Article Index: From First Principles to a Framework You'll Actually Use

Vibe Rounds Cognitive Analytics Series

Author - Dr. Avinash Kumar Gupta

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About this series: Five pieces, read in order, tracing the same idea — Promption and Provocation as cognitive modes for studying clinical cases — from a first working demonstration, through progressively heavier ground-truth tooling, to a deliberate step back toward something small enough to use every week, and finally a reflective account of how the underlying system was actually built.

Tooling, complexity, and claimed accuracy rise through Parts 1–3, then the series deliberately turns back toward usability in Part 4 — because a framework only teaches you something if you actually open it. Part 5 steps outside the argument entirely to show how it was built.

Part 1 · Foundation
2 cognitive modes 1 worked case no ground-truth layer yet

Modern Clinical Reasoning & Socratic AI

Introduces the dual-mode architecture — Promption (scaffolding messy narrative into structure) and Provocation (stress-testing the resulting hypothesis) — and walks a single DKA/pneumonia case through both modes end to end, surfacing an HbA1c discrepancy a single-pass answer would likely have missed.

Tooling
Complexity
Ground truth
Read Part 1 →
Part 2 · Anchoring to ground truth
knowledge graph institutional pathway appraised evidence

Fact Graphs, Pathways & Appraised Evidence

Adds three structured layers on top of Part 1's cognitive modes — a chronic kidney disease knowledge graph, an acute pancreatitis institutional pathway, and appraised evidence — and examines what each one fixes, what new risk each one introduces, and why disagreement between layers is a signal worth surfacing rather than smoothing over.

Tooling
Complexity
Ground truth
Read Part 2 →
Part 3 · Weighting and validation
rarity-tiered weighting EBM task axis proposed empirical study

Weighting Ground-Truth Layers by Case Complexity

Asks which layer deserves the most weight, for which case: a three-tier rarity framework crossed against an EBM task-complexity axis, a verification burden that rises with both, and an honest accounting of what remains a proof of concept versus what would need a matched case series to validate — plus a category of uncertainty, input curation, that no layer can ever reach.

Tooling
Complexity
Ground truth
Read Part 3 →
Part 4 · Turning back toward usability
10-minute self-audit loop habits over tooling deliberately smaller

Using the Stack: A Practical Guide to Auditing Your Own Reasoning

Rather than adding a fourth ground-truth layer, this piece asks what the smallest usable version of the whole stack looks like — a ten-minute weekly loop, a one-line ledger instead of a formal study, and a simple gut-check for when it's actually worth reaching for the graph, the pathway, or the evidence layer described in Parts 2 and 3.

Tooling
Complexity
Usability focus
Read Part 4 →
Part 5 · The build itself, as case study
reflective account the detour that didn't land not another layer

The Build Itself as Case Study

A different kind of part. Parts 1–4 argued a framework; this one is the process that produced it — one Socratic prompt, a pedagogical layer built from four meta-skills, a widening module library, a knowledge-graph detour that didn't clearly outperform the simpler approach, and the editing discipline that turned the write-up itself into something worth keeping.

Tooling
Complexity
Reflective focus
Read Part 5 →
How to Cite

Citing this series

Gupta, A. K. (2026). Article Index: From First Principles to a Framework You'll Actually Use — Vibe Rounds Cognitive Analytics Series. Vibe Rounds. https://avi33tbtt.github.io/article.html