01
Clinical reasoning
Frame the problem. Prioritize the differential. Connect a test to a decision. Know what requires action now.
Clinical performance development for medical learners
From knowing medicine to practicing it well.
VignetteRx helps medical students, IMGs, residents, and early-career physicians strengthen how they reason, communicate, work with care teams, navigate systems of care, and grow into their next clinical role.
Through educational assessments, private coaching, group practice, specialty-specific workshops, and original simulated cases, we turn medical knowledge into more structured clinical performance.
Reason clearly. Perform consistently.
Screen → Assess → Build → Practice → Repair → TransferOne clinical-performance pathway across the medical career continuum.
What VignetteRx develops
Clinical performance is more than remembering the right answer.
02
Clinical performance skills
Present a case, communicate an assessment and plan, hand off care, request a consult, escalate concerns, and use feedback productively.
03
Systems-of-care understanding
Learn how teams coordinate care, share responsibility, manage transitions, and close communication loops.
04
Specialty-fit insight
Explore the work patterns, clinical questions, teams, and responsibilities that genuinely fit how you think and work.
05
Targeted performance repair
Identify a recurring mechanism, practice a focused repair, and verify transfer to a changed case.
The VignetteRx pathway
Build what is needed. Repair what is recurring. Verify what transfers.
1
Screen
Identify the learner’s immediate need.
2
Assess
Make reasoning and performance patterns visible.
3
Build
Learn core frameworks through notes, modules, and guided instruction.
4
Practice
Rehearse original cases, communication, workflow, and decisions.
5
Repair
Use targeted coaching when a recurring pattern persists.
6
Transfer
Apply the approach to a changed, unfamiliar case.
Find your next step
Choose the clinical transition you are navigating now.
Live 4-Hour Workshops
Choose your Specialty-Fit & Interview Evidence Lab.
Seven physician-led, live workshops for testing specialty fit, building interview evidence, and practicing clinical communication. Every workshop is $176.
IM
Internal Medicine
Explore complex adult care, diagnostic prioritization, team-based decisions, and the evidence behind your fit.
$176 · 4 hours live
View WorkshopFM
Family Medicine
Explore continuity, breadth, prevention, relationships, and clinical decisions across the lifespan.
$176 · 4 hours live
View WorkshopPD
Pediatrics
Explore child- and family-centered care, developmental reasoning, communication, and advocacy.
$176 · 4 hours live
View WorkshopPS
Psychiatry
Explore longitudinal care, diagnostic formulation, therapeutic communication, and the work of psychiatry.
$176 · 4 hours live
View WorkshopNE
Neurology
Explore localization, clinical reasoning, longitudinal neurologic care, and specialty-specific work patterns.
$176 · 4 hours live
View WorkshopGS
General Surgery
Explore operative decision-making, team roles, perioperative care, and the realities of surgical practice.
$176 · 4 hours live
View WorkshopInstitutional pathways
Build clinical performance-development systems.
VignetteRx works with medical schools, residency and fellowship programs, teaching hospitals, IMG organizations, and clinical education leaders.
For InstitutionsStart here
Which transition or performance pattern are you working on?
Tell us where you are now, what you need to practice, and what keeps getting in the way.