You can reach this milestone by accruing more than 50 reputation points in the last 7 days

You can reach this milestone by completing the quiz Who's Your Inner Nurse?

You can reach this milestone by completing the quiz What's Your Perfect Nursing Career Fit?

You can reach this milestone by starting a group that is one of the top 100 most active groups.

You can reach this milestone by inviting at least 5 friends who join the site.

You reached this milestone if you were one of the first 1,000 members to gain a star.

You can reach this milestone by being one of the top 100 users on the Reputation Leaderboard.