Scribe Class: Medical Explorer

For co-ops, schools and classrooms

A health careers elective you can run this term

15 units, 8 to 10 hours, no prep and no science prerequisite. Nothing to install.

15 units 15 games and activities 200 flashcards Ages 14–18

What it replaces

Most career-exploration blocks are a speaker, a worksheet and a video. This is a subject a student can actually get their hands into: a real professional skill, taught to the point where they produce work that looks like the real thing.

It fits 3 ways. As a standalone elective over 4 to 6 weeks. As a semester unit inside an existing health sciences or anatomy course. Or as a career-exploration block where the point is the decision at the end rather than the content.

How it runs

Self-paced, in a browser

Students work through the units in order. Progress is kept per device. There is no live session to schedule and no software to deploy.

No teacher preparation

You do not need clinical background. Every unit is self-contained and self-explaining, and the answer keys are built in.

Works offline in Moodle or a similar LMS

SCORM 1.2 packages are built for each unit, and the fonts are self-hosted, so the material renders correctly in Moodle or a similar LMS with no internet access at all.

A cohort view for the leader

Students can hand you a record of what they finished, how long they spent, and what they got wrong. It aggregates across a group so you can see the class at once.

What it teaches

7 concrete skills, each tied to a unit. A student who finishes can do these, and can show you the work that proves it.

Terminology
The history
The note
Vital signs
Communication
Safety
Ethics

Course objectives

Most learning objectives cannot be checked. They say a student will understand something or appreciate its importance, and nobody can tell from outside whether that happened. These are written so each one can be observed — the verbs are name, identify, state, distinguish, compare, construct, decode, convert, transcribe, type, place, produce, match and evaluate. Each has a moment where it either happened or it did not.

By the end of the course, a student can:

  1. Distinguish among the roles that make up a clinical team — 16 of them, by credential, scope and training route — and identify which are open to somebody leaving high school.
  2. Compare the training routes into clinical work by time, cost of education and salary outcome, and calculate what a given path would cost them personally.
  3. Produce a complete patient chart from a simulated clinical encounter, placing each statement in the correct section, using standard acronyms and abbreviations, and capturing everything clinically relevant.
  4. Apply the SOAP format to organize a clinical note, and explain why the order is not arbitrary — an assessment has to follow from the subjective and objective above it.
  5. Distinguish what belongs in a chart from what does not — a patient's account from a provider's finding, clinical content from conversation. This is the one ambient AI documentation tools most often get wrong, which is why it still has to be taught.
  6. Construct and decode medical terms from roots, prefixes and suffixes, including terms the course never taught. 200 words learned this way cost less than 50 learned by rote.
  7. Apply the rules governing patient information — HIPAA, patient identification, confidentiality and the limits of the role — to situations no explicit rule covers, which is most of them.
  8. Evaluate whether to pursue a career in healthcare, on evidence rather than impression — not whether to be a scribe, but whether this is a world they want to work in.
  9. State what this training is worth to them next — for a hospital volunteer placement, a scribe job, a nursing program, an EMT course or a pre-med track — in a sentence, to an admissions officer or an employer.
  10. Acquire most of it without sitting down to study. There is no vocabulary list to review and no exam at the end. A student who plays Word Fall 3 times has done spaced retrieval practice 3 times, and would not describe it that way.

Objective 8 is the one the rest exist to make answerable. It appears eighth because these are ordered by dependency rather than importance — a student cannot weigh a career on evidence until they have the evidence, and 1 through 7 are that evidence.

How it is designed

This is interactive e-learning, not readings with questions at the end. The distinction determines what the objectives above can honestly claim.

There is no passive screen in the course. Every one of the 15 units requires the student to do something before it will move — choose, type, tap to reveal, place a symptom on a body, determine where a line belongs. No unit can be completed by scrolling. That means the course requires active participation and attention to detail throughout, which are the 2 things the job requires and the 2 things classroom teaching struggles hardest to produce. A student can sit through a lecture. There is no version of sitting through this.

The presenting and the testing are the same action

Content is not delivered and then quizzed. A student learns a section of the chart by placing lines into it.

