PA students & career changers

Crush PA school. Get to the work that matters.

Boards are a gate, not the goal. PA Guide is the system a class president built to get through PA school without losing his nights — a notebook that tells you what to write, a course that tells you what matters, and recall reps that make it stick the first time.

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No credit card. Free forever โ€” nothing to cancel.

Built by a practicing PA-C Used inside PA programs

Thirty people who applied to PA school

One cohort, all the way through.

  • 2 of 3 applicants never get a seat at all
  • 1 in 10 students never finish the degree
  • 23% considered dropping out in the last six months
  • 7 get through it clean

still think the stress is just you?

dropout figure per the PA Education Association

14system notebooks
1,200+board-style questions
Unlimitedrole-play patient cases

The effort was never the problem.

You collect slides, screenshots and half-built decks and call it studying. Then exam week comes and there's nothing you actually trust.

That's a structure problem, not a discipline problem. Fix what a study session produces and the panic gets a lot quieter.

Every session ends the same way

  • What actually matters here
  • What do I write down
  • What do I review tomorrow

One system that carries all of it.

Not another app to check. The notebook holds what you know, the course tells you what belongs in it, and everything else exists to drag it back out of your head under pressure.

Every disease gets captured the same way, so a page you wrote in week three still reads cleanly a year later.

A finished spread from the board review notebook: eye disorders, with pathology, patient, diagnosis and treatment filled in beside annotated illustrations

a finished spread — eye disorders, pages 126–127

the spine of it

A reference for all 14 systems

Illustrated, pre-structured pages so every disease gets captured the same way. The cardiology page you write in didactic year is the page you reread the night before boards.

what to write

A course mapped to the blueprint

Short video and written lessons that call out the high-yield frameworks, so you stop transcribing lectures and start deciding what's worth the page.

proof you know it

Questions that teach, not just score

Board-style questions across every system, cumulative exams and every EOR โ€” each one explaining the reasoning, including why the tempting answer is wrong.

so it sticks

Recall reps that survive Friday

Spaced flash cards tied to the same concepts you wrote down, so the material is still there at the EOR and still there at the PANCE.

think like a clinician

Role-play cases with an AI attending

Clinical Companion plays the patient and the attending. You take the history, commit to a differential and defend it โ€” then get told where the reasoning was thin. Any system, any difficulty, any hour.

reps that don't feel like reps

Clinical decisions as a campaign

Hospital Quest puts you on a service taking consults, where you live with the calls you make. Reasoning practice for nights you can't face another quiz.

Get in and look around. Free access opens the real tools โ€” cards, board-style questions and lessons โ€” so you can judge the method on a real week of school.

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It compounds instead of expiring.

Most resources are built for one exam and thrown out after it. This one gets more valuable every semester you feed it.

Didactic year

Every lecture ends with a finished page instead of 40 slides you'll never reopen.

Clinical rotations

Review a whole system before each EOR, and think more clearly with a real patient in front of you.

PANCE prep

You're rereading one trusted source in your own hand, not assembling one from scratch in six weeks.

Practice

It doesn't get recycled in May. It becomes the reference you reach for on shift.


Take one rep right now.

No email needed. This is a question straight out of the cardiology bank, explanation and all.

Every question tells you why the tempting answer is wrong. That's the part that moves a score.

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Board-style questionCardiology

66-year-old man, abrupt tearing chest pain radiating to the back. BP 178/96 right arm, 142/84 left. Hemodynamically stable. CXR shows a widened mediastinum.

Most appropriate next step?

Aortic dissection. Tearing pain to the back, a blood-pressure differential between arms and a widened mediastinum in a stable patient โ€” CTA confirms it and defines the type. Anticoagulation or thrombolysis here can be fatal, which is exactly why this presentation shows up on the exam.


People are already building theirs.

Strategic, focused, and grounded in how real students learn under pressure. It isn't another content dump.

Erich Fogg, PA-C, MMScHigh-stakes exam coach
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I was having such a hard time organizing my notes and this has really helped. Just enough room to fill in the information without going overboard.

AdrianaPA student

An expertly designed notebook, an AI coach and concise video that simplify complex concepts and boost retention.

Troy Bender, DMSc, PA-CWAPA President-elect, founding dean of two PA programs
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I recommend every new student buy one before the clinical medicine course starts.

YennyPA student

Game changer. The cases are realistic and the explanations are sharp โ€” like having a preceptor and a study buddy in your pocket.

Tracy Bingaman, PA-C, MSPASThe Persistent Provider
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The layout keeps my notes clear and organized, and it's so easy to fill out the book straight from lecture.

NikkiPA student

Who built this

Built by a PA who nearly drowned in it.

Free access exists because testing a study method on a real week of school beats reading a sales page about one.

I started PA school as the candidate you'd bet against: career changer, thin science background, married with a one-year-old at home. I'd graduate with three.

So instead of grinding harder, I built a system. I never studied at night, took every Sunday off, and finished as class president.

PA Guide is that system, refined.

Jono LippmanJono Lippman, PA-C ยท Emergency Medicine

Honest answers.

The questions that come up before anyone signs up.

Is it really free?

Yes. No credit card, no expiry, no countdown timer. You get the real tools with smaller libraries. Upgrading to the full library and the printed notebooks is there when you want it, and never required.

I'm a career changer with a weak science background. Is this for me?

That's who built it and who it's for. It doesn't assume you already know what's high-yield โ€” telling you that is the whole product.

I'm still applying. Should I wait?

No reason to. It costs nothing to see how PA-level medicine gets organized before you're inside it.

How is this different from a qbank or Anki?

A qbank gives you questions. Anki gives you reps. Neither leaves you with a finished reference. Here the questions and cards exist to pull you back through the guide you're building.

I'm already overwhelmed. Won't this add work?

It replaces work. Most lost time goes to deciding what to study and recopying notes you never reopen. This gives every session one clear output.

Can a PA program use it for a cohort?

Yes โ€” there are options for faculty and program directors who want a shared structure for board review and remediation support across a class.

Get through it sharp.
Then go be the clinician.

Get in free, take a few reps this week, and decide from there.

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