The question we get asked most often:
"Are your questions AI-generated? Or are they artificial scenarios dreamed up by a physician?"
Neither.
And that's exactly what makes StepGenie different.
We Didn't Start as a USMLE Prep Company
StepGenie is primarily a healthcare AI company. We work with enterprise customers across the US—hospitals, health systems, and other healthcare organizations.
Our core work? Improving clinical outcomes through voice AI.
Picture This
A voice AI system calling a CHF patient at home, assessing their symptoms, catching early signs of decompensation before they end up back in the ER. That's the kind of problem we solve every day.
Then We Noticed Something
When you're in the business of improving clinical AI, you collect a lot of data. Real conversations. Real symptoms. Real clinical decision points.
As our database grew, we started seeing patterns. Thousands of authentic clinical scenarios sitting right in front of us—the kind of cases that actually walk into hospitals, not the kind someone invents at a desk.
That's When It Clicked
We had something most QBank creators don't: access to what real medicine actually looks like.
How We Built the QBank
We didn't just dump our data into a question generator. Here's what we actually did:
De-identified Everything
Every piece of personal health information was stripped out. No names, no dates, no identifiers—just the clinical substance.
Brought in the Experts
A dedicated team of 9 physicians worked through this material, not to invent questions, but to translate real cases into USMLE-style items.
Aligned with NBME Standards
We didn't guess what the exam wants. We built our questions using the NBME Item Writing Guide, the latest Content Outline, and recent NBME and CMS forms as our blueprint.
The result?
Over 80% of our QBank questions
come from real clinical scenarios.
Not artificially designed. Not hypothetically constructed. Real.
What About Explanations?
A question is only as good as its explanation.
Ours are referenced from peer-reviewed articles in PubMed-indexed journals. Not textbook summaries. Not AI-generated paraphrases. Actual medical literature.
But we went further.
Every Question Includes a Stem Decoder
A breakdown that doesn't just explain what the answer is, but teaches you how to think through the vignette. How to separate signal from noise. How to recognize what matters and what's there to distract you.
Because passing Step 1 isn't about memorizing 10,000 facts. It's about learning to think like a physician.
The Bottom Line
StepGenie wasn't built by educators trying to imagine what clinical medicine looks like.
It was built by a healthcare AI company that sees real clinical medicine every single day—and decided to share that with you.
Ready to see the difference?
Experience questions built from real clinical scenarios, not artificial constructs.
Try StepGenie🎯 Real medicine. Real preparation.