The most evidence-based PANCE prep strategy is: (1) Identify your weak organ systems using a diagnostic practice exam in your first week; (2) Review content in your weaker domains using a comprehensive review text (Kohen & Mohr, SMARTY PANCE, Rosh Review); (3) Answer 75–100 practice MCQs every day with detailed rationale review — this is the single most predictive activity for PANCE score; (4) Take two full-length timed practice exams in the final 2 weeks to build stamina and identify late-emerging gaps. Most candidates need 6–10 weeks of dedicated study after rotations. BlitzGrok delivers adaptive daily question sets with blueprint-mapped rationales.