Blue was the most common “primary color” (43.71%), followed by Green (25.83%), Gold (17.22%), and Orange (13.25%). Overall, the mean NBME score was 81.74% and final exam score was 84.98%. There was a significant difference in mean NBME score (p=0.0326) and final exam score (p=0.0140) between color groups. The Green cohort had a higher mean NBME (85.05% vs 80.58%, p=0.0023) and final exam scores (87.00% vs 84.28%, p=0.0108) compared to the remainder of students. The Orange cohort had a lower mean final exam score compared to the remainder of students (81.30% vs 85.54%, p=0.0487). Post-hoc analysis did not reveal a significant difference between individual color group pairings. A sub-group analysis of 51 students for whom data for in-person or virtual discussion group participation was available found no inter-color differences in NBME (p=0.5769 in-person, p=0.6077 virtual) or final exam scores (p=0.8682 in-person, p=0.3972) when stratified by color.