AI Case-Review Copilot

Turn any difficult case into structured clinical learning.

Rounds drafts an M&M-ready protocol and a Q&A teaching module from a single case narrative — in minutes, not hours. Built for residency programs, hospital quality teams, and the physicians who do the work.

Inviting design partners. No credit card. No HIPAA-sensitive data.

The clinical lessons your team learns every week can outlive a single conference room. Rounds gives every difficult case a second life — as structured, reusable learning for your whole program.

The workflow that wasn't built for learning

Hospitals already try to learn. The system doesn't help them.

5–20 hrs
per case

Chief residents spend hours reconstructing timelines, digging through fragmented records, and building slides for a single M&M presentation.

Once.
Then it's gone.

The lesson is presented in one conference room, then dies there. Other programs never see it. Similar blind spots resurface elsewhere.

Zero
case-learning software

Reporting tools exist. Documentation tools exist. There is no tool for turning a difficult case into reusable, structured learning.

How it works

Three steps. Minimal lift for your team.

01

Submit

Paste case notes, EHR exports, or voice dictation. All identifiers are removed on ingest.

≤ 3 minutes
02

Analyze

Rounds reconstructs the timeline, surfaces missed signals, and drafts structured case-review artifacts — work that takes residents hours.

Within 24 hours
03

Teach

Two outputs: a polished M&M-ready protocol, and a Q&A teaching case that joins your program's learning library.

Permanent
What you actually get

A finished M&M packet. Ready to present.

Your input
52-year-old male, ED presentation with
atypical chest pain. Initial troponin
negative at T+0. Repeat troponin not
ordered. Discharged at T+8h with
outpatient follow-up. Returned T+38h
with NSTEMI requiring cath lab.
Rounds output
Case #R-0042 — Internal Medicine
M&M Review Protocol

Case Summary

Middle-aged male presented with atypical chest pain. Initial workup was incomplete: a single troponin was drawn without serial follow-up, and the patient was discharged before NSTEMI could be ruled out.

Timeline

  • T+0h — Presentation, vital signs stable, atypical chest pain
  • T+1h — Single troponin: negative
  • T+3h — Repeat troponin not ordered
  • T+8h — Discharge with outpatient follow-up
  • T+38h — Return, troponin elevation, NSTEMI confirmed

Missed Signals

  • Single negative troponin in atypical presentation does not exclude NSTEMI per ACC/AHA NSTEMI Guidelines (Amsterdam et al., 2014). Serial troponins at 3–6 hour intervals are standard.
  • HEART Score not documented in initial assessment.

System Factors

  • Discharge occurred during shift handoff window. Continuity may have been a contributing factor.

Teaching Case — Q&A Format

(continues below…)

Sample output. Generated for demonstration. No actual patient data.

Who uses Rounds

Built with the people who do the work.

Residents & Chiefs

Get the case you've been carrying out of your head and into a structured document. Use the time you save for actual learning.

Quality & Patient Safety

Run faster, deeper M&M reviews. Generate teaching materials automatically. Build the institutional library you never had time to build.

Program Directors

Track learning across your cohort. ACGME-aligned. Evidence that your residents are actually learning from cases — not just presenting them.

Specialties in active pilot

Rounds adapts to the clinical reasoning patterns of:

Internal Medicine
Emergency Medicine
Surgery
OB/GYN
Pediatrics
Built on three principles

Security and privacy, by design.

You retain full ownership of your cases, with complete visibility into how they're used. Patient privacy is protected at every step.

Confidential by design.

De-identified on ingest. Institution-controlled. Not connected to your EHR. Not connected to your malpractice record.

Educational, not diagnostic.

Rounds is a QI and educational tool. It does not make diagnoses or treatment recommendations. Every output is human-reviewed.

Yours, not ours.

Your cases stay in your program's library. Cross-institutional sharing is opt-in and explicit. You decide what gets shared, with whom, and when.

Why Rounds

In medical school I encountered a case that stayed with me. A 22-year-old woman. Her doctors did not consider Gardner syndrome — a rare hereditary condition with a high cancer risk if missed. The diagnosis came late.

They were not bad doctors. They had simply never encountered a case like hers, and nowhere in their training system did a structured record of this kind of case exist for them to learn from.

I built Rounds because I think the lesson should not have died with that one team. Other patients deserve doctors who got to see this case — somehow, somewhere.

— Nikolay Khuditsky, MD · Founder

Ready to see how Rounds handles your case?

Submit one de-identified case. We'll deliver a full M&M-ready packet within 24 hours. No cost. No commitment.

Or write us directly: nixud24@gmail.com · @nixud