Uspstf guidelines family medicine shelf

Family Med Shelf - How current are USPSTF Recommendations? There's a huge document of guidelines for the 25th anniversary of the USPSTF from 2009, ... The family medicine shelf had virtually no recommendations at the time of my writing it (just this part April). The exam was effectively internal medicine + obstetrics + pediatrics.

Uspstf guidelines family medicine shelf. United States Medical Licensing Exam® (USMLE®) Health & Wellness Coach Certifying Exam; Learning Resources: Unlocking Assessment; VIEW ALL ASSESSMENTS; For Educators. Assess & Learn. Subject Examinations; Customized Assessment Services; Self-Assessment Services; International Assessments; Licensing; Resources. INSIGHTS …

Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions) Screening for AAA. Click the card to flip 👆. Men 65-75 who have ever smoked (A). this should be a one time screen. -C rec in men 65-75 who have never smoked. -I rec for women 65-75 who have smoked. -D rec for women who have never smoked. Click the card to flip 👆.

[Clinical] Which USPSTF recommendations should I memorize for the Family Medicine shelf? I've heard just A and B but I've also heard other things. Wondering if anyone knows for certain. This thread is archived New comments cannot be posted and votes cannot be cast comments ...Recommendation Summary. The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health ...Jun 10, 2015 · - Pocket medicine - Family medicine - used ONLY as a reference while in clinic. Did not "study" from this book. - UWorld - Did ~150 IM (random, timed) questions - Random resources - USPSTF recommendations, etc. - AAFP questions - limited utility, too advanced, but each question had good explanations Resources I thought were not very helpful for ... Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions) Flashcards. Learn. Test. Match. ... Bio 101 Study Guide for Chapters 1-5 #'s 1-33. 34 terms. Images. patricklg16. What Was and Is Biotechnology? 31 terms. Asja_Kithcart. Lecture 3 Lung Structure and Airway Diseases. 29 terms. joshua_naylor7.The Family Medicine examination is designed for end-of-course or end-of-clinical rotation/clerkship assessment for students enrolled at a college of osteopathic medicine (COM). ... osteopathic manipulative treatment and treatment guidelines/best practices; Scientific Understanding of Health and Disease Mechanisms: mental health epidemiology ...I have my Family Medicine Shelf in a couple of weeks, and so far I've just been using the Anking Overhaul Deck filtered for the Family Medicine Shelf. I'm planning on working through the Uworld Questions and the AAFP questions and the NBMEs. ... Knowing USPSTF guidelines and Virginia FM questions helped, along with the ambulatory …The USPSTF has made recommendations on many factors related to CVD prevention, including screening for high blood pressure, 14 statin use, 15 screening for diabetes, 16 counseling on smoking cessation, 17 counseling on healthful diet and physical activity, 18 and CVD risk assessment with nontraditional risk factors. 19 In addition, the USPSTF ...The US Preventive Services Task Force (USPSTF) concludes with moderate certainty that statin use for the prevention of CVD events and all-cause mortality in adults aged 40 to 75 years with no history of CVD and who have 1 or more CVD risk factors (ie, dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year CVD event risk of 10% or greater has at least a moderate net benefit.

What are the official guidelines for family medicine? uspstf guidelines. When do you do a colonoscopy? Age 50 then every 10 years... if family member diagnosed before age 60 then ddx at 40 years old or 10 years before when family member got diagnosed. When do you do a pap smear?Love how everyone says USPSTF, good to know, but maybe encompasses like 5 questions; at least that’s how it was when I took it. For “best next step,” pick the best one 😂 if two sound good, consider the bigger picture (e.g., fibrosarcoma in the leg, do a CT abdomen next) or the least invasive test next (e.g., 20 weeks gestation with appendicitis -> do an US over CT if laparotomy isn ...This document is a summary of the 2008 recommendation of the U.S. Preventive Services Task Force (USPSTF) on screening for prostate cancer. This summary is intended for use by primary care clinicians. Prostate cancer is more common in older men, African Americans, and men with a family history of prostate cancer.Family Medicine Guidelines - USPSTF. Flashcards. Learn. Test. Match. Flashcards. Learn. Test. Match. Created by. Raheim011. Terms in this set (84) Asymptomatic bacteriuria? 1. Screen yes or no? 2. Who do we screen? 3. How do we screen? 1. Yes 2. Preg women at 12 - 16 wks (3-4 months) 3. Urine culture at 1st prenatal visitDescription: Update of the 2008 U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for prostate cancer. Methods: The USPSTF reviewed new evidence on the benefits and harms of prostate-specific antigen (PSA)-based screening for prostate cancer, as well as the benefits and harms of treatment of localized prostate cancer. Recommendation: The USPSTF recommends ...

