Medicine in Practice Clinical scenario training for primary care pharmacy
Our teaching approach

How we teach - and why it sticks

Most online training is a slideshow you click through and forget. Medicine in Practice is the opposite: you learn primary care pharmacy by doing it - making real decisions on fictional patients, with honest feedback on every call. This page explains how the learning is designed, and who stands behind it.

The idea in one picture

We break the log down to a stick

Primary care is a whole discipline of guidelines, systems and edge cases. Nobody learns that by dragging the entire log around. We cut it into sticks - one task, one decision at a time - small enough to pick up, carry, and actually enjoy.

The whole logEverything at once: heavy, overwhelming, no fun. That is most training.
One stickOne task at a time, small enough to run with. Now it is a game of fetch.
The method

Learn the task, make the calls, prove it

Every module runs the same honest loop - the same one a good clinical supervisor would take you through.

Learn the taskshort, plain, worked Make the callsdecide, get told why Practise itscored labs, model answers Record itcourse evidence each task builds on the last

The free Demo Lab is the clearest public example: within a minute you are making decisions in selected realistic scenarios and receiving structured feedback.

Why simulation

Crash the sim, not the plane

Flight crews do not rehearse an engine failure with passengers on board. They practise it in a simulator, where a mistake costs nothing, until the right response is automatic. Our Practice Labs work the same way: every patient is fictional, so you can make the wrong call, see exactly what it would have caused, and learn it for good - long before a real Monday morning depends on it.

Getting it wrong here is the point. That is the safest place in your whole career to do it.

No patient at riskMake the shaky first attempts in the simulator, where the only thing you can crash is the sim.
Knowledge vs practice

A recipe is not a meal

You could memorise every line of the BNF and still freeze the first time a real prescription needs a decision. Reading is the recipe; doing is the cooking - and the gap between them is exactly where our labs live.

Just the recipeFollow the book with no practice and the first attempt is a floury mess. Knowing the method is not the same as being able to do it.
The finished dishPractise it until it works and you can genuinely cook - not just read about cooking. That is what the labs are for.
What makes it different

Four principles behind every module

Decisions, not reading

You do not click Next through a story. At each turn you make the call a real pharmacist makes - triage this, reconcile that, escalate the other - and we tell you why the wrong answers are wrong. Acting, then being corrected, is what makes it stick.

Safe to fail

Every patient, letter and result is fictional. You can make the wrong call here, see the consequence, and learn from it - which is exactly what you cannot do on a real Monday morning. Everything is scored against a model answer.

Skills, not software

Your practice might run EMIS, SystmOne or Vision. The buttons differ; the thinking does not. We teach a deliberately system-neutral record so you learn where to look, what to check and how to act - skills that transfer to whatever is on your screen on day one.

Grounded and traceable

Cases mirror real primary care. Safety-critical content is drafted against named NICE, BNF, MHRA and SPS sources, version-controlled by content hash, and placed in a formal clinical review workflow. Current approval status is published on the governance page.

The evidence

Built on how people actually learn

These are not our opinions - they are the findings of decades of learning science, applied to a clinical curriculum.

Retrieval beats re-reading

You learn by pulling the answer out of your own head, not by reading it again. That is why the modules ask you to decide and commit before they reveal the reasoning.

Worked example, then your turn

You see a task done well, then immediately do one yourself. The gap between watching and doing is where the learning happens, so we keep it short.

Spaced, not crammed

Skills you must know cold resurface across modules rather than being met once and forgotten, because memory fades without return visits.

One idea at a time

Real primary care is a firehose of acronyms and edge cases. We chunk it - one decision per screen, plain language, jargon unpacked - so working memory is spent on judgement, not on decoding.

Made for real people

Not a traditional course - and that is the point

Traditional training hands everyone the same slides, the same pace, the same wall of text. High-performing professionals include many with ADHD or dyslexia, often undisclosed - so we built the choices in from the start: how each module teaches you, how the page reads, and whether you read or listen. It makes the training better for everyone.

You choose how each module teaches you

Every module opens with a choice: read it as classic text, learn it interactively, or take a quick baseline and only be taught your gaps. A traditional course gives everyone the same slides in the same order.

We never teach you what you already know

The "test me first" style checks your baseline through quick activities, marks what you prove as secure, and starts the teaching at your first gap - near-bespoke pathing, not one-size-fits-all.

A reading view you control

The Aa panel sets text size, extra spacing, a dyslexia-friendly cream view with no italics (British Dyslexia Association guidance), and an ADHD focus mode that hides everything except the lesson you are on. Set once, applied everywhere.

Listen instead of read

Every lesson has a Listen button that reads it aloud - for commutes, tired eyes, or because audio is simply how you take things in.

Decisions over walls of text

Short, active tasks instead of long passive passages - which helps everyone, and helps ADHD and dyslexic readers most.

Never lose your place

One-lesson-at-a-time cards with time estimates, a progress map and resume-where-you-left-off - because real learning happens in stolen ten-minute gaps and gets interrupted.

Review framework

Challenged through five distinct lenses

These are the perspectives used to review the product and organise specialist feedback. They are not presented as an external panel or endorsement. Named clinical approval for each exact content version is recorded separately in the public governance register.

Education and assessment

constructive alignment, retrieval practice, feedback and assessment design

Learning experience

interaction design, engagement, navigation and mobile usability

Attention and cognitive load

working memory, pacing and completion for busy professionals

Accessibility and inclusion

readability, keyboard access, assistive technology and reasonable adjustments

Clinical practice and safety

accuracy, scope, escalation, supervision and real primary-care workflow

Who's behind it

Built by a working clinical pharmacy team

Medicine in Practice is the training arm of a clinical pharmacy service that runs medicines work for GP practices and PCNs. The cases you practise are drawn from the ones our team meets in real primary care - not invented for a textbook.

Clinical direction is led by Laura Billyard, a pharmacist independent prescriber with primary-care, education and mentoring experience. Clinical authorship and formal approval are separate controls: no content version is described as approved until a named reviewer has signed its exact hash. See the live governance register for the current position.

See it for yourself

The best way to judge a teaching style is to try it. Take the tour or open the free Demo Lab, with no account or card needed.