Live Clinical Reasoning

Make your call.
Own your reasoning.

Cliniway is an AI clinical-reasoning platform with eight live patient modes, an attending-grade SOAP critic, and analytics built for medical schools. Stop memorizing. Start diagnosing.

Start free · 14 days
0+
Cases
0
Topics
0
Modes
Real-time SOAP critique·No credit card required
consult-challenge / huang-yu-sheng
PatientChatExamsMedsOrdersSOAP
HY
Huang, Yu-Sheng
58M · Hematemesis × 6h
Available
Clinical Question
58M, cirrhosis, bright-red haematemesis × 6h, melena. HR 104, BP 78/52. Initial workup?
Vital Signs · last 5 daystrending ↓
Pulse
100
SBP
96
Temp
36.8
Order History
10:12 PMMedsdesmopressingiven
10:10 PMExamPanendoscopyreport ready
10:09 PMTestPT15.2 sec
PE Mode
Message Huang…
Trusted by future-leading medical programs
National Taiwan University
Taipei Medical University
Chang Gung University
Kaohsiung Medical University
China Medical University
Mackay Medical College
Koo Foundation Sun Yat-Sen
Tri-Service General Hospital
National Cheng Kung University
Yang Ming Chiao Tung University
National Taiwan University
Taipei Medical University
Chang Gung University
Kaohsiung Medical University
China Medical University
Mackay Medical College
Koo Foundation Sun Yat-Sen
Tri-Service General Hospital
National Cheng Kung University
Yang Ming Chiao Tung University
Walkthrough

Same engine.
Seven different rhythms.

Every mode shares the same patient simulation core — only the cadence, the constraints, and the grading change. Pick the rhythm that matches your clinical week.

01 · Skill Capsules

Bite-sized scenarios for the 15-minute gap.

120+ episode-style capsules covering antibiotic stewardship, ECG patterns, fluid management, and the obscure stuff that ruins your shelf exam. Watch, read the handout, attempt the case.

  • 01Episode + handout + scoreable case
  • 02Spaced review built in
  • 03Resume mid-capsule on any device
Antibiotic Stewardship/Read Cultures Like a Pro
Episode 1
Is This Infection? Colonization, Contamination, or True Infection
Progress28%
EP1Is This Infection? Colonization vs True Infection
EP2Deep Dive into Specimen Types
EP3When Positive Means Action — How Long to Treat
EP4Read and Use a Susceptibility Report
Key Takeaways
Distinguish colonization from true infection
Blood cultures have a ~3% false-positive rate
Decision to treat starts with the patient, not the culture
02 · Consult Challenge

End-to-end consults with an attending-grade critic.

Pick a topic, take the consult, write the SOAP. The AI compares your reasoning chain — not just your final diagnosis — and tells you what a good attending would say next.

  • 0130 cases across 22 clinical topics
  • 02SOAP graded against a clinician rubric
  • 03Differential weight feedback in real time
30
Total cases
2
Available now
22
Topics
All TopicsGastroCardioPulmNephIDHeme/Onc
Gastroenterology2 topics · 4 cases
No.
Topic
Patient
Chief Complaint
Status
1
Upper GI Bleeding
Huang, Yu-Sheng
58 · M
Hematemesis (bright red) and melena × 6 h
Available
2
Upper GI Bleeding
Okafor, Adaeze
42 · F
Coffee-ground vomiting, NSAID use × 3 mo
Soon
1
Acute Pancreatitis
Lim, Soo-Jin
34 · F
Severe epigastric pain to the back × 2 d
Soon
1
Obstructive Jaundice
Reyes, Carlos
47 · M
Jaundice, dark urine, pruritus × 1 wk
Soon
03 · Ward Mode

Admission, daily rounds, discharge — longitudinal.

Carry your own panel of inpatients across days. Round, write progress notes, adjust orders, watch the disease trajectory. The simulator advances time when you do.

  • 01Multi-day patient state with persistent vitals
  • 02Daily SOAP note with delta-grading
  • 03Diagnosis label revealed only after discharge
Ward Lab
Practice managing inpatients end-to-end
6
Admitted
3
Not started
3
Discharged
12
Total
Admitted 6Not started 3Discharged 3All
No.
Patient
Age
Chief Complaint
Diagnosis
01
Chen, Wei-Ming
Ward 4B · Bed 12
67M
Chest tightness and dyspnea on exertion × 3 d
Acute coronary syndrome
02
Lin, Shu-Fen
Ward 3A · Bed 07
52F
Fever 38.9°C, productive cough × 4 d
Community-acquired pneumonia
04
Wang, Mei-Hua
Ward ICU · Bed 02
79F
Sudden left-sided weakness, onset 2 h
Ischaemic stroke
09
Hsu, Kuo-Liang
Ward ICU · Bed 05
61M
Haematemesis × 2, melena, HR 106 bpm
Oesophageal variceal bleeding
04 · Random Patient

No tag. No category. You figure it out.