View a list of AAFP clinical preventive service recommendations that differ from the USPSTF These recommendations are provided only as assistance for physicians making clinical decisions regarding ... Looking for an in-depth guide to USPSTF guidelines for your USMLE, shelf, and nbme exams? Look no further! In this video, we cover everything you need to kno... The United States Preventive Services Task Force (USPSTF) updated its 2011 recommendation about osteoporosis screening, recommending that women over the age of 65 years continue to get screened ...I recently put together a rem document summarizing the USPSTF guidelines to help me study for an upcoming family medicine shelf exam: ...As of April 2016, the USPSTF has recommendation statements for more than 80 active topics, most of which are endorsed by the American Academy of Family Physicians. 1 Its process has been...The Procedure Manual is a user's manual for everyon e on the USPSTF team—including AHRQ and EPC staff in addition to Task Force members. It is designed primarily for internal use as a guide to developing USPSTF recommendations, but may also be of interest to researchers, methodologists, and members of the public. It is

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Soon I'll have about 2-3 weeks to study and retake the Family Med shelf (probably will study for Step 2 some at the same time). ... Many of the answers would seem reasonable. I also made sure I knew the USPSTF guidelines before taking the shelf but a lot of these questions weren't related to those guidelines.Start assessing risk and screening for lung cancer at age 50 in patients who have a 20-pack-year history of smoking, using low-dose computed tomography (LDCT) scanning. This practice, based on a 2020 US Preventive Services Task Force (USPSTF) guideline update, is expected to reduce annual mortality from lung cancer by an additional 3% or more ...Cervical cancer screening. The USPSTF recommends screening for cervical cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for women ages 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years. Chlamydia screening: women.While specific laws vary by state, the general process of assessing real property is similar across the country. If you own real estate, it will be assessed, and that assessment w...First rotation and shelf exam is in 2 weeks; completed uworld family medicine questions and some aafp questions; familiar with USPSTF guidelines; I want to pass and possibly honor this rotation, so what other resources are similar to the shelf exams that will benefit me in the next 2 weeks?USPSTF Guidelines for Family Medicine Shelf. 🏥 Clinical. I have heard that the USPSTF guidelines (especially A, B & D) are important for the Shelf. I was just wondering if the 2021 edits (e.g. colorectal screening starting at 45 instead of 50 and CT chest for smokers with 20+ pack year history instead of 30+) would be reflected on the Shelf ...

