Clinical Simulation

2-Sigma Reasoning

2-Sigma Reasoning is an AI-powered platform for medical professionals and trainees to strengthen and evaluate their clinical reasoning skills. Our growing library of interactive patient encounters offers practice solving cases in immersive, self-paced clinical scenarios. Physical exams and lab tests can be run instantly to narrow the differential diagnosis. After submitting the case, personalized feedback is provided that maps directly onto clinical reasoning competencies.

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Built at UC College of Medicine

See How Learners Reason, Not Just What They Conclude

2-Sigma Reasoning is an AI virtual patient platform that we developed at the University of Cincinnati College of Medicine over four years, in which a participant interviews, examines, works up, and manages a simulated patient who responds to each decision and then receives written feedback from an AI supervisor on how they reasoned.

Because every encounter produces an action-level transcript, the platform records the sequence of decisions that led to a diagnosis, which current assessment captures only under direct observation.

When we analyzed second-year medical student encounters with natural language processing and machine learning, we found that specific actions discriminated correct from incorrect diagnoses and that students who reached the same correct diagnosis followed recognizably different routes, an initial signal of stable reasoning patterns, or phenotypes, that a single-institution student sample cannot confirm.

Features

Inside the Clinical Scenario

Every encounter is designed to feel like real clinical practice, from the first question to the follow-up referral.

Realistic Patients

Our Reasoning AI plays a realistic patient with a backstory and simulated personality.

Voice Mode

Talk through the encounter naturally with a voice mode that keeps the scenario flowing.

Instant Exams & Labs

Ordering physical exams and laboratory tests is as easy as saying “Run a CBC.”

Physician Consults

At any time, consult a simulated physician to help formulate the problem statement and figure out next steps.

Outpatient Interventions

Perform interventions by clicking Intervention or just saying, “Run a saline IV.”

Patient Education

Practice explaining the diagnosis and educating the patient on treatment before referring them to follow-up care.

Personalized Feedback

One-on-One Tutoring, at Scale

The post-scenario personalized feedback is the basis and inspiration for this platform, aiming to utilize the accelerated learning effect from one-on-one tutoring.

  • Instant, delivered the moment the case is submitted
  • Individually tailored to performance during the scenario
  • Grounded in clinical reasoning competencies
  • Directs learner effort to the highest-yield areas for improvement

Why 2-Sigma Reasoning

Why Use Us

  • Individualized clinical reasoning practice without the clinic.
  • Closes the temporal gap between a learner’s attempt, feedback, and implementation. Accelerate learning by 2 Sigma!
  • A unique space where stakes are low, no patients are harmed, no money is wasted on unnecessary tests, and all questions are welcome — sidestepping common learning barriers related to risk and resources.
  • A growing library that is adaptive and flexible for the needs of your curriculum and distribution requirements.
  • Contribute to a fast-evolving tool at the leading edge of medical education.

Ready to get started?

See how 2-Sigma can transform clinical education and accreditation at your institution.

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