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.
Featured ways to work with us
Start with the smallest service that fits the need.
A group workshop builds skills. A private Scan makes an individual performance pattern visible. A Repair Sprint provides targeted coaching when the pattern persists.
Reasoning Scan + 7-Day Reset
$175
A private educational performance review for learners who need clarity before more studying, more questions, or another course.
- A structured review of an original simulated case
- Your VignetteRx Error Signature
- A Clinical Performance Map
- A focused 7-day reset plan
- One clear next-step recommendation
Guided Reasoning Lab
$149/month
Ongoing monthly case-based practice for structure, accountability, feedback, and repeated opportunities to make reasoning visible.
- Original case practice
- Guided debriefing
- Reasoning visibility
- Accountability and feedback
- Changed-case transfer
IMG Residency-Season Lab
$179 / $279
A four-day live cohort for long-case interpretation, differential prioritization, test-to-action logic, oral presentation, and transfer.
- Four live sessions
- Clinical Performance Map
- Decision-sequencing worksheet
- 14-day Repair Prescription
- Optional scored oral-case Feedback Pod
30-Day Reasoning Repair Sprint
$565
Private targeted coaching for a recurring reasoning or performance pattern that requires more than a one-time review.
- Individualized repair targets
- Private coaching
- Structured practice
- Mistake-pattern review
- Final transfer reassessment
Live practice
Workshops for real clinical transitions
Practice cases, presentations, handoffs, teamwork, escalation, care transitions, specialty fit, and systems awareness—not generic lectures.
Explore Workshops & IntensivesInstitutional pathways
Build clearer performance-development systems.
VignetteRx works with medical schools, residency and fellowship programs, teaching hospitals, IMG organizations, and clinical education leaders.
For InstitutionsOur method
Identify the mechanism. Practice the repair. Verify transfer.
VignetteRx does not begin with generic advice. We make the learner’s clinical performance visible, distinguish the type of problem, and match the next step to what the learner demonstrates.
Explore the Method
Start 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.