OutLoud MD
OutLoud MD

AI oral-board practice, one specialty at a time. Pick your board and start.

United States · ABEM

Emergency Medicine

ABEM oral boards: triage, resuscitate, disposition.

Start practicing
Canada · RCPSC

Anesthesia

Oral boards for the anesthesiologist, from pre-op to PACU.

Start practicing
Coming soon

General Surgery

Oral boards for general surgery: scrubbed in, under pressure.

Want General Surgery sooner? Register your interest and we'll fast-track it.

The exam changed

The oral boards are now a scored, in-person simulation.

ABEM retired the free-form oral exam. Most prep still rehearses the old format. OutLoud MD is built for the new one.

8 scored domainsThe full ABEM blueprint, not a sampler.
Structured stationsTimed and sequenced, like the real room.
Spoken, under pressureYou talk every case through out loud.
Hear it, don't read it

Say it out loud. The examiner answers what you actually said.

The Certifying Exam is spoken, not typed, and so is every session here. You reason out loud, and the examiner pushes on exactly what you said.

Exam transcriptClinical Decision-Making
Examiner

A 58-year-old man arrives with an hour of crushing chest pain. He is pale and diaphoretic. What is your first move?

You

Get him on the monitor with IV access, oxygen if he is hypoxic, and a 12-lead ECG within ten minutes.

Examiner

The ECG shows ST elevation in II, III, and aVF. Why get a right-sided lead before you reach for nitroglycerin?

You

An inferior MI can involve the right ventricle. If it does, nitro drops his preload and his pressure crashes.

Illustrative exchange, not a real exam. In a live session you speak your answers, and each next question follows from what you said.

Built to the blueprint

Every ABEM domain, covered.

Four OutLoud MD formats map 1:1 onto all eight scored ABEM domains. Nothing on the blueprint goes unrehearsed.

Clinical Decision-Making1 domain
A full case reasoned aloud, from the door to disposition.
  • Clinical Decision-Making
Prioritization1 domain
Several patients at once, triaged against the clock.
  • Prioritization
Communication4 domains
Hard conversations, conflict, and reassessment, spoken.
  • Difficult Conversations
  • Managing Conflict
  • Patient-Centered Communications
  • Reassessment
Procedures & Ultrasound2 domains
Talk through the landmarks, the steps, and the views out loud.
  • Procedures
  • Ultrasound
No other tool simulates these

Four formats. All eight domains. Nothing left off the blueprint.

Most oral-board tools cover only part of the blueprint. OutLoud MD covers all eight, procedures and ultrasound included.

No participation trophies

Feedback that actually scores you.

The examiner adapts to what you say, scores every phase, and flags each critical action you hit or missed, then explains why.

ScorecardClinical Decision-Making
17 / 20
History & riskFocused cardiac history, ECG ordered early.
Workup & readsCalled the inferior STEMI, added a right-sided lead.
TreatmentReperfusion plan sound, missed the nitrate contraindication.
DispositionCorrect cath-lab activation and handoff.
Critical actions4 of 5 hit
  • 12-lead ECG within 10 minutes
  • Recognized inferior STEMI
  • Checked a right-sided lead
  • Held nitroglycerin for RV infarct
  • Activated the cath lab
Teaching note

The right-sided lead showed RV involvement, so nitroglycerin was the wrong next move: it drops preload and the pressure crashes. Hold it and load toward reperfusion.

Every mark reflects what you actually said, and a missed critical action stays missed. Illustrative scorecard, not a real exam or a score guarantee.

What no one else does

Procedures and ultrasound, out loud.

Two of the eight scored ABEM domains: Procedures and Ultrasound. Grounded in ABEM's published lists, you talk each station through, landmarks and views included.

ProceduresScored ABEM domain
Walk a procedure through aloud, start to finish: indications, landmarks, technique, and the complications you are watching for.
From the ABEM procedures list
  • Tube thoracostomy
  • Pericardiocentesis
  • Lumbar puncture
  • Intubation (DL + VL)
  • Cardioversion
  • Central & IO access
  • Procedural sedation
Where the sim stopsYou describe and verbalize the steps. A voice sim grades your reasoning and plan, not hands-on technique.
UltrasoundScored ABEM domain
Run a POCUS station out loud: which view, what you are looking for, how you read it, and what you do next.
From the ABEM ultrasound list
  • Aorta
  • Cardiac
  • Thoracic
  • Ocular
  • Renal & bladder
  • Soft tissue / MSK
  • Vascular access
Where the sim stopsFindings come as text, not live images. You interpret them and talk through your read.

No other oral-board tool simulates either domain. This is the practice you cannot get anywhere else.

No smoke

How OutLoud MD is built.

We won't buy or fabricate reviews, or hide behind a brand name. Here's the method: where cases come from, how they're graded, where the simulation stops.

Built on ABEM's own sourcesCases are grounded in ABEM's published Certifying Exam content and its Procedures and Ultrasound lists, not legacy oral-board prep for the retired format.
Judged, not scriptedAn adaptive examiner runs each case, scoring it phase by phase against the critical actions, so you see exactly what you hit and missed. No canned “successfully stabilized.”
Limits, stated plainlyProcedures are verbalize-only: you describe each step, not perform it. Ultrasound findings come as text, not live images. The score is a teaching tool, not a prediction of exam day.

Not affiliated with or endorsed by ABEM. No exam content is reproduced.

Frequently asked questions

No card, no catch

Start practicing free.

Your first case is one click away. Talk it through out loud, get scored, and see exactly where you stand.

Start practicing
OutLoud MD | AI Emergency Medicine Oral Board Simulator