Feedback on every attempt, right or wrong

The student is told why, and told the discriminating feature rather than just the answer.

Failure is safe and it is recorded

Getting it wrong costs nothing and is kept. The record belongs to the student, and it is where they go to see what has not stuck.

And the mistakes become the next exercise

Every term a student misses, anywhere in the course, goes into an activity called What You Got Wrong, which rebuilds itself out of that student's own misses and keeps serving them back until they stop missing them. No 2 students ever see the same set, because no 2 students got the same things wrong.

It is the closest thing the course has to differentiated instruction, and it runs without anybody having to set it up. It also matters for a reason beyond the drilling: a student who reopens it without being told to is demonstrating objective 10 in a way no question could ask about, and the record makes that visible.

Production, not selection

The capstone requires the student to build a chart as an encounter unfolds. Nothing is picked from a list.

Reviewed by emergency physicians

Every clinical claim in the course has been reviewed and approved by multiple board-certified emergency medicine physicians. The dictations are voiced by a trained reader, which is why the course calls them simulated encounters rather than recordings.

Written by somebody who built these programs

The course was written by Prince Raj, MHA, who has spent 20 years in medical scribing across more than 100 emergency departments in 20 states, and who founded the Medical Scribe and Clinical Information Manager programs at Yale New Haven Health System and at the David Geffen School of Medicine at UCLA. He has trained hundreds of people to do this job and built the documentation standards they work to.

And built as an instructional system, not a website

He recently completed the Chief Operating Officer Program at MIT, with a focus on designing and building AI products and services. That is what took 20 years of instructional design work to the next level — the alignment, the pre and post measurement and the game design below all come out of it. More about the author.

How the gain is measured

Before Unit 1 a student answers 24 questions about things the course has not taught them yet. It is called Guess Before You Know and it says so plainly — nobody is scored and nothing is gated on it. At the end of Unit 15 the same 24 questions come back, in the same words, and both numbers are shown together. The measure that matters is the distance between them, not either figure on its own.

Those 24 questions are blueprinted across 7 of the terminal objectives, so what comes back is a breakdown rather than a single score — which objectives moved and which did not. A cohort that gains 14 points on word building and 2 on confidentiality has told you something specific about what to reteach.

2 things it deliberately does not do: it does not show a student their score on the way in, because a low number at the door is a reason to stop, and it gives no feedback on the first round, because that would teach the answer out of context and spoil the comparison.

Alignment

Which unit teaches each objective, how it is assessed, and how many of the 24 pre and post questions test it. Bloom's level is the highest cognitive demand the objective makes.

Terminal objectiveBloomTaught inAssessed byQuestions
1 · Distinguish among the roles in a clinical teamUnderstand / AnalyzeUnits 1, 2Selection with elaborative feedback; specialty routing task3
2 · Compare the training routes into clinical workAnalyze / EvaluateUnits 1, 13Role cards with wage and training data; comparison task3
3 · Produce a chart from a simulated encounterCreateUnits 8, 9, 10, 12Capstone — the student builds the chart as the encounter unfolds6
4 · Apply the SOAP formatApplyUnits 6, 7, 12Section placement, forced choice; capstone3
5 · Distinguish what belongs in a chartAnalyzeUnits 6, 7, 8, 12Chart-or-not tasks, with distractors drawn from real errors3
6 · Construct and decode medical termsApply / CreateUnits 4, 5, 9Build a term from parts; 8 of the 30 build tasks are words the course never teaches3
7 · Apply the rules governing patient informationApply / EvaluateUnit 118 situations with no explicit rule; mastery set at 883
8 · Evaluate whether to pursue healthcareEvaluateUnits 13, 14, 15Self-directed, unscored by design
9 · Recognize what the training is worth nextEvaluateUnits 13, 15Self-directed, unscored by design
10 · Acquire most of it without studyingAll units, 15 gamesReplay data — games returned to without instruction

Objectives 8, 9 and 10 carry no questions. The first 2 are self-assessment, and a student cannot be marked right or wrong about whether a career suits them. The third is measured by behavior: plays per game, and whether a deck is reopened after it has been finished. Objective 10 carries no Bloom's level either — it describes how the other 9 are acquired rather than what a learner does with knowledge, so assigning it a level would be a category error.

