For international medical graduates
Your first day is a charting problem, not a medicine problem.
You have spent years on the medicine. Nobody has ever watched you open a chart and write a note on a U.S. service, and that is what you will be judged on from the first morning.
No account, no card. The demo opens straight into a real case.
Two moments
Nobody prepares you for either of them
Both are documentation problems wearing a clinical costume.
Day one of USCE
You have weeks, sometimes days, in front of an attending who decides whether to write your letter. Spend the first week working out where the labs live and how fast the service moves, and your daily work becomes the evidence. The rotation quietly turns into observation.
Day one of residency
July, and your name is on the note. Your reasoning is judged almost entirely through documentation, by people who have never met you. Nobody teaches this between the match and orientation.
How it works
A fictional patient, a real chart, and someone telling you what you missed
- Step 1
Read the chart
Vitals, labs, imaging, prior notes, medications, the patient in their own words. A nurse pages you partway through, as one would.
- Step 2
Write the note
H&P, SOAP or discharge summary, in a real editor against a real clock, with no template to fill in.
- Step 3
Get it scored
Against an attending-style rubric with 7 dimensions, naming what was missing rather than handing you a grade.
- Step 4
Compare
See a model note for the same patient, written the way an attending would want it, beside your own.
What you get
What is actually in it
A growing case library
H&P, SOAP, Discharge Summary cases, with more added regularly. Several follow the same fictional patient across an admission, so you write the H&P and later the discharge summary for someone you already know.
Step 3 CCS-style simulations
Manage a patient on a simulated clock. Place orders, move them between the office, ED, ward and ICU, and watch results arrive when they realistically would.
7 rubric dimensions
Completeness, Organization, Clinical Reasoning, Assessment & Plan Quality, Documentation Style, Case Fact Alignment, Safety. Weighted toward reasoning, plan and safety rather than formatting, because that is where notes are actually judged.
Price
Free to try. From $24.92 a month for the rest.
Free
$0
- 2 full cases, no signup to look
- 2 graded notes
- Full Learning Hub
Full access
$49 / month
Or $299 for 12 months, $24.92 a month.
- Every case and every simulation
- 50 graded notes each month
- Cancel any time, from your billing page
If an advisory service or observership program gave you a code, you do not need to pay for anything. Sign up, redeem it, and your access is covered.
Write one note before you decide anything
Two cases are open with no account, no card and no email. Read the chart, write the note, see what comes back. That will tell you more than this page can.