97.4% of learners say Sketchy cases made them feel more confident building differentials.

Build PA clinical reasoning skills for rotations and PANCE

Practice clinical reasoning for PA rotations, OSCEs, and PANCE with interactive patient case simulations — built by board-certified clinicians.

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"When I first started off in my rotations, I didn’t know what I was doing. Sketchy cases provided me a safe space to practice how I should be presenting to the preceptor."
- Ellie, Touro PA Program

Prepare for PA rotations on a whole new level

Credible

Clinician-built cases that prepare you for clinicals

Unsure what to expect on PA clinicals? Sketchy's case simulations are high-yield clinical challenges built by board-certified clinicians — covering the exact conditions, differentials, and management decisions you'll face during rotations and on the PANCE. Every case reflects real clinical medicine, not just textbook theory.

Interactive

Practice clinical reasoning—without the pressure

Balancing rotations and studying? Sketchy's interactive PA cases help you practice clinical reasoning in a low-stakes environment — so you can sharpen your diagnostic thinking, work through differential diagnoses, and learn from mistakes before you're standing in front of a real patient. It's the skill that carries you through EOR exams, OSCEs, and beyond.

Personalized

Expert guidance that accelerates how you learn

Tired of vague or delayed feedback on clinical rotations? Sketchy gives you instant, personalized insights on every clinical decision — AI-assisted and clinician-reviewed. Whether you're working through a differential, interpreting labs, or choosing a treatment path, you'll know exactly where your reasoning went right and where to improve.

cartoon Doctors Behind DDx

97.4% of learners say DDx helped them feel more confident in building differentials.

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Zero in on your clinical weak spots

Build PA clinical confidence with focused, high-yield exercises targeting the skills that matter most for rotations and board exams — from timed diagnostic decision-making to differential-building drills and PANCE-style clinical vignettes.

  • Timed diagnostic decision-making
  • Imaging & lab result interpretation
  • Infectious disease diagnosis & management
  • Board-style clinical vignettes
  • Differential-building drills
PA doctor cartoon

Case-based prep that goes beyond the boards

Sketchy PA cases cover every clinical rotation and body system — so you're building the diagnostic and clinical management skills you'll use in the real world, not just on exam day. From Internal Medicine to Psychiatry to OB-GYN, every case is designed to make you a sharper, more confident PA.

  • Rotations covered: Internal Medicine, Surgery, OB-GYN, Emergency Medicine, Family/Ambulatory Medicine, Psychiatry, Pediatrics
  • Systems covered: Cardiovascular, Pulmonology, GI/Hepatobiliary, Renal/GU, Endocrinology, Infectious Disease, Hematology & Oncology, Rheum/MSK/Integumentary, Reproductive, Neurology, Nervous System/Psych

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Frequently Asked Questions

What are the best ways to practice clinical reasoning as a PA student?

One of the most effective ways to build clinical reasoning is through interactive patient case simulations. Sketchy’s new AI-powered platform helps PA students make diagnostic decisions in real time, sharpening differential building and clinical judgment—skills you’ll need for rotations, OSCEs, and the PANCE.

How can I prepare for PA school rotations without seeing real patients?

You can gain clinical experience safely by using virtual patient encounters. Sketchy’s interactive cases allow you to ask questions, review labs and imaging, and make treatment decisions—all in a low-pressure environment that builds confidence before stepping into actual rotations.

Are there interactive cases to help with PA OSCE and EOR exams?

Yes! Sketchy offers case-based learning experiences specifically designed for PA students preparing for OSCEs and EORs. These simulations test your ability to gather history, interpret findings, and make sound decisions—just like in real clinical settings.

Can Sketchy cases help me prepare for the PANCE or PANRE?

Absolutely. Sketchy’s interactive cases include board-style clinical vignettes that align with PANCE and PANRE exam content. From diagnostic reasoning to interpreting labs and managing disease states, you’ll get the hands-on practice needed to succeed on exam day.

Who creates the clinical scenarios on Sketchy’s interactive platform?

All clinical cases on Sketchy are developed by board-certified physicians. Each scenario is rigorously reviewed to reflect real-world medicine and ensure it matches what PA students will encounter in rotations, exams, and clinical practice.