First 5–60 minutes
ED pharmacist
What must be recognized, prepared, administered, prevented, monitored, and handed off now?
A living clinical textbook
Pharmacotherapy,
Pharmacotherapy,
from four sides.
A world-class learning system built for a BCPS emergency medicine pharmacist: pathophysiology deep enough to think like a physician, pharmacology deep enough to teach it, and cases difficult enough to change what happens at the bedside.
One patient · four responsibilities
The lenses do not duplicate content. They change the question.
A common clinical core keeps the science consistent; the overlays expose how urgency, setting, physiology, and continuity change the plan.
Cause to discharge
Internal medicine pharmacist
What caused this, what should persist after stabilization, and what is the telemetry-to-discharge plan?
Physiology under stress
Critical care pharmacist
How do shock, infusions, devices, organ failure, and rapidly changing PK/PD alter the decision?
Disease model
Physician · generalist
What pathology explains the presentation, how is it proven, and when are procedures or consultation needed?
The content contract
A claim is never just a sentence.
- 01MechanismWhat is happening and why?
- 02DecisionWhat changes management now?
- 03DrugChannel to dose to monitoring.
- 04EvidenceDesign, certainty, directness, limits.
- 05TransferCan you solve the unfamiliar case?
Domain map
A folder tree on the surface. A knowledge graph underneath.
Diseases live in one canonical home. Drugs, decisions, physiology, evidence, and patient contexts link across every domain so updates do not drift.
01
Active
Cardiovascular
Rhythm, perfusion, ischemia, heart failure, thrombosis, and the drugs that change each.
First module · Arrhythmias
02
Queued
Renal · fluids · electrolytes
Kidney physiology, AKI/CKD, replacement therapy, acid-base, electrolytes, and dose design.
03
Queued
Critical care · resuscitation
Shock, organ support, sedation, toxicology, emergencies, and time-dependent pharmacotherapy.
04
Queued
Infectious diseases
Syndrome recognition, pathogen logic, PK/PD, resistance, source control, and stewardship.
05
Queued
Neurology · neurocritical care
Stroke, seizures, intracranial emergencies, movement disorders, and neuropharmacology.
06
Queued
Pulmonary
Airflow, gas exchange, pulmonary vascular disease, ventilatory failure, and respiratory drugs.
07
Queued
Endocrine · metabolic
Diabetes, endocrine emergencies, thyroid/adrenal disease, obesity, and metabolic therapeutics.
08
Queued
Hematology · oncology
Hemostasis, malignancy, oncologic emergencies, antineoplastics, and supportive care.
09
Queued
GI · hepatic · nutrition
Luminal disease, liver failure, pancreatobiliary care, nutrition, and altered drug handling.
10
Queued
Rheumatology · immunology
Inflammation, autoimmunity, immunosuppression, biologics, and immune-mediated toxicity.
11
Queued
Psychiatry · substance use
Acute behavior, longitudinal psychopharmacology, withdrawal, overdose, and recovery.
12
Queued
Special populations
Pregnancy, geriatrics, obesity, pediatrics, perioperative care, and organ dysfunction.
Mastery, not completion
A green check is not enough.
Mastery requires accurate decisions on unseen cases, zero repeated safety-critical errors, durable recall after 30 days, and a mechanism/evidence teach-back that another clinician could trust.
Recognizepattern + urgency
Explainmechanism + pathology
Applydrug + monitoring
Transferunseen complexity
Teachdefend with evidence