Interactive & Performance-based Case Studies for Educating Tomorrow's Clinicians

DxR Clinician

is web-based tablet compatible software that helps teach and evaluate clinical reasoning skills

DxR Clinician delivers proven, full-featured, professionally edited cases used with patient simulation software tools in a convenient web-based format. DxR Clinician features everything needed to teach, learn, and evaluate key clinical reasoning skills. Our catalog of more than 120 cases covers a broad range of clinical problems based on actual patient data.

Students will have the opportunity to assess and diagnose a patient’s problem online as their clinical reasoning process is recorded for evaluation at your convenience.

How Healthcare Professional Schools Use DxR Clinician

Evidence supports the value of virtual patient simulations as an educational technique important to training healthcare professional students. To be effective, however, patient simulations need to be integrated into the curriculum in a way that promotes transfer of the skills learned to practice clinical medicine .

Healthcare professional schools around the world have integrated DxR Clinician, a virtual patient software program, throughout their curricula, from the preclinical years to the clerkship level. During the preclinical years when basic science is the focus of the curriculum, schools select cases designed to help students understand how basic science content is used to solve clinical problems. In the advanced years, such as during the clinical clerkships, DxR Clinician cases are used to give students an opportunity to virtually encounter patients and clinical problems beyond those they encountered during their clerkship rotation. While DxR Clinician cases are used most commonly to allow individual students to work up a patient virtually, schools use the cases in small groups, providing problem-based learning and team-based learning experiences. Schools also use DxR Clinician cases to administer performance-based examinations.

Details of a student’s problem-solving decisions and clinical reasoning skills are recorded in a student record, which faculty members review and report using DxR Clinician’s Record Utility. Faculty members say DxR Clinician cases are valuable for assessment because they allow them to evaluate the student’s ability to interpret pertinent findings, as well as, see the specific patient history questions, physical examination procedures, and diagnostic studies the student collected to diagnose and treat the patient’s problem. In addition to the Record Utility, DxR Clinician includes a robust set of cases management tools. With the Management Utility, faculty create new cases, as well as, modify the case content and edit the evaluation criteria of existing cases, thereby creating virtual patients that meet the educational objectives of the school’s curriculum.

Over 250 Questions

Collect information regarding patient history from over 250 questions, including new interview questions designed to encourage better physician/patient communication.

over 425 Physical Exam

Simulate physical exam procedures using 18 exam tools and patient pictures to make over 425 possible exam selections.

over 670 Lab Test

Order diagnostic/laboratory tests from the database of over 670 items.

Clinical Reasoning Score &
Level of Diagnostic Performance

DxR Clinician provides faculty with both qualitative and quantitative evaluations of the way in which the student worked-up the simulated patient case. For example, the student’s Level of Diagnostic Reasoning performance is expressed as a qualitative description as well as a numeric value. Additionally, DxR Clinician renders numeric scores for Clinical Reasoning, Management, and Content Knowledge. These scores are weighted and then combined to produce the Overall Performance Evaluation Score.

DxR Clinician DEMO​

Watch a brief introduction to see how DxR Clinician can help your students develop critical thinking skills.


  • Detailed scoring and comparison to peers
  • Customization of case flow and scoring
  • Question authoring tool
  • Online backup and secure access for student results
  • Case authoring is available to create cases


  • Cross-platform and tablet compatibility
  • Realistic exams and labs, including video and audio
  • Over 650 available diagnostic studies
  • Expert discussions of important clinical points
  • Detailed feedback on performance


DxR Clinician virtual patient problem-solving case studies have been used in medical schools, nurse practitioner programs, and physician assistant programs across the United States, as well as in several other countries. Here’s what some of our customers say about DxR Clinician:

"Using the DxR Clinician software, our students begin developing clinical problem-solving skills in the first weeks of medical school. As students work through the cases, they learn about important diagnoses. DxR Clinician’s evaluation software identifies common errors in their work-ups, allowing faculty members to address these issues directly with the students."
Richard DiCarlo, MD
Assistant Dean, Office of Medical Education
Associate Professor, Section of Infectious Diseases
Louisiana State University School of Medicine
"We have learned a lot about our students’ abilities and even more about our curriculum by looking at the results of these exams. DxR Clinician is a very powerful analytical tool. "
Carol F. Whitfield, PhD
Associate Professor, Cellular Molecular Biology
Penn State University College of Medicine