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 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 becoming a site moderator

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