How Medicine in Practice works
Medicine in Practice teaches primary care pharmacy by simulation: you action real-style letters, run medication reviews, take patient calls and code with SNOMED yourself, then get specific feedback on every decision.
How you learn each task
Learn
Short, practical modules build the knowledge for each task, mapped to the competency framework and the level you are working at.
Practise
Interactive labs let you action letters, run reviews, code scenarios and write consultation notes, then tell you what was good, missed or unsafe.
Evidence
Your progress is tracked, you build a CPD log, and your certificate records completed learning, assessment results and simulated performance for review in your appraisal or CPD record.
The Practice Labs
Nine simulators covering the real work of a primary care pharmacy team.
Clinic Simulator
Work a realistic clinic worklist end to end inside a patient record: triage the tasks, action them safely, and get scored on your decisions.
Letter Actioning
Over 200 fictional letters: discharges, clinic letters, results and safeguarding. Build the right set of actions and get scored against the model answer.
Medication Review
Structured reviews of complex patients. Spot the genuine medicines problems, avoid the distractors, and compare your plan against a model.
Coding Trainer
Add SNOMED-style codes to clinical scenarios and see exactly what you got right, wrong or missed.
Consultation Notes
Write real consultation notes and have them checked against a documentation rubric for completeness and safety.
Simulated Patient Calls
Phone a simulated patient and consult by voice or text. They reveal information only when you ask the right questions, then you get a scored debrief. Optionally powered by live AI.
Results Inbox
Triage incoming blood results and correspondence: decide what is safe to file, what to escalate and what to act on, against the model response.
STOPP/START Drill
Fast deprescribing and prescribing decisions mapped to the STOPP/START criteria, with a marked debrief and references.
Significant Event Analysis
Work through an SEA on a realistic incident and produce a structured, reflective write-up checked against best practice.
Safety and governance
This is a training simulation. Every patient, letter, result and record is fictional, and the SNOMED codes shown are representative, for learning only. Nothing here is clinical advice or a substitute for your organisation's clinical systems, protocols and supervision. Always work within your agreed scope, follow local governance, and use your live clinical and terminology systems for real patient care.
Meet the founder
Laura Billyard
Founder & Director of Clinical Education · Pharmacist and independent prescriber (MPharm, University of Nottingham)
Laura has spent over a decade across community pharmacy, general practice and PCNs: as a practice pharmacist in Doncaster surgeries, a senior clinical support pharmacist across Doncaster's PCNs, an independent prescriber running clinical services, and a CPPE education supervisor training primary care pharmacists on the national pathways. She also founded Virtual Pharmacist, an award-winning primary care pharmacy service, and sits on the UKCPA Primary Care Pain Committee.
The same lesson kept repeating: people finish formal training full of knowledge, then are left to apply it, alone, in messy real situations. Confidence doesn't come from more slides; it comes from doing the job, getting decisions wrong somewhere safe, and understanding why.
Laura built Medicine in Practice to be that safe place to practise, and to work for everyone. Accessibility is built in, not bolted on: dyslexia-friendly reading, adjustable text and spacing, a distraction-free focus mode and read-aloud, so neurodivergent colleagues can learn the way that suits them. She leads the content and governance process. Named clinical approvals are recorded separately against exact content versions, and the current status is published on the governance page.
See current clinical review coverage, evidence sources and accreditation status.
"I learnt this job by doing it. I wanted everyone to have somewhere they could do that safely: whoever they are, and however they learn."
Built for the primary care workforce
Each level maps to what is expected of your role and stage, with the practice volume to make it stick.
Pharmacy technicians
Reconciliation, repeat management and SNOMED coding, built around the tasks you own day to day.
Newly-qualified pharmacists
Find your feet in general practice: the inbox, basic reviews and accurate, safe coding.
Advanced practitioners
Sharpen complex medication reviews and prescribing decisions on realistic cases.