No waitlist. The work decides.

Pass USMLE Step 1

0 milestones · 24 weeks

Pass the United States Medical Licensing Examination Step 1. Official score report as proof.

Pass USMLE Step 2

0 milestones · 20 weeks

Pass the USMLE Step 2 CK examination. Official score report as proof.

Pass USMLE Step 3

0 milestones · 16 weeks

Pass the USMLE Step 3 examination. Official score report and medical license as proof.

Anatomy Mastery

0 milestones · 16 weeks

Master gross and regional anatomy across major body systems. Proof requires three components: (a) a spot-test performance log — minimum 50 anatomical structures identified from unlabelled diagrams or prosection images, with scores recorded per session; (b) annotated anatomy diagrams created independently (not copied) for at least 3 body regions, showing structures and their clinical relevance; and (c) a clinical correlation case — given a real clinical scenario, identify the anatomical structures involved and explain their relevance to the clinical presentation in writing. Submission reviewed and annotated by a medical professional or anatomy faculty member who may ask follow-up questions about structural relationships. The proof documents learning under guidance, not independent clinical assessment.

Physiology Mastery

0 milestones · 16 weeks

Demonstrate functional understanding of human physiology across major body systems. Proof requires: (a) system-by-system concept maps created independently (not copied or AI-generated) covering at least 6 systems — each map must show inputs, outputs, regulatory mechanisms, and the consequence of dysfunction; and (b) 20 reasoning responses per system explaining the physiological mechanism behind a scenario — the reasoning is the proof of understanding, not just the answer. A medical professional or physiology faculty member reviews at least one system's concept map and responses, provides written feedback, and may ask 'what happens if this regulatory mechanism fails in the context of your patient scenario?' The proof documents learning progression, not clinical conclusions.

Biochemistry Mastery

0 milestones · 12 weeks

Demonstrate mastery of core metabolic pathways and their clinical relevance. Proof requires: (a) reconstruction of 5 major metabolic pathways from memory — documented as hand-drawn or hand-typed without reference materials, photographed or timestamped to confirm independent production; and (b) a clinical correlation case — a real or realistic biochemistry-related clinical condition worked through using pathway knowledge, with the connection between the pathway defect and clinical presentation explicitly explained. Reviewed by a medical professional or biochemistry faculty member. The proof documents the student's learning, not a clinical diagnosis to be acted upon.

Pharmacology Mastery

0 milestones · 12 weeks

Demonstrate mastery of drug classes, mechanisms of action, and clinical application principles. Proof requires: (a) drug class summary cards covering at least 8 major drug classes (mechanism, indications, contraindications, key side effects — created independently, not copied from a textbook); and (b) a prescribing rationale for a realistic clinical scenario: given a patient presentation, justify the drug choice, dose rationale, and monitoring plan in writing. Reviewed by a medical professional or clinical pharmacologist who MUST challenge the rationale with real-time follow-up questions (e.g. 'what would you change if this patient also had renal impairment?' or 'why did you choose this drug class over the alternative?'). The reviewer's Q&A exchange — not the written document alone — is the proof artifact that demonstrates understanding. The proof is the reasoning, not a prescription to be implemented.

Pathology Mastery

0 milestones · 12 weeks

Demonstrate understanding of disease mechanisms and histopathological features. Proof requires: (a) a histology identification log — minimum 30 slides identified with pathological features described, using a recognised digital pathology resource (PathPresenter, PathologyOutlines, or equivalent) with slide IDs logged for verification; and (b) a Q-bank session log showing documented performance of ≥70% on at least 50 pathology MCQs from a recognised Q-bank (Amboss, Pathoma, or equivalent), with screenshots of the session results showing date, question count, and score. The 70% threshold reflects the safety-critical context of pathology knowledge. Peer review is acceptable for this outcome as the verification systems (digital pathology platforms, Q-bank sessions) provide independent external confirmation of performance.

Microbiology Mastery

0 milestones · 12 weeks

Demonstrate mastery of clinically relevant microbiology and infectious disease principles. Proof requires: (a) an organism classification framework created independently — a taxonomy of at least 20 clinically important organisms organised by gram stain, morphology, virulence factors, and key diseases; and (b) a clinical case correlation — given a real or realistic infectious disease presentation with culture results provided, identify the likely organism and explain the connection between its pathogenicity mechanisms and the clinical features in writing. Reviewed by a medical professional or microbiology faculty member. The proof documents the student's learning, not a clinical treatment decision. The reviewer confirms the reasoning is sound; they do not validate it as a treatment plan.

