United Sates Medical Licensing Exam (USMLE-1)

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The United States Medical Licensing Examination ® (USMLE®) is a three-step examination for medical licensure in the United States.


The USMLE assesses a physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease and that constitute the basis of safe and effective patient care.


“The price for failing is high but the rewards for passing are great”


There are many instruments in the marketplace that prepare students for taking the USMLE exam. Qstream, powered by a proprietary adaptive algorithm, uses the two most effective proven learning techniques in the United States, retrieval-based learning and distributed practice/spacing effect. Retrieval-based learning and distributed practice/spacing effect have been studied, researched, and compared to the eight other learning techniques most students utilize today.   


These results, which we have documented thoroughly in our “the science” section, are undisputed and clear proof these two techniques exponentially increase the 3Rs of individual learning (Retrieve, Retain, Reinforce) and yield higher passing test scores. The proof is in the pudding!


These learning techniques have been around for over one hundred years and sadly are the two most underutilized by students today.


Improving Students’ Learning With Effective Learning Techniques: Promising Directions From Cognitive and Educational Psychology 


1. Practice Testing/Retrieval-based learning – high utility – we rate practice testing as having high utility. Testing effects have been demonstrated across an impressive range of practice-test formats, kinds of material, learner ages, outcome measures, and retention intervals. Thus, practice testing has broad applicability. 


2. Distributed practice/Spacing effect – high utility - we rate distributed practice as having high utility: It works across students of different ages, with a wide variety of materials, on the majority of standard laboratory measures, and over long delays. 


3. Interleaved practice – moderate utility 


4. Self-explanation – moderate utility 


5. Elaborate interrogation – moderate utility 


6. Highlighting/underlining - low utility 


7. Keyword mnemonic – low utility 


8. Rereading – low utility - The relative disadvantage of rereading to other techniques is the largest strike against rereading and is the factor that weighed most heavily in our decision to assign it a rating of low utility. 


9. Summarization – low utility 


10. Imagery for text – low utility 


“Students and teachers who are not already doing so should consider using techniques designated as high utility, because the effects of these techniques are robust and generalized widely.” 


John Dunlosky and Katherine A. Rawson, Kent State University 

Elizabeth J. Marsh, Duke University 

Mitchell J. Nathan, University of Wisconsin–Madison  

Daniel T. Willingham, University of Virginia


Price:       3 month Qstream $75        6 month Qstream $150

                 Payment option $30 a month for either plan.     

                 *Try Before You Buy" - 30-day free trial*


You give the questions or use ours and we provide the digital platform, learning techniques, and the PASSING RESULTS.