⚠️

ABFM attestation requirements are now in effect (June 2026). 14 core competencies are required for June 2026 attestation; ABFM has postponed procedural attestation to June 2027. Programs that can attest to procedural competence in 2026 may do so, but it isn't required for Board Eligibility until 2027. Is your program ready? See the ABFM Attestation demo →

Family Medicine Edition

Residency management for the CBME era AI that performs the work of residency — alongside the system you already run.

Capture the moment Perform the work Preserve judgment

No migration. No rip-and-replace. Start with one workflow. GME Manager runs alongside New Innovations, MedHub, or whatever you use today — performing high-burden work like procedure logging and evaluations, then handing the finished output back to your system of record. The judgment stays with your residents, faculty, and program leaders. Replace only when you're ready.

See how it runs alongside your platform Request a Pilot Conversation
Your system of record stays put. GME Manager performs the work and returns the output to New Innovations, MedHub, or your current platform.
Illustrative product view
🔄
GME Manager runs alongside
Illustrative — your system stays the record
GME Manager performs the work
💉 Procedure logged by voice, faculty-approved Entering Pilot
📝 Dr. Chen evaluation drafted for review AI draft
🔒 Faculty confirms and signs — judgment stays human Human-owned
Returned to your system of record
🗄️
New Innovations · MedHub · your platform
Stays your source of truth — no migration
✓ In sync
9:41
Action Rail Resident View
🤙 Shake to Log 1 SHAKE
💉 Log procedure 83% pre-filled
⏰ Confirm hours 1 TAP
📋 Hallway Eval seconds
DESIGNED FOR ALL 4 PERSONAS 28+ SCREENS · INTERACTIVE PROTOTYPE
Home
Hours
Evals
Profile
Our Default Entry Strategy

Run alongside. Replace when ready.

Most programs don't want to begin by replacing an enterprise platform they've already licensed, integrated, and trained people on. So they don't have to. GME Manager performs the administrative work those systems still leave to people—and returns completed outputs to your existing system of record. Value no longer waits for a migration.

1

You don't have to leave your platform

GME Manager coexists with New Innovations, MedHub, or whatever you use today—no rip-and-replace, no disrupted resident workflow, no contract to exit. Your incumbent remains the system of record. You start with the one or two workflows that remove the most burden.

2

You don't have to wait for value

GME Manager performs the work and hands the finished output back to your system of record—so there's nothing to configure for 12 weeks and no migration before anyone feels relief. Adopt capabilities one at a time and prove value in the first weeks, not the first year.

3

You don't have to commit to replacement

Full replacement stays available whenever your program decides the time is right—but it's an option you grow into, never a precondition for getting value. The alongside phase is a bridge, not a permanent second system to maintain.

How the output gets back No double entry

Every workflow GME Manager performs produces a completed, human-reviewed record. That record returns to your system of record one of three ways—your program chooses the level of integration it's comfortable with:

📄
Structured export
Download a formatted file (CSV/PDF) for procedures, evaluations, or attestations and upload it to your platform on your own schedule.
🗓️
Scheduled transfer
A recurring handoff on a cadence you set—weekly, per rotation, per CCC cycle—so the record stays current without anyone re-keying it.
🔌
Direct integration Planned
Where a platform supports it, completed records sync automatically. Rolling out with pilot partners; export and scheduled transfer work today.
Workflows that fit this model
Start with two high-value workflows—then expand from the same foundation, one at a time:

Start here — the entry wedge

Procedure logging & approvalsStart here Evaluations & point-of-observation captureStart here

Expand when ready — same foundation

ILPs & CCC-to-ILP workflows APE preparation EPA & entrustment observation support ABFM attestation Duty-hour logging with compliance flags Continuity-of-care tracking Early-warning support

The strategic objective is simple: make GME Manager genuinely useful before asking any program to replace its incumbent platform. Replacement remains available when you're ready—value doesn't wait for it.

See GME Manager in Action
🧭

How to read the product vision: Capabilities throughout this page are labeled Available Now, Entering Pilot, Planned, or Vision so you can distinguish what exists today from what comes next.

Tangible Traction

Three tangible proofs of execution.

The product is live, a six-program Family Medicine pilot launches in July 2026, and HealthStream has invested and partnered — with hStream integration already live.

1 Product Live
Built + Pilot-Ready

The operating foundation is live and ready for deployment.

What is in place
  • Pilot-ready workflows across four user roles
  • Distributed AI-native engineering team
  • Mobile-native product team
Built to Deploy
2 Pilot Launching
July 2026

Real users. Real programs. Real workflows.

Initial deployment
  • Six Family Medicine programs
  • Includes one of the nation's largest health systems
  • Evidence generation across adoption, workflows, and outcomes
In-Market Validation
3 Strategic Validation
$500K + HealthStream

Capital, partnership, and distribution credibility are already in place.

Validation secured
  • $500K strategic investment from HealthStream
  • Strategic partnership with HealthStream
  • hStream integration is live
Capital + Distribution
Tangible Traction

Built. Launching. Strategically backed.

Why Now

Why residency programs need a more modern operational layer

Several forces are converging on program directors and coordinators at once. Each one raises the value of performing high-burden work more efficiently—without a disruptive platform migration.

1

CBME Expectations

Competency-based education emphasizes continuous evidence over periodic evaluation. In Family Medicine, ABFM competency attestation applies as of June 2026. Many systems were designed primarily to track time.

2

A Concentrated Market

The market remains highly concentrated among long-established platforms, most designed before modern generative AI. Ongoing consolidation is prompting many programs to look for lower-friction ways to modernize.

3

AI Is Now Practical

Modern language models make it practical to draft, structure, and summarize administrative work. The opportunity now is careful application to real workflows—with human review kept in the loop.

4

Administrative Burden

Residents spend time on documentation instead of learning, and faculty complete forms instead of teaching—often on tools that aren't built for the devices they carry. Mobile-first, AI-assisted design can help.

5

A Fragmented Journey

The physician-development journey often runs across disconnected systems, with limited continuity or portability of a resident's record. Programs increasingly want a more connected experience.

