Frequently Asked Questions

Start with Introduction to the U.S. Medical System, then read How Patient Encounters Work in Real Life. After that, use How to Write a Physician Note before starting your next case.

USCEAI is best for practicing the flow of a clinical encounter: reading doorway information, interviewing a simulated patient, organizing the history and exam, writing a structured note, and reviewing feedback.

It is written for medical students, international medical graduates, physicians entering the U.S. system, and learners who want to improve clinical reasoning, U.S. terminology, and physician-note structure.

No. USCEAI is educational simulation. It does not replace clinical supervision, institutional policy, licensing requirements, medical school or residency feedback, or real patient care training.

Before starting the interview, look at the chief complaint, setting, and vital signs. Name a leading diagnosis, two alternatives, and one dangerous diagnosis you cannot miss. Then ask questions that separate those possibilities.

That is intentional. Real patients often answer the question they are asked and may not know which details are clinically important. The simulation rewards focused follow-up questions rather than passive listening.

Yes. One focused question usually produces a cleaner answer and makes your transcript easier to use when writing the note. Avoid stacking several unrelated questions into one message.

End the encounter when you have enough information to support a differential and propose a reasonable workup. You do not need every possible fact; you need the facts that change diagnosis, acuity, safety, or next steps.

Do not immediately move on. Review the score breakdown, identify the lowest category, rewrite that section of the note, then repeat a similar complaint with one specific improvement goal.

A strong note tells the clinical story, includes relevant positives and negatives, documents focused exam findings, ranks a reasonable differential, supports each diagnosis with evidence, and proposes a workup that matches the case.

Long enough to explain the timeline, symptom features, associated symptoms, relevant positives, relevant negatives, risk factors, and context. Short notes can be excellent if they preserve the reasoning.

They list diagnoses without defending them. In USCEAI, each diagnosis should have specific history and exam support. If you cannot support a diagnosis with case facts, choose a better diagnosis or gather more information.

Yes, when they are clinically plausible or dangerous enough to affect the workup. A serious alternative can belong in the differential even if it is not the final diagnosis.

Write the tests, imaging, immediate steps, escalation, or follow-up that logically follow from your differential and acuity. A focused workup is better than a long generic list.

Standard abbreviations are fine when they are clear in context. Avoid unsafe or ambiguous shorthand, especially when an abbreviation could mean two different things.

The score is practice feedback comparing your note with case-specific reference content and rubric targets. It is not a licensing result, certification, grade, diagnosis, or judgment of clinical competence.

Because the score also evaluates how you got there: history coverage, exam support, differential reasoning, workup, safety, and documentation quality. A correct diagnosis with weak support is still a weak note.

Look at missed critical items and the lowest score category. Those usually show whether the problem was incomplete history, missing exam support, unsupported differential reasoning, weak workup, or documentation gaps.

Use it as a comparison model, not as something to memorize. Ask what the reference note included that yours did not: better wording, more precise negatives, stronger diagnosis support, or a cleaner workup.

Saved history requires being logged in when the note is submitted and the feedback screen loads. If it is missing, send support your account email, case title, and approximate time.

Some categories are limited to Pro. If you upgraded and still see locked content, make sure you are logged in with the same email used at checkout, then refresh the dashboard.

First refresh the page and confirm you are using the correct account. If it still is not active, email support with your USCEAI account email, checkout email if different, plan, and approximate checkout time.

Subscription charges are eligible for refund review when you email support@usceai.com within 7 days of the charge date. Approved refunds go back to the original payment method. Canceling stops future renewals but does not automatically refund past charges.

Do not send card numbers. For billing help, send the account email, checkout email, plan, date or approximate time, and a short description of the issue.

Email support@usceai.com with your USCEAI account email, checkout email if different, approximate charge date, plan, and a short explanation. Do not include full card numbers or sensitive information.

Contact support with both the checkout email and the USCEAI account email you want to use. Do not share passwords or payment card details.

No. Do not enter real patient information, copied chart text, identifiers, photos, medical record numbers, addresses, phone numbers, or confidential third-party data.

Stop using that case and contact support@usceai.com promptly with your account email and a brief description. Do not repeat the sensitive information in the support email.

No. USCEAI is for educational simulation only. It should not be used for emergencies, diagnosis, treatment, triage, or clinical decisions involving real patients.

Refresh once and start the case again. If it repeats, send support the category, case title or complaint, account email, browser, device, and approximate time.

Wait a few seconds, then try one short focused question. If the tab has been inactive for a long time, restart the case. If it continues, contact support with the case details.

Use a current version of Chrome, Safari, Edge, or Firefox. If something behaves oddly, try refreshing, disabling aggressive extensions, or using a private window.

Email support@usceai.com with your account email, page URL or case title, browser, device, approximate time, what you expected, and what happened instead. Include a screenshot for visual issues.