Four architectural approaches to clinical decision assessment — from linear remediation to immersive dialogue. Each schema is a fully functional prototype with working branching logic and placeholder clinical content.
True deep branching where the patient's condition mutates with each decision. Wrong choices worsen the patient. Three distinct narrative endpoints — not just pass/fail. Includes stress-free decisions and inner-voice moments.
Central patient case hub with four clinical domains the learner tackles in any order — mirroring real clinical workflow. Each spoke is a mini branching scenario. A synthesis question tests integrated decision-making.
The patient tells the story — you guide the conversation. Tone and empathy affect what the patient reveals. Optional colleague consult and drug reference available without penalty. Directly maps to future voice mode.
The current live assessment. Track selection → linear question chain with conditional remediation insertions for incorrect answers → pass/fail results. Clean, deterministic, and ACCME-auditable. Reconsider button on critical questions.
How each architecture scores across key design dimensions.
| Dimension | 1 — Narrative | 2 — Hub/Spoke | 3 — Dialogue | 4 — Current |
|---|---|---|---|---|
| Branching Depth | Deep | Medium | Deep | Shallow |
| Patient State Evolution | ✓ Dynamic | ✓ Per-domain | ✓ Conversational | ✗ Static |
| Non-Linear Navigation | ✗ | ✓ Full | ✗ | ✗ |
| Stress-Free Decisions | ✓ | ✓ | ✓ | ✗ |
| Show Don't Tell | ✓ | Partial | ✓✓ | ✗ |
| Voice-Mode Ready | Medium | Low | ✓✓ Highest | Low |
| ACCME Auditability | High | High | Medium | ✓✓ Highest |
| Mobile UX | Good | ✓ Excellent | ✓ Excellent | Good |
| Grant Demo Impact | High | Very High | Highest | Baseline |
| Dev Complexity | Medium | Medium-High | Medium | Lowest |