Vibe Rounds · Guided Discovery

A Socratic AI
paradigm for
clinical reasoning

A structured prompt library that turns any large language model into a Socratic tutor — one that questions rather than answers, so the reasoning stays yours.

#VibeRounds · Dr. Avinash Kumar Gupta · June 2026

The core idea

Most people use AI as an oracle — paste in a case, get a diagnosis. Vibe Rounds flips that entirely. The AI is configured to question, not answer, forcing the learner to construct their own reasoning before any guidance is offered. When students can get a differential on demand, the effortful cognitive work through which clinical competence is built gets bypassed. Vibe Rounds prevents that bypass.

Conventional AI vs Vibe Rounds
AI gives a differential → learner checks their thinking against it
AI resolves ambiguity into one clean story
Answer arrives before reasoning is attempted
AI asks the next question, not the next answer
Ambiguity is preserved and interrogated
Synthesis withheld until reasoning is demonstrated
22
Reasoning modules
(M0 – M21)
4
Cross-cutting
pedagogical frameworks
7
Pipeline stages in the
Master Case Protocol
4
Output documents
per case run
Module Directory

22 reasoning modules

Each module is a self-contained prompt workflow with its own lifecycle (Initiation → Execution → Closure). Jump straight to the one that fits your session — or start at Module 0 if you're new.

M 00
Cold-Start Orientation
Routes new users to the right module before any clinical content is entered.
Entry point
M 01
Socratic Clinical Reasoning
Forces active reasoning through a case before any answer is offered.
🟢 Mature
M 02
Patient-Advocate Documentation
Helps a family member build a structured case record with AI as companion.
🟡 In Progress
M 03
Extended Advocate Monitoring
Longitudinal domain tracking — lifestyle, mood, meds, red flags.
🟡 In Progress
M 04
Ward Round Preparation
Stress-tests reasoning before supervised rounds. Admissions, pre-op, triage.
🟢 Mature
M 05
Real-Time Case Audit
Queries and cleans a single patient's live case log during active management.
🟢 Mature
M 06
Registry-Level Analytics
Queries an entire case registry at nine escalating levels of depth.
🔴 Primitive
M 07
Cross-Case Learning
Treats the case registry as a dynamic learning system across time.
🔴 Primitive
M 08
Socratic Design QA
12-point spec for authoring or reviewing any new Socratic-mode prompt.
🟢 Mature
M 09
N-of-1 Research Protocol
Seven-stage research protocol for a clinician working alone on a complex case.
🟢 Mature
M 10
Journal Article Reading
Structured reading of medical literature anchored to a real patient case.
🟢 Mature
M 11
Patient Education Query
Handles patient and family information needs surfaced in the case narrative.
🟢 Mature
M 12
Differential Diagnosis Deepdive
Devil's-advocate stress-test of the working diagnosis. Two ranked axes: danger vs. likelihood.
🟢 Mature
M 13
Polypharmacy Audit
Drug-disease conflict table. Flags prescribing cascades and interaction risks.
🟢 Mature
M 14
Resource-Constrained Reasoning
Adapts full-protocol analysis to a specific local-resource ceiling.
🟢 Mature
M 15
Illness Script Acquisition
Tests whether a case truly fits the activated pattern, or only partially fits it.
🟢 Mature
M 16
Basic Science Integration
Bidirectional: mechanism → diagnosis and diagnosis → mechanism.
🟢 Mature
M 17
Semantic Qualifiers
Compresses the case into paired qualifiers before any diagnostic label is applied.
🟢 Mature
M 18
Causal Network Reasoning
Maps how each finding conditionally shifts the weight of every other.
🟢 Mature
M 19
Community & Social Medicine
Social determinants, occupation, environment, caregiver support.
🟢 Mature
M 20
Naturalistic Decision Making
Recognition-primed decisions under time pressure. Acute deterioration scenarios.
🟢 Mature
M 21
Evidence Frontier Search
Finds recent trials and innovations relevant to the case at hand.
🟢 Mature

Seven stages, four outputs

Run a case link through all 21 modules in one orchestrated pipeline. Each stage hands off explicitly to the next — no gaps fall through.

1

Case Ingestion

Extracts a structured clinical record from the case source. Every absent field is explicitly marked [NOT DOCUMENTED] — gaps become visible artefacts, not silent omissions.

2

Prompt Mapping

Matches the case's clinical features against all 21 modules. Minimum 8–15 usable prompts identified, preventing the model from defaulting to a single familiar lens.

3

Prompt Ranking

Scores every mapped prompt 1–10 on whether answering it would change clinical management. Separates high-stakes reasoning from completeness for its own sake.

4

High-Value Prompt Execution

Full clinical-depth answers to every prompt scored 8–10. Patient-specific — no generic textbook content. Each answer tags information gaps for Stage 7.

5

Insight Synthesis

Top 10 clinical insights extracted by convergence — findings that multiple structurally distinct modules independently surfaced, not findings any single prompt flagged alone.

→ File 1: TopInsights.md
6

CARE Report + Advocate Debrief

A full 12-field CARE-format case report plus a structured "what did the family caregiver need to know, and when" debrief with minimum 5 inflection points.

→ Files 2 & 3: CaseAnalysis.md · