Thousands of original practice questions for Step 1, Step 2 CK, and Step 3 — each one triple-checked before it ships. Timed exams with real item analytics. Rotation scheduling, gradebooks, and duty-hour tracking for the clinical years. Match data and an MSPE builder for fourth year. And Elsie, an AI copilot who knows the material and the accreditation rules, on every page.
Unofficial. This site is independent — not affiliated with the AAMC, NBME, USMLE, LCME, or NRMP. Dates, fees, and requirements change; always confirm current-year details on the official sites (see Resources). All data pages use public national data only — no school-specific data anywhere.
The question bank, in numbers
Every question passed the same gauntlet: written fresh for this site, checked by its author, then solved cold — twice — by independent reviewers who committed to an answer before ever seeing the key. A question only ships when both solvers agree with the key and neither can defend another option. Anything that fails waits in an expert-review queue; it is never quietly shipped and never padded into the count. As students answer, each question builds a live record — difficulty, discrimination, which wrong answers pull hardest — and anything that misbehaves gets flagged for human review, never auto-deleted.
The bank keeps growing. A good Step 1 question takes a faculty author hours to write — and longer to get right. SI drafts new questions on a regular cadence, and every one runs the same gauntlet before it reaches you. Your practice never goes stale.
Study & exams
Step 1, Step 2 CK, and Step 3 — full banks, timed practice, and a fresh random set on every attempt. Every question original, every one triple-checked.
Open the banks →Full-length practice under real timing conditions. Start with the free 12-question demo — no card, nothing.
Take the demo →Spaced review drawn from the same banks — quick sessions between cases, longer ones on weekends.
Review cards →Ask for questions on any topic — "20 on heart failure, medium." Elsie drafts them, two independent solvers cold-check every one, and only the questions that pass save to your bank.
Write questions to order →Structured study sessions with scheduling and weak-topic targeting, built on your own answer history.
Plan study →How the bank is built, what the triple-check means, and why every question here is original.
How it works →Starting med school
Accepted and wondering what M1 is actually like? First-Year Prep is the gentle on-ramp: what each subject feels like day to day, the concepts worth previewing, a summer plan built around your schedule, and easy untimed practice — all free, all low pressure.
The six subjects, how med school exams differ from undergrad, study strategies that work, and a realistic low-pressure summer timeline.
Start here →36 foundational concepts in plain language, each linked to an authoritative source — skim now, master later.
Preview the concepts →Your weeks, your hours per day — a week-by-week plan with rest days built in, generated on your device.
Build your plan →Easy, untimed questions on M1 foundations — one at a time, every answer explained, zero pressure.
Practice gently →The clinical years
Your rotations at a glance — schedule, evaluations, hours, and accreditation flags on your own records, all in one view.
Open rotations →Build your rotation schedule with conflict detection and swap requests — see clashes before they happen.
Plan rotations →One gradebook for courses and clerkships: assessment breakdowns, faculty entry, director finalization, every change audit-trailed. Students see only their own grades.
See grades →Log hours and get flagged before you cross the line — the rules applied to your own entries, automatically.
Track hours →Mid-clerkship feedback and end-of-rotation evaluations in one place — including the formative feedback LCME Element 9.7 requires halfway through every clerkship.
View evaluations →Log patient encounters, procedures, and skills with preceptor sign-off — the record your school will ask for, kept as you go.
Log encounters →Fourth year
What Step 2 CK scores actually matched to each specialty in the 2024 NRMP Charting Outcomes — observed rates by score band, all 16 specialties.
Explore the match data →Draft your Medical Student Performance Evaluation from real rotation data — six AAMC-structured sections, missing data flagged instead of invented, review and approval tracked.
Build your MSPE →How residency interviews work, what programs ask, and how to prepare — plain language, no mystique.
Prepare →For faculty
Build an assignment from the bank or your own questions, share a short code — only students who enter the code see it. Results and per-question metrics come back to you.
Create an assignment →Upload your own questions from a spreadsheet — or paste them as text and let Elsie structure them. Keep them private, use them in assignments, or offer them to the bank for review.
Open your library →Difficulty, discrimination, distractor analysis, most-missed rankings — per question, per exam, per cohort. A misbehaving item is flagged for your review; the system recommends, you decide.
See analytics →The program-level picture: rotation coverage, evaluation completion, grade distributions, and accreditation flags across clerkships.
Open the dean's view →For schools
Rotation scheduling with conflict detection. Gradebooks where every entry and every change is audit-trailed. Duty-hour tracking that flags violations before they happen. Accreditation flags that tie each missing item — a midterm feedback, an evaluation — to the LCME element it satisfies. MSPE drafts built from real rotation data, never invented. A dean's dashboard over all of it, with permissions that keep student records where they belong.
Rotation blocks, site assignments, and swap requests with automatic conflict detection.
See scheduling →Pre-clerkship courses and clerkships in one audit-trailed gradebook — faculty enter, directors finalize.
See the gradebook →Missing feedback, evaluations, and hours mapped to the LCME elements they satisfy — surfaced while there's still time to fix them.
See the dashboard →Six-section AAMC-structured MSPE drafts generated from platform data, with review, approval, and audit trails.
See the MSPE builder →Meet Elsie
Elsie tutors from the same curriculum the questions are written against, answers accreditation questions from the actual LCME standards, and helps on rotations — expectations, evaluations, duty hours. Tap "Ask Elsie" on any page, or start with one of these:
The numbers
Step pass rates and score norms that define the playing field — every figure cited with year and source.
See the numbers →First-time Step 1 and Step 2 CK pass rates, tracked over time from official USMLE performance data.
See pass rates →Curriculum outcome trends, benchmarking guidance, and the national public record — for committees and the curious.
Explore the data →The SI med-ed family
The front door to the whole SI med-ed family — students, applicants, faculty, and schools.
www.simeded.com →Accreditation: standards, elements, and Elsie the accreditation copilot, for the people who run the schools.
silcme.pages.dev →Applying to medical school — timelines, the MCAT, personal statements, and interviews — lives on the portal.
Admissions →