Sharpen your clinical reasoning,
one case at a time.
A biweekly case-based learning program built by a GP hospitalist in British Columbia. Read the case free. Subscribe for the expert reasoning, teaching pearls.
Every case follows the same structure. You test yourself first, then check your reasoning against an experienced hospitalist's approach.
Read the case
A complete clinical encounter from ED handoff through disposition. Progressive disclosure of history, labs, and imaging with decision point questions at every stage.
Free for everyoneCheck your reasoning
Expert reasoning for every decision point, with cognitive biases identified and guidelines cited. See where your thinking matched — and where it didn't.
SubscribersReview & earn credit
Expert reasoning for every decision point, with teaching pearls and cognitive biases identified. Complete the self-assessment MCQs and reflection to consolidate your learning.
SubscribersFilter by system. Every case is free to read. Subscribe for the answers.
Canadian medical education.
There is no structured, ongoing case-based learning program for Canadian hospitalists. We built one.
Residency gives you two to three months of inpatient medicine. Then you’re on your own. Guidelines change every year — GOLD, GINA, CCS, IDSA — and there is no single resource keeping hospitalists current through the lens of their actual practice.
Forty cases across fifteen clinical domains, grounded in current guidelines, built around the decisions that matter at 2 AM in a community hospital.
Created by a GP hospitalist in rural British Columbia — where staying current means building your own curriculum. Read the full story →
Our 40 cases are systematically mapped against three authoritative competency frameworks. Every clinical domain a hospitalist is expected to master is covered.
40 competency chapters covering general clinical skills, clinical conditions, and procedures. The definitive Canadian hospitalist scope of practice document.
40/40 chapters covered
Seven physician roles: medical expert, communicator, collaborator, health advocate, scholar, leader, and professional. The framework for all family physicians.
7/7 roles exercised
53 chapters across clinical conditions, procedures, and healthcare systems. 2023 update added pancreatitis, cirrhosis, hypertension, and substance use disorders.
4/4 new additions covered
Why this matters
Most CME is fragmented — a conference talk on sepsis here, a journal article on anticoagulation there. None of it maps to a structured competency framework. The Hospitalist Workout is different: every case is tagged to specific CSHM competency chapters, CanMEDS roles, and current guidelines. You can see exactly which domains you’ve covered and which ones have gaps — then fill them.
When you apply for , your competency coverage map is your evidence. When your hospital asks what CPD you’ve done, you have a structured answer. This isn’t just learning — it’s documented, trackable, competency-mapped learning.
Subscribe to get every case.
We’re launching with free access for early subscribers. Sign up now and you’ll get every case — questions, expert reasoning, and teaching pearls — delivered to your inbox every two weeks.
- Full case content every two weeks
- Expert reasoning and teaching pearls
- Reference cards
- Self-assessment MCQs
Paid tiers coming soon as we grow.
What subscribers get
- Expert reasoning for every decision point
- Teaching pearls with cognitive biases identified
- Guideline references with publication year
- Downloadable reference cards (1-page pocket format)
- Self-assessment MCQs with scored feedback
- Full case summary with key diagnoses and disposition
- New case every two weeks, full library from day one
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Cam Clayton, MD, CCFP
GP Hospitalist & Family Physician
British Columbia
I\u2019m a GP hospitalist and family physician in British Columbia. I split my time between hospitalist shifts and community family practice.
I built The Hospitalist Workout because I saw the same gap every new hospitalist hits: you finish residency with a couple months of inpatient medicine, start your first shift, and realize there\u2019s no structured way to keep building your clinical reasoning on the job. No ongoing, case-based curriculum designed for what we actually do.
So I started writing cases. Real clinical patterns, grounded in current guidelines, built around the decisions that matter. What began as personal study material turned into something I thought other hospitalists \u2014 especially those early in their careers \u2014 might find useful.
If you have feedback, a case suggestion, or spot a clinical error \u2014 I want to hear it.
Have a question, a case suggestion, or a clinical correction? I read every message.
Clinical corrections
Found a clinical error, outdated guideline, or dosing mistake? Please flag it. Patient safety comes first. Every correction is reviewed and applied within 48 hours.
Case suggestions
Have a clinical scenario that would make a great case? Tell me about it. The best cases come from real practice patterns.
Last updated: April 2026
1. The service
The Hospitalist Workout (“the Service”) is an online medical education platform providing case-based clinical reasoning content for physicians. The Service is operated by [Your legal name / business name] (“we,” “our”).
2. Not medical advice
The content provided through this Service is for educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. The cases are fictional. Clinical decisions should always be based on individual patient assessment, current local guidelines, and the practitioner’s own clinical judgment. We do not provide patient care through this platform.
3. Subscriptions and payment
Subscriptions are billed monthly ($5 CAD) or annually ($50 CAD) through Stripe. You may cancel at any time. Cancellation takes effect at the end of your current billing period. Refunds are provided at our discretion for the current billing period only. All prices are in Canadian dollars and include applicable taxes.
4. Account and access
You are responsible for maintaining the confidentiality of your account credentials. Subscriptions are for individual use only and may not be shared. We reserve the right to suspend accounts that appear to be sharing access.
