Milestone map
3 milestones
Map key metabolic and molecular pathways
4–6 weeks (building maps across four domains)
Build a reference map of four core biochemistry domains: energy metabolism (glycolysis, TCA cycle, oxidative phosphorylation), protein synthesis and degradation (translation, post-translational modification, proteasome), nucleic acid biochemistry (DNA replication, transcription, RNA processing), and clinical biochemistry (enzyme kinetics, buffer systems, electrolytes). For each domain, your map should cover: the pathway steps, the key enzymes and their roles, regulatory points, and the clinical consequences of disruption.
Proof required
Submit your pathway maps for all four domains. Maps may be written, diagrammatic, or both. Include a one-paragraph explanation of which domain required the most active effort to get clear and why.
What gets checked
Common mistakes
Resources
Foundationstart here
Depthgo deeper
Masteryfor the dedicated
What a verifier looks for
You'll sign in first, then come straight back here.
Pass a live biochemistry examiner Q&A
1 week (preparation) + session
Sit a minimum 45-minute live biochemistry Q&A with a qualified examiner — a medical or biomedical science graduate, or a biochemistry lecturer or teaching fellow. The session covers all four domains mapped in Milestone 1. Question types must include: pathway questions (trace this metabolite), mechanism questions (why does this enzyme need this cofactor?), and clinical correlation questions (what metabolic derangement explains this blood result?). Pass = fewer than 3 factual errors on the core pathways and ability to reason through at least one clinical scenario.
Proof required
Submit a written session record countersigned by the examiner: date, duration, examiner credentials, domains covered, and explicit pass/not-yet-pass assessment.
What gets checked
Common mistakes
Powstik Guide
A countersigned record of a 45-minute examiner Q&A.
Steps
Template
Subject: Biochemistry (live Q&A) Examiner: Role/credentials: Date: Duration: Conditions: closed book, timed Questions: Score: Pass mark: 75% Weakest areas: Examiner signature:
What gets sent back
Resources
Foundationstart here
Depthgo deeper
What a verifier looks for
You'll sign in first, then come straight back here.
Analyse a clinical case with biochemical root cause
1–2 weeks
Work through two published clinical cases where a metabolic or molecular disorder is central to the diagnosis — for example, a metabolic acidosis case (buffer systems, anion gap), a glycogen storage disorder (glycolysis/glycogenolysis), or an inborn error of metabolism (enzyme deficiency in a specific pathway). For each case, identify the biochemical mechanism underlying the clinical presentation, map it to the pathway steps in your Milestone 1 maps, and explain what investigation findings you'd expect and why.
Proof required
Submit two case analyses (1–2 pages each) with the case source cited, pathway step references from your maps, and expected investigation findings with biochemical justification. A one-paragraph reflection on what the cases revealed about the limits of your pathway maps.
What gets checked
Common mistakes
Powstik Guide
Two published cases traced to a biochemical cause.
Steps
Template
Case source: Presentation (summary): Pathway and step: How the step explains the findings:
What gets sent back
Resources
Foundationstart here
Depthgo deeper
Masteryfor the dedicated
What a verifier looks for
You'll sign in first, then come straight back here.