Competency-based education emphasizes continuous evidence over periodic evaluation. In Family Medicine, ABFM competency attestation applies as of June 2026. Many systems were designed primarily to track time.
The market remains highly concentrated among long-established platforms, most designed before modern generative AI. Ongoing consolidation is prompting many programs to look for lower-friction ways to modernize.
Modern language models make it practical to draft, structure, and summarize administrative work. The opportunity now is careful application to real workflows—with human review kept in the loop.
Residents spend time on documentation instead of learning, and faculty complete forms instead of teaching—often on tools that aren't built for the devices they carry. Mobile-first, AI-assisted design can help.
The physician-development journey often runs across disconnected systems, with limited continuity or portability of a resident's record. Programs increasingly want a more connected experience.
The Deeper Case · Optional Reading Why this problem has persisted for 25 years—and why now is different. Read the full background
The Root Cause

Twenty-five years in the making.

The administrative burden of residency wasn't an accident. It was built one requirement at a time — each layer adding work on top of the last.

2001
Outcomes ProjectThe first shift toward measuring results
+ Assessment
2003
Duty HoursHour limits that had to be tracked and proven
+ Compliance
2013
Next Accreditation System (NAS)Continuous oversight replaces periodic review
+ Oversight
2014
Milestones & CCCsStructured ratings and committee documentation
+ Documentation
2015+
EPAs & Direct ObservationEvidence captured at the bedside, in the moment
+ Observation
Built on Human Effort

Every initiative improved training. None reduced the work required to prove it happened.

Why Now

CBME improves training — and amplifies the crisis it inherits.

CBME replaces periodic, after-the-fact evaluation with continuous evidence collection. Defensible competency now requires documentation at a scale residencies have never carried.

217
Evaluations / Trainee / Year
The multi-institutional median across milestone competencies — before CBME's continuous-evidence mandate fully lands.
~350 → 1,750+
Documented Observations / Year
Per 21-resident Family Medicine program, pre-CBME to under CBME — a 5× increase, or +400%.
14
Competencies Need Continuous Evidence*
Attestation is now binding in Family Medicine (as of June 2026), Surgery in 2028 — with more specialties to follow.
CBME is widening cracks in an already crumbling foundation. The documentation it demands deepens the burden underneath.
The Hidden Ceiling

Creating residency positions and creating residency capacity are not the same thing.

The nation keeps authorizing more residency slots. Whether programs can actually use them is decided somewhere else entirely — in faculty supervision and coordinator capacity.

The Nation Is Creating More Positions
Supply keeps expanding.
Medical school enrollment now sits roughly 40% above its 2002–03 baseline, and Congress continues to award new Medicare-funded residency positions. The pipeline into residency has never been larger.
→
The Constraint: Administrative Burden
Approval depends on resources programs may not have.
The ACGME's complement-expansion process requires a program to demonstrate sufficient faculty, staffing, and administrative resources before growth is approved. Burden across faculty supervision and coordinator capacity is what those reviews test.
→
The Result: Programs Cannot Grow
Slots awarded, capacity unbuilt.
A program can receive new positions and still be unable to use them. Administrative burden — not funding alone — is increasingly what determines whether a program can take the residents it has been given.

More than three-quarters of coordinators at growing programs reported no corresponding increase in administrative support as their programs expanded. The work scales with every new resident; the staffing to absorb it often does not. The peer-reviewed literature now identifies AI explicitly as a mechanism to expand training capacity by relieving the faculty-supervision and administrative constraints that cap growth — which reframes a documentation tool as something closer to capacity infrastructure.

Administrative burden has quietly become the ceiling on the nation's ability to train more physicians. Lift the burden, and the positions become usable.

Sources: AAMC medical school enrollment data, 2024–25; CMS Medicare-funded residency position awards, November 2025; APDIM coordinator workload survey, 2019; peer-reviewed analysis of AI and training capacity (PMC, 2025).
The Opportunity

When administrative burden falls, burnout falls.

Ambient AI scribes have been associated with lower documentation burden, reduced cognitive load, less after-hours work, and meaningful reductions in clinician burnout — from reducing the burden of a single workflow. Residency, where dozens of requirements have stacked up over 25 years, is a far larger opportunity.

10,000+
Physicians & Staff
Reduced documentation burden across a large-scale deployment.
Kaiser Permanente, 2024
2.64pt
Lower Cognitive Load
Measured reduction in clinician cognitive load after deployment.
JAMA Network Open, 2025
0.90hrs
Less After-Hours Work
Fewer after-hours hours per week spent on documentation.
JAMA Network Open, 2025
52→39%
Clinician Burnout
Burnout fell from 52% to 39% — a 21% relative reduction.
JAMA Network Open / Mass General Brigham, 2025
New in 2026 — The First GME-Specific Evidence

Until now, the ambient-scribe evidence came from practicing physicians. In 2026, the first studies of residents and fellows arrived — and they point the same direction.

87%
Trainees Wrote at Least One Note
Across a 5-program ambient-scribe pilot, 87% of participating residents and fellows used the tool — averaging 20 notes each, on 16% of encounters. A majority of trainees and faculty recommended expanding it.
University of Washington GME Pilot (Abridge, 3 months), 2026
3.09min
Less Documentation Time / Patient
A controlled study of two community-based FM residency programs found per-patient documentation time fell 3.09 minutes (P=.002), with significant improvement in resident well-being on the Mini ReZ survey — the first controlled study to show statistically significant well-being gains from ambient AI specifically among residents.
PRiMER, 2026 (n=15 PGY-3 residents)

Reducing the burden reduces the burnout. That's the lever.

These outcomes reflect reductions in subjective burden, cognitive load, and burnout — the relief clinicians report when documentation work is lifted. They are not a claim about raw transcription time saved, which earlier evidence showed to be marginal in practicing physicians. GME Manager is built to move the burden that matters: the administrative work, not the keystrokes.

Why Family Medicine First

We're starting where purpose-built tooling matters most

The most programs, the most accessible buyer, and the widest gap between what programs need and what they have.

Most programs 30 residents or fewer

Small programs, same burden

FM skews small and community-based. A coordinator at a 6-6-6 program has the same ACGME and ABFM requirements as a 30-resident program—with a fraction of the staff. These are the programs managing milestones in spreadsheets.

