC), a complex, multi-hour procedure for cancers spreading in the abdominal cavity (like appendix or colorectal cancer) that involves extensive removal of cancerous tissue and bathing the abdomen with heated chemotherapy. It's called this due to its extreme physical demands, long duration, large incisions, and the need to remove all visible disease, making it like several major surgeries in one.
 

How many people fail surgery shelf?

The mean surgery shelf exam score was 68 ± 8. A total of 22 students (11.3%) failed the third year shelf exam when the passing score was raised from 52 (<1st percentile) to 60 (15th percentile).

Is 60% enough to pass step 1?

Yes, around 60% correct is generally considered the approximate pass mark for USMLE Step 1, though the exact percentage varies with each exam form, and the score is reported as Pass/Fail, not a number, so consistently scoring higher (like 65-70%) on practice exams (NBMEs) is recommended for a comfortable pass. The official passing score (around 196 before 2022, now just "Pass") isn't a fixed number of questions, as some are experimental, but aiming for about 60% on practice tests is a good benchmark, with 70%+ being a safer target for a strong pass. 

What percentile is 270 on Step 2?

A USMLE Step 2 CK score of 270 is generally around the 95th to 99th percentile, placing you in the top tier of test-takers, considered exceptional and highly competitive for nearly all residency specialties, including the most demanding fields like Dermatology and Orthopedic Surgery, especially with Step 1 being pass/fail.
 

Which is the 3 toughest exam in the world?

The three toughest exams globally often cited for their extreme difficulty, low pass rates, and high stakes are China's Gaokao (National College Entrance Exam) for its sheer scale and competitiveness, India's UPSC Civil Services Exam for its life-altering potential and minuscule selection, and India's IIT-JEE Advanced (Joint Entrance Exam) for its rigorous engineering entrance criteria, alongside prestigious UK fellowships like the All Souls Prize Exam, with difficulty varying by individual and goals. 

What is the hardest doctor to become?

The Hardest Residency Specialties and What to Expect

• General Surgery. ...
• Neurosurgery. ...
• Orthopedic Surgery. ...
• Ophthalmology. ...
• Otolaryngology. ...
• Plastic Surgery. ...
• Urology. ...
• Interventional Radiology. In interventional radiology, applicants must match both a prelim spot and a PGY2 spot for IR.

What is the 32 hour rule in medical school?

The "32-hour rule" in medical school admissions refers to a policy where some medical schools focus on an applicant's GPA from their most recent 32 credit hours, often in science courses, instead of their entire undergraduate GPA, benefiting students with a strong upward trend or a solid post-baccalaureate performance. Schools like Wayne State University and LSU Health New Orleans use variations of this to give more weight to recent academic efforts, allowing strong performance in later coursework or post-bacc programs to shine. 

What doctor is a billionaire?

Dr.

His brother, Bill Frist, was a doctor and the US Senate majority leader from 2003-07. But Thomas Frist Jr. is wealthier than just about everybody after he and his dad founded HCA Healthcare, which owns 190 hospitals and thousands of other healthcare sites, in 1968. Thomas Frist Jr.

Which surgeon had a 300% mortality rate?

A surgeon with a "300% mortality rate" refers to a famous, likely exaggerated, story about Scottish surgeon Robert Liston in the 1800s, where an amputation supposedly killed the patient, his assistant (whose fingers he accidentally cut off), and a spectator who died of shock, making it the only surgery with more deaths than people involved, though primary sources are lacking, notes www.fibonaccimd.com. 

What is a 7 star doctor?

A "7-star doctor" is a concept endorsed by the World Health Organization (WHO) (WHO) for an ideal physician, expanding on the original 5-star model to include being a Care Provider, Decision-Maker, Communicator, Community Leader, Manager, Researcher, and Lifelong Learner, with an added emphasis on teaching in some models. This framework defines comprehensive skills needed for modern medicine, focusing on compassionate patient care, ethical decision-making, community health, and continuous learning, not just clinical skill. 

What is the lowest paid Dr.?

The lowest-paid doctor specialties consistently fall in primary care and certain pediatric subspecialties, with Pediatrics often cited as the lowest overall, followed by Public Health/Preventive Medicine, Family Medicine, and pediatric subspecialties like Endocrinology, Rheumatology, and Infectious Diseases. These roles offer lower compensation than surgical or high-demand adult specialties, often due to the broad nature of primary care and the focus on children's health, though they provide excellent work-life balance for many.
 

What jobs in the US pay $300,000 a year?

Jobs paying $300,000 or more in the U.S. are typically senior roles in technology, finance, law, and medicine, including roles like CEOs, Chief Technology Officers, Investment Bankers, Partner-Level Lawyers, Surgeons, and Specialized Physicians, along with top-tier Sales Directors, Management Consultants, and Private Equity Executives, often relying on bonuses, commissions, or profit-sharing for high earnings. High-income careers without traditional degrees can also be found in tech entrepreneurship, high-level skilled trades, and top-performing sales. 

How rich is the average doctor?

About 60% of physicians reported a net worth of $1 million in 2024, up just 1% from 2023. Even with medical school loans taken into account, six in 10 physicians have a net worth that exceeds that of the average American family.

What score is 75% correct on step 2?

Getting 75% correct on Step 2, especially on practice tests like NBMEs or UWorld, usually translates to a strong score in the mid-to-high 240s or even into the mid-250s, placing you well above average and competitive for many specialties, though top-tier competitive fields might require even higher scores (around 255-270+). A 75th percentile score means you scored better than 75% of test-takers, indicating solid performance and often helping balance a weaker Step 1 or improving residency options. 

What is the easiest year in med school?

Forth Year: Year 4 is a combination between the busiest and easiest year all in one! The first half is full of sub-internships, away rotations, and filling out ERAS. The second half is interviews, hopefully “easy” electives, and end of the year festivities! Cherish those last few months.

Is USMLE harder than MCAT?

Yes, the USMLE (United States Medical Licensing Examination) is generally considered much harder than the MCAT (Medical College Admission Test) because it tests deeper, more integrated medical knowledge required for physician licensure, whereas the MCAT focuses on foundational science principles for medical school admission, often requiring more critical reading and foundational science application. The USMLE (especially Step 1) demands extensive, in-depth knowledge and clinical reasoning, while the MCAT tests breadth of basic science and critical thinking for entry into med school.