Real life doesn't give you a topic header. Random Patient drops you into a chief complaint with zero scaffolding — the engine picks across the entire 200+ case library.

  • 01Disease-blind presentation
  • 02Mixed sub-specialty encounters
  • 03Counts toward your Random streak
Random Patient
??
Unknown · No tag · No category
?? · ? · You figure it out.
Unknown chief complaint…
200+ cases
05 · On-Call Challenge

50-bed service. Pager queue. Triage under pressure.

Sim a full overnight call. Page after page comes in. You decide who to see first, who to phone-treat, who to escalate. Decisions affect the morning hand-off.

  • 01Realistic 8-hour shift compression
  • 02Concurrent decisions, branching outcomes
  • 03Hand-off note auto-graded
On-Call · Night Shift
Beds
50
Pages
23
Pager queue▼ live
Ward 4BBed 12 · BP 78/52, tachycardicHigh
Ward 3ABed 07 · febrile to 39.6°CMed
Ward ICUBed 02 · GCS dropped to 12High
06 · ED Mode

Two or three parallel bays. Clock running.

Emergency Department reasoning is interruption reasoning. ED Mode forces you to manage 2–3 patients simultaneously, switching context while ESI scores tick.

  • 01Live ESI triage scoring
  • 02Disposition graded against guideline
  • 03Efficiency score incentivises decisive action
ED Mode · Time Pressured
Efficiency0 /100
JC
Bay 1ESI 234F
Severe abdominal pain, RLQ tender
6/18 min
RN
Bay 2ESI 162M
Chest pain, diaphoresis × 30 min
1/12 min
MO
Bay 3ESI 219F
Headache, photophobia, neck stiff
6/15 min
2-3 parallel patients · clock running+12 disposition correct
07 · Education Mode

Author cases. Grade at cohort scale.

Faculty build their own cases and rubrics. The AI pre-scores every long-form SOAP narrative against the rubric — you spot-check and keep the final call. Cohort dashboards tell you which mechanism the class missed.

  • 01Visual rubric builder
  • 02AI pre-scoring with educator override
  • 03SAML, SCIM, SOC 2
Education Mode
Rubric · UGI Bleed Consult
AI pre-scoredYou decide
History taking
weight 20%
AI 7.4
Physical exam
weight 15%
AI 6.8
Differential diagnosis
weight 25%
AI 8.2
You 8.5
Diagnostic plan
weight 20%
AI 7.0
Communication
weight 20%
AI 7.6
You 8.0
SAML · SCIM · SOC 2
Cohort weighted ⌀ 7.6
OSCE Support

Critique that explains
the why.

After every Consult Challenge, the AI grades your SOAP across history, exam, differential, plan, and closing summary — and returns three things every time: action points, key strengths, and key areas to improve. Every line cites the guideline that drove it.

  • Action Points

    Specific reasoning steps you should add next time, each anchored to a published guideline.

  • Key Strengths

    What you did right — eliciting the orthostatic history, anchoring on alcohol exposure, ordering the right test sequence.

  • Key Areas to Improve

    The reasoning gap that would have changed disposition, with the citation that resolves it.

Built around ACG, ESGE, AHA & Choosing Wisely
Consult ChallengeHuang, Yu-ShengFeedback
PatientChatExamsMedsOrdersNotesSOAP
History TakingPhysical ExaminationDifferential DxTreatment & MgmtClosing Summary

History Taking

Action Points

Quantify recent bleeding precisely (number of hematemesis episodes, approximate volume per episode, melena count, timing of last bleed) and document syncope/orthostasis events.

Exact counts and volumes refine acuity, guide transfusion/blood product activation, and inform urgency of endoscopic source control per ESGE guidance.

ESGE+1

Ask about prior liver disease history and prior variceal therapy (previous EGD/banding), baseline functional status, prior episodes of encephalopathy.

Prior variceal therapy and liver disease severity (Child-Pugh / MELD) alter risk stratification and decisions like early TIPS consideration and secondary prophylaxis.

ESGE+1
Key Strengths

You elicited alcohol use and orthostatic symptoms, which are important for risk stratification.