57% community-based

Your program, your decision

Many FM residencies can make technology decisions at the program or sponsoring-institution level. And with training often distributed across community sites with varying IT infrastructure, mobile-first tooling is more of a practical requirement than a luxury. When you're ready for better tools, GME Manager is built to fit in.

14 competencies* · 13 procedures · 218 diagnoses

Requirements that reward purpose-built tooling

ABFM attestation, continuity-of-care tracking, supervision matrices by PGY year, and full-spectrum training across all ages and settings. These are demanding to support well with general-purpose tools. GME Manager is designed specifically for Family Medicine.

16.4% unfilled in 2026 Match

The pipeline is getting more stressed, not less

Family medicine had the highest unfilled rate of any specialty in the 2026 NRMP Match. The fill rate has fallen from 87.8% in 2024 to 83.6% in 2026—even as positions offered grew. Programs are competing harder for residents at exactly the moment when the tools they offer matter most.

5,491 positions · ~12,000 residents

The largest specialty in GME

More programs than any other specialty in the NRMP Match, with roughly 12,000 residents in training across all PGY years. This isn't a niche—it's the largest addressable market in residency education.

G2211 + APCM codes · ~100 new FM slots since 2021

New revenue is on the table

CMS introduced new billing codes in 2024–2025 that reward longitudinal primary care relationships. At the end of 2025, CMS awarded 32 new family medicine Medicare GME slots to 18 programs — bringing the cumulative total to roughly 100 new FM positions added since 2021. Programs need infrastructure to capture these opportunities.

IME formula favors inpatient specialties

Every dollar counts

Medicare's GME funding formula structurally undervalues FM's community-based, outpatient training model. In that environment, you can't afford a platform that leaves attestation revenue uncaptured or takes 12 weeks to configure.

Not because FM is the simplest specialty to serve—but because it's the one where the gap between what programs need and what they have is widest.

* 14 core competencies required for June 2026 attestation. ABFM postponed procedural attestation to June 2027. Programs that can attest to procedural competence in 2026 may do so, but it is not required for Board Eligibility until 2027. Source: ABFM, Core Competencies for 2026 and Procedures for 2027 (December 2025 guidance).
Roadmap

Where we are, and what comes next

We sequence deliberately—proving each step before the next. Timing may evolve as we learn from pilot programs.

Built · Pilot Launching Now · July 2026
Procedure logging & faculty evaluations — live product, six-program pilot
The operating foundation is built and live. A six-program Family Medicine pilot—including one of the nation's largest health systems—launches July 2026, with the mobile experience and evidence generation across adoption, workflows, and outcomes.
Planned Next
Moment Inbox & the broader MomentReady workflows
The capture-and-recovery layer, then additional Ready modules (attestation, APE preparation, continuity-of-care) as each is validated.
Planned Later
Onboarding, Recruiting, Schedule & Reimbursement managers
Additional agents that extend GME Manager across more of the program's operational work.
Vision Longer term
GME Agent Studio & specialty expansion
Family Medicine proves the run-alongside model. The same operating foundation then expands to additional specialty configurations—Internal Medicine, Surgery, Pediatrics, Emergency Medicine, and Psychiatry among the next priorities—alongside a growing catalog of purpose-built agents.
The Solution

Purpose-built for the CBME era

Rather than bolting AI onto older software, GME Manager is designed to be AI-native—built for agentic assistance, competency visualization, and the realities of modern residency training, with human review kept in the loop.

🎯

Competency-First Design

Visual milestone progression, growth narratives, and AI that helps surface gaps earlier. Built around the question programs care about most: "Is this resident becoming competent?"

🤖

Agentic AI

AI agents that perform administrative work while your team makes the calls. Designed to identify potential duty-hour risk before a violation occurs, draft evaluations for review, and return time to patient care.

🏥

Specialty Editions

Launching with Family Medicine—purpose-built around the 50 features that matter most for your specialty. Psychiatry, Pediatrics, and Med-Peds editions are on the roadmap.

💬

Action Rail™

Voice-enabled natural language that turns friction into flow. Designed to support procedure logging in seconds—hands-free, even at 11 pm.

💡

Insight Rail™

Conversational AI intended to help every role find answers directly. Ask questions, get answers—designed to reduce dashboard hunting and email ping-pong.

📁

Resident-Centric Focus

Residents build a portable portfolio—every procedure, evaluation, and certification—validated and theirs to carry forward. The foundation for a seamless career journey.

📱

Mobile-Native App

Designed as a mobile-native experience for all four personas—not a companion app. Two-Rail AI on every screen, designed to support offline capture, demonstrated today through a 28+ screen interactive prototype, with selected workflows entering pilot.

Start Here · Entering Pilot

We start with procedure logging and evaluations

These two workflows were chosen because they address two common, visible pain points, work naturally alongside MedHub or New Innovations, and can be measured clearly during a pilot. More importantly, they validate a core idea: capture the clinical moment once, and let the administrative work build from it.

Available Now Entering Pilot Planned Vision

Reading this page: GME Manager is both an active pilot product and a broader roadmap. We label capabilities so you can tell what's available today from what's coming later.

🩺
Procedure Logging & Approval
Entering Pilot

Ten seconds between patients—not ten minutes after the shift. Reduce the reconstruction that happens when a log is written hours later, from memory.

  • Shake the phone. With GME Manager Mobile open, the resident triggers the procedure log in the moment.
  • Talk for ~10 seconds. The resident briefly describes the procedure and supervisor.
  • AI drafts the log. Curated clinical intelligence prepares a complete, reviewable procedure log—procedure, indicators, findings, complications, supervision, codes.
  • Confirm and submit. The resident reviews, edits, and sends for approval. Human confirmation remains required.
📝
Faculty Evaluations
Entering Pilot

Capture the observation now. Stop reconstructing later. Reduce completion time while keeping the judgment—and the final word—with faculty.

  • Shake the phone. Faculty trigger the evaluation-capture workflow in the moment.
  • Talk for ~15 seconds. Faculty briefly describe the resident's performance and key observations.
  • AI drafts the evaluation. A rotation-calibrated draft is prepared from the voice note, selected prior notes, and curated clinical data—for faculty review.
  • Confirm and submit. Faculty complete ratings, correct as needed, and submit. AI prepares; faculty retain the judgment.
Why these two, and why first

They remove burden for the greatest number of people, prove value early, and require minimal coupling to your incumbent platform. Faculty judgment is preserved throughout—AI drafts, organizes, and structures; residents, faculty, coordinators, and program directors decide.

