USMLE Step 1

Understand concepts in medicine so you can solve problems for patients (and do well on your exams!)

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Latest episode

Oct 2, 2026

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Episodes

Divine Intervention Episode 512: Mechanisms of Diarrhea (for Step 1-3) 14.02.2024

Diarrhea is a very common topic on the USMLEs. One big focus with some questions is not recall but knowing how the diarrhea actually unfolds. These questions often have answer chances that do not list bugs but list mechanisms. This podcast helps to clear up how diarrhea actually arises so you can answer these questions … Continue reading Divine Intervention Episode 512: Mechanisms of Diarrhe...

Divine Intervention Episode 510: Obstructive Sleep Apnea and It’s Many Integrations (Step 1-3) 07.02.2024

OSA is commonly tested on the USMLE exams. But they also love using this as a topic to hit a bunch of other concepts that people do not think about. In this podcast, I address these concepts and also make a solid effort to help you understand the material. Audio Download

Divine Intervention Episode 508: The Clutch Sickle Cell Disease Podcast (for Step 1-3) Part 2 02.02.2024

In this podcast, I conclude our deep dive into sickle cell disease. I make tons of integrations in this as well and discuss many of the complications associated with sickle cell disease by using vignettes. See you in the next episode. Audio Download

Divine Intervention Episode 507: The Clutch Sickle Cell Disease Podcast (for Step 1-3) Part 1 30.01.2024

Sickle cell disease is easily a multisystems processes and disorders topic on the USMLEs. It can be tested in a myriad of ways and our friends at the NBMEs have a unique way of extending this concept to so many other disciplines. The goal of this podcast is to help you understand sickle cell disease … Continue reading Divine Intervention Episode 507: The Clutch Sickle Cell Disease Podcast (f...

Divine Intervention Episode 506: Weird But HY Spinal Cord Disorders (for Step 1-3) 24.01.2024

There are a series of spinal cord disorders that are not addressed in many review resources but have an uncanny ability to show up on all the USMLE exams. In this podcast, I collate these disorders together, discuss their classic presentations, emphasize differences between them, and also try to explain relevant pathophysiology where necessary. I … Continue reading Divine Intervention Episod...

Divine Intervention Episode 503: LFTs and The USMLEs 15.01.2024

LFTs show up in one way or the other on practically every USMLE exam. In this podcast, I lay a solid foundation and use numerous vignettes and conceptual integrations to help you understand the material. This should help tremendously with these questions on test day. I delve into some concepts that are not found in … Continue reading Divine Intervention Episode 503: LFTs and The USMLEs

Divine Intervention Episode 500: USMLE Rapid Review Series 108 (For Step 1-3) 30.12.2023

Since this is the 500th episode, I decided to make a super HY review that will benefit any USMLE or COMLEX test taker (Step 1-3 or COMLEX 1-3). I spend tons of time on cardiac pressures and make lots of integrations across multiple disciplines. Thank you for your support so far with the website and … Continue reading Divine Intervention Episode 500: USMLE Rapid Review Series 108 (For Step 1-...

Divine Intervention Episode 496: Aortic regurgitation and some USMLE integrations 12.12.2023

Understanding the hemodynamic consequences and cardiovascular parameters in aortic regurgitation is a tough pill to swallow for many people. In this short podcast, I address this question and also make common NBME integrations with this topic (like cardiac output, pulse pressures, systemic pressures, renin-angiotensin-system, etc). I explain all the pathophysiology step by step so you … Cont...

Divine Intervention Episode 494: Thalassemia and the USMLEs 06.12.2023

Thalassemias are very frequently tested on the USMLE exams. In this podcast, I help you understand everything about thalassemias so you’re not stuck mindlessly memorizing details. Definitely helpful for Step 1-3. I also discuss a bunch of mechanistic things that may help you understand some concepts in cardiology. Audio Download

Divine Intervention Episode 493: The Super Clutch Infertility Podcast (for Step 1-3) 05.12.2023

Infertility is tested heavily on Step 1-3. This short but floridly HY podcast addresses it from so many dimensions that are utilized on the USMLEs. Make sure you listen to this before your test. Audio Download

Divine Intervention Episode 492: The Clutch Septic Joint Podcast 28.11.2023

Joint infections are tested very frequently on all the USMLE exams. What do you need to know? This podcast addresses this specific question. Audio Download

Divine Intervention Episode 490: The Clutch TEE Podcast 25.11.2023

When do I get a TEE instead of a TTE is an age old question asked by many medical students while being heavily tested on all the USMLE exams. In this short podcast, I examine exactly what you need to know to get those pesky questions right. I also end with a short life lesson … Continue reading Divine Intervention Episode 490: The Clutch TEE Podcast

