of residency programs have faced communication remediation in the past three years
CERA Survey
93% of residency programs have faced communication remediation in the past three years. Each case consumes 29–45 faculty hours — and most programs still don’t have a structured toolkit for it. ClinicalSim gives learners unlimited, private practice on the conversations they’re struggling with, mapped to ACGME ICS Milestones 2.0 and scored with validated frameworks.
ROI Calculator
See what communication training costs today — and what it could save tomorrow.
Your program
Residents, fellows, or clinicians
Current standardized patient sessions
SP wage + training + overhead + facility (typical: $100-$200)
Time faculty spend observing and evaluating
Loaded cost including benefits
Cost comparison
ClinicalSim.ai extends your SP program — it doesn't replace it. SPs stay focused on high-stakes OSCEs and summative assessments. ClinicalSim gives learners the on-demand practice reps that are difficult to schedule with live SPs — no coordinator logistics, no actor availability bottlenecks — at a fraction of the cost per encounter.
Estimates based on published benchmarks. SP costs: $100–$200/encounter fully loaded. HCAHPS penalty data: CMS FY2025 VBP program. Readmission penalties: CMS FY2024 HRRP data. Malpractice data: CRICO/Candello CBS Report, 2025. Hospital cost per day: KFF State Health Facts, 2024. LOS national average: AHA, 2023. RN turnover: NSI Nursing Solutions, 2024. Sentinel events: Joint Commission, 2024. Enterprise investment estimates are illustrative — contact us for custom pricing. Your actual costs and savings may vary.
Individual
$15/month billed annually ($179/year)
For residents, fellows, and clinicians building communication confidence on their own.
- Unlimited voice-based practice sessions across 15+ clinical scenarios
- Goals of care, diagnosis disclosure, family meetings, de-escalation, and more
- Real-time AI patient conversations from any device
- Structured feedback scored against Calgary-Cambridge and ACGME ICS Milestones 2.0
- Individual performance dashboard with session-level data
- New scenarios added monthly
Program
Billed annually. 10+ users.
For residency and fellowship programs that need structured communication training and remediation at scale.
Everything in Individual, plus:
- Faculty admin dashboard — program directors and administrators view every learner’s performance, progress, and practice patterns in one place
- CCC-ready documentation — every session generates timestamped, milestone-aligned assessment data ready for Clinical Competency Committee review
- ACGME ICS Milestone 2.0 reporting — structured competency tracking built in, not bolted on
- Program-level analytics — aggregate data across your entire cohort to identify trends, gaps, and remediation progress
- Dedicated onboarding — we align scenarios to your curriculum and train your faculty team
- Custom scenario creation — included for founding programs
- Priority access to new scenarios and features
Need scenarios built for your specialty?
We build custom scenarios grounded in validated frameworks (Calgary-Cambridge, SPIKES, ACGME ICS 2.0) — included for founding programs. Learn more →
Enterprise
For health systems, GME consortia, and institutions deploying across multiple programs or sites.
Everything in Program, plus:
- Institution-wide deployment across residency, fellowship, and medical school programs
- SSO and LMS integration (SCORM-compatible)
- Custom scenario library built to your clinical and institutional priorities
- Dedicated customer success manager
- System-wide analytics tied to HCAHPS, quality, and remediation outcomes
- Executive reporting for DIO, CMO, and CNO stakeholders
- Volume pricing for 100+ users
What does this look like for your program?
Program tier pricing
| Program Size | Annual Cost | Per Learner / Year |
|---|---|---|
| 20 fellows | $6,960 | $348 |
| 40 residents | $13,920 | $348 |
| 60 residents | $20,880 | $348 |
| 90 residents | $31,320 | $348Volume pricing available for 100+ users — contact us |
20 fellows
40 residents
60 residents
90 residents
Volume pricing available for 100+ users — contact us
For context: a 60-resident program running 4–10 SP encounters per year spends $27,000–$68,000 on scheduling, standardized patients, and faculty evaluation time. ClinicalSim replaces that with unlimited on-demand practice at $20,880/year — and every session generates CCC-ready assessment data automatically.