The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk assessment tool.An endocrinologist is the main physician involved in treating pancreatic disease, according to RightDiagnosis.com. A family or internal medicine physician should also be involved i...Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication -- Adults aged 40 to 75 years who have 1 or more cardiovascular risk factors and an estimated 10-year CVD risk of 7.5% to less than 10%. Recommendation.The U.S. Preventive Services Task Force (Task Force) [on August 22] published a final recommendation statement on pre-exposure prophylaxis (PrEP) for the prevention of HIV. Based on its review of the evidence, the Task Force recommends that healthcare professionals prescribe PrEP to people at increased risk for HIV to help prevent HIV.Atrial fibrillation (AF) is the most common cardiac arrhythmia. The prevalence of AF increases with age, from less than 0.2% in adults younger than 55 years to about 10% in those 85 years or older, with a higher prevalence in men than in women. 1 It is uncertain whether the prevalence of AF differs by race and ethnicity. Studi Atrial fibrillation is a major risk factor for ischemic stroke and ...To increase the capacity of a wheelbarrow, a shelf can be added to the space between the two handles. Here's how. Expert Advice On Improving Your Home Videos Latest View All Guides...USPSTF Recommendations (Study For Family Med Clerkship) 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached Previously searched by youThe Task Force now recommends that all women get screened every other year starting at age 40. This final recommendation also urgently calls for research in key areas. Explore this page to learn more about the latest Task Force final recommendation on screening for breast cancer. Screening for Breast Cancer: USPSTF Final Recommendation.The USPSTF has made several other recommendations on CVD prevention, including statin use to prevent CVD, 15 smoking cessation, 16 counseling to promote a healthful diet and physical activity in persons with and without cardiovascular risk factors, 17,18 and interventions to prevent obesity-related morbidity and mortality, 19 as …Clinical. Hey guys, Family medicine is my first rotation. I've sifted through older posts about what resources to use in terms of studying for the shelf (AAFP, CaseFiles, Step Up to Medicine, etc) - I was just unsure of UW. I've read and have been told by friends that there isn't a 'family medicine' section, and that the AAFP and UVA questions ...The US Preventive Services Task Force (USPSTF) is an independent body that makes evidence-based recommendations regarding preventive services to improve health for people nationwide. Here, we summarize current USPSTF methods, describe how methods are evolving to address preventive health equity, and define evidence gaps for future research.

The USPSTF has made separate recommendations on screening for cervical cancer, 2 gonorrhea, 3 and chlamydia 3 using tests that are often performed during a pelvic examination (e.g., Pap smear, human papillomavirus test, and nucleic acid amplification tests); in this recommendation statement, the USPSTF seeks to understand the utility of ...

Since their proliferation in clinical settings in the United States in the late 1970s, clinical practice guidelines (CPGs) have evolved, and there is a preference for those that explicitly emphasize the use of the evidence base when possible (IOM, 2011; Weisz et al., 2007). In 2011, the Institute of Medicine defined CPGs as “statements that …Colorectal cancer is the third leading cause of cancer death for both men and women, with an estimated 52,980 persons in the US projected to die of colorectal cancer in 2021. 1 Colorectal cancer is most frequently diagnosed among persons aged 65 to 74 years. 2 It is estimated that 10.5% of new colorectal cancer cases occur in persons younger than 50 years. 3 Incidence of colorectal cancer ...Family Medicine Shelf (USPSTF + Blueprints + AAFP… 423 terms. Jared_G4. USPSTF recommendations Family medicine. 36 terms. yjaber. Family Medicine Shelf Exam - MSK. 131 terms. Pedro_Diego. Peripheral arterial disease. 34 terms. thepalife TEACHER. Other sets by this creator. Genitourinary DIT. 34 terms. Finish all of UWorld definitely. USPSTF guidelines, like know them in and out. It’s tough because there’s a mix of medicine on there. Get ready to see MI, COPD, HF, GERD, dyspepsia, renal failure, HTN. Just know the basics of management don’t need to go in too far since that’s what medicine is for. Purpose: The US Preventive Services Task Force (USPSTF) is an independent body that makes evidence-based recommendations regarding preventive services to improve health for people nationwide. Here, we summarize current USPSTF methods, describe how methods are evolving to address preventive health equity, and define evidence gaps for …Emergency Medicine Inservice Exam/Shelf Exam + POCUS; shawnkim332's Rosh Review; rokkdr's EM; Family Medicine: Family Medicine; USPSTF A and B Recommendations (Family Medicine Clerkship) Family Medicine + USPSTF + Lab Values; Family Medicine AAFP; ENT. Visitor's ENT Deck; Internal Medicine. Internal Medicine; ICU. sd-SAN's COVID ICU ...Finding out information about family histories is growing in popularity with each passing year. In addition to wanting to know more about a person’s backgrounds, obtaining informat...Risk factors for AAA include older age, male sex, smoking, and having a first-degree relative with an AAA. The recommendation varies based on a patient's sex, age, and smoking history. "Ever smoker" is commonly defined as smoking 100 or more cigarettes. Screen. Abdominal duplex ultrasonography is the standard approach for AAA screening.

