APMLE Part II study plan
APMLE Part II · Give each week a clear focus.
8 weeks · About 6 hours per week
History and Physical Examination & Medical and Surgical Management of the Lower Extremity
Build a one-page H&P template for the diabetic foot and lower-extremity chief complaints, then complete it from memory daily
Perform and document a full lower-extremity vascular and neurologic exam sequence on a partner or simulated patient
List the differential for forefoot pain and map each diagnosis to the exam finding that separates it
Outline the workup and initial management algorithm for a new diabetic foot ulcer
Your checkpoint
Completed 10-item lower-extremity H&P checklist with self-scored practice run
Medical and Surgical Management of the Lower Extremity & Biomechanics and Orthopedics
Sequence the operative and non-operative management options for hallux valgus, hallux rigidus, and lesser-toe deformity
Diagram normal and abnormal gait cycles and identify the phase disrupted in each common deformity
Compare fixation and postoperative weight-bearing protocols across common forefoot osteotomies
Explain first-ray biomechanics and how it predicts transfer lesions
Your checkpoint
Annotated gait-cycle and forefoot-osteotomy comparison sheet
Medical and Surgical Management of the Lower Extremity & Dermatology and Wound Care
Classify lower-extremity wounds by depth, perfusion, and infection and match each to a treatment plan
Select appropriate offloading for neuropathic, ischemic, and postsurgical wounds
Differentiate the common lower-extremity dermatoses and state first-line therapy for each
Describe debridement indications, techniques, and contraindications
Your checkpoint
Wound-assessment and offloading decision table covering at least 8 wound scenarios
Diagnostic Testing and Imaging & Systemic Disease and Podiatric Medicine
Interpret standard lower-extremity radiograph views and identify the key measurements used in forefoot and midfoot assessment
Order the correct imaging study for suspected osteomyelitis, stress fracture, and soft-tissue mass
Map systemic diseases (diabetes, rheumatoid arthritis, gout, peripheral arterial disease) to their characteristic foot findings
Build a red-flag list for systemic causes of foot complaints
Your checkpoint
Imaging-selection matrix plus systemic-disease-to-foot-finding map
Systemic Disease and Podiatric Medicine & Pharmacology and Therapeutics
Explain the mechanism, monitoring, and adverse effects of the drug classes used in podiatric practice
Adjust therapy for renal and hepatic impairment and for common drug interactions
Outline perioperative antibiotic prophylaxis and anticoagulation decision points
Match systemic conditions to their podiatric pharmacologic implications
Your checkpoint
Drug-class summary card set with monitoring and interaction notes
Biomechanics and Orthopedics & Professionalism, Ethics, and Practice Management
Apply biomechanical reasoning to select orthotic and shoe modifications for common deformities
Analyze pediatric and sports-related lower-extremity conditions by mechanism and return-to-activity criteria
Resolve informed-consent, scope-of-practice, and referral scenarios using an ethical decision framework
Describe documentation and coding requirements for common podiatric encounters
Your checkpoint
Written responses to 5 ethics/practice-management vignettes plus an orthotic-selection summary
History and Physical Examination & Clinical Skills and Patient Communication
Deliver a structured history and counseling script for a patient with a new chronic foot condition
Practice plain-language explanation of a diagnosis and treatment plan, then self-critique
Integrate exam findings into a concise, prioritized assessment and plan
Identify communication barriers and adapt approach for low-health-literacy patients
Your checkpoint
Recorded or role-played counseling session with a written self-assessment
Medical and Surgical Management of the Lower Extremity & Systemic Disease and Podiatric Medicine & Pharmacology and Therapeutics
Synthesize management plans for high-yield combined scenarios such as infected ischemic ulcer and Charcot foot
Re-test weak areas identified in prior weeks and close knowledge gaps
Complete timed mixed-domain practice sets and review every missed item
Consolidate a one-page rapid-review sheet spanning all domains
Your checkpoint
Full-length timed practice exam with error log and completed rapid-review sheet
Milestones
Week 2: Can independently perform and document a complete lower-extremity exam and outline surgical vs non-surgical management for the three most common forefoot deformities
Week 4: Scores at least 70% on a self-made mixed quiz covering domains 1-5, with imaging and systemic-disease items at or above 70%
Week 6: Correctly answers 8 of 10 pharmacology and ethics scenario items and can justify each choice
Week 8: Scores at or above target on the timed full-length practice exam and has a written remediation plan for any domain below 65%