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150-Day Study Plan
656 topics over 150 days, this is a comprehensive plan that should allow all residents to pass their boards safely.
Study plans are now included in PEAK and PEAK Plus annual memberships. Simply purchase PEAK and start the Study Plan in your learning goals.


  • Intensive Comprehensive Curriculum
    An innovative and comprehensive 150-day study plan covering 656 topics, 5794 board-style practice questions, and 168 scientific articles on a modern platform that guarantees you stay on track and comfortably pass your board exam.
  • Algorithmic Daily Learning
    Let our modern algorithm diagnose your weakness to teach you more efficiently with daily, personalized, automated, learning lessons. Using our advanced mastery tracking system, the Anconeus algorithm sends you daily reinforcement questions that are most likely to appear on the exam that you are most likely to get wrong.
    See How
  • Longitudinal Formal Medical Knowledge Assessment
    Use our Bi-monthly Diagnostic Milestone Exams, and Annual Benchmark Exam, with new diagnostic questions, to identify your areas of weakness so you can focus where you actually should. Know where you stand amongst your peers, across all specialties, with PGY% Rank Scores.
  • Modern Mobile Technology
    Personalized daily emails and in-app mobile notifications ensure that you never fall behind. Intelligent tracking tools profile your mastery, track your progress, and ensure you focus where you should. Technology tools such as Notes, Highlighting, and Case Notebook help you retain the information the learn.

New Feature! Now you can customize your study plan by specialty to better match you clinical schedule and learning needs.


New Feature! Turbocharge your learning with our proprietary spaced-repetition algorithm that delivers the most important daily practice questions that you personally are most likely to get wrong. 


New Feature! Use our annual Global Longitudinal Orthopaedic Benchmark Exam (GLOBE) to diagnose your strengths and weaknesses and benchmark yourself against your peers with our PGY %Rank Score.


New Feature! Learn at the bedside with our new Bullets* App Notes & Highlighting. Stay on track on the go with our new personalized daily emails and in-App notifications.

Study Plan Details


  • The Royal 150-Day Study Plan is designed to prepare Physicians for the Royal Examination.
  • The Study Plan can also be taken by any surgeon who wants to reinforce their Royal knowledge and stay up-to-date on current Royal literature. 



  • You will receive your first daily emails the day AFTER your purchase.
  • You can complete the study plan at your own pace by accessing any day's study plan. Think of each day in the calendar as an individual lesson--just select any day on the Adaptive Calendar to acccess that day's lesson.


The Study plan consists of three components: 

1. Daily Study Plans reviewing 656 Topics

  • The Royal 150-day Study Plan delivers daily emails with a detailed list of what you will be covering for that day's plan.
  • We have selected 656 topics covering areas such as Trauma, Basic Science, and Knee & Sports to help prepare you for the exam.
  • Each topic also includes associated questions, and frequently-tested articles, often with a free full-text PDF.

2. Diagnostic Milestone Exams, Mock Exams, & Reinforcement

Take 21 Diagnostic Milestone Exams to test the material you have learned and reinforce your knowledge.
  • Each month, we release a Diagnostic Milestone Exam consisting of 25 Never-Been-Seen Questions. 
  • Access is limited to members of the Orthobullets Virtual Curriculum.
  • Grading curves are posted one month after the exam is released so you can compare your performance to other residents.

3. Articles

  • Read curated articles related to the daily topics and questions. 
Pricing & Purchase Information


Gives you access to:

  • Daily study plan
  • 21 practice exams
  • Premium articles
  • All premium content included in the Virtual Curriculum.


  • Before purchasing, make sure you can log into Orthobullets with the account you would like your purchased product to be associated with.
  • Payments are made through PayPal. Once the transaction is complete, you will automatically be redirected to your purchased product on Orthobullets.
  • NOTE: Your login credentials on PayPal can be different than your login credentials on Orthobullets. However, be sure to log into Orthobullets with your usual Orthobullets email. 
  • You can confirm if your purchase was registered on Orthobullets by clicking "Purchased Products" found at the bottom of the black user menu that appears when you click on your name on the top left of the Orthobullets page. 
  • If you have any questions or problems, email us at info@orthobullets with your PayPal transaction ID.
+ 12-month PEAK Subscription
25% OFF

If I lost some past daily Study Plan emails, is there a way to get those study plan days?

Yes. All past daily study plans can be found embedded in your Adaptive Calendar. Just select any day on the Adaptive Calendar to access that day's lesson.


What if I am a member of the study plan group but am still not getting daily emails to my inbox?

Daily Study Plan emails begin the day after your purchase. Check your spam folder and promotions folder on your email. Because Orthobullets sends high volumes of email, our email is sometimes filtered into spam folders or promotions folders, so be sure to look there for our emails. If that is the case, mark us as "not spam" and add to your contact list to avoid this in the future. If you are still not getting emails, send us a message at and we will help resolve this issue.


How do I get to the Study Plan private group?

Click Groups in the top menu. Then click on Study Plan and select the plan you want to access from your list of joined Study Plans. 


If I bought another Study Plan, can I still get this one?

Yes. Our Study Plans work on a 12-month premium content model, so if your PEAK subscription is still active, you can add any of our Study Plans. If you have already purchased another Study Plan and would like to be added to a this one, you can do so in your Learning Goals page. Click on your name in the top right corner and select "Learning Goals" from the drop down menu. In Step 1 of your Learning Goals, you can change your learning focus to a different study plan. 

Note: If you only have 4 months remaining on your 12-month subscription, you will only be able to access the study plan for 4 months and will need to purchase a new PEAK subscription to maintain access. 


How do I access my Study Plan daily lessons?

Your Study Plan lessons can be accessed through your Anconeus Daily Learning Dashboard, indicated by the robot icon to the right of the search bar. Here you will see your daily learning activities, as well as your personalized daily reinforcement questions chosen by our Anconeus algorithm. Watch this video to learn more about your Anconeus Daily Learning Dashboard. 


What if my residency program has subscribed to PASS PRO and I am getting the Core Curriculum daily emails?

As a PASS subscriber, you can have access to this and all other study plans. Click on your name in the top right corner and select "Learning Goals" from the drop down menu. In Step 1 of your Learning Goals, you can change your learning focus to a different study plan. 

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