After the Fact vs. In the Moment

Capture the moment. Reduce the reconstruction.

Much of residency's administrative burden exists because work is captured after the fact. GME Manager captures clinical moments as they occur and lets the downstream workflows build automatically.

After the fact

Work reconstructed once the moment has passed

  • Residents complete procedure logs late, from memory.
  • Faculty write evaluations days later, reconstructing what they observed.
  • Coordinators chase missing documentation across the program.
  • Program directors assemble reports manually from scattered sources.
In the moment

Clinical moments generate administrative output automatically

  • Procedures captured in real time, as they happen.
  • Evaluations drafted from direct observation, not memory.
  • Documentation built automatically as work occurs.
  • Competency evidence assembled continuously, never reconstructed.
Design Objectives

What we're designing for—and will measure in the pilot

These are product objectives and pilot measurement targets, not audited results. Our agentic AI is designed to take on administrative work so your team can spend more time mentoring residents and caring for patients. The pilot is how we test whether these targets hold.

Faster
Faculty Evaluations
Designed to reduce the time required to complete evaluations by drafting from observation—faculty review and personalize rather than starting from scratch.
Pilot measurement target
Early
Duty-Hour Risk Signals
Designed to identify potential duty-hour risk before a violation occurs, so issues can be addressed rather than only documented.
Design objective
Faster
APE Preparation
Designed to assemble Annual Program Evaluation inputs from integrated data with AI-written narrative drafts for review.
Planned capability
Earlier
At-Risk Awareness
Designed to help surface residents who may need support earlier, so programs can intervene sooner. Any determination stays with the CCC and program leaders.
Design objective
Voice
Procedure Capture
Voice-enabled natural language via Action Rail™—designed to make logging fast and low-friction, even for the PGY-2 at 11pm.
Entering Pilot
Day 1
Preloaded for FM
Designed to ship with ACGME milestones, ABFM procedures, and supervision matrices preloaded—so a new or expanding program can get started quickly.
Planned
Pre-fill
Mobile Pre-Fill
A predictive pre-fill engine is designed to populate most fields from clinical context—rotation, attending, site, supervision level, date/time—leaving a quick confirm.
Interactive Prototype
Mobile
Fast Mobile Logging
Shake to Log triggers voice capture; a clinical-context signal helps detect rotation, site, and attending. Designed to support offline capture.
Interactive Prototype

Ready to see this run alongside your platform?

See GME Manager in Action Request a Pilot Conversation

Works alongside New Innovations, MedHub & more · No migration · Direct follow-up from GME Manager

See It In Action

Natural language that works the way you do

Purpose-built for every role. Designed to reduce hunting through menus and filling out endless forms.

⚡ Action Rail™
⚡
Action Rail™
What would you like to do?
Quick Actions
💉Log a procedure
⏰Log duty hours2 days behind
👤View my encounters
📝Request faculty evaluation
📅Request time off
⚡
Action Rail™
What would you like to do?
Quick Actions
👩‍🏫Log teaching activity
🔍Look up resident progress
📊View my evaluations summary
💬Send feedback to resident
⚡
Action Rail™
What would you like to do?
Quick Actions
📝Draft summative evaluationAI Draft
📄Generate Annual Program Evaluation1-Click
👥Check multi-rater coverage3 below threshold
🎯Review milestone progress
📊Run compliance report
⚡
Action Rail™
What would you like to do?
Quick Actions
📅Update rotation schedule
👤Add/edit resident profile
📤Export ACGME data
📧Send batch reminders

Command interface for taking action. Logging procedures, requesting time off, generating reports—all through natural language. Voice input supported.

📱 Also on mobile — native bottom sheet with Shake to Log, voice input, card-based actions, and designed to support offline capture. Interactive prototype.

💬 Insight Rail™
💬
Insight Rail™
Ask me anything about your program
Common Questions
🎯What procedures do I still need?
📊How do I compare to my cohort?
❓How do I log a procedure?Help
Help Topics
📖How do I log a procedure?Guide
🎤How does voice logging work?Guide
🎫Submit a support ticketTicket
💬
Insight Rail™
Ask me anything about your program
Common Questions
📝What evaluations are due?
👥Who's rotating with me this month?
❓How do I submit a teaching log?Help
Help Topics
📖How do I complete an evaluation?Guide
📋What is a Hallway Eval?Guide
🎫Submit a support ticketTicket
💬
Insight Rail™
Ask me anything about your program
Common Questions
⚠️Any compliance issues this week?
📊Compare cohort milestone progress
❓How do I generate an APE report?Help
Help Topics
📖How do I generate an APE?Guide
📄ACGME export walkthroughGuide
🎫Submit a support ticketTicket
💬
Insight Rail™
Ask me anything about your program
Common Questions
📧Who hasn't logged duty hours?
📅Any scheduling conflicts next month?
❓How do I submit a support ticket?Help
Help Topics
📖How do I export ACGME data?Guide
📊Schedule management overviewGuide
🎫Submit a support ticketTicket

Dual-mode conversational AI. Program Data mode (blue) for status, progress, and analysis. Help & Support mode (green) for how-to questions and support tickets. Copy, share, or export any answer.

📱 On mobile: Morning Briefing is designed to deliver a single AI-generated summary that can consolidate what would otherwise be several individual notifications. Ask anything, anywhere. Illustrative prototype.

The Standard Offering

One broad suite. A deliberately sequenced launch.

GME Manager captures clinical moments as they occur, performs the work of residency, and preserves physician judgment through purpose-built AI controls.

GME Manager Run-Alongside Suite™
Clinical Moments to Evidence

Turn procedures and observations into evidence.

  • Voice-First Procedure Logging
  • AI-Drafted Evaluations
  • Entrustment Everywhere
Competency to Action

Turn competency evidence into individualized development.

  • CCC Meeting Mode
  • CCC-to-ILP
  • ILP Generator
Compliance Before Submission

Identify violations before submission.

  • Duty Hour Logging
  • Compliance Flag at Entry
Program Assurance & Readiness

Organize evidence for high-stakes decisions.