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FP Expert Breaks Down How It Differs From USPSTF Guidance. July 20, 2018, 08:49 am Chris Crawford - The AAFP has issued an updated clinical preventive service recommendation on prostate-specific ...The original BackPack was a handy little shelf that you could attach to your iMac or Apple Display to get an external hard drive off of your desk. Now, a new version of the shelf i...We would like to show you a description here but the site won't allow us.The USPSTF has made several other recommendations on CVD prevention, including statin use to prevent CVD, 15 smoking cessation, 16 counseling to promote a healthful diet and physical activity in persons with and without cardiovascular risk factors, 17,18 and interventions to prevent obesity-related morbidity and mortality, 19 as well as ...Study with Quizlet and memorize flashcards containing terms like Essential Hypertension, Causes of Secondary Hypertension, Risk Factors for HTN and more.Population Recommendation Grade; Adults aged 50 to 59 years with a 10% or greater 10-year CVD risk: The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life expectancy of at least 10 ...SeaHusky. It's a lot more difficult if you're taking it early and haven't had other clerkships before it. UWorld/AMBOSS + NBMEs + USPSTF guidelines were enough for me. It really comes down to the luck of the draw regarding what form you get for your shelf (I think there's multiple you can technically get).Doctor Tim. 4.38K subscribers. Subscribed. 515. 22K views 1 year ago. In this video, we cover a high-yield review of family medicine for the shelf exams and Step …View all clinical practice guidelines. About Clinical Practice Guidelines. Access a summary of the processes used by the AAFP to produce high-quality, evidence-based guidelines. ….