Documentation of alcohol exposure and orthostatic presyncope supports identification of cirrhosis as likely contributor and helps calculate GBS / triage decisions.

ACG+1
Key Areas To Improve

Make prior variceal history and recent use of antiplatelet/anticoagulant agents explicit in the record if not already documented.

Prior variceal therapy and antithrombotic use change immediate management (cardiology coordination, restart timing) and risk-stratification per guideline recommendations.

ESGE
Smart Analytics

See where the class is strong —
down to the mechanism.

Cohort dashboards summarise SOAP quality, differential reasoning, and the specific cognitive errors students keep repeating — with the cases that produced them, one click away.

Faculty Analytics · Cohort IM-2026
Cohort competency by domain
Cohort mastery
0.0%
SOAP quality
0.0 /10
Gaps surfaced
0.0% earlier
History taking
88%
Physical exam
71%
Differential reasoning
84%
Diagnostic plan
76%
Pharmacology
63%
Communication
91%
Top 5 weak mechanisms
01Anchoring on first vital sign
02Confusing colonization with infection
03Premature SBP target in sepsis
04Skipping medication reconciliation
05Underweighting family history of CAD
For Students & Residents

A coach who explains the why.

Not another question bank. End-to-end cases with an AI that reads your SOAP, spots reasoning gaps, and shows you what a good attending would say next.

  • 01200+ full-length cases across IM
  • 02Spaced-review capsules between classes
  • 03Personal Wisdom Library of pearls
For Educators & Programs

Grade reasoning at cohort scale.

Author your own cases. AI pre-scores long-form narrative against your rubric. Cohort dashboards show where the class is strong — down to the mechanism.

  • 01Faculty authoring + rubric builder
  • 02AI pre-scoring · you keep the final call
  • 03SAML, SCIM, SOC 2 · deploy in an afternoon
How it works

Three steps.
Every case.

Same loop every time you open the app. The only thing that changes is the patient — and how much pressure you're under.

01

Pick a mode

Skill Capsule for the gap, Consult Challenge for the deep dive, Random Patient when you're feeling brave.

02

Reason with the patient

Order tests, examine, prescribe — the AI patient responds in real time. Switch to PE Mode to perform the physical.

03

Get the SOAP critique

Submit your SOAP. The coach explains what a good attending would say next — across history, exam, differential, and plan.

The shift

What we're leaving behind. What we're building toward.

Wave goodbye to
passive lectures
cramming flashcards
vague rubrics
anchoring bias
slow attending feedback
100-page review books
study burnout
Wave goodbye to
passive lectures
cramming flashcards
vague rubrics
anchoring bias
slow attending feedback
100-page review books
study burnout
Say hello to
live patient reasoning
AI-graded SOAP notes
your own wisdom library
cohort-scale insight
deliberate practice
decisions that count
the call you'd make on shift
Say hello to
live patient reasoning
AI-graded SOAP notes
your own wisdom library
cohort-scale insight
deliberate practice
decisions that count
the call you'd make on shift
In their words
Cliniway completely rewired how I approach patient cases. My OSCE scores jumped from the 60th to the 91st percentile in two months.
Adaeze Okonkwo
4th Year · UCL Medical School
Pricing

Invest in your
clinical future.

Start free. Upgrade when your clerkship calendar gets serious. Bring your school along when the cohort is ready.

Basic

For students getting started with AI-assisted reasoning.

$0forever
Start free
  • 5 Skill Capsules per week
  • Basic performance metrics
  • Community discussion access
  • Standard AI feedback
  • Email support
Most chosen

Pro

For dedicated students preparing for clinical rotations.

$15/ month, billed yearly
Upgrade to Pro
  • Unlimited Skill Capsules
  • All seven modes including OSCE Support
  • 1-on-1 AI feedback with citations
  • Smart Library full access
  • Custom study paths
  • OSCE simulation mode
  • Priority support

Institution

For medical schools and residency programs.

$39/ month, billed yearly
Talk to sales
  • Everything in Pro
  • Cohort management dashboard
  • Faculty analytics portal
  • Custom case authoring
  • SSO · SAML · SCIM
  • Dedicated account manager
  • SLA guarantee
FAQ

Common questions,
straight answers.

If yours isn't here, our team replies in under 24 hours during the work week.

Internal medicine, emergency medicine, surgery, paediatrics, obstetrics, and psychiatry — over 200 full-length cases across 22 clinical topics, expanding monthly with input from practicing clinicians and aligned to major medical school curricula.