  • ABFM Attestation Agent
  • APE Report Agent
MomentReady™ Operating Foundation

Capture once. Apply context. Prepare governed work. Return completed work to the system of record.

Curated Intelligence
13 live curated clinical data sets · program rules · prior evidence
Workflow Operating Layer
Action Rail™ · chase workflows · morning briefing · tailored dashboards
Run-Alongside Data Exchange
Human review · completed work returned to MedHub or New Innovations

One platform. Start with high-value workflows. Expand according to program need and readiness.

Core Features

Every capability, in detail

The workflows above, expanded — each labeled so you can tell what's live today from what's on the roadmap.

These run alongside too — adopt any one on its own. Nothing here requires you to switch platforms.
🗓️

CCC Workflow with Bias Mitigation

Planned

Complete Clinical Competency Committee workflow with built-in anchoring alerts, availability bias checks, and groupthink prevention. Structured discussion enforces speaking order starting with junior members. AI prepares the evidence; your committee makes fair, defensible calls.

📝

AI-Drafted Evaluations with Voice Log

Entering Pilot

AI synthesizes rotation data, procedure logs, and prior evaluations into draft narratives with milestone mapping. Faculty tap record after a clinical moment—the AI transcribes, tags competency, and holds it as a private draft. At evaluation time, those notes weave directly into the AI-drafted narrative. Observations captured fresh, not reconstructed from memory. Designed to reduce completion time and return time to teaching.

📊

One-Click APE Report

Planned

Annual Program Evaluation designed to generate in one click instead of days. All 15 ACGME-required sections with AI-generated narrative drafts, data freshness indicators, and direct export to PDF and Word. Illustrative prototype.

✅

ABFM Attestation Tracker

Planned

Evidence aggregation across all 14 ABFM Core Competencies* with strength indicators per competency. AI-generated readiness summary, gap identification, and audit-ready documentation for the June 2026 core-competency deadline — with procedural attestation tracked separately ahead of its June 2027 deadline.

⏰

Predictive Duty Hours

Planned

Designed to identify potential ACGME duty-hour risk in advance—80-hour limits, rest requirements, 24+4 shift caps—so issues can be addressed rather than only documented. Three-tier alerts with corrective-action documentation. Illustrative prototype.

📁

Lifetime Portable Portfolio

Vision

Unlike legacy systems where data belongs to the institution, residents own their portfolio forever. Cryptographically verified credentials follow physicians from residency through fellowship and career transitions. Physician as the Source of Truth™.

🎯

CoC Tracker & Predictor

Planned

Real-time Continuity of Care tracking with panel management, visit attribution, and predictive modeling. Residents see their progress against PGY-level targets; PDs forecast graduation readiness across the cohort months in advance.

⚠️

Early Warning System

Planned

Designed to help surface residents who may need support earlier than traditional reviews—looking at milestone gaps, evaluation patterns, procedure deficits, and wellness signals. Intended to support earlier intervention. Any determination stays with the CCC and program leaders. Illustrative prototype.

💰

Teaching Physician Billing

Vision

Automated attestation capture with GC/GE modifier support, real-time compliance alerts, and audit-ready reports. Plus built-in support for G2211 visit complexity add-ons and APCM care management codes—new revenue streams from 2024–2025 that many programs aren't capturing yet. Revenue that was always yours, and revenue that's newly yours—now captured.

🤖

AI Co-pilot for Coordinators

Planned

Designed so an overnight AI cycle can work through routine tasks — duty-hour chases, eval reminders, rotation gap detection — and return a report showing what was handled, what was sent, and what needs your judgment. Batch actions are intended to execute many tasks at once. AI handles the routine; you handle the exceptions. Variable Autonomy™ throughout. Illustrative prototype.

📘

13 Live Curated Clinical Data Sets

Pilot-Ready

Legacy systems ship empty—programs can spend weeks configuring before seeing value. The Family Medicine configuration is designed to ship with 13 live curated clinical data sets, including the G2211 and APCM codes that went live in 2024–2025. For a new program launching under the Medicare cap expansion, the goal is a path where work flows end-to-end: procedures → supervision → logging → billing → CCC review → attestation. Two additional documentation-coaching sets are offered on top of the 13 core sets.

01 ABFM Procedures
02 Complications
03 218 FM Diagnoses
04 ACGME Milestones
05 ABFM 14 Competencies*
06 Duty Hour Rules
07 USPSTF Guidelines
08 Immunizations
09 BH Screening Tools
10 Rotation Objectives
11 CPT/E&M + G2211/APCM
12 MIPS Measures
13 ABFM Optional Procedures
+ FM Note Conventions ADDITIONAL
+ FM Differential Frameworks ADDITIONAL
13 live curated core sets + 2 additional documentation-coaching sets · Pilot-Ready
📱

Mobile-Native App

Entering PilotInteractive Prototype

Not a companion app. Not a desktop wrapper. Designed as a mobile-native experience for how residents, faculty, PDs, and coordinators actually work—between patients, in hallways, post-call. Two-Rail architecture (Action + Insight) delivered as mobile bottom sheets with voice, text, and card inputs. A predictive Pre-Fill Engine is designed to populate most procedure fields. Designed to support offline capture with smart sync. The current interactive prototype demonstrates the direction, while selected Procedure Logging and Evaluation workflows are entering pilot.

01 Shake to Log
02 Tap-to-Confirm Hours
03 Hallway Eval (seconds)
04 Clinical Context Beacon
05 Post-Call Shield
06 Morning Briefing
6 mobile-only concepts · 28+ screens · Interactive prototype
* 14 core competencies required for June 2026 attestation. ABFM postponed procedural attestation to June 2027. Programs that can attest to procedural competence in 2026 may do so, but it is not required for Board Eligibility until 2027.
The Long-Term Platform Vision · Optional Explore the Broader GME Manager Vision Beyond the pilot, GME Manager is designed to grow into a full agentic platform. This section contains the broader roadmap and long-term platform vision—Agent Studio, the MomentReady architecture, Variable Autonomy™, the deskilling position, and the hStream ecosystem. None of it is required to understand the current pilot offer—and every capability here still adopts the same way: alongside your existing platform, one workflow at a time, replace only when you're ready. Explore the broader visionCollapse the broader vision
A New Way In

GME Manager Agent Studio

Our default entry path is to run alongside your incumbent: start with a single purpose-built AI agent, adopt one workflow at a time, and grow into the full experience whenever you're ready. A credit card decision, not a procurement decision. Full replacement remains available—but value never waits for it.