3. 3rdandLong16. • 3 yr. ago. I did not take the NBME subject exam in family medicine so take this with a grain of salt, but I would make sure to know the guidelines for some of the more common health maintenance topics (e.g. colon cancer screening, AAA screening) as well as first-line treatments for the common conditions you'll see in a ...ALL Specialities ALL Specialities. Family Medicine. CME; COVID-19 Updates; The Journal of Family PracticeBacktoBasics8's Guide to M3 Shelf Exams. Redpancreas. Aug 29, 2017. This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. Aug 29, 2017. #1. This guide is my subjective and opinionated guide to Year 3 Shelf exams based on mainly my experience as well as some things I have heard.Population. Recommendation. Grade. Adults 64 years or younger, including pregnant and postpartum persons. The USPSTF recommends screening for anxiety disorders in adults, including pregnant and postpartum persons. B. Older adults 65 years or older. The USPSTF concludes that the current evidence is insufficient to assess the …Serious. My first rotation is going to be FM (only 4 weeks). I know there isn't a specific UWorld section for FM and I've seen posts that said questions from OB/GYN, Peds, and IM are helpful for it. Any advice on figuring out topics since I won't have done any UW 2CK questions prior to this and obviously can't complete all three of those ...Love how everyone says USPSTF, good to know, but maybe encompasses like 5 questions; at least that’s how it was when I took it. For “best next step,” pick the best one 😂 if two sound good, consider the bigger picture (e.g., fibrosarcoma in the leg, do a CT abdomen next) or the least invasive test next (e.g., 20 weeks gestation with appendicitis -> do an US over CT if laparotomy isn ...Sampling was carried out in the internal medicine section of RSUD by Dr. Husni Thamrin Natal. Samples were taken retrospectively every month using secondary data, namely medical records of ...Cervical cancer screening. The USPSTF recommends screening for cervical cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for women ages 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years. Chlamydia screening: … Uspstf guidelines family medicine shelf, Oral health is fundamental to health and well-being across the life span. 1,2 Dental caries (cavities) and periodontal disease (gum disease) are common and often untreated oral health conditions that affect eating, speaking, learning, smiling, and employment potential. 1-4 In the US, oral health disparities are shaped by inequities in the affordability and accessibility of dental care and ..., Swelling in one leg without a history of trauma can be attributed to deep vein thrombosis or lymphedema, according to the Journal of the American Board of Family Medicine. Per the ..., Rating Action: Moody's assigns (P)A1 to Sumitomo Mitsui Trust Bank's domestic shelf registrationVollständigen Artikel bei Moodys lesen Vollständigen Artikel bei Moodys lesen Indice..., The USPSTF has made several other recommendations on CVD prevention, including statin use to prevent CVD, 15 smoking cessation, 16 counseling to promote a healthful diet and physical activity in persons with and without cardiovascular risk factors, 17,18 and interventions to prevent obesity-related morbidity and mortality, 19 as …, The U.S. Preventive Services Task Force (USPSTF or Task Force), an independent body of experts in preventive medicine and primary care, works to improve the health of all Americans by making evidence-based recommendations about the effectiveness of clinical preventive services and health promotion. The recommendations made by the USPSTF address ..., The humming of vibrating snow sounds like the ominous soundtrack to a horror movie. What started as a quest to watch the activity of the largest ice shelf in Antarctica turned into..., medicine that works to improve the health of people nationwide by making evidence-based recommendations about clinical preventive services such as screenings, counseling services, and preventive medications. ... University School of Medicine. Contact: USPSTF Media Coordinator at [email protected] / (301) 951-9203 ., 1) Morning stiffness for at least 1 hour. 2) At least three joints involved in soft tissue swelling or effusion. 3) At leas on joint affected in wrist. 4) Symmetric involvement of the same joint, both sides of body., It is extremely helpful for the FM shelf. Someone can back me up on if it is helpful for Step 2. , Expand All. This document is a summary of the 2009 recommendation of the U.S. Preventive Services Task Force on screening for breast cancer. It is intended for use by primary care clinicians. A summary was first published in Annals of Internal Medicine on November 17, 2009. ( Ann Intern Med 2009;151:716-726.), Know the published recommendations for screening, not to ones include progress; No book or video will be more up-to-date than the CDC or USPSTF websites, like always falling top to their data; Learning Questions. In that spirit of learning by perform, see if you canned response these questions after you've studied thine preventive care materials., USPSTF Guidelines for Family Medicine Shelf. 🏥 Clinical. I have heard that the USPSTF guidelines (especially A, B & D) are important for the Shelf. I was just wondering if the 2021 edits (e.g. colorectal screening starting at 45 instead of 50 and CT chest for smokers with 20+ pack year history instead of 30+) would be reflected on the Shelf ... , Overlooked Gems for Family Medicine Board Review: USPSTF and the Choosing Wisely Campaign. Family medicine residents know that these tests are very guideline-heavy with an emphasis on conservative management. The best places to peruse the most up-to-date recommendations are USPSTF and the Choosing Wisely Campaign. 