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The ranking obtained in the national exams is the sole decisive factor in a student's professional career, determining both their and the university hospital where they will complete their residency.

Students often use a combination of official "Collèges des Enseignants" and student-made or commercial fiches to optimize their scores. Download fiches PrepECN pdf

: Many are organized as "répertoires" or alphabetical indexes of indispensable notions (scores, formulas, and classifications) to allow for rapid access and repeated memorization. The ranking obtained in the national exams is