01Clinical decision
Potassium is 6.8 mmol/L with broad QRS complexes. What happens first?
How confident were you?
THE CLINICAL THINKING OS™
Stop Relearning Medicine.
Most revision platforms tell you the answer.
Med with Spence identifies why your reasoning failed, repairs hidden misconceptions and schedules review before forgetting happens.
Learn medicine the way experts think.
NHS doctor built10+ years clinical experience1,057 visual learning objects
LIVE NOWMRCP Part 1 · Part 2 · PACES
DO NOT JUST SHOW THE ANSWER
Show the learning failure—and repair it.
Commit, declare confidence, reveal the misconception, rebuild the visual rule and protect it from forgetting.
YOUR LEARNING LOOP
Commit before reveal.
The OS measures the answer and the confidence behind it.
- 1Decision
- 2Confidence
- 3Misconception
- 4Visual repair
- 5Review scheduled
WHY IT WORKS
Questions expose the gap. The OS changes what happens next.
Question → answer → more questions
MemorisationTemporary recognitionForgetting
Volume rises. The underlying reasoning rule may remain unchanged.
Reasoning → repair → retrieval → retention
Misconception RepairVisual retrievalAdaptive review
The exact fragile concept returns before forgetting becomes relearning.
TRY THE PRODUCT BEFORE YOU SUBSCRIBE
Four experiences. One personalised result.
The free assessment demonstrates the learning mechanisms—not a passive sample.
Misconception Repair
See the reasoning stage that produced the error.
Compare Mode
Find the clue that changes diagnosis or management.
Spence
Ask your Clinical Thinking Coach to challenge the decision.
Protected Review
See when the repaired concept should return.
SPENCE · YOUR CLINICAL THINKING COACH
Do not just ask for an explanation. Defend the decision.
Spence uses the active visual and approved learning context to explain reasoning, challenge assumptions, identify missed clues and coach safer decisions.
Socraticasks the next questionConsultantreveals expert reasoningPACEScoaches communicationDiagnostic Duelmakes you defend the diagnosis
SPENCE
What evidence argues against your first diagnosis?
Start with the discriminator—not the disease label. Which finding would force you to change direction?
Talk through your reasoning…
WHY I BUILT MED WITH SPENCE
Medicine has an information problem—and a forgetting problem.
I built Med with Spence after seeing capable learners work harder, consume more content and still struggle to retrieve what mattered under pressure.
DoctorEducatorClinical teacherFounder
CHOOSE YOUR ACCESS
Use the complete Clinical Thinking OS.
Part 1, Part 2, PACES, Today’s Mission, Smart Review, Misconception Repair and Spence.
Complete MRCP OS
£29.99/month
- Cancel through Payhip
- Full current MRCP track
- All learning intelligence
Lifetime Access
£119.99once
- Keep access forever
- No subscription anxiety
- Future updates to the current track included
CLEAR ANSWERS
Before you start.
Is this a question bank?
No. Question banks expose gaps. Med with Spence rebuilds the visual model, identifies the reasoning error and schedules the exact concept for retrieval.
Will it replace PassMedicine?
It complements practice platforms. Use questions to reveal uncertainty; use the Clinical Thinking OS to understand, discriminate, repair and retain.
How does Spence work?
Spence is a grounded Clinical Thinking Coach using the active visual, approved Med with Spence knowledge and measured learning history.
How long should I study daily?
The OS supports focused sessions from 20 to 90 minutes and creates a mission that matches the time available.
Is the content guideline linked?
Supported visuals show slide-specific sources where available and transparent official specialty reference hubs elsewhere. Recommendations can change and should be checked against current guidance.
Find the misconception worth repairing first.
Three minutes. Four decisions. One clear mission.