Divine Intervention Episode 489: The Clutch Esophagus Podcast 17.11.2023

This podcast is incredibly HY. The esophagus is very heavily tested on all the USMLE exams. In this podcast, I discuss the overwhelming majority of what you need to know for your exams by using scenarios, explaining pathophysiology, and making tons of integrations. Certainly worth your while before you take your test. Audio Download

Divine Intervention Episode 482: The Floridly HY Insulin Podcast (for Step 1, but helpful for Step 2/3) 14.09.2023

In this extremely HY podcast,  I take a deep dive into exploring insulin and the many different ways it could be tested on the USMLE exams. Everything in this podcast is HY for Step 1. There’s also a few HY items here for individuals taking Step 2/3. Please listen to this if you can. Audio … Continue reading Divine Intervention Episode 482: The Floridly HY Insulin Podcast (for Step 1,...

Divine Intervention Episode 481: The Clutch Inclusion Bodies Podcast (for Step 1-3) 11.09.2023

Inclusion bodies are pretty high yield to know and understand for Step 1-3. I discuss the critical ones in this podcast. There are many others but they are typically extremely low yield and the USMLEs tend to go over more relevant details of those diseases than their inclusions. I also provide some useful tips here … Continue reading Divine Intervention Episode 481: The Clutch Inclusion Bodi...

Divine Intervention Episode 478: CT with contrast vs CT without contrast for the USMLEs 24.08.2023

Knowing when to use CT with or without contrast is a conundrum many medical students have faced for ages. This podcast solidly addresses that problem and provides lots of useful integrations that should help you net some easy points on your exam. I also discuss a short life lesson at the end. Audio Download

Divine Intervention Episode 477: The Clutch Acute Coronary Syndromes Podcast 22.08.2023

The USMLEs love their acute coronary syndromes. This stuff also shows up on multiple shelf exams. This podcast goes on a deep, high yield dive into this topic and emphasizes common exam scenarios that should help you garner easy points. Audio Download

Divine Intervention Episode 475: Beta 2/3 Receptors and the USMLEs (for Step 1-3) 08.08.2023

In this concluding podcast relating to the adrenergic receptors, I discuss the beta 2 and 3 receptors and how they are tested on the USMLE exams. Lots of helpful integrations here for easy points. I end with a short life lesson as well. Audio Download

Divine Intervention Episode 474: Beta-1 Receptors and the USMLEs (Step 1-3) 01.08.2023

In this podcast, we continue our detailed discussion of the adrenergic receptors with a deep dive into the beta 1 receptor and the many different contexts it’s tested in on the USMLE exams. Don’t sleep on this podcast. A lot of what I discuss here shows up routinely on all the USMLEs. Audio Download

Divine Intervention Episode 472: Alpha-2 Receptors and the USMLEs (Step 1-3) 27.07.2023

Alpha 2 receptors are tested in a surprisingly large number of contexts on all the USMLE exams. This podcast makes integrations that should help you nail these questions. I end with a short life lesson applicable to many people in medicine. Audio Download

Divine Intervention Episode 471: Alpha-1 Receptors and The USMLEs (Step 1-3) 20.07.2023

Adrenergic receptors have a weird way of showing up in many different contexts on the USMLE exams. In this podcast, I spend time breaking down alpha-1 adrenergic receptors and the many different contexts/dimensions the NBMEs choose to take with them on the USMLE exams. Pretty HY stuff here. Audio Download

Divine Intervention Episode 470: Numerical Acid-Base Problems on The USMLEs (a simplified, accurate approach) 19.07.2023

Numerical acid base problems that require picking out the exact disorder and appropriate compensation show up on essentially every USMLE exam. In this podcast, I discuss a simple, but accurate approach to correctly answering these questions from an NBME/USMLE. This is one of those podcasts you should take notes on and listen through slowly. It … Continue reading Divine Intervention Episode 4...

Divine Intervention Episode 467: The Clutch Cervical Cancer Podcast (for Step 1-3) 29.06.2023

Cervical cancer is tested in so many different contexts on all the USMLE exams. This podcast addresses these contexts and makes tons of integrations you should find to be extremely helpful in getting those points. I also end with a short life lesson. Audio Download

Divine Intervention Episode 465: Cardiovascular Parameters 2 (Venous Return and Preload) 23.06.2023

In this ultra HY podcast, I use a large number of scenarios to illustrate exactly what venous return/preload are. I discuss the different things that affect them. Enjoy! Audio Download

Divine Intervention Episode 464: Cardiovascular Parameters (for Step 1-3) 20.06.2023

Cardiovascular parameters have a way of showing up on pretty much every USMLE exam. In this super HY podcast, I use scenarios and logical thought processes to introduce cardiac output, stroke volume, vascular resistance, systolic and diastolic pressures, pulse pressures, etc. I discuss so many scenarios and make integrations that should help you get your … Continue reading Divine Interventio...

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