Start Here · Run Alongside

Agent Studio

Start with the problem that's most urgent. Activate a single purpose-built AI agent alongside your current platform, designed for a low-friction start. Each agent solves a specific problem on its own. Together, they compound—no migration required.

OR
Replace When Ready

GME Manager

Comprehensive competency-based residency management. Milestone tracking, CCC meetings, AI-drafted evaluations, ACGME exports, duty-hour compliance, procedure logging. For programs that have grown into replacing their current system.

Each agent makes every other agent smarter

Every agent reads from and writes to a shared data mesh. Four foundation agents—Lifelong Portfolio, Data Gateway, Action Rail™, and Insight Rail™—ship with every purchase. Every other agent plugs into them. That's not a bundle. That's a flywheel.

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Already on New Innovations or MedHub? Every agent in Agent Studio runs alongside your existing platform.

Agentic AI and predictive analytics that coexist with legacy systems—syncing data both ways, surfacing intelligence inside the workflow your residents and coordinators already know. No migration. No retraining. No disrupted resident workflow. Adopt one agent, or a dozen, on top of what you already have.

Planned · Next on the roadmap

Four more agents. One foundation.

With the GME Manager pilot now underway, four purpose-built agents are planned to follow—each taking a workflow that often runs on tools not built for today's residency programs, and rebuilding it on the same agent foundation that runs GME Manager.

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GME Onboarding Manager
An onboarding agent configured through a guided, AI-assisted setup from your specialty, state, and class list—then supporting the process from Match Day through Day One. Gamified resident experience with achievement badges, peer progress, and hStream ID provisioning. Phase-adaptive dashboards, state-license intelligence, and NPS pulse surveys. Designed for rapid setup.
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GME Recruiting Manager
Composable agentic AI for residency recruitment. One-Click Applicant Profiles™ transform raw ERAS data into reviewable summaries with AI-generated evaluations. Screening, reviewing, interviewing, and ranking—with as much or as little AI as you choose. Variable Autonomy™ at every stage.
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GME Schedule Manager
The first shift scheduler built for GME. Every assignment enforces 8 ACGME duty-hour rules in real time—then optimizes for training fit, continuity, and resident wellness. Five AI engines run simultaneously on every scheduling action: compliance, wellness, training fit, fairness, and supervision. Block tools schedule blocks. Hospital tools schedule shifts. Nobody schedules shifts with ACGME compliance, training fit, and wellness built in. This does.
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GME Reimbursement Manager
The first agent in the suite whose value shows up in dollars recovered, not just hours saved. Captures the CMS codes that came online in 2024 and 2025—G2211 longitudinal complexity, APCM panel management, GC and GE teaching physician modifiers—directly inside the same residency-management system that already tracks supervision and procedures. Every claim documented before it's submitted. Missed-revenue alerts surface the dollars still on the table.
Featured Agents

The agents that do the heavy lifting for your program

Six workhorse agents built around the work Program Directors and Coordinators actually do every week — not the work AI vendors wish they did.

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CCC Meeting Agent
The cornerstone of ACGME compliance. Full Prep → Facilitate → Document lifecycle in one workflow. Pre-meeting packages generated automatically with 19 subcompetency ratings and milestone progression visualized across cohorts. Four-axis bias mitigation surfaces blind spots in real time. Live minutes during the meeting; determinations documented in the same workflow. ACGME-compliant export at sign-off.
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APE Report Agent
One-click Annual Program Evaluation. Auto-aggregates into all 15 ACGME-required sections, drafts the narrative, and produces an ACGME-formatted document in the time it takes to make coffee. Weeks of coordinator work become an afternoon of review.
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Compliance & Duty Hours Agent
The 80-hour rule, watched for you. Real-time tracking of duty hours, days off, and consecutive-shift limits across every resident, every rotation. Predictive flags surface looming violations before they happen — not on the citation letter three months later. One dashboard for the PD; automatic resident reminders; audit-ready logs.
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Continuity of Care Agent
Panel ownership, transitions, and patient continuity tracked across the full residency — the ACGME requirement that nobody else operationalizes well. Tracks resident panels, follow-up rates, and care transitions; surfaces residents at risk of losing continuity well before the next reporting cycle. The evidence is already in the system when the question gets asked.
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Coordinator Copilot Agent
The agent your coordinator will fight for. Auto-drafts the weekly nudges, the missing-evaluation emails, the rotation switch confirmations, the visa paperwork reminders. Triages the inbox; surfaces what actually needs the coordinator's judgment; handles the rest. Designed to give hours back every week. The single best argument for keeping the role and paying it what it’s worth.
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ABFM Attestation Agent
Aggregates evidence across all 14 ABFM Core Competencies* and 13 required procedures. AI readiness summary, automated gap identification, digital signature workflow, and ABFM-aligned export. The June 2026 deadline is a one-hour click-through — not a six-week scramble.
MomentReady™ Platform

Capture the clinical moment once, and everything downstream is ready.

Legacy GME platforms are built around forms. A procedure log is a form. An evaluation is a form. A billing attestation is a form. Faculty and residents reconstruct the same clinical moment five or six separate times. MomentReady is built around the clinical moment itself. One Clinical Moment Object. One capture; up to twelve downstream artifacts.

How the pieces fit: Moment Inbox is the capture-and-recovery layer that protects a moment the instant it's spoken. The Ready modules below—LogReady, EvalReady, and the rest—are the governed workflows that validate and complete it.

Moment Inbox™ First Pilot Capability Designed from Pilot Feedback

The first capability of the MomentReady Platform entering pilot. Residents and faculty often have time to capture a meaningful moment—but not enough time to finish every field. Moment Inbox is a private workspace designed to protect an incomplete voice capture the instant it's spoken, then return the user to the right governed workflow when they're ready to finish. The goal: nothing important gets lost between speaking and finishing.

