MedicomSkills
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How it works

The only way to get better at clinical communication is to do it.

MedicomSkills gives you the space to practise with realistic AI patients, make clinical decisions, and get feedback on what you actually did.

No script to follow. No perfect answer to memorise. Just practice.

1

Choose how you want to practise

Start with a surprise. Focus on a body system. Or continue a patient’s story.

Pick a case that fits what you want to work on. If you want a challenge, walk in knowing almost nothing and find the problem yourself. If you want focused practice, choose a body system. Or take a follow-up visit — with a patient you have met before, or one you are meeting for the first time.

Surprise me
Body system
Follow-up visit
2

Talk to the patient

This is where the learning really starts.

Take the history out loud, in your own words. The patient responds to what you ask, reacts to how you communicate, and reveals information the way a real patient might. They will not simply hand you the history.

The conversation goes where you take it.

I’ve been feeling tired and short of breath…
What makes it worse?
3

Work through the encounter

Do not stop at the history. Think like a clinician.

Choose examinations and investigations. Interpret what you find. Form an assessment. Make a management plan. Then document the encounter, or present the case.

Each step grows out of the one before it. Miss something important in the interview and you will have less to work with later. A thin history makes for a thin assessment.

SOAP framework

SSubjective
OObjective
AAssessment
PPlan
Notes & handover
4

See what you did well — and what you missed

A score alone does not teach you much.

MedicomSkills shows you what you covered, what you partly explored, and what you missed, using evidence from your own encounter. And it looks beyond whether you asked the medically correct questions.

Noticed cues Explored concerns Showed empathy Understood perspective

Because you can ask every right question and still have the wrong conversation.

78
Well covered 18
Partly covered 3
Missed 2

Feedback highlights

Explored medication history
× Missed impact on daily life
Good empathy and closure

An example. 18 of the 23 criteria this case called for.

5

Come back and see what happened

Some patients remember you. Their stories continue.

Return for a follow-up visit and find out what happened after your previous encounter. Tests you ordered may have results. Referrals may have outcomes. Symptoms may have changed.

And your previous decisions matter.

If you did not order the test, there will not suddenly be a result waiting for you.

Follow-up visit

Last time

Ordered blood tests

Today

Test results available

Feedback built around the patient — not just a checklist

Every patient is different

MedicomSkills judges what was relevant to the case you actually encountered. You are not penalised for failing to ask questions that did not matter to that patient.

Good communication is more than getting the history

Listening. Empathy. Responding to cues. Exploring concerns. Understanding the patient's perspective. These matter — because a consultation can be clinically thorough and still leave the patient feeling unheard.

A note on spelling and terminology

This site is written for clinical practice anywhere, and the clinical framework is the same wherever you train — the same history, the same warning signs, the same reasoning. What changes between countries is vocabulary.

Much of the medical terminology here uses British spelling: haematuria, anaemia, oesophageal, diarrhoea, paediatric. If you are preparing for a North American examination you will see these written hematuria, anemia, esophageal, diarrhea and pediatric. They are the same words and the same findings.

Learning both is not wasted effort. You will read papers, notes and referrals written in both conventions for the rest of your career.

You do not build confidence by reading about conversations.
You build it by having them.

Practise. Get feedback. Reflect. Try again. More practice, better conversations, better care.

Start practising →