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ClinicalSim

Evaluating ClinicalSim

Last updated: September 2026

An enterprise review usually spans the team that owns communication training, the budget holder, IT and privacy reviewers, and the people who will practice. This page covers evidence, rollout, data handling, licensing, and product limits so each group can evaluate the same facts.

Four complete AI patient simulations are published with audio, transcript, and the full report, with no sign-in required. Each shows strengths, areas for focused practice, and the participant's words behind the feedback. See the examples.

1. What it is for, and what it is not for

ClinicalSim is intended for spoken communication practice and formative assessment. Each simulated conversation produces feedback tied to a named standard and the transcript, so participants can see what worked and what to practice next. It produces no patient-facing output, makes no diagnostic or treatment recommendation, and creates no clinical documentation.

It extends a standardized patient program rather than replacing one. SP encounters stay the high-stakes assessment and the place live coaching happens. ClinicalSim adds the repetitions between them.

It does not price malpractice risk, and it does not benchmark one institution against another.

It is audio only. Voice practice surfaces pacing, silence, word choice, and how a clinician responds to emotion in the moment. It cannot assess eye contact, body language, or physical presence, so those stay with live encounters and human review.

3. What the evidence establishes, and what it does not

The communication frameworks ClinicalSim applies were built for trained human raters observing real encounters, and that is the setting in which their published reliability was established. Scoring them with AI in a simulated encounter goes beyond that setting, so a framework's reliability does not carry over to a ClinicalSim score. Each score is a formative signal backed by verbatim transcript evidence, and it should not carry a high-stakes decision on its own.

We don't claim our scoring is more accurate or more valid than a faculty member's read. We don't have the validation data to say that, and we won't claim it until we do. How cases are built and scored is documented on our methodology page.

Studies of ClinicalSim are underway at partner institutions, and we will not publish an outcome from any of them until that study's owners have confirmed the record in writing. What is public today is the conference presentation list on our research page.

Worth asking any vendor in this category, us included: which frameworks the score is built on, whether those frameworks' published reliability was established in the setting you are buying for, and whether any automated score has been compared against blinded expert raters.

4. What a privacy or procurement reviewer will find

Every patient in every case is synthetic, written from the clinical literature rather than adapted from a chart. Case development needs no patient record and no de-identification step, so no protected health information enters the platform through a case.

What the platform does handle is learner recordings, transcripts, account data, and institutional data, and those records need protection. Learners speak their side of the conversation aloud, which makes voice data sensitive. Voice collection is consent-gated and learners can request erasure. A recording exists to generate that learner's feedback.

Once a case is published, its case text, its rubric, and its scoring prompts are versioned and locked, so a program can identify the exact materials behind any learner's report and inspect the transcript evidence behind each score.

Nothing crosses organizations. Every project, learner, transcript, and score belongs to one organization, and no role reaches outside it. Inside an organization, roles decide who sees whose results: details are in the roles and permissions guide, and the full data-handling picture is on our trust page.

If your security review needs something these pages don't cover, ask us. We'll tell you what exists and what doesn't.

5. What it takes to run

A browser, and that is the whole list. ClinicalSim runs on any phone, tablet, or desktop with nothing to download and no app to install. A typical encounter takes 3 to 10 minutes, short enough to fit a clinical day and repeat as often as a learner needs. The platform currently supports English.

There are four roles. Members practice and see only their own work. Project Managers build a cohort, assign cases, and see that cohort's results and nothing else. Admins see every program in the organization and control who belongs to it. An Owner is an Admin who can also close the account. Faculty review assigned learners' progress, recordings, transcripts, and feedback without attending a session, and programs get cohort progress views, progress reports, exports, and bulk invitations.

The one thing IT may need to do is allow the voice service. Hospital firewalls, VPNs, and web filters sometimes block it, which used to look to a learner like a slow network. The briefing page now runs a connection test that checks whether the network can actually reach the voice service and, when it can't, says so and names what to ask IT to allow.

6. How it is licensed

ClinicalSim is an annual per-learner subscription. That makes it operating expense rather than a capital purchase, which in most academic medical centers matters more to how the decision gets routed than the size of the number does.