1 · SPEAK
Capture now
Use the existing voice action to capture a procedure or observation in the moment.
2 · PROTECTED
Draft survives interruption
A private draft is created before submission—never lost, never repeated, never exposed to program leadership.
3 · REVIEW
Correct when ready
Review, edit, delete, or undo. Confirm the transcript and required fields on a safe correction surface.
4 · CONTINUE
Finish in the workflow
Continue to the existing Procedure Review or Observation Review in LogReady or EvalReady.

The promise: No repeat dictation. No lost moment. No bypass of human review. Deliberately narrow today—the first practical step toward the broader MomentReady architecture: capture the clinical moment once, preserve it immediately, let AI transform it into governed residency work.

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Entering Pilot
LogReady
Resident procedure logging designed for capture in seconds by voice. Real-time supervision validation, CPT mapping, and ABFM technique-variant checks built in.
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Entering Pilot
EvalReady
Faculty bedside observation in seconds. The end-of-rotation evaluation drafts itself for review. Designed to reduce completion time.
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Coming Soon
ChartReady
The 60-second EHR handoff via ClipBridge™. Structured cheat sheet plus narrative block, ready to paste into Epic. Plus the multi-day closing-the-loop lifecycle.
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Coming Soon
BillReady
Teaching-physician attestation captured silently from the encounter faculty already had. GC/GE modifier proposed; G2211 and APCM eligibility surfaced longitudinally.
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Coming Soon
RoundsReady
The inpatient surface. Rounding presentations and end-of-shift I‑PASS handoff. MDM classified, E/M level proposed, resident autonomy captured.
✍️
Coming Soon
ScribeReady
The first ambient scribe built for residents — not just deployed to them. The only scribe built to make residents better at charting, not worse. A deskilling firewall built into the architecture.
No PHI by Design
Patient data stays in the EHR, where it belongs. Designed to operate without PHI and generally without requiring a BAA—so a pilot can start with low friction.
ClipBridge™
Structured handoff across the EHR boundary. No FHIR mapping. Every EHR by default. The user is the integration layer — and that’s the feature.
Curated, specialty-specific data sets
Family Medicine is the first specialty configuration with 13 live curated clinical data sets (ABFM, ACGME FM milestones, CPT/E&M, and more), plus additional documentation-coaching sets. Additional specialties expand from the same foundation — each purpose-built for that specialty’s boards, milestones, and documentation conventions.
Entrustment Everywhere™

Capture the supervision judgment wherever faculty already teach.

Faculty make entrustment decisions every day—but the judgment usually disappears before it becomes evidence. Entrustment Everywhere is one reusable educational capability that captures that judgment on a single shared scale, expressed through three existing workflows. Not three separate features, and not a new evaluation universe—one judgment object, stored alongside procedures, evaluations, and observations.

One 5-level entrustment scale 1 2 3 4 5
✅
Procedure Approval
A single conditional question captures an entrustment judgment only when the approving faculty member directly observed enough of the procedure. Approving a log and judging independence stay separate decisions.
Procedure-level evidence
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Direct Observation
Begins with voice capture. AI structures the note; faculty confirm and record the judgment. The clinical moment becomes durable evidence before it disappears—AI documents, faculty own the judgment.
Moment-level evidence
📋
End-of-Rotation
A concise Entrustment & Readiness section added to the existing evaluation—not a separate EPA workflow. Captures the overall supervision level, supporting behavior, and next developmental step.
Rotation-level evidence

The product principle: entrustment becomes reusable evidence—not another form, not an AI score, and not a replacement for faculty judgment. One capability, three workflows, one longitudinal evidence model feeding resident feedback, CCC review, and readiness decisions.

Plus more agents covering scheduling, recruiting, remediation, and the five-agent Reimbursement Suite (Ledger, Leakage Hunter, IRIS Scribe, Affiliate Billing, Forecaster) — each preloaded with curated data, each making every other agent in your stack a little smarter.

* 14 core competencies required for June 2026 attestation. ABFM postponed procedural attestation to June 2027. Programs that can attest to procedural competence in 2026 may do so, but it is not required for Board Eligibility until 2027.
You Decide How Much AI Does

AI you control, calibrated to the risk.

The simple version: you set how much each AI agent is allowed to do—and the higher the stakes, the tighter the oversight.

Every agent runs in one of three modes, set by the program. For judgment-heavy work like evaluations and competency decisions, AI drafts and the human decides. For routine work, AI can do more. This reflects a growing consensus in clinical AI that how people and AI interact matters as much as how capable the model is.1

Verify · Highest Oversight
AI suggests. You approve.

Milestone & evaluation decisions. Faculty evaluations. Competency attestation. High stakes, low reversibility — the human stays in the reasoning loop on every judgment-building decision.

Augment · Balanced Oversight
AI performs routine work. Human oversight remains.

Procedure logging. At-risk resident signals. Compliance monitoring. Medium stakes — AI processes the routine; exceptions and discrepancies escalate to the PD.

Autonomy · Lowest Oversight
AI executes. Escalates when needed.

Reminders. Routine follow-up. Administrative routing. Low stakes, high reversibility — AI runs the workflow; the PD reviews exceptions.

Higher the stakes, tighter the oversight. Every workflow configurable by task, role, specialty, or program.

1 Brodeur PG, Goh E, Tat E, et al. State of Clinical AI 2026, ARISE Network, January 2026.

The Risk Unique to Training

Built to prevent deskilling — and neverskilling.

The known risk

Deskilling

The loss of a skill a clinician already had. A trained attending offloads charting to an ambient scribe and, months later, drafts a weaker note unaided. A radiologist reads with AI assistance and, weeks later, misses what they would have caught alone. The medical-education literature now documents this effect in measurable terms — an attending’s adenoma detection rate falling after AI rollout, surgeons using a decision-support system reaching lower diagnostic accuracy than the system would have alone. Deskilling is well-understood, and most AI vendors are forced to defend against it.

The risk unique to residency

Neverskilling

The failure to acquire a skill that’s expected. A PGY-3 who graduates having used an ambient scribe from intern year cannot write a clinical note unsupervised — not because the skill atrophied, but because it never developed. A resident who built every differential with AI prompts cannot generate one independently when the system isn’t there. Neverskilling is the risk unique to training environments, and the same forces that produce deskilling in attendings operate more aggressively on residents who never built the underlying skill. The literature on attending deskilling is the floor, not the ceiling, of what happens to residents.