Clinical Observation & Documentation

0 milestones · 8 weeks

Complete a supervised clinical placement with documented patient observations. Proof requires a structured observation log covering at least 10 patient contacts (no patient-identifying information in the submitted proof), with documented vital signs, clinical findings observed, and the student's clinical reasoning notes for each contact. The log must be signed off by a registered nurse or clinical educator who supervised the contacts. Peer verification is NOT sufficient for this outcome — qualified supervisor attestation is required. The proof documents the student's learning under supervision, not independent clinical assessments.

Medication Administration Competency

0 milestones · 6 weeks

Demonstrate supervised competency in safe medication administration. Proof requires a clinical supervisor's signed competency assessment covering the Rights of Medication Administration (right patient, right drug, right dose, right route, right time, right documentation). The supervisor must be a registered nurse or clinical educator. Self-verification and peer verification are NOT accepted for this outcome — qualified supervisor attestation on an official competency form is the only valid proof artifact. The proof documents supervised competency development, not a record of medications independently administered.

Patient Communication & History Taking

0 milestones · 6 weeks

Demonstrate structured history-taking and therapeutic communication skills in a supervised clinical setting. Proof requires a documented structured history (SOAPIE or equivalent format) for at least 3 patient encounters, with clinical supervisor feedback on communication quality for each. Patient details are anonymised in the submitted proof. Supervisor attestation from a registered nurse or clinical educator is required. The proof documents the student's communication skill development under supervision — not clinical notes to be used in patient care.

Clinical Procedures Portfolio

0 milestones · 10 weeks

Build a supervised clinical procedures portfolio with competency ratings. Proof requires documentation of at least 5 different supervised procedures (e.g. wound care, catheterisation, venepuncture, IV cannulation, nasogastric tube insertion) with a supervisor competency rating for each. Supervisor must be a registered nurse or clinical educator. Ratings must be recorded on the official placement assessment form — not a student-authored document. Peer verification is NOT accepted for any clinical procedure in this portfolio. The proof documents supervised skill development.

Nursing Care Plan Design

0 milestones · 6 weeks

Design a comprehensive nursing care plan for a real or realistic patient scenario. Proof requires a care plan covering: assessment findings, nursing diagnoses (NANDA format or equivalent), SMART goals, nursing interventions with documented rationale for each, and evaluation criteria. Reviewed and annotated by a qualified nursing educator who confirms the plan is clinically sound and internally consistent. The scenario must be specific — a care plan for 'patient with hypertension' is not sufficient; the proof must reference specific clinical findings and individualised interventions. The proof is a learning exercise reviewed by a qualified educator, not a care plan to be implemented in a clinical setting.

Epidemiological Study Design & Analysis

0 milestones · 10 weeks

Design and analyse an epidemiological study using real or publicly available health data. Proof requires: (a) a study design document (research question, study type, population, sampling strategy, outcome measures, bias considerations — minimum 1,000 words); and (b) a data analysis of a real dataset (publicly available datasets from WHO, CDC, ONS, or equivalent are acceptable) with documented methodology, results, and a critical discussion of limitations. Reviewed by a public health practitioner or researcher with epidemiology experience who can challenge the study design choices. Proof is the analysis and design reasoning, not the dataset itself.

Public Health Data Communication

0 milestones · 6 weeks

Create a data visualisation or infographic communicating a real public health finding to a non-technical audience. Proof requires: (a) the published visualisation (public URL or uploaded file); (b) the underlying dataset with documented source and data cleaning steps; and (c) a written explanation of the design choices made specifically for a non-technical audience (why this chart type, why these colours, what was simplified and what was omitted). Reviewed by a public health professional. The dataset must be real — not synthetic or hypothetical.

