For Residents, PAs, NPs, Fellows & Attendings
TLAC — Think Like a Clinician — is a staged reasoning trainer built around the way experienced clinicians actually think at the bedside: framing the presentation, building a structured differential, defending it against the data, and choosing the next test that meaningfully changes management.
Built For Teaching And Practice
For attendings & preceptors: TLAC gives you a structured artifact of a learner's reasoning — not just the final answer. Share a completed case for asynchronous feedback, or use the rubric and peer-stats view to anchor a teaching point during rounds.
For residents, PAs, NPs & fellows: each case walks you through HPI → exam → hypothesis → workup → final synthesis. You write your own differential and reasoning before the rubric reveals expert scoring. Confidence and accuracy are tracked separately so you can see where your gut and the evidence agree — and where they don't.
Five stages, one structured rep. Commit before you see the answer — that's what makes the feedback teach you.
Read the presentation. Note what's pertinent and what's pertinently absent.
Select the findings that change your thinking. Don't pick everything — discrimination is the skill.
Write 3–5 differentials, each with your reasoning: what fits, what argues against it, and what's missing. Be specific (e.g. "Hodgkin lymphoma," not "lymphoma").
Pick the next test that would meaningfully change management — not the most exhaustive panel.
Commit to a final diagnosis, your confidence, and the next action. Then read the expert reasoning and rubric feedback.
Deliberate practice, structured feedback, and a written record of how you think.
Build sharper differentials at the bedside — without skipping the framing step that makes them defensible.
Fewer shotgun panels, more decisive workups — you'll pick the next test because it changes management, not because it's exhaustive.
Confidence and accuracy are tracked separately, so you'll stop being surprised by your misses and start trusting your gut when it's earned that trust.
A record of your reasoning you can share with an attending or mentor — proof of how you think, not just what you scored.
TLAC is currently a working prototype, in review with practicing physicians ahead of launch. Every dollar donated helps us finish building tools that make clinical reasoning teachable at scale.