There is no list price on this page, because what a program pays depends on how many learners it covers, which cases it needs, and the term. Ask us and we'll give you a number for your program rather than a range you have to translate.

7. How to see it before deciding

Four complete encounters are published with the audio, the full transcript, and the entire scored report. No sign-in, no form, no call first.

Each example shows strengths, areas for focused practice, and the participant's own words behind the feedback. Read the complete reports to judge whether the scoring is specific, useful, and appropriate for formative practice.

8. What we will not claim

Scattered across this site are the things we've decided not to say. Collected in one place, they are probably the fastest way to work out whether we're worth your time.

  • That our scoring is more accurate or more valid than a faculty member's read. We don't have the validation data to say it, and we won't say it until we do.
  • That a framework's published reliability transfers to an AI score. It was established with trained human raters watching real encounters, which is not what happens here.
  • That ClinicalSim replaces a standardized patient program. It extends one.
  • That we can price your malpractice risk or benchmark your institution against another. We do neither.
  • A study outcome before the study's owners have confirmed the record in writing.
  • That ClinicalSim holds an approved-course designation with any malpractice carrier. It holds none, and that approval is the carrier's decision rather than ours.
  • Any effect on HCAHPS. No study has tested ClinicalSim against HCAHPS scores, and we claim no score-to-survey correlation.

9. Questions buyers actually ask

What should a program consider before adopting an AI communication training platform?

Review the platform's intended use and limits, the evidence behind its claims, data handling, rollout needs, licensing, and the experience of the people who will practice. Four complete AI patient simulations are published with audio, transcript, and full reports so each reviewer can evaluate the same facts before a scope or pricing call.

Does ClinicalSim replace a standardized patient program?

No. ClinicalSim extends a standardized patient program rather than replacing it. SP encounters stay the high-stakes assessment and the place live coaching happens, and ClinicalSim adds repeatable practice between them without booking another actor or room. Because it is audio only, it cannot assess eye contact, body language, or physical presence, so those skills stay with live encounters and human review.

Can a ClinicalSim score carry a high-stakes decision on its own?

No, and ClinicalSim does not claim it can. The communication frameworks ClinicalSim applies were built for trained human raters observing real encounters, and that is the setting in which their published reliability was established. Scoring them with AI in a simulated encounter goes beyond that setting, so a framework's reliability does not carry over to a ClinicalSim score. Each score is a formative signal backed by verbatim transcript evidence, meant to sit alongside faculty observation rather than substitute for it.

Does patient data enter ClinicalSim?

No patient data enters through a case. Every patient in every ClinicalSim case is synthetic and written from the clinical literature rather than adapted from a chart, so case development needs no patient record and no de-identification step. The platform does handle learner recordings, transcripts, account data, and institutional data, and those records need protection. Voice collection is consent-gated and learners can request erasure.

What does a program need in place to run ClinicalSim?

A browser and nothing else. ClinicalSim runs on any phone, tablet, or desktop with no download and no app to install, and a typical encounter takes 3 to 10 minutes. The platform currently supports English only. One thing IT may need to do is allow the voice service, because hospital firewalls, VPNs, and web filters sometimes block it; the briefing page runs a connection test that detects this and names what to ask IT to allow.

How is ClinicalSim licensed and budgeted?

ClinicalSim is an annual per-learner subscription, which makes it operating expense rather than a capital purchase. That distinction usually matters more to how a purchase gets routed inside an academic medical center than the size of the number does. What a specific program pays depends on how many learners it covers, which cases it needs, and the term, so there is no list price published here.

Can I see a real ClinicalSim encounter before talking to sales?

Yes. Four complete AI patient simulations are published at clinicalsim.ai/examples with audio, the full transcript, and the entire scored report, with no sign-in and no form. Each report shows strengths, areas for focused practice, and the participant's words behind the feedback.

Bring us the question this page didn't answer.

We'll tell you what exists and what doesn't, including when the answer is that we haven't built it or haven't measured it yet.