USMLE Step 2 CK study plan
USMLE Step 2 CK · Give each week a clear focus.
8 weeks · About 6 hours per week
Internal Medicine
Map the Internal Medicine blueprint into 8 system blocks and assign each block a date on a calendar
Work 40 timed board-style questions per system block on cardiology and nephrology, writing the mechanism of each miss in one sentence
Build a one-page fluid/electrolyte and acid-base decision algorithm from memory, then correct it against a reference
Recite first-line drug and monitoring for the 15 highest-yield inpatient medicine scenarios aloud without notes
Your checkpoint
A dated 8-block Internal Medicine calendar plus a 40-item error log tagged by mechanism (knowledge gap vs. reasoning error vs. misread).
Internal Medicine
Complete two 40-question timed medicine blocks and log percent correct by system
Rewrite every missed endocrine and GI question as a one-line clinical rule on flashcards
Compare inpatient vs. outpatient management for the same diagnosis in 10 common conditions
Explain aloud the next best step for 12 classic 'what do you do first' medicine vignettes
Your checkpoint
A ranked list of the 5 weakest medicine systems with a percent-correct score and a written remediation action for each.
Internal Medicine & Surgery
Finish the remaining medicine systems with 30 questions each and log accuracy
Drill 50 surgical questions covering acute abdomen, trauma, and perioperative care
Draw the ATLS primary survey and the shock classification table from memory
Identify the 10 operative indications most often tested and state each in one sentence
Your checkpoint
A one-page trauma and shock algorithm plus a completed medicine-to-surgery transition checklist showing accuracy in every medicine system.
Surgery
Complete 80 surgical questions spanning GI, vascular, breast, and urology with error logging
Build a table of hernia, bowel obstruction, and biliary disease presentations and management
Practice 15 wound, drain, and postoperative fever vignettes and justify each answer before checking
State the perioperative risk stratification and prophylaxis rules from memory with no reference
Your checkpoint
A timed 40-question surgery block scored and reviewed, with a 25-item error log.
Pediatrics
Work 80 pediatric questions emphasizing growth and development, immunization, and neonatal jaundice
Memorize the well-child visit schedule and the standard immunization timing by reciting it from a blank table
Compare pediatric and adult dosing and fluid maintenance calculations using 10 worked problems
Sort 15 pediatric rashes and fevers into benign, urgent, and emergency tiers
Your checkpoint
A completed blank immunization and developmental milestone table plus a 20-item pediatrics error log.
Obstetrics and Gynecology
Complete 80 obstetrics and gynecology questions with error logging by trimester and by gynecologic complaint
Diagram the labor curve, the stages of labor, and the indications for operative delivery from memory
Practice 12 antepartum bleeding and hypertensive disorder of pregnancy vignettes to the correct next step
List the abnormal uterine bleeding workup and contraception contraindications without notes
Your checkpoint
A scored 40-question OB/GYN block plus a one-page antepartum emergency decision sheet.
Psychiatry & Preventive Medicine and Public Health
Drill 40 psychiatry questions focused on psychopharmacology, risk assessment, and capacity
Practice 10 suicide-risk and agitation vignettes and state the level of care chosen and why
Solve 25 biostatistics and study-design items and compute sensitivity, specificity, and number needed to treat by hand
Recite the USPSTF-style screening schedule for the 12 highest-yield conditions from a blank list
Your checkpoint
A psychiatry error log plus a completed screening and biostatistics formula sheet showing every calculation worked through.
Internal Medicine & Surgery & Pediatrics & Obstetrics and Gynecology & Psychiatry & Preventive Medicine and Public Health
Take two full-length timed mixed blocks and score them under exam conditions
Re-review only logged misses from weeks 1 through 7, marking each as resolved or unresolved
Rewrite the 20 highest-frequency errors into a single final-week review sheet
Simulate exam-day timing and break strategy across both full-length blocks
Your checkpoint
Two scored full-length practice results plus a final one-page high-yield error review sheet with a resolved/unresolved count.
Milestones
Week 2: Every Internal Medicine system has a recorded percent-correct score, and the 5 weakest systems have written remediation actions.
Week 4: Medicine and Surgery blocks are complete at 80 or more questions each, and the combined error log has at least 60 tagged entries.
Week 6: All six domains have been touched at least once, and Pediatrics and OB/GYN each have a scored 40-question block.
Week 8: Two full-length timed blocks are scored, fewer than 15 error-log items remain unresolved, and the final review sheet is complete.