OutLoud MD

The AI anesthesia oral simulator: how it works

OutLoud MD runs Royal College anesthesiology oral cases with an AI examiner, Dr. Campbell, so you can rehearse the applied exam by voice. The examiner presents a case, responds to what you ask for, and scores what you say on the Global Rating Scale (GRS). This page explains the session flow and is honest about what the tool can and cannot do.

At a glance

  • An AI examiner, Dr. Campbell, runs oral cases by voice.
  • It presents the scenario and releases findings based on what you ask for.
  • Answers are scored on the Global Rating Scale (GRS) domains.
  • Critical-feature gating rewards covering the must-discuss points of a case.
  • You get per-station feedback, and it is voice-first (or text) in English.

How a session runs

You start a case and speak. Dr. Campbell presents the scenario, then releases the next finding, result, or image as you ask for it, and can probe your reasoning to push you further, the way a real examiner interrupts to advance a station. You practise narrating a structured plan out loud rather than recognizing an answer on a page. To see what the real stations demand, read the applied exam stations.

How it scores you

Answers are graded on the Global Rating Scale domains, the same style of rubric the applied exam uses, with critical-feature gating so that covering the must-discuss points of a case counts. When the case ends, you get per-station feedback that shows where your out-loud reasoning was strong and where it drifted, so the next rep is sharper.

Honest about the limits

OutLoud MD is a practice tool, not affiliated with the Royal College, and its feedback is practice guidance, not an official or predictive score. It can still be wrong, and it complements faculty mock orals rather than replacing them. For official rules, dates, and fees, see royalcollege.ca.

Frequently asked questions

How does the AI examiner work?
An AI examiner, Dr. Campbell, runs oral cases by voice. It presents a scenario, releases the next finding based on what you ask for, and can probe your reasoning, so you practise talking through a case the way the applied exam expects.
How is my answer scored?
Answers are scored on the Global Rating Scale (GRS) domains, with critical-feature gating so covering the must-discuss points matters, and you get per-station feedback afterward. It is designed to mirror how the applied exam grades reasoning.
Can I practise by voice or text?
Both. It is voice-first and in English, so you can speak your reasoning out loud, and you can type instead when speaking is not practical.
Is the AI score official or predictive?
No. OutLoud MD is a practice tool, not affiliated with the Royal College, and its feedback is practice guidance, not an official or predictive score. For official rules, dates, and fees, see royalcollege.ca.

Key takeaways

  • An AI examiner, Dr. Campbell, runs oral cases by voice and probes your reasoning.
  • Scoring uses the GRS domains with critical-feature gating and per-station feedback.
  • It is voice-first (or text) in English, and free during beta.
  • The score is practice guidance, not official or predictive; see royalcollege.ca.

Updated September 2026