Our Method

Identify the mechanism. Practice the repair. Verify transfer.

VignetteRx does not begin with generic advice. We begin by making the learner’s clinical performance visible.

Start With a Scan

The learner pathway

Screen → Assess → Build → Practice → Repair → Transfer

This pathway organizes the learner’s journey from immediate need to transferable performance.

Screen

Identify the immediate need.

Assess

Make patterns visible.

Build

Learn core frameworks.

Practice

Rehearse performance.

Repair

Target recurring mechanisms.

Transfer

Apply to a changed case.

The assessment-and-repair method

Detect → Diagnose → Prescribe → Repair → Verify

This five-stage method is used when a recurring performance concern requires a focused educational formulation.

Detect

Identify where the performance pattern appears.

Diagnose

Distinguish knowledge from reasoning, prioritization, communication, workflow, or calibration patterns.

Prescribe

Create an Educational Performance Formulation and focused plan.

Repair

Practice through original cases, coaching, feedback, and repetition.

Verify

Test whether the approach transfers to a changed, unfamiliar case.

Core outputs

Make the pattern and the next step explicit.

Clinical Performance Map

A structured view of strengths, vulnerabilities, and relevant performance domains.

Error Signature

A learner-facing synthesis of the primary recurring mechanism and its triggers.

Educational Performance Formulation

A distinction among observations, learner report, hypotheses, context, limitations, and referral needs.

Performance Repair Prescription

What to practice, how to practice, how often, with what feedback, and how progress will be checked.

Transfer Verification Protocol

An unfamiliar or altered task used to determine whether the change extends beyond the original example.

What may be examined

Clinical performance is a coordinated system.

Knowledge and retrievalAvailability, organization, and access under realistic conditions.

Problem representationFraming the case around discriminating information.

Differential and evidenceGeneration, ranking, updating, and clue weighting.

Diagnostic and management sequenceConnecting decisions to urgency, probability, risk, and action.

Task executionRecognizing what the examination or clinical situation requires.

Time and executive controlAttention, pacing, prioritization, organization, and completion.

Confidence calibrationMatching confidence to evidence and accuracy.

CommunicationPresentations, handoffs, consults, documentation, and feedback.

Systems awarenessTeam roles, transitions, follow-up, escalation, and shared responsibility.

TransferApplying the repaired process to new patients, tasks, settings, and constraints.

Educational, not diagnostic or regulatory

VignetteRx does not diagnose medical, psychiatric, neurodevelopmental, or disability conditions; perform fitness-for-duty or licensure evaluations; determine clinical competence; or replace responsible institutions and authorities.