For co-ops, schools and classrooms
15 units, 8 to 10 hours, no prep and no science prerequisite. Nothing to install.
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.
Students work through the units in order. Progress is kept per device. There is no live session to schedule and no software to deploy.
You do not need clinical background. Every unit is self-contained and self-explaining, and the answer keys are built in.
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.
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.
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
EthicsMost 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:
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.
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.
Content is not delivered and then quizzed. A student learns a section of the chart by placing lines into it.
The student is told why, and told the discriminating feature rather than just the answer.
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.
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.
The capstone requires the student to build a chart as an encounter unfolds. Nothing is picked from a list.
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.
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.
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.
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.
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 objective | Bloom | Taught in | Assessed by | Questions |
|---|---|---|---|---|
| 1 · Distinguish among the roles in a clinical team | Understand / Analyze | Units 1, 2 | Selection with elaborative feedback; specialty routing task | 3 |
| 2 · Compare the training routes into clinical work | Analyze / Evaluate | Units 1, 13 | Role cards with wage and training data; comparison task | 3 |
| 3 · Produce a chart from a simulated encounter | Create | Units 8, 9, 10, 12 | Capstone — the student builds the chart as the encounter unfolds | 6 |
| 4 · Apply the SOAP format | Apply | Units 6, 7, 12 | Section placement, forced choice; capstone | 3 |
| 5 · Distinguish what belongs in a chart | Analyze | Units 6, 7, 8, 12 | Chart-or-not tasks, with distractors drawn from real errors | 3 |
| 6 · Construct and decode medical terms | Apply / Create | Units 4, 5, 9 | Build a term from parts; 8 of the 30 build tasks are words the course never teaches | 3 |
| 7 · Apply the rules governing patient information | Apply / Evaluate | Unit 11 | 8 situations with no explicit rule; mastery set at 88 | 3 |
| 8 · Evaluate whether to pursue healthcare | Evaluate | Units 13, 14, 15 | Self-directed, unscored by design | — |
| 9 · Recognize what the training is worth next | Evaluate | Units 13, 15 | Self-directed, unscored by design | — |
| 10 · Acquire most of it without studying | — | All units, 15 games | Replay 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.
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.
| Movement | Units | Time |
|---|---|---|
| Before anything is taught | Unit 0 | 15 min |
| The building and the people in it | Units 1–3 | 1 h 15 |
| The language | Units 4, 5 | 1 h 15 |
| The chart | Units 6–9 | 2 h 15 |
| Doing the job | Units 10–12b | 2 h 30 |
| The decision | Units 13–15 | 1 h 30 |
| Units total | 8 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.
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.
| Tool | What it drills | Time |
|---|---|---|
| Flashcards | The full terminology deck, with audio | 20 min per pass |
| Terminology games — Build It, Name It, Twin Trap, Word Fall | Prefixes, roots and suffixes under time pressure | 5–10 min each |
| Word games — Crossword, Unscramble, Hidden Words, Hear it Spell It | Spelling and recall of the same vocabulary | 5–10 min each |
| Typing Run | Raw speed, which Unit 15 flags as the strongest predictor | 5 min per run |
| Typing the HPI | Speed against real clinical phrasing | 10 min |
| Take the Dictation | The Unit 10 cases, replayable | 15 min per case |
| The 14 Body Systems · The 14 Systems | Systems and what belongs in each | 10 min |
| Where It Lives | Placing a complaint in the right system | 10 min |
| Inside the Chart | Which section a line belongs in | 10 min |
| The Same Twenty | The 24 pre-test questions, answered again | 10 min |
| What You Got Wrong | Only the questions that student missed | varies |
| Your record | Time, 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.
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 stepA 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.
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.
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.
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 versionMedical 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 leadershipAll patients, encounters and records in this course are fictional.
Completion is not a professional credential, a license, or a qualification to practice.
Academic credit is awarded by the issuing school or parent, not by this course.
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