Advancing Pharmacotherapeutic Education through an AI-supported, Case-based Approach
An innovative pedagogical environment powered by the Ekere intelligence engine, designed to surface latent knowledge gaps and map clinical reasoning pathways through structured case analysis.
Student’s questions
Six reasoning dimensions
How The Learning Journey Unfolds
One clinical case moves through five structured stages, each building on the student’s evolving clinical reasoning.
- 01Student, alone
Individual Case Questioning
Students question an AI-simulated patient, then submit their plan and reasoning.
The thinking behind this → - 02Student group
Small-Group Comparison
Groups compare their individual decisions and agree one consensus.
The thinking behind this → - 03Educator
Class Debrief
The educator reviews class-wide patterns and leads the discussion.
The thinking behind this → - 04Student
Reflection
Once answers are released, students reflect on their decision.
The thinking behind this → - 05Student
Reassessing the Original Judgment
Students revise their decision in light of new clinical information.
The thinking behind this →
Why the sequence matters
Each stage rests on a finding from learning research: commit before instruction, test reasoning with others, teach to the disagreement, draw out a principle, then revisit the decision.
See the thinking behind it →Explore How Telvorn Works
Six-Dimension Reasoning Portrait
Illustrative note: gathered minimal history before proposing a therapy change, an example of what this dimension flags.
Illustrative note: a hypothesis is traceable through the question order, but drifts partway through without a clear reason.
- •Gather baseline blood pressure and OTC medication history before selecting a therapy.
- •Apply KDIGO 2024's eGFR staging thresholds consistently to avoid misclassifying stage G3b.
Individual Answers, Side by Side
Individual attempts are locked in before the team compares answers.
Where the Class Stands Before the Discussion
Answers stay hidden until the tutor releases them, one case at a time.
Selecting a decision shows the most common wrong answers, the guideline it is drawn from and the teaching note written for the case.
Each group is labelled Fully aligned, Mostly aligned or High disagreement from its members' individual answers, with the plain count behind the label.
Teams that reach agreement unusually quickly may not have fully explored different viewpoints. Teams that take much longer than others may be struggling to reach a shared position. The tutor is alerted to these patterns and can decide whether they warrant further discussion.
Looking Back, Then Thinking Again
Once the answers are released, the student compares their decision with the correct approach and records what they would do differently, and which insights they would take into a similar case.
The student then sees new clinical information next to their original plan, states whether they would maintain, modify, or reconsider it, and writes out the revised decision. Feedback appears only once it has been submitted.
Once the revised decision is submitted, the student sees what happened to the patient. Ekere then responds to their reasoning, considering whether the decision to maintain, modify, or reconsider was well reasoned given the new information, and drawing only on the reviewed outcome and rationale written for the case.
The Debrief, On the Big Screen
Action on the new NSAID prescription
Questions Educators Ask
Telvorn works alongside your existing teaching. It does not replace your curriculum, your assessments or the tutor’s judgement; it gives you a clearer view of how students are reasoning.
Does Telvorn give students clinical advice?+
No. Telvorn and Ekere are educational tools built around simulated cases. Nothing they generate is clinical advice or a recommendation for a real patient, and they do not replace a course curriculum, a tutor’s guidance or professional standards.
Does it replace the tutor?+
No. The tutor decides when answers are released, leads the whole-class discussion and chooses what to focus on. Ekere highlights patterns in students’ reasoning; what to do with them remains the tutor’s decision.
What does Ekere actually look at?+
The student’s work within the case: the questions they ask the simulated patient and the order they ask them in, their structured decisions, their written justifications and their confidence ratings. From these it produces a formative reasoning profile, visible to the student and their tutor.
Does any of this count towards marks?+
No. Everything in Telvorn is formative. The reasoning profile is there to support learning, not to grade students.
How are the cases and feedback checked?+
Cases are written against current clinical guidance and reviewed before release, and any later change to a case is flagged for review again. When Ekere responds to a student, it draws only on material written and reviewed for that case. As with any AI, its outputs can contain errors, so students are encouraged to check guidance against the current guideline and their tutor’s teaching.
Interested in this approach for your own course?
Telvorn is built for pharmacotherapeutics teaching that values how students reason, not only what they answer. If you would like to explore how it could work in your own course, we would be glad to hear from you.