Finalist sorts every topic by how sure you feel against how you actually do. The corner that matters most is the one you can't see on your own: the things you think you know, but don't.
Marking a topic green counts for something, but not much. Finalist trusts what you can show over what you say, so a topic you've rated but never tested can't pass for mastered.
Each topic comes back just before it would slip, then less and less often as it sticks. Your Anki decks come with you.
On placement, Finalist groups the practical skills you need signed off by the parts of the hospital where you can actually get them done.
Everything it knows about you, you can read. In your browser, synced across your devices.