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For medical schools, hospitals and health professions

The hardest conversations in medicine, practiced before they happen.

Medical students, residents, nurses and allied health professionals practice with patients and families who react like real people, and you see who is ready.

What gets in your way

Breaking bad news, informed consent and shared decisions are rarely practiced before the real moment.

Standardized patients are expensive, hard to schedule and reach only a few learners.

Communication skills are hard to assess consistently across rotations and sites.

What you get

Patients and families who react

Characters with history, fears and resistance, in text, voice or with a live avatar.

Your protocol at the center

SPIKES, Calgary-Cambridge or your own: Cesura builds the conversation and the rubric around it.

Ready for OSCE-style assessment

The same case for every learner, scored on your criteria, with evidence from the conversation.

A view of every cohort

See who is ready and where the group needs more practice, rotation by rotation.

How it works for you

  1. 01

    You define the case

    The patient, the setting and the protocol.

  2. 02

    Learners practice

    As often as they need, before the ward.

  3. 03

    You assess readiness

    On one standard, across sites.

The Real Play

See it with your own scenario.

Start free, or talk to us about an organizational plan.