Standardized Patients vs. ClinicalSim AI
| Standardized Patients | ClinicalSim AI | |
|---|---|---|
| Cost per encounter | $100–200 fully loaded | Unlimited (flat subscription) |
| Availability | Scheduled, limited slots | On-demand, 24/7, any device |
| Faculty time per case | 29–45 hours (remediation) | Zero — automated assessment |
| Feedback consistency | Variable, evaluator-dependent | Standardized, framework-based |
| Assessment alignment | Manual ACGME mapping | Built-in ICS Milestone 2.0 reporting |
| CCC documentation | Faculty-generated | Automated, timestamped |
| Learner stigma | High (observed practice) | Low (private, judgment-free) |
| Annual cost (60 residents) | $27,000–$68,000 | $20,880 |
| Practice volume | 4–10 encounters/year | Unlimited |
Cost per encounter
Availability
Faculty time per case
Feedback consistency
Assessment alignment
CCC documentation
Learner stigma
Annual cost (60 residents)
Practice volume
I just tried it out and it was like talking to a real patient.
Faculty, Johns Hopkins University School of Medicine
The AI feedback is very pinpoint and detailed. I did perform a demo to my faculty group and they were BLOWN AWAY!
Faculty, Georgetown University
It was helpful to have time to think and reflect without feeling the pressure of a person across from you expecting a response.
PICU Fellow, Pilot Study Participant
Built on research with top academic medical institutions. Blinded evaluation using validated assessment tools.
Frequently Asked Questions
How is this different from standardized patients?
SPs cost $100–200 per encounter and require scheduling, space, and faculty evaluators — and each remediation case consumes 29–45 faculty hours. ClinicalSim is on-demand from any device, with automated feedback grounded in the same validated frameworks. A 60-resident program gets unlimited practice for $20,880/year instead of spending $27,000–$68,000 on 4–10 SP encounters per resident.
What’s the difference between Individual and Program?
Individual gives you full access to practice scenarios and your own performance dashboard. Program adds the institutional layer: a faculty admin dashboard so program directors and administrators can view every learner’s performance, CCC-ready documentation from every session, ACGME ICS Milestone 2.0 reporting, program-level analytics, dedicated onboarding, and custom scenario creation.
What scenarios are available?
The core library includes 15+ scenarios spanning goals-of-care conversations, diagnosis disclosure, advance care planning, family meetings, de-escalation, behavioral health screening, and cognitive assessments. We add new scenarios monthly and build custom scenarios for program partners.
How does the voice simulation work?
Learners have a real-time spoken conversation with an AI-simulated patient from any device with a microphone. The simulation responds naturally and adapts to the learner’s approach. After each session, ClinicalSim generates structured feedback scored against validated communication frameworks — Calgary-Cambridge, ACGME ICS Milestones 2.0 — with timestamped, CCC-ready documentation.
Is there evidence this works?
ClinicalSim is built on research conducted with top academic medical institutions, using blinded evaluation and validated assessment tools. The platform was developed alongside clinical educators and medical practitioners.
How does this help with remediation?
93% of residency programs have faced communication remediation in the past three years, and each case consumes 29–45 faculty hours. ClinicalSim gives learners private, stigma-free practice on the exact conversations they’re struggling with — plus structured assessment data that documents progress for CCCs. No scheduling, no SP coordination, no faculty observation time.
What does onboarding look like for a program?
We work directly with program directors to align scenarios to your curriculum, configure CCC reporting, and train your faculty team. Most programs are practicing within two weeks.
Can learners access this on their phones?
Yes. ClinicalSim works from any device with a browser and microphone. No app download, no special hardware.
What about HIPAA?
No real patient data is used in any simulation. ClinicalSim is a training platform, not a clinical documentation tool.
Become a Founding Program
We’re working with a small number of residency and fellowship programs to shape the next generation of communication training. Founding programs get custom scenario development at no additional cost, direct input on product roadmap, and priority access to new features — including the self-service scenario builder.
50% of program directors told CERA they want an accessible remediation toolkit. We’re building it with you.