Contact time

The course is 15 numbered units plus a pre-test and 2 extension units, across 5 movements. Times are per student and self-paced. The range reflects how much a student replays the practice rather than any difference in the material.

MovementUnitsTime
Before anything is taughtUnit 015 min
The building and the people in itUnits 1–31 h 15
The languageUnits 4, 51 h 15
The chartUnits 6–92 h 15
Doing the jobUnits 10–12b2 h 30
The decisionUnits 13–151 h 30
Units total8 h 15 to 10 h

The 3 longest units are the 3 that matter most. Unit 10 is the dictation, and it is the only unit most students repeat. Unit 8 builds a history line by line. Unit 4 is where medical vocabulary stops being memorization and starts being decodable. Unit 15 is 15 minutes and carries no teaching at all — it is 12 questions about the student rather than about medicine.

The games and practice tools

These sit outside the unit times above, and they are what account for the gap between 8 hours and 10. 13 tools, all replayable, none of them required. A student who works them adds an hour or more, and a student preparing for the capstone usually does.

ToolWhat it drillsTime
FlashcardsThe full terminology deck, with audio20 min per pass
Terminology games — Build It, Name It, Twin Trap, Word FallPrefixes, roots and suffixes under time pressure5–10 min each
Word games — Crossword, Unscramble, Hidden Words, Hear it Spell ItSpelling and recall of the same vocabulary5–10 min each
Typing RunRaw speed, which Unit 15 flags as the strongest predictor5 min per run
Typing the HPISpeed against real clinical phrasing10 min
Take the DictationThe Unit 10 cases, replayable15 min per case
The 14 Body Systems · The 14 SystemsSystems and what belongs in each10 min
Where It LivesPlacing a complaint in the right system10 min
Inside the ChartWhich section a line belongs in10 min
The Same TwentyThe 24 pre-test questions, answered again10 min
What You Got WrongOnly the questions that student missedvaries
Your recordTime, units completed, badges — not a drill

Twin Trap and Word Fall are the 2 worth knowing about. Twin Trap drills the pairs that look alike and mean different things, which is where documentation errors actually come from. Word Fall is timed decoding, and it is the activity students replay without being asked. What You Got Wrong is the pedagogically interesting one — it rebuilds itself from that student's own misses, so no 2 students see the same set, and replaying it is the behavior objective 10 is measured by.

What a student produces

Not participation. Artifacts you can look at and mark.

Documentation 5 notes taken by hand from dictation
Clinical thinking 10 patients routed to the right specialty
Patient care A simulated encounter documented start to finish
Teamwork The care team and who does what
Leadership A reasoned decision about their own next step

Records and credit

A transcript pack ships with the course: a syllabus, an hours log, an assessment rubric and a parent-facing summary. Credit is awarded by you or by the issuing school. We do not assess, and completion is not a credential.

What it costs

Free for the pilot cohort. We are looking for a first group of co-ops and classrooms to run the course properly and tell us where it is wrong.

Pricing after the pilot is not settled, and seat rates for groups will depend partly on what the pilot tells us. If you are planning a budget for next year, say so on the application and we will talk it through directly rather than guess at a number here.

What we ask in return

3 short questions partway through and a few more at the end: what dragged, what confused, what you would have cut. If a unit does not work in a room full of students, we want to hear it from the person who was standing in the room.

Bring a group

Apply as a co-op leader, classroom teacher, umbrella administrator or dual-enrollment coordinator. The form asks how many students and what ages.

Apply for the pilot The parent-facing version

Where it can lead

Medical Explorer is the first tier. The map is the long view — professional training continues at Scribe Academy and can be started from 16.

FoundationsWhere every student starts
Primary careThe whole patient, over time
Urgent careMove fast, see more
EmergencyHigh acuity, high impact
CIM AcademyClinical information leadership
Scribe Class: Medical Explorer, for ages 14–18.
Professional training continues at Scribe Academy, and can be started from 16.
Issued by the Institute for Clinical Documentation Excellence.