5. Intellectual property
All content — including case text, reference cards, MCQs, and teaching materials — is the intellectual property of The Hospitalist Workout. You may not reproduce, distribute, or create derivative works from our content without written permission. Personal use for your own learning and clinical reference is permitted and encouraged.
6. Clinical accuracy
We make reasonable efforts to ensure clinical accuracy and currency of all content. However, medicine evolves and guidelines change. We cannot guarantee that all content reflects the most current evidence at all times. Users are encouraged to verify clinical information against current local guidelines and to report any errors to us promptly.
8. Limitation of liability
To the maximum extent permitted by law, The Hospitalist Workout and its creators shall not be liable for any clinical decisions made based on our educational content, or for any indirect, incidental, or consequential damages arising from use of the Service.
9. Changes to terms
We may update these terms from time to time. Material changes will be communicated by email to active subscribers. Continued use of the Service after changes constitutes acceptance of the updated terms.
10. Governing law
These terms are governed by the laws of the Province of British Columbia, Canada.
Questions about these terms? Contact us.
Last updated: April 2026
What we collect
When you subscribe, we collect your name, email address, province, and specialty. Payment information is processed and stored by Stripe — we never see or store your credit card details. We also collect usage data including which cases you have completed and your self-assessment responses.
How we use it
Your information is used to: deliver the Service (email case launches, track credit progress), improve our content (aggregate completion data helps us identify which cases are most valuable), and communicate with you about your subscription. We do not sell, share, or rent your personal information to any third party.
Third-party services
We use the following third-party services to operate the platform:
- Stripe — payment processing (see Stripe’s privacy policy)
- Ghost / ConvertKit — content hosting and email delivery
Each of these services has its own privacy policy governing how they handle your data.
Cookies
We use essential cookies to maintain your login session. We do not use advertising cookies or third-party tracking pixels. We do not run ads on this platform.
Data retention
We retain your account data for as long as your subscription is active. If you cancel and request data deletion, we will remove your personal information within 30 days. Aggregated, anonymized usage data may be retained for content improvement purposes.
Your rights
You may request access to, correction of, or deletion of your personal data at any time by contacting us. Under British Columbia’s Personal Information Protection Act (PIPA), you have the right to know what personal information we hold about you and to request its correction or deletion.
Changes
We will notify active subscribers by email of any material changes to this policy.
Questions about your privacy? Contact us.
Every case follows the same 7-act structure. You work through the clinical encounter from the first phone call to disposition, making decisions at every stage. Then you check your reasoning against an experienced hospitalist’s approach.
What subscribers get for each case
Expert reasoning
Evidence-based expected reasoning for every decision point. What to think and why.
Teaching pearls
6–8 evidence-based clinical pearls per case, with cognitive biases identified and guidelines cited.
Reference card
1-page downloadable PDF with key guidelines, doses, and decision rules from the case.
Self-assessment
3 self-assessment MCQs + reflection questionnaire. 1 Certified credit per case.
The biweekly rhythm: A new case drops in your inbox every two weeks. You get 48 hours to read and attempt the case before the answers, teaching pearls, and reference card are released. Work at your own pace — the full library is available from day one.
This is a complete sample case with all subscriber content unlocked so you can see exactly what you get. In the live platform, Acts 1–3 and the questions are free. The reasoning and teaching pearls are for subscribers.
Act 1: The handoff
Decision point 1
(1) The ED started antibiotics for UTI based on a positive UA. She has no dysuria, frequency, fever, or suprapubic pain. Is this a UTI? (2) Her sodium is 126. She’s on hydrochlorothiazide. Is this the cause of her confusion? (3) Her daughter mentions she was started on zopiclone 2 weeks ago for insomnia. Is this relevant? (4) What do you do about the ceftriaxone?
Expert reasoning — subscriber content
This is one of the most important teaching points in hospitalist medicine. A positive urinalysis in a confused elderly patient is not a diagnosis. It’s a distraction.
Per IDSA 2019 guidelines, bacteriuria with delirium without local genitourinary symptoms should not be treated with antibiotics. Asymptomatic bacteriuria is present in 25–50% of women over 70. Treatment does not improve delirium and increases C. difficile risk.
The real causes here: thiazide-induced hyponatremia (Na 126 on hydrochlorothiazide) and a new sedative-hypnotic (zopiclone, a Beers Criteria medication). Two iatrogenic causes. Zero infections. Stop the ceftriaxone.
Teaching pearl: When a patient is confused, check the medication list before the urine. New medications — especially sedative-hypnotics and thiazides — are more likely to cause delirium than a positive UA in an elderly woman.
The case continues through 6 more acts: the sodium correction (max 8–10 mmol/L in 24h), the positive urine culture that comes back (still ASB — don’t treat it), the zopiclone discontinuation, and the discharge plan with medication reconciliation.
This is one of 40 cases.
Subscribe free as an early subscriber to get the expert reasoning, teaching pearls, reference cards, and MCQs for every case.
or browse all 40 casesJoin The Hospitalist Workout
Early bird — free. Get the full case — questions, expert reasoning, and teaching pearls — delivered to your inbox every two weeks.