THE STEPWISE COMMUNITY

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Step 3

Keep mixing up non-contrast head CT first to rule out hemorrhage; IV alteplase/tenecteplase within 4.5h if BP < 185/110 and no contraindications in acute stroke tPA eligibility, bl

pharmdeck_coffee · Oct 9, 2026

7replies

Step 1

antiarrhythmic drug classes and action potentials?

pulm_resident · Oct 8, 2026

2replies

International medical graduates

Practical workflow for understanding J-1 versus H-1B visa sponsorship for residency?

stepone_harbor · Oct 8, 2026

4replies

Step 3

postoperative fever and complication management?

nightfloat_coffee · Oct 7, 2026

2replies

International medical graduates

Getting the most out of US clinical experience (hands-on electives vs observerships) for IMGs

morningreport_blocks · Oct 7, 2026

3replies

Residency & the Match

Honestly lost on choosing between academic university, hybrid, and community residency programs during mixed random blocks, help a fellow ms3 out

subintern_notes · Oct 6, 2026

8replies

Residency & the Match

Wait why does putting ~50% of signals on realistic target programs where your Step 2 CK and profile match, ~25% reach, ~25% strong-fit/safety trip everyone up in allocating ERAS pr

subintern_summit · Oct 6, 2026

6replies

Clerkships & clinical skills

shine on a fourth-year sub-internship and earn strong letters of recommendation

heme_canvas · Oct 6, 2026

1replies

Study life & support

studying effectively while working full-time clinical shifts?

rheum_scholar · Oct 6, 2026

3replies

Residency & the Match

Strategy for allocating ERAS program signals across reach, target, and geographic programs

triage_focus · Oct 5, 2026

8replies

International medical graduates

Dumb question maybe on balancing home-country clinical work w/ dedicated Step 2 CK preparation, sorry if obvious just tired today

steptwo_focus · Oct 5, 2026

4replies

Step 3

CCS case management: how to pace orders, advance the clock, and avoid losing points on counseling

stepone_pathway · Oct 5, 2026

8replies