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Skill Oriented Practical Medical Education

Be Ready for Your First Shift

Textbooks explain topics. Shifts demand skills. We teach how things actually get done in real practice: how to read the film, run the code, dose the drug, and make the call.

1,341
self-test cases
4,610
medical images
1,225
distinct diagnoses
100%
free casebooks
Free Downloads

Casebooks That Make You Commit

One case per page. The answer at the back, linked both ways. You decide before you see the label, which is the whole point.

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X-ray Casebook

688 plain-film cases as a self-test PDF. Answers at the back, every case linked both ways.

  • 688cases
  • 627distinct diagnoses
  • 1,418radiographs
  • 818pages
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Free PDFAvailable Now

Ultrasound Casebook

653 ultrasound cases grouped by organ system. Answers at the back, linked in both directions.

  • 653cases
  • 598distinct diagnoses
  • 3,192images
  • 15organ systems
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Why FirstShiftMD

Not Another Textbook

Everything we make follows three rules.

Practical First

We start from the task in front of you on shift, then add exactly as much theory as the task needs. Never the other way around.

Test Yourself, Always

Answers are hidden until you commit. Recognition feels like knowledge, but only retrieval builds the skill you can use at 3 a.m.

Real Cases, Real Limits

Curated clinical material with honest limitations stated up front. If a casebook is stills instead of video, we tell you so.

Coming Soon

Courses

Short, focused, skill-oriented courses. Browse the syllabi and get notified the moment enrollment opens.

Start With the Free Casebooks

1,341 cases across X-ray and ultrasound. Answers at the back, linked both ways. Sent straight to your inbox.