A revolutionary paradigm in undergraduate medical education

Practicum Script is an online simulation-based programme aimed at enhancing clinical reasoning and problem-solving skills as well as introducing the concept of uncertainty in decision-making. Its methodology is founded on the dual process theory of human cognition. Students face clinical challenges based on real patients. The simulator presents a comprehensive evaluation of all stages of clinical reasoning, from hypotheses generation (heuristic reasoning) to corroboration (inductive reasoning), through decision-making in the presence of new clinical data of the patients (hypothetical-deductive reasoning). Its feedback model stimulates reflection on actions (metacognition) based on the responses given by experts and evidence-based medicine.

The pool of cases in Practicum Script is provided by renowned specialists from top universities and the contents are validated by an international panel of experts and local auditors. Practicum Script offers exercises that are particularly suited to train and reinforce the students' ability to integrate and apply different types of knowledge, as well as to understand and weigh different perspectives in complex cases, promoting active learning in class or remotely. Professors can access individual and group results throughout the entire training cycle, and are provided with an optional resource to conduct debriefing sessions. Practicum Script maximizes the acquisition of experiential knowledge by students in their transition to professional practice.

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How it works

Although this is a tutorial video for CME/CPD, the methodology for the undergraduate programme is the same.

Top universities
International experts

Practicum Script makes the difference

  • It is the only pedagogical model that applies the theory of dual process thinking.
  • It includes heuristics and a probabilistic reasoning approach as part of the learning process.
  • It introduces the management of clinical uncertainty during decision making.
  • It focuses on the comprehensive process of reasoning rather than on a specific skill.
  • It provides high-fidelity scenarios, with real patients and common situtations.
  • It comes with personalized feedback, combining expert opinion and clinical evidence.
  • An AI system assesses the plausibility of hypotheses formulated in free text.
  • It shortens the clinical maturation of students, reducing cognitive failures that lead to errors.
  • It aligns with digital 21st century pedagogy, which prioritizes reflective practice over factual knowledge.
  • It has proved solid psychometric properties of its usefulness at undergraduate level.

What the experts say

How can medical schools
implement Practicum Script?

Practicum Script can be used as:

  • A formative tool along the academic year for students in their final three years of medical school.
  • As a mixed model, consisting of a first cycle of formative diagnostic assessment and a second cycle of summative assessment.

Most medical schools currently using Practicum Script integrate our summative exam into the OSCE for final year medical students.

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