PEAK A PREMIUM SUBSCRIPTION HOW TO DOCUMENT YOUR MASTERY In order for PASS Peak to help you learn more efficiently, the system must know "where you are". Therefore, it is important you take the time to document your learning activities by using the "mastery wheels" below. While this will take some time, we believe the impact of the system will give you a significant return on your time investment by saving you time in the future. KNOWLEDGE REVIEW TOPICSMemorizing topics lays the foundation of knowledge needed to eventually apply clinical knowledge and think critically. As a medical student you should initially focus on the basic science of different clinical conditions and then focus on the classic presentations, diagnostic tests, and treatments. Target Content: High-Yield Review Topics.Mastery Trigger: Click on the Topic Selfmastery wheel to advance based on the scale below. 0% Never seen topic 20% Skimmed the topic briefly once 40% Skimmed the topic briefly and skimmed 50% of questions once 60% Read entire topic and did all questions once 80% Read entire topic and did all questions at least twice 100% Presented topic to other students and can teach the material QUESTIONSQuestions are cost-effective case-based learning, which is the best way to learn to apply medical knowledge, evidence, and to think critically. Questions work best in repetition, where you see the question over and over again, going deeper into the explanation and references.Target Content: Medbullets USMLE board-style questions.Mastery Trigger: Click on Selfmastery wheel for EACH question associated with the topic to advance based on the scale below. 0% Never seen question 20% Skimmed question once briefly and answered. Did not read explanation. 40% Did question carefully, and got it wrong, read explanation after. 60% Did question carefully, and got it correct, read explanation after. 80% Recognize question, know correct answer, have read explanation and all related material. 100% Above and taught others why the answer is correct, and why the evidence supports it. EVIDENCE In today's world of medicine, having a firm grasp of the evidence is essential to take good care of patients. Unfortunately, there is a "sea" of evidence, and it can be difficult and time-consuming to choose what is important to read. Medbullets has done the hard work of filtering for the evidence of which you need to be aware. Target Content: Only Medbullets "Tested" articles count as target content. "Tested Articles" represent a small subset of all the articles and have met specific Medbullets inclusion criteria.Mastery Trigger: Click on the Selfmastery wheel for EACH "Tested" article to advance based on scale below. 0% Never seen abstract or article. 20% Briefly skimmed abstract with focus on Conclusion. 40% Read all sections of abstract carefuly. 60% Read full article briefly with focus on Discussion and Conclusion. 80% Read full article carefully and reviewed References. 100% Able to present article and teach others TEACHING CASES - COMING IN 2018Teaching cases are the "cadillac" of learning to apply medical knowledge, the latest evidence, and think critically. They are important because they allow students to make decisions in an algorithmic pathway - e.g., so you got an MRI in the ER and the patient is alert and oriented, so what is your next step in management?Target Content: One of our major goals of the coming years will be to partner with medical schools to generate a rich library of teaching cases. We realize we have a lot of work to do here. Cases will not appear on your PEAK tracker unless there is a high-quality teaching case associated with the topic.Mastery Trigger: Vote on case polls AND add supporting evidence via Pubmed Insert Evidence Tool. 0% Percent of cases where polls answered WITH supporting evidence. 20% Percent of cases where polls answered WITH supporting evidence. 40% Percent of cases where polls answered WITH supporting evidence. 60% Percent of cases where polls answered WITH supporting evidence. 80% Percent of cases where polls answered WITH supporting evidence. 100% Percent of cases where polls answered WITH supporting evidence. VIDEOSWhile you can learn a lot by reading on your own, didactic lectures from experts always highlights what is most relevant in clinical practice. A series of Core Videos will help medical students take what they are reading, and see the relevance in clinical practice.Target Content: Currently all videos linked to a topic count in this counter. Shortly, only "Core Videos" that have a certain educational value and quality control will count in this counter.Mastery Trigger: Click on the Video Selfmastery wheel to advance based on the scale below. 0% Never seen video 20% Skimmed parts of video 40% Skimmed most of video 60% Watched video start to finish 80% Watched video start to finish twice 100% Watched video with others and dicussed. COMING IN 2019 - SKILLS SKILL PREPARATION TASKSYou can't expect to do any skill or procedure unless you have done your homework. Prepare for procedures by reading the basic outline of the skill steps watching select videos, and reading key articles and portions of textbook chapters. Target Content: Medbullets has carefully created a series of tasks that we believe a student should complete in preparation for a skill. They include: 1) STEPS - reading the Medbullets "Steps" of a skill that have been created by Medbullets. Medbullets Techniques are largerly incomplete at this time, and will see rapid improvement as they are updated by experts in the field over the coming months. Mastery Trigger: Check the "Mark Skill as Read" under each Step. 2) VIDEOS - only Medbullets Technique Videos count. Currently we only have videos for one procedure posted. We plan on releasing 1-2 Technique Videos per month. Mastery Trigger: Click on Video Self-mastery Tool of Skill Technique Video per the scale listed above under videos. 3) ARTICLES - we will continue to select several articles, which may be a scientific article or a section of a Technique textbook, which we feel should be read prior to attempting to do a surgical skill. We will do our best to make sure a PDF is provided.Mastery Trigger: Click on the Article Self-mastery Tool on Skill Articles per the scale listed above under articles. 0% Number represents % of total requred Skill Tasks completed. 20% Number represents % of total requred Skill Tasks completed. 40% Number represents % of total requred Skill Tasks completed. 60% Number represents % of total requred Skill Tasks completed. 80% Number represents % of total requred Skill Tasks completed. 100% Number represents % of total requred Skill Tasks completed. SKILL SELF-MASTERYWe know students can teach themselves most skills by passive observation and trying on their own. Our selfmastery system allows students to track their selfmastery on each step of a skill. Target Content: This includes the Medbullets "Steps" for each Skill. For each of these "Steps" the student rates his Self-mastery on the scale listed below.Mastery Trigger: Click on the Step Selfmastery Tool to advanced based on the scale below. 0% Never seen "Step" performed. 20% Watched "Step" but not involved. 40% Watched "Step" and partially invovled (held retractor) 60% Did "Step" start to finish under close supervision. 80% Did "Step" independently and comfortably without supervision. 100% Tried to teach "Step" to another student. FOR PASS INSTITUTIONAL CUSTOMERS - COMING IN 2018 FACULTY ENGAGEMENT & FEEDBACKJust like you need a "spotter" when benching 20lbs more than ever before, you need to engage faculty so they can "spot" you on your "sweet spot" skills/knowledge - the information you can't quite master on your own. Target Content: A "sweet spot" skill is one in which the student has completed all the prerequisite skills (skill of easier complexity level), has completed on the Preparatory Tasks, and has Self-Mastered to 80%. In our opinion, only then is a student ready to engage with faculy and have the most productive teaching/learning experience.Mastery Trigger: Faculty MSE Level increase once faculty or a resident assess you as good or excellent. SKILL COMPLEXITY LEVEL: Our Skills, are broken down into 5 levels of complexity. A student should reach a Level 4 by the time he graduates from medical school. He should have reached a Level 5 by the time he has completed his fellowship. L1 Graded as good or excellent on Level 1 skills. L2 Graded as good or excellent on Level 2 skills. L3 Graded as good or excellent on Level 3 skills. L4 Graded as good or excellent on Level 4 skills. L5 Graded as good or excellent on Level 5 skills.