usmle

Prepare for US medical licensing exams with progress tracking, weak area analysis, question bank management, and residency match planning.

1,802 stars

Best use case

usmle is best used when you need a repeatable AI agent workflow instead of a one-off prompt.

Prepare for US medical licensing exams with progress tracking, weak area analysis, question bank management, and residency match planning.

Teams using usmle should expect a more consistent output, faster repeated execution, less prompt rewriting.

When to use this skill

  • You want a reusable workflow that can be run more than once with consistent structure.

When not to use this skill

  • You only need a quick one-off answer and do not need a reusable workflow.
  • You cannot install or maintain the underlying files, dependencies, or repository context.

Installation

Claude Code / Cursor / Codex

$curl -o ~/.claude/skills/usmle/SKILL.md --create-dirs "https://raw.githubusercontent.com/FreedomIntelligence/OpenClaw-Medical-Skills/main/skills/usmle/SKILL.md"

Manual Installation

  1. Download SKILL.md from GitHub
  2. Place it in .claude/skills/usmle/SKILL.md inside your project
  3. Restart your AI agent — it will auto-discover the skill

How usmle Compares

Feature / AgentusmleStandard Approach
Platform SupportNot specifiedLimited / Varies
Context Awareness High Baseline
Installation ComplexityUnknownN/A

Frequently Asked Questions

What does this skill do?

Prepare for US medical licensing exams with progress tracking, weak area analysis, question bank management, and residency match planning.

Where can I find the source code?

You can find the source code on GitHub using the link provided at the top of the page.

Related Guides

SKILL.md Source

## 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

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