Assessment for the AI era
The situations are simulated.
The reasoning is real.
Every decision carries weight and consequence. Move beyond what your learners can recall. Start assessing how they apply it.
Built in Newcastle, Australia
A scenario, in four moments
Your learner enters a simulated clinical situation. Every decision changes what happens next. You see exactly how they reasoned through it.
Scenario update
Brian Chen, 58-year-old male, admitted this morning for cardiac investigations. He reports central chest tightness rated 7/10, onset approximately 20 minutes ago, accompanied by mild nausea. Respiratory rate 18, SpO2 96% on room air. No ECG has been performed on the ward today. The ward is busy; it is late afternoon.
What is the immediate priority action?
Scenario updated
GTN was administered without a current blood pressure reading and without a medical officer order. Mr Chen's BP drops to 78/50. A colleague activates the emergency call system.
GTN is a potent vasodilator. NSW Health and Australian Heart Foundation guidelines require a current BP reading confirming systolic ≥ 90 mmHg before administration. No ECG has been performed, no medical officer notified, and no standing order confirmed.
Insights · Pathways
01 / Open
The learner encounters a situation that simulates real practice. They have what a clinician on shift would have: a patient presentation, vital signs, background history, and a decision to make.
"Brian Chen, 58, admitted this morning for cardiac investigations. Background: hypertension, type 2 diabetes. He's diaphoretic and pale. Central chest tightness 7/10, onset 20 minutes ago. The ward is busy; it is late afternoon."
02 / Decide
Every option is a defensible response a real clinician might make. There is no obvious right answer. The choice opens a pathway and the reasoning behind it becomes the data.
A correct first decision opens the optimal pathway. A reasonable but slower choice opens a delayed one with measurable consequences. A wrong choice changes the scene entirely.
03 / Consequence
The patient deteriorates, stabilises, or surprises based on what the learner chose to do. In a Consult, a critical clinical error ends the assessment immediately. The feedback arrives while the consequence is still on screen.
04 / See
See every decision your cohort made and where reasoning diverged. The gold line traces the most common route. Filters reveal who recovered, who deteriorated, and where the clinical thinking broke down.
What competitors don't doThe next scene rewrites itself based on how the learner arrived at it. A pathway map that knows the difference between "got there by recovery" and "got there by deterioration."
The LogicPath engine
Insights starts with the cohort view: completion, score distribution, time, and pathway patterns. Open any learner record to follow the encounter from start to finish, then export the report as a PDF.
Assessment that captures the reasoning behind every decision.
The reform window
The sector responded to AI with more surveillance. That was never the real problem. A credential only means something if it reflects what a graduate can actually do under pressure. Meandrix was built to make reasoning visible.
Assessment integrity
When a learner works through an Encounter in real time, there is nothing to retrieve. The design is the first line of integrity. Sentinel is the second. It covers what remains, invisible to any learner doing the work honestly.
The assessment itself. The learner's decisions change the course of the encounter, shaping the situation, the information available, the risks that emerge, and the decisions that follow.
Opt in. Only when it matters. Adds integrity friction when the stakes require it, and produces a timestamped evidence trail for your Academic Integrity Committee.
That is not an accident. That is the point.
Every session produces a timestamped integrity record. When your Academic Integrity Committee asks for evidence, you have it.
AI governance
AI has one job in Meandrix. Authoring. An educator describes the situation. AI drafts a scaffold, once. The educator edits, validates and approves it. After deployment, AI is not in the assessment loop.
Built for the disciplines that need it most
Nursing is not one decision. It is hundreds of them, across every shift, every patient, every handover. Meandrix builds scenarios from that full range to test the judgement that actually keeps patients safe.
Every decision carries weight for two lives. Meandrix builds scenarios from the full scope of midwifery practice to test the clinical judgement that defines safe, woman-centred care.
No ward. No senior on hand. No second opinion. Paramedicine places clinicians in environments where the decision is theirs alone. Meandrix builds scenarios from that reality.
Also relevant for medicine, allied health, psychology, and any regulated profession where judgement is the assessment.
How it works
Studio is where you build. Choose Encounter, Consult, or Quiz. Use the built-in AI assistance to accelerate authoring, or take full control in manual mode. Preview both sides: what the learner sees, and the logic behind it.
Meet your learners where they already are. Embed into Canvas, Moodle, or Blackboard. Share a direct link with a class. Set the window, the attempts, the time limit. Enable Sentinel when the assessment requires it.
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Insights shows the cohort, then the learner. Engagement shows whether learners are practising, retrying, improving. Pathways shows the routes they took, where they recovered, and where reasoning may have broken down.
Built by a clinician, for clinical educators
I'm a Registered Nurse, founder of Meandrix, and Senior Fellow of Advance HE. I kept looking for a way to assess clinical reasoning digitally, at scale, without losing the authenticity that makes assessment meaningful.
Book a thirty-minute call. We'll build an Encounter or Consult together, using a scenario from your discipline. It's faster than most educators expect.
Dr Gary CrowfootRegistered Nurse · PhD (Nursing) · Founder, Meandrix Education Systems
Build an Encounter with meLive demo · No account needed
Two live scenarios, both built on Australian Acute Coronary Syndrome clinical guidelines. Relevant for health professionals. Understandable by anyone.
Something has changed, and as the nurse on shift, it's on you to recognise it, act on it, and get Brian the help he needs before it's too late.
Start the Encounter→ ConsultRosa Caruso, 58, arrives in the ED with jaw pain, nausea, and fatigue. She's asking for help, and it's on you to work out why. Critical errors end the assessment immediately.
Start the Consult→