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

Turn PA classroom learning into clinical confidence.

Train your real-world reasoning with interactive case simulations for PA students.

Try Cases for Free

"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 clinicals? Sketchy cases are high-yield clinical challenges designed by board-certified clinicians to reflect the real conditions and decisions you’ll face in clinicals—and on PANCE day.

Interactive

Practice clinical reasoning—without the pressure

Balancing rotations and studying? Sketchy cases help you build clinical reasoning—a skill that matters at every stage. Ask anything, try everything, and learn from your mistakes, so you’re ready to show up sharp on day one.

Personalized

Expert guidance that accelerates how you learn

Stuck with vague or delayed clinical feedback? Get instant, personalized insights on every clinical decision you make—AI-assisted and clinician-reviewed.

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 clinical confidence with quick, high-yield exercises targeting the skills that matter most.


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

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Case-based prep that goes beyond the boards

Learn the skills you’ll actually use in rotations and in real patient care.

  • 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.