GME Manager is designed to perform the administrative work — the logs, forms, and reports — while preserving the clinical reasoning and judgment that training exists to build. Variable Autonomy keeps residents in the reasoning loop on every judgment-building decision. ScribeReady is the architecture built for the training environment — scaffolding at PGY-1, hybrid authorship at PGY-2, supervision of AI at PGY-3.

See ScribeReady inside MomentReady → Read our full position on deskilling & clinical judgment →
Strategic Investor & Integration Partner

Backed by HealthStream. Plugged into hStream.

HealthStream is the sole strategic investor in the GME Manager pre-seed round ($500K) — not a financial bet, a strategic one from a NASDAQ-listed workforce-software leader. GME Manager is built on the hStream ecosystem your health system likely already uses for credentialing, learning, and compliance, and hStream integration is already live.

$500K strategic investment Strategic partnership hStream integration live
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Identity & Single Sign-On

Residents, faculty, and coordinators sign in with the same hStream credentials your health system already issues. No new passwords. No separate identity store for IT to manage. The login your staff knows is the login GME Manager uses.

🛡️

Secure Data Sharing

Encrypted, audited data exchange between GME Manager and the broader hStream ecosystem — built to the same standards HealthStream applies to its enterprise customers. Your security and compliance teams recognize the framework before they read the BAA.

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Person Services & API Access

Authorized API access to HealthStream Person Services — the system-of-record for credentials, privileging, and primary source verification — plus the curated data and learning content your institution already licenses. Your data finds GME Manager instead of you keying it in.

Day-one credibility with the people who say yes or no. When your CIO, CISO, and GME office hear “built on hStream,” the conversation starts in a different place.

Plugged Into
The pilot, in plain English
Phase 1 Pilots Are Full

Our initial Family Medicine pilot cohort is fully allocated and moving through configuration, readiness, and launch. Programs interested in the next available opening can join the waitlist.

The deal is genuinely simple.

Future pilot openings follow the same model: free for 30 days, no credit card, no commitment to convert, and no required purchase at the end. In return, we ask for honest feedback during the pilot.

× No credit card × No commitment to convert × No sales call at the end × No logo grab

Programs that join a future cohort are not signing up to be sold to — they're helping shape the product for everyone who comes after them.

On data: GME Manager is designed to operate without patient PHI, working from program and training data. Institutional specifics are confirmed with each organization before a pilot begins.

Request a Pilot Conversation See GME Manager in Action
LaunchPad Pilot™

Designed to start fast, without a migration.

Our goal is a self-guided setup that gets a program running quickly—so value doesn't wait on a long implementation.

🔓

Low-Friction by Design

Designed to operate without patient PHI, which is intended to reduce procurement and security review friction. Specifics are confirmed with your institution.

🚀

Free 30-Day Pilot

The LaunchPad Pilot is free and self-guided for 30 days—a low-commitment way to evaluate GME Manager on your own workflows when the next opening becomes available.

🤖

AI-Assisted Setup

Enter your specialty, state, and class list, and a guided setup helps configure the workflows you want to start with.

Request a Pilot Conversation
Michael Sousa, Founder of GME Manager
Michael Sousa
Founder, GME Manager
Founder-Market Fit

Not a pivot. A career capstone.

Thirty years of healthcare operating experience—now aimed at residency.

GME Manager was founded by Michael Sousa, a healthcare technology executive with 30 years of experience applying technology to workforce, credentialing, privileging, onboarding, compliance, scheduling, and professional development.

Michael spent 10 years at IBM and 20 years at HealthStream, where he served as an Executive Vice President and President, Credentialing & Scheduling. In 2026, he completed Stanford Medicine's AI in Healthcare Leadership & Strategy program.

That experience revealed a familiar pattern inside residency training: administrative requirements accumulate, but the infrastructure needed to perform the work does not.

Burnout is the symptom. Administrative burden is the cause.

GME Manager brings decades of healthcare operating experience to redesigning how the work of residency gets done.

  • IBM — 10 years
    Higher education and U.S. healthcare leadership
  • HealthStream — 20 years
    Executive Vice President and President, Credentialing & Scheduling
  • Stanford Medicine — 2026
    AI in Healthcare Leadership & Strategy
  • Founder, GME Manager
    AI-native infrastructure for residency training

Thirty years inside these processes. I know where the burden accumulates—and why it persists.

See GME Manager in Action

Get on the pilot list—and see it in action

Watch a walkthrough for your role, explore the mobile-native experience, or request a personalized live demo. Pick what fits: add yourself to the waitlist in seconds, or book a full walkthrough. Either way, you'll secure a place in line for the next pilot opening — and see how GME Manager runs alongside New Innovations, MedHub, or whatever your program uses today.

▶ Watch a Walkthrough

Choose your role and see how GME Manager works for you.

🎬
Solution Overview
See how GME Manager transforms residency management. AI-native. Mobile-native. Competency-first. Built for CBME.
▶ Play Video
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The Resident Experience
Portfolio, voice-powered procedure logging, duty hours, and a lifetime of verified training data.
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~60 seconds
👩‍🏫
The Faculty Experience
AI-drafted evaluations with voice notes and milestone mapping—designed to cut time on paperwork.
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~60 seconds
🎯
The Program Director Experience
One-click APE reports, 14-competency ABFM attestation tracking*, and early warning systems.
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~60 seconds
📋
The Coordinator Experience
AI Co-pilot with Variable Autonomy™ — overnight AI cycle, batch actions, and zero chasing.
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📱
GME Manager Mobile
Mobile-native design for all four personas. 6 mobile-only concepts: Shake to Log, Tap-to-Confirm Hours, Hallway Eval, Clinical Context Beacon, Post-Call Shield, and Morning Briefing. 28+ screens in an interactive prototype.
▶ Play Video
~60 seconds
Solution Overview — AI-native. Mobile-native. Competency-first. Built for CBME.

📅 Request a Personalized Demo

Give us 30 minutes. Fair warning: you won't want to unsee it.

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* 14 core competencies required for June 2026 attestation. ABFM postponed procedural attestation to June 2027. Programs that can attest to procedural competence in 2026 may do so, but it is not required for Board Eligibility until 2027.

📊 One-Click APE Report — Demo

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See GME Manager in Action
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