1. USPSTF Recommendations, New Recommendation. Primary Care Interventions to Prevent. Child Maltreatment. ABOUT THE USPSTF. The U.S. Preventive Services Task Force is an independent, volunteer panel of national experts in disease prevention and evidence-based medicine., Study Family Medicine Shelf (USPSTF + Blueprints + AAFP Questions) flashcards. Create flashcards for FREE and quiz yourself with an interactive flipper., Study Uspstf after smart web & mobile flashcards created by top academics, teachers, press professors. Prep for a quiz or hear used fun! Top Uspstf Flashcards Rankings the Quality. USPSTF A & B. USPSTF A & B. Flashcard Maker: Fatimatou Bah. 59 Cards - 1 Decks - 3 Learners. Sample Flights: USPSTF A&B Show Class., In April 2022, the US Preventive Services Task Force (USPSTF) issued new recommendations for the use of aspirin to prevent cardiovascular disease (CVD). 1 These recommendations differ markedly from those issued in 2016. First, for individuals ages 40 through 59 years who have a ≥ 10% 10-year risk of CVD, the decision to initiate low-dose ..., The Task Force has recommendations for more than 84 topics; each USPSTF Recom- mendation Statement includes a letter grade, a topline summary to guide clinician interpretation in practice, and a summary of gaps in evidence to help catalyze clinically relevant research., Grade. C. Grade. For adults aged 50 to 75 years: Screen all adults aged 50 to 75 years for colorectal cancer. For adults aged 45 to 49 years: Screen adults aged 45 to 49 years for colorectal cancer. For adults aged 76 to 85 years: Selectively screen adults aged 76 to 85 years for colorectal cancer, considering the patient's overall health ..., Welcome All Jumpers! This is a Sister subreddit to the makeyourchoice CYOA subreddit. This Subreddit focuses specially on the JumpChain CYOA, where the 'Jumpers' travel across the multiverse visiting both fictional and original worlds in a series of 'Choose your own adventure' templates, each carrying on to the next... , Download the Family Med NBME grader. 1) On the bottom of the sheet, ensure that you’re on the correct tab for the form you’re currently taking. 2) Input your answers as you go along, starting at Box A1, and moving down the column. 3) Once you’re done, on the bottom of the sheet click on the appropriate form’s Answer tab, highlighting ..., The journal American Family Physician (AFP) provides a series of short case studies and quizzes based on recommendations issued by the U.S. Preventive Services Task Force. Adult, Senior. Atrial Fibrillation (Centers for Disease Control and Prevention) The Centers for Disease Control and Prevention provides information about atrial fibrillation ..., C Recommendation: The AAFP recommends selectively offering or providing this service to individual patients based on professional judgment and patient preferences. There is at least moderate ..., Study with Quizlet and memorize flashcards containing terms like Birth vaccination schedule, One month vaccination schedule, Two months vaccination schedule and more., General, Shelf, & Step 2 Resources ... Family Medicine Clerkship Tracker*** This tracker follows your progress on requirements ... (USPSTF) Recommendations** The USPSTF provides evidence-based recs on disease prevention, chronic conditions, and several other diseases. The USPSTF also has an app that can be found here., Some, not all because recommendations are on a rolling basis. I'd look at the column "Release Date of Current Recommendation" on the USPSTF page and start with the most recent change to double check that the 2018 recommendations are all correct. There are only a few. , Family medicine is my first shelf and I have 6 weeks to study for it! I have memorized the A and B guidelines for USPSTF and am doing the associated anki deck to keep it in my memory! I really don't know what else to do. I am trying to do Uworld family medicine shelf and unsuspending the associated Anking cards for the FM shelf section., Define "really good score." You've done everything I would recommend to do other than Combank and/or Comquest questions. COMATs are such a crapshoot when it comes to scores, but as long as you're a baseline good (NBOME) test-taker, you should be set to get 105+ at the very least. If you're aiming for 1+ SD (110+) I would use a question Bank., To prepare for your family medicine shelf exam, we recommend reviewing the following materials while on your family medicine rotation: 1. The Case Files Family Medicine. 2. Step Up to Medicine. 3. UWorld. 4. AAFP Board review questions. 5. PreTest Family Medicine Edition. 6. OnlineMedEd. 7. Screening Vaccination Guidelines. Read on for more ..., Purchase self-assessment vouchers to support your students practicing and evaluating their readiness for the USMLE® Step 1, Step 2 CK, or a Clinical Science Subject Exam, Rock the Shelf: Family Medicine. The Family Medicine (FM) shelf exam is a challenge, especially for students who have yet to rotate through IM, OB, or Peds. With most FM rotations limited to four short weeks, the broad scope of exam questions and lack of time make this shelf particularly difficult. But there is good news!, To prepare for your family medicine shelf exam, we recommend reviewing the following materials while on your family medicine rotation: 1. The Case Files Family Medicine. 2. Step Up to Medicine. 3. UWorld. 4. AAFP Board review questions. 5. PreTest Family Medicine Edition. 6. OnlineMedEd. 7. Screening Vaccination Guidelines. Read on for more ..., Serious. Hello all, Just wondering what resources some of you have used for preparing for your shelf exams during your rotations. Feeling a little lost as studying doesn't seem as clear-cut as it did for Step 1. And rotation experience doesn't correlate in the least to shelf scores. Currently doing just UWorld and Tru-learn questions.