PANCE Prep Plan

My PANCE exam is schedule for January 11th, which means I have exactly one month to prepare after I finish my last rotation. The first weekend will be dedicated to PANCE study prep and then the following week will be the school-provided pance prep pearls review. I am using my surgery rotation to study all of the surgical related material,

When looking at my scores based on content break down from Rosh Review, Kaplan, PACKRATs, EOR exams, and the EOC, the trends are not consistent. For example, there are sections of the packrat I scored 100% in but on rosh my score in said subject area is much lower. This likely due to my continuous studying throughout the year and when the last time I studied particular subjects were that change my trends over time. Based on the most recent exam, the EOC, there was not any particular content area that it showed I scored extremely well in, rather, I did average across most sections or lower. For this reason, I am focusing my study plan to focus the most on the subjects that hold the most weight such as cardiology and pulmonology. I have reserved the pediatrics content for the last week because I remember a lot of the different infectious diseases & exanthems based on a memorization table so I would like to have that content fresh in my head, whereas cardiology and pulmonology are more about understanding the underlying pathophysiology for me. I also placed those subjects first so that if I get behind schedule those content areas will not suffer. I did not have time to include a review of every single medical subject so I ommitted dermatology, psychiatry, and OB/GYN.

I do hope to run ahead of schedule and be able to squeeze in some derm if possible. Psychiatry I feel proficient in enough to skip over, and OB/GYN is a huge subject area but is only worth 7% so I find that it is not worth the squeeze, although I would like to review main management topics like ectopic pregnancy and TOA if the schedule allows.

My calander formatting goes over each subject area with titles of related videos I will be watching. It is not my first pass on any of these videos, nor my second for that matter, so I do plan to watch them on 1.5x speed and they are each 10-20 minutes in duration on regular speed so I feel the schedule is doable. After I complete each subject area I plan to complete practice questions. I based the number of questions to complete in my calander by what is available in pance prep pearls/rosh and by subject weight or personal weakness. I have further broken up my time by morning and afternoon. I plan to spend 4 hours studying in the morning, followed by 3-4 hours each afternoon/evening. I have also chosen to complete a large number of
PANCE Plan.docx
  questions per block to build up stamina for the actual PANCE. I found myself unable to focus on the last 2 sections of the EOC because I ran out of endurance.

Overall, I am feeling confident in my study plan. I set aside an entire afternoon/evening to create it, carefully strategizing the content areas, questions, and pace. It will be a lot of long study hours but I believe this method will yield me my personal best results.

The Plan:


13   General surgery -Preoperative evaluation -Postoperative fever -Other postoperative complications    141516171819   General surgery -Gallstone diseases -Cholestatic diseases that aren’t gallstones -Esophageal pathologies -Surgical small bowel -Colon, rectum, and anus  
20   General surgery -Surgical pancreatitis -Abdominal pain and the acute abdomen -Leg ulcers -Benign breast diseases -Breast cancer  21222324   Surgery subspecialities -Peds: first day -Peds weeks to months -Endocrine diseases2526   Surgery subspecialities -Surgical hypertension -Peds CT surgery -CT surgery -Aorta -Vascular
27   Surgery subspecialities -Peds optho -Adult optho -Skin cancer -Neuro brain bleeds -Neuro tumors282930   

