A living clinical textbook

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.

01

First 5–60 minutes

ED pharmacist

What must be recognized, prepared, administered, prevented, monitored, and handed off now?

02

Cause to discharge

Internal medicine pharmacist

What caused this, what should persist after stabilization, and what is the telemetry-to-discharge plan?

03

Physiology under stress

Critical care pharmacist

How do shock, infusions, devices, organ failure, and rapidly changing PK/PD alter the decision?

04

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.

  1. 01
    MechanismWhat is happening and why?
  2. 02
    DecisionWhat changes management now?
  3. 03
    DrugChannel to dose to monitoring.
  4. 04
    EvidenceDesign, certainty, directness, limits.
  5. 05
    TransferCan 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