Public Health Intervention Design

0 milestones · 10 weeks

Design a real public health intervention for a specific population and health problem. Proof requires a proposal covering: problem statement with epidemiological evidence (cited), target population with demographic specificity, intervention logic model (inputs → activities → outputs → outcomes), implementation plan with timeline, evaluation framework with measurable indicators, and budget rationale. Must be for a real community or population — not a hypothetical scenario. Reviewed by a public health practitioner with experience in intervention design or programme management.

Systematic Review & Literature Synthesis

0 milestones · 10 weeks

Conduct a systematic literature search using PRISMA methodology on a real health question. Proof requires: (a) a PRISMA flow diagram showing search results at each stage (records identified, screened, assessed for eligibility, included); (b) a documented search strategy with database names, search terms, date ranges, and inclusion/exclusion criteria; and (c) a synthesis table summarising included studies (author, year, design, population, intervention, outcome, findings). Reviewed by a researcher or academic with systematic review experience. The health question must be specific and the search must be reproducible from the documented strategy.

Health Policy Brief

0 milestones · 8 weeks

Write a health policy brief for a specific decision-maker audience on a real public health issue. Proof requires a brief (maximum 4 pages) covering: the problem with epidemiological evidence, at least 2 policy options with documented trade-offs, a recommendation with implementation considerations, and a budget implication note. The audience must be specific — a named government department, health board, or named NGO — and the brief must be formatted and scoped for that audience. Reviewed by someone with health policy experience. Generic policy briefs on abstract topics are not accepted.

Drug Interaction Analysis

0 milestones · 6 weeks

Analyse a real polypharmacy case for clinically significant drug interactions. Proof requires: (a) a documented case (real or realistic) with the patient's medication list (minimum 5 concurrent medications); (b) identification of all clinically significant interactions using a recognised interaction checker (Stockley's, BNF, Drugs.com interaction checker) with the mechanism of each interaction documented; and (c) a recommended management plan for each interaction identified. Reviewed by a registered pharmacist. The proof is the analysis and reasoning — not AI-generated output submitted as evidence. The pharmacist confirms the interaction assessment is accurate before the proof is considered complete.

Patient Medication Counselling

0 milestones · 4 weeks

Demonstrate patient medication counselling skills in a supervised or observed setting. Proof requires a documented counselling session covering: what the medication is, how to take it correctly, what to expect (expected effects and timeline), what to avoid (interactions, foods, activities), and when to seek help. The session must be observed and assessed by a registered pharmacist using a structured assessment form. Proof artifact is the pharmacist's completed assessment form or a recording of the session with the pharmacist's written sign-off. Peer verification is NOT accepted — registered pharmacist attestation is required.

Dispensing Accuracy & Safety

0 milestones · 4 weeks

Demonstrate safe dispensing practice in a supervised setting. Proof requires a documented dispensing accuracy check conducted under supervision of a registered pharmacist, covering at least 10 prescription items. Each item must document: prescribed vs dispensed drug, dose, form, quantity, and label accuracy check result. Supervisor sign-off on the dispensing accuracy log is required. Peer verification is NOT accepted — registered pharmacist sign-off is required. This outcome requires pharmacy placement access. The proof documents supervised practice development, not a record of unsupervised dispensing.

Pharmaceutical Calculations

0 milestones · 4 weeks

Demonstrate accuracy in pharmaceutical calculations. Proof requires a documented set of 20 pharmaceutical calculation problems — covering dose calculations, IV rate calculations, dilution calculations, and unit conversions — completed independently and verified by a registered pharmacist or pharmacy lecturer. Each problem must show the full working, not just the answer. A score of ≥90% is required — this threshold reflects the safety-critical nature of dispensing errors. The verifier confirms both the score and that the working method is sound, not just the final answers.

Clinical Pharmacology Case Analysis

0 milestones · 6 weeks

Apply pharmacological knowledge to a real or realistic clinical case. Proof requires a written case analysis covering: therapeutic objectives for the specific case, drug selection rationale (why this drug class over the alternatives), dose optimisation considerations (renal/hepatic adjustment, weight-based dosing if applicable), monitoring parameters, and patient counselling points. The case must specify a named drug and named clinical indication — generic analyses are not accepted. Reviewed by a clinical pharmacologist or senior pharmacist who challenges at least one decision in the analysis with a follow-up question the student must answer in real time. The proof is a supervised learning exercise, not a prescription to be implemented.