Integrated Clinical Assessment
Bridge the gap between raw examination maneuvers and smart diagnostic reasoning. Learn to gather focused histories, target physical exams using likelihood ratios, and build shared care plans.
Like Duolingo, but for Integrated Clinical Assessment. Tomo turns the whole topic into a game you play five minutes a day, until it actually sticks.
A short one: 11 levels across 2 sections, about 22 minutes end to end, roughly 4 days at five minutes a day. It moves through Gathering and Testing Clues and Reasoning and Shared Action. It assumes you already know the basics.
Free forever · No credit card · iPhone & Android
Key ideas in Integrated Clinical Assessment
- The disease framework tracks organ pathology, onset, duration, and objective timeline features.
- The illness framework captures functional impact, personal meaning, and emotional responses.
- Balancing both tracks prevents clinically accurate plans that fail patient-specific contexts.
- Clinicians begin with uninterrupted open narrative to map the broad symptom space.
- Perturbation questions intentionally probe specific hypotheses to confirm or rule out causes.
- Closing inquiries systematically clarify lingering red flags and specific exclusionary criteria.
- Early agenda negotiation identifies secondary or hidden concerns before time runs out.
- Unaddressed anxieties often surface as 'doorknob disclosures' just as the clinician exits.
- Explicitly asking what else the patient hopes to cover bounds the consultation safely.
- Ideas reveal patient-held pathophysiological beliefs that dictate whether they will take a drug.
- Concerns highlight specific catastrophic fears that influence symptom reporting and pre-test odds.
- Expectations clarify what outcome or test the patient believes is necessary for resolution.
- Targeted maneuvers with strong likelihood ratios shift post-test probability far better than routine checks
- A measured calf circumference asymmetry has a high positive likelihood ratio for deep vein thrombosis
- Homans' sign (passive foot dorsiflexion) has notoriously poor diagnostic sensitivity and specificity
- An S3 gallop, elevated jugular venous pressure, and hepatojugular reflux form a high-specificity cluster
You've tried the other tabs
Thirty open tabs. Four facts you actually kept.
You watched. You nodded. By Sunday it was gone.
One answer, then back to scrolling.
Eight weeks. You meant to finish. You didn't.
Tomo gives Integrated Clinical Assessment the Duolingo treatment: levels, streaks, and quick quizzes that test what you just learned. That game loop is what the tabs above never had, so it's the one you actually finish.
Here's what playing it feels like
A real question from this course. Take your best guess.
What does a clinician capture through the illness framework?
Get it right to open this lesson and 10 more in the app.
Where Integrated Clinical Assessment takes you
- 1
Gathering and Testing Clues
- Hypothesis-Driven History Taking
- Targeted Physical Examination
- 2
Reasoning and Shared Action
- Diagnostic Synthesis and Bias Mitigation
- Shared Decision-Making and Safety Netting
2 sections · 4 units · 11 levels. Built to play, not to enroll.
Tomo is in ChatGPT
Tomo is also a ChatGPT plugin: the same playable courses, built and played inside your chat.
Add Tomo to ChatGPT- What to ask
- “Make me a Tomo course on black holes.” “Turn this chat into a Tomo course.”
- What you get
- Quick questions with instant feedback, hearts and stars, ready to play in about a minute.
- Where it goes
- No sign-up to start. Connect your Tomo account and your streak carries on in the app.
You pick the voice
Integrated Clinical Assessment is taught in the Professor style: clear, structured, thorough. Want a different feel? In the app you can spin up the same topic in any of Tomo's teaching styles. Same facts, totally different vibe.
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Start Integrated Clinical Assessment today.
Download Tomo, search Integrated Clinical Assessment, and play your first lesson in under a minute.