I failed my oral boards by a tenth of a point.
Not because I didn't know medicine. I'd read the book cover to cover, more than once. After residency, after thousands of patients and years of running real resuscitations, I walked in as prepared as a textbook can make you — and missed by a tenth of a point.
The second time, I passed.
Here's the part that matters: I barely studied in between. I didn't get smarter. I changed how I took the exam — I managed the clock instead of letting it manage me, and I talked to the patient like a person instead of racing past them. Same knowledge, different method — and the method was the whole difference. The line between failing and passing was never medicine. It's a separate skill — one nobody teaches, and until now, one nobody could practice.
You can read a textbook alone at 2am. You can't run an oral case alone at 2am.
Now you can.
DOME is the examiner I needed — a live voice across the table, real cases and stations that unfold in real time, and grading that only credits what you actually say. Run it as many times as you want.

“I passed the second time without learning any new medicine — I fixed the method. This is the tool that would have made it the first time.”

“I hate passive studying. If I'd had something like DOME when I was studying and training, it would have given me back so much of my time.”