Canadian case-based CME · GP hospitalists

Commit to your answer before you see mine.

Forty inpatient cases, from the handoff call through to disposition. You make the decisions first — then check your reasoning against a practising hospitalist's. Join free and work the library at your own pace; a new case opens every month.

40
Cases in the library
15
Clinical domains
7
Acts per case
1
New case every month
How it works

Read. Commit. Compare.

The format is the point. Answering before you see the reasoning is what makes it stick — passive reading doesn't change what you do at 2 a.m.

01

Read the case

A complete encounter, disclosed the way it happens in real life: the handoff call, then history, then labs. Decision points at every stage.

02

Commit to a decision

Four to six decision points per case. Write down your answer and lock it in. No peeking — the value is in being wrong somewhere private.

03

Compare your reasoning

The moment you commit, the expert reasoning opens beside your answer — then the cognitive biases that were in play, and the guidelines with their publication year.

See the full seven-act structure

Why this exists

Residency gives you three months of inpatient medicine. Then you're on your own.

There is no ongoing, structured, case-based programme for Canadian hospitalists. Conference talks and journal articles are fragments — none of it maps to what you actually admit on a Tuesday night.

The guidelines move every year. GOLD, GINA, CCS, IDSA. Staying current shouldn't mean assembling your own curriculum from scratch.

So these are the cases I wrote for myself: the decisions that are genuinely hard in a community hospital, where the CT is available but the subspecialist is two hours away.

More about why I built this

What a case contains
7ActsHandoff, history, investigations, management, the pivot, disposition, debrief
4–6Decision pointsEach one pauses for your answer before the reasoning appears
6–8Teaching pearlsWith the cognitive bias named and the guideline cited by year
1Reference cardOne page: doses, decision rules, thresholds. Built to keep in a pocket
Case library

Forty cases across fifteen domains

Nothing in a title or preview narrows the differential for you — that work is yours. Every case is reviewed by a practising hospitalist before it opens in the library.

Browse the full library

Start with the next case.

Free while we're getting started. The whole library at your own pace — and one email a month when a new case opens.

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