What does a free membership include?
Everything. Every case in the library, in full: the handoff, the decision points, the expert reasoning, the teaching pearls with the cognitive biases named, the guideline citations, the three self-assessment questions and the one-page reference card.
How much does it cost?
Nothing right now. It's free for early members while the programme finds its feet. Paid tiers may come later as the library grows — anyone who joins now keeps free access to everything published during the launch period, and you'd get plenty of notice before anything changed.
Why do I need an account?
The cases are written for clinicians, and an account keeps the full reasoning with the people it's written for. It also lets the library show you which cases you've worked. Your answers themselves never leave your browser — they're stored on your device, not on our server.
Does this earn me CME credits?
Not currently. The cases are competency-mapped against CSHM, CanMEDS-FM, and SHM frameworks, which makes them straightforward to document in your CPD records as self-directed learning — but the programme is not accredited and carries no Mainpro+ credits. I'd rather say that plainly than imply otherwise. If accreditation comes through, members will be the first to know.
Who is this actually for?
GP hospitalists and family physicians doing inpatient work in Canada. The cases are pitched roughly at the level of a second-year family medicine resident moving into independent practice, with senior-level cases mixed in. If you admit and manage medical inpatients, it's aimed at you.
How often does new content arrive?
A new case opens in the library every month, and one email tells you when it does. Cases open one at a time as each clears clinical review, and everything that's open is yours to work at your own pace, in any order.
How do I know the clinical content is sound?
Every case is checked against current Canadian and international guidelines and reviewed by a practising hospitalist before it opens, and every citation carries its publication year so you can see how fresh it is. Nothing opens in the library without a physician signing it off. If you spot an error, tell me — corrections take priority over new content, and I'll credit you unless you'd rather I didn't.
Are the patients real?
No. Every case is fictional — a composite of clinical patterns, never a real patient, never identifiable details. That's a hard rule.
Why don't the case titles say the diagnosis?
Because working out the diagnosis is the exercise — and so is keeping the differential wide open while you do it. Titles name the person and the moment, never the finding and never the answer. The same rule governs the previews, the domain labels, and the email subject lines. You should arrive at a case knowing nothing the patient in front of you hasn’t told you.
I forgot my password.
Use “Forgot your password?” on the sign-in page. The reset link comes from no-reply@netlify.com, who run our sign-in — check your junk folder if it doesn't arrive in a few minutes.
Can I use this in residency training?
Yes, and several of the cases work well as teaching material for a half-hour session. They map to CSHM core competencies and CanMEDS-FM roles. If you're running a programme and want to use them with a group, get in touch first.
Can I suggest a case?
Please do. The contact form has a case-suggestion option. The best cases come from patterns people actually keep running into — the admission you weren't sure about at 3 a.m. is exactly the raw material.
Is this affiliated with a university or health authority?
No. It's an independent resource built by one practising GP hospitalist. No institutional affiliation, no industry funding, no sponsored content.
Is there an app?
No, and there probably won't be. It's a website and a monthly email — both of which work fine on a phone at the nursing station.