I used onlinemeded mostly during 3rd year rotations. Helped with shelf, pimp questions, conceptual ideas, etc. However, I honestly think it's not as good as Uworld for Step 2. Not that it's not good, just that Uworld is better. Uworld questions made you think, and the explanations corrected any errors in your though process. Dustyn straight up gives you his thought process; you don't get to apply it, use it to solve problems, etc. However, I did not pay for his notes, flash cards, etc, so I don't know if they make his stuff more useful or not, but I doubt it. Additionally, I feel he does not cover stuff in enough details. There is a reason his audios can be listened twice within a week, but it takes more that a month to thoroughly do Uworld. One of my friend did listen to OME at 2x speed to quickly review everything right before the test. He said it helped him organize all the info. He did all right, close to 240. While I don't recommend OME for step 2. Dustyn Williams is still the man, MVP of my MS3 rotations!