December 2022

    123 Surgery Subspeciality -Uro peds -Uro cancer -Uro misc -Ortho peds -Ortho hand -Ortho injuries  
4   Trauma Surgery -Primary survey and traumatic shock -Head trauma -Neck trauma -Chest trauma -Abdominal trauma -Pelvis trauma -Extremity trauma and fractures -Burns and electrical injuries  5678910   Cardiology -ACS -Heart Failure -Valvular Disease -Cardiomyopathy -Pericardial Disease -Syncope -ACLS Rhythms -ACLS Easy  
11   Pulmonary -Asthma -Lung Cancer -Pleural Effusion -Pulmonary Embolism -COPD -ARDS -DPLD  1213141516   SURGERY, EMERGENCY CARE, CARDIO, PULM   Questions 250/75117   SURGERY, EMERGENCY CARE, CARDIO, PULM   Questions 250/751
18   SURGERY, EMERGENCY CARE, CARDIO, PULM   Questions 250/75119   Mental Health Day20   GI   Morning: -Gallbladder -Esophagitis -Esophagus -GERD   Afternoon: -Peptic Ulcer -Misc Gastric -Acute Diarrhea -Malabsorption Diseases21   GI   Morning: -Diverticula -Colon Cancer -Cirrhosis -Cirrhosis Complications   Afternoon: -GI Bleed -Pancreatitis -IBD -Jaundice -Viral Hepatitis  22   GI EXAM   QUESTIONS 192/38523   GI EXAM   QUESTIONS 191/38524   Mental Health Day
25   XMAS26   Nephrology   Morning: -AKI -CKD -Sodium -Calcium -Potassium   Afternoon: Kidney stones -Cysts & Cancer -Acid Base -Acid Base II27   NEPHRO EXAM   117 QUESTIONS28   Infectious Disease -HIV -TB -Sepsis -Brain inflammation -Skin infections -Pneumonia -UTI -Genital ulcers -Ear Nose Throat -Infective endocarditis  29   Morning: ID Q’S 98/196     Afternoon:   Hematology/Oncology -Anemia Approach -Macrocytic anemia -Microcytic anemia -Normocytic anemia30   Morning: ID Q’S 98/196   Afternoon:   Hematology/Oncology -Leukemia -Lymphoma -Plasma cell    31   Morning:   Hematology/Oncology -Bleeding -Thrombocytopenia -Thrombophilia   AFTERNOON OFF  


1   MORNING OFF   Afternoon: Heme 122 Q’s2   Endocrinology -Anterior pituitary -Posterior pituitary -Thyroid -Thyroid nodules -Adrenals -Outpatient type 2 diabetes -Type 1 diabetes and insulin strategies -Diabetic emergencies -MEN syndromes  3   ENDOCRINE 146 QUESTION EXAM4   Rheumatology -Approach to joint pain -Lupus -Rheumatoid arthritis -Other connective tissue -Monoarticuloarthropathy -Seronegative arthritis -Vasculitis      5   RHEUM 80 QUESTIONS6   Neurology   Morning -Stroke -Seizure -Tremor -Headache   Afternoon -Backpain -Dementia -Dizziness -Coma -Weakness  7   Morning NEURO EXAM 115/230 QUESTIONS   Afternoon NEURO EXAM 115/230 QUESTIONS
8   Pediatrics Morning -Neonatal ICU -Failure to pass meconium -Baby emesis -Neonatal jaundice   Afternoon -Congenital defects -ALTE BRUE and SIDS   Night -Peds infectious rashes -Peds ID review9   -Allergies -ENT -Upper airway -Lower airway -Sickle cell disease     PEDS 250 QUESTIONS10   Mental Health Day11   PANCE EXAM   


General surgery

  • Preoperative evaluation
  • Postoperative fever
  • Other postoperative complications
  • Gallstone diseases
  • Cholestatic diseases that aren’t gallstones
  • Esophageal pathologies
  • Surgical small bowel
  • Colon, rectum, and anus
  • Surgical pancreatitis
  • Abdominal pain and the acute abdomen
  • Leg ulcers
  • Benign breast diseases
  • Breast cancer

Surgery subspecialities

  • Peds: first day
  • Peds weeks to months
  • Endocrine diseases
  • Surgical hypertension
  • Peds CT surgery
  • CT surgery
  • Aorta
  • Vascular
  • Peds optho
  • Adult optho
  • Skin cancer
  • Neuro brain bleeds
  • Neuro tumors
  • Uro peds
  • Uro cancer
  • Uro misc
  • Ortho peds
  • Ortho hand
  • Ortho injuries

Trauma Surgery

  • Primary survey and traumatic shock
  • Head trauma
  • Neck trauma
  • Chest trauma
  • Abdominal trauma
  • Pelvis trauma
  • Extremity trauma and fractures
  • Burns and electrical injuries


  • ACS
  • Heart Failure
  • Valvular Disease
  • Cardiomyopathy
  • Pericardial Disease
  • Syncope
  • ACLS Rhythms
  • ACLS Easy


  • Asthma
  • Lung Cancer
  • Pleural Effusion
  • Pulmonary Embolism
  • COPD
  • ARDS
  • DPLD


  • Gallbladder
  • Esophagitis
  • Esophagus
  • GERD
  • Peptic Ulcer
  • Misc Gastric
  • Acute Diarrhea
  • Malabsorption Diseases
  • Diverticula
  • Colon Cancer
  • Cirrhosis
  • Cirrhosis Complications
  • GI Bleed
  • Pancreatitis
  • IBD
  • Jaundice
  • Viral Hepatitis


  • AKI
  • CKD
  • Sodium
  • Calcium
  • Potassium
  • Kidney stones
  • Cysts & Cancer
  • Acid Base
  • Acid Base II


  • Anemia Approach
  • Macrocytic anemia
  • Microcytic anemia
  • Normocytic anemia
  • Leukemia
  • Lymphoma
  • Plasma cell
  • Bleeding
  • Thrombocytopenia
  • Thrombophilia

Infectious Disease

  • HIV
  • TB
  • Sepsis
  • Brain inflammation
  • Skin infections
  • Pneumonia
  • UTI
  • Genital ulcers
  • Ear Nose Throat
  • Infective endocarditis


  • Anterior pituitary
  • Posterior pituitary
  • Thyroid
  • Thyroid nodules
  • Adrenals
  • Outpatient type 2 diabetes
  • Type 1 diabetes and insulin strategies
  • Diabetic emergencies
  • MEN syndromes


  • Approach to joint pain
  • Lupus
  • Rheumatoid arthritis
  • Other connective tissue
  • Monoarticuloarthropathy
  • Seronegative arthritis
  • Vasculitis


  • Bullous diseases
  • Papulosquamous
  • Eczematous rashes
  • Hypersensitivity
  • Hyperpigmentation
  • Hypopigmentation
  • Alopecia
  • Superficial skin infections


  • Stroke
  • Seizure
  • Tremor
  • Headache
  • Backpain
  • Dementia
  • Dizziness
  • Coma
  • Weakness


  • Newborn management
  • Neonatal ICU
  • Failure to pass meconium
  • Baby emesis
  • Neonatal jaundice
  • Congenital defects
  • Well child visit
  • Vaccination schedule
  • Peds infectious rashes
  • Peds ID review
  • Allergies
  • ENT
  • Upper airway
  • Lower airway
  • Seizures
  • GI bleeds
  • Peds CT surgery
  • Orthopedics
  • Ophthalmology
  • Urology
  • Sickle cell disease
  • Immunodeficiency



  • Anxiety disorders
  • Impulse control
  • OCD and related disorders
  • PTSD
  • Mood disorders
  • Mood life and death
  • Psychotic disorders
  • Eating disorders
  • Personality disorders
  • Dissociative disorders
  • Catatonia
  • Peds neurodevelopmental
  • Peds behavioral
  • Psych pharm I
  • Psych pharm II
  • Addiction
  • Addiction II drugs of abuse
  • Sleep physiology
  • Sleep disorders
  • Somatic symptom disorders


  • Pelvic organ prolapse
  • Urinary incontinence
  • Gynecologic infections
  • Adnexal masses
  • Approach to vaginal bleeding
  • Abnormal uterine bleeding

Gynecology Oncology

  • Overview of cancers
  • Cervical cancer
  • Endometrial cancer
  • Ovarian cancer
  • Vaginal and vulvar cancers
  • Gestational trophoblastic disease

Reproductive endocrinology

  • Primary amenorrhea
  • Secondary amenorrhea
  • Menopause
  • PCOS and hyperandrogenism
  • The infertile couple


  • Physiology of pregnancy
  • Preconception counseling and routine prenatal care
  • Medical diseases and teratogens
  • Contraception
  • Antenatal genetic screening
  • Ectopic pregnancy
  • Spontaneous and induced abortions
  • Multifetal gestation

Late pregnancy

  • Hypertension and eclampsia spectrum
  • Diabetes during pregnancy
  • Third trimester vaginal bleeding
  • Postpartum hemorrhage
  • Perinatal infections 1 – TORCH
  • Perinatal infections 2 – not TORCH
  • Alloimmunization

Labor and Delivery

  • Normal labor and delivery
  • Antenatal testing and intrapartum surveillance
  • Protraction and arrest of labor
  • Pre and post term complications of pregnancy
  • Obstetrical operations