Enterprise

The dashboard shows, by department and specialty, where the team gets the diagnosis right and where it needs more practice. The CME report comes from the same numbers.

Overview · Last 12 weeks

Diagnostic accuracy

68%

+6 points in 12 weeks

Clinicians active this week

412 of 530

78% of the team

Practice hours in the period

1,240 h

About 3 h per active clinician

Diagnostic accuracy, week by week

Week

Active clinicians, week by week

0200400530Whole team
1471012

Week

What gets recorded today

Credit counts time.

CME credit systems measure how long a clinician took part.

AMA PRA Category 2 Credit™

Self-claimed by the physician.

ECMEC®, live events

Up to 8 per day, for actual attendance time only.

Time does not show where the team gets it wrong.

The record shows

  • Activity hours
  • Credits by category
  • Event attendance
  • Certificate issued

What it leaves out

  • How each person reaches the diagnosis
  • In which specialty the team makes the most errors
  • Who needs more practice, and in what
  • Whether practice changed after the course

Asking each clinician does not fill that gap. In a systematic review in JAMA, 13 of 20 comparisons found little, no or an inverse relationship between physicians' self-assessment and externally observed performance.

The architecture

Gamified Medical Learning Architecture

Three layers: the content, the practice and the analysis of what the team does.

01

Core

The clinical graph underneath it all: diseases, findings and the links between them.

02

Practice

Fictional clinical cases that take 5 to 10 minutes, on a phone or computer.

03

Intelligence

The dashboard and the CME report.

01 Core

The clinical graph underneath it all.

Every disease, finding, test and ICD-10 code has its own page in Core, linked to the others by the relationships recognized in clinical practice.

Core is how each case knows which disease, findings and specialty it belongs to. That is why the dashboard breaks accuracy down by specialty and points to the next case set.

Dyspnea: 6 diseases across 3 specialties.

FindingFinding linked to a disease, in the specialty's colorDiseases linked to each other: differential, cause or complication

02 Practice

Short cases, chosen for each team.

The organization defines each team's case set based on the department's clinical profile, and changes the set when the dashboard flags a gap.

In a synthesis of 8 systematic reviews, continuing education had better results when it was more interactive, repeated over time and focused on outcomes physicians consider important.

Studies of continuing education in general. They do not measure the effect of what we offer.

  • 5 to 10 min per case
  • Phone or computer
  • 6 languages

Case set · Internal Medicine

October to December

  • Cardiology9
  • Infectious Diseases8
  • Nephrology7
  • Pulmonology7
  • Endocrinology6
  • Gastroenterology5
  • Neurology4
  • Hematology2
48 cases
Nephrology gained 4 cases after the dashboard flagged the gap.

03 Intelligence

Where the team gets it right, and where it needs practice.

The dashboard cross-references department and specialty, flags what fell below target and points to the next case set.

Overview

Last 12 weeksAll sitesAll departmentsExport

Cases solved

9,870

+12% vs the previous 12 weeks

Average time per case

7 min 30 s

Median 7 minutes

On track for the cycle target

54%

286 of 530 clinicians

Open gaps

3

Each already has a case set

Diagnostic accuracy by department and specialty

CardioPulmIDNephroEndoGINeuroHeme
Emergency Medicine7471686657707264
Internal Medicine7673715869726766
Intensive Care7275606870656963
Surgery6866646263746162
Pediatrics6572706366686467
Primary Care7169736572706361

Diagnostic accuracy

50%60%70% target80%

Gap: 10 or more points below target

Accuracy by specialty, before and now

Previous 12 weeksLast 12 weeksTarget 70%

When the team practices

Mon
Tue
Wed
Thu
Fri
Sat
Sun
00:0006:0012:0018:00

Cases solved

0207414

Time per case

87% between 5 and 10 minutes

3456789101112+

min

Teams

TeamActiveAccuracyTrendHoursOn track
Emergency Medicine74 of 9668%228 h58%
Internal Medicine90 of 11269%276 h61%
Intensive Care49 of 6468%150 h52%
Surgery63 of 8865%190 h47%
Pediatrics56 of 7067%166 h56%
Primary Care80 of 10068%230 h50%

Where to practice next

  1. Emergency Medicine, Endocrinology

    57%

    Next set: 12 Endocrinology cases

  2. Internal Medicine, Nephrology

    58%

    Next set: 12 Nephrology cases

  3. Intensive Care, Infectious Diseases

    60%

    Next set: 12 Infectious Diseases cases

CME report

From dashboard to report.

Who met the cycle's hours target, which gaps set the focus of the period and what changed afterwards, by team.

Participation
Who practiced, how many hours, and who is on track for the cycle target, by team.
Gaps and change
The areas below target that defined the period's case sets, with accuracy before and after.
Individual statement
Each clinician's hours and activities, given to them for their own records.
Audit trail
Who generated the report, when, and the date of each activity.

Continuing medical education program

July 1 to September 30

Participation

412 of 530

clinicians practiced

1,240 h

of practice logged

54%

on track for the cycle target

On track 54%In progress 24%No practice in the period 22%

Gaps addressed in the period

Pediatrics, Pulmonology59% 72%
Surgery, Gastroenterology61% 74%
Primary Care, Infectious Diseases62% 73%

Before the setAfterTarget 70%

By team

TeamCliniciansHoursOn track
Emergency Medicine96228 h58%
Internal Medicine112276 h61%
Intensive Care64150 h52%
Surgery88190 h47%
Pediatrics70166 h56%
Primary Care100230 h50%
Network5301,240 h54%

Each clinician gets their own statement, with the hours and activities of the period.

Generated on October 1, 08:12, by the medical director's office. Each activity shows the date it was completed.

In the organization

It plugs into what the organization already uses.

Corporate single sign-on
SAML or OIDC, using the organization's accounts.
Accounts from HR
Automatic provisioning and synchronized offboarding.
API integration
With LMS, HR and clinical management systems.
Audit logs
Complete, for internal compliance.
Severity-based SLA
Contractual response times, a dedicated account manager and support during extended business hours.
Multiple entities
Networks with several legal entities or decentralized governance.

Use cases

What it looks like in an organization like yours.

Medical staff practice throughout the year, with short cases that stand on their own.

On the dashboard · Practice hours per month

Each clinician's hours go into the CME report.

July380 h
August410 h
September450 h

Purchasing and rollout

Assisted rollout, in waves.

With a dedicated account manager, from contract to day-to-day operations.

  1. 01

    Contract

    Annual license, with volume discounts and support for the procurement process.

  2. 02

    Access

    Corporate single sign-on and automatic account creation from HR.

  3. 03

    Case sets

    Defined with each team, based on the department's clinical profile.

  4. 04

    Waves

    One team starts, and the others join one wave at a time.

  5. 05

    Operations

    Severity-based SLA, support and audit logs.

Questions

Frequently asked questions

Content

  • The clinical graph underneath it all: clinical concepts, reference chapters, ICD-10 codes and the links between them. Every case is checked against it before publication.

  • No. The cases are fictional, built from classic presentations described in the literature. We are a training tool, not a medical reference, and should not be used to guide clinical decisions.

  • Portuguese, English, Spanish, French, German and Russian.

Continuing education

  • Diagnostic accuracy by department and specialty, the team's gaps, participation and practice hours.

  • The report includes practice hours for each clinician and each team, the gaps addressed and the change in accuracy, ready for the organization's CME records.

Access and data

  • Through corporate single sign-on (SAML/OIDC). Accounts are created through automatic provisioning from HR, and offboarding is synchronized.

  • Yes, through API integration with LMS, HR and clinical management systems, with complete audit logs for internal compliance.

  • Yes. The setup supports networks with several legal entities or decentralized governance, and the dashboard shows each site separately.

Contract

  • Annual, per license, with volume discounts and support for the organization's procurement process.

  • Assisted, in waves, with a dedicated account manager. The contractual SLA sets response times by severity, and technical support runs during extended business hours.

See how your team reasons.

Annual per-license contract, with volume discounts.

Or write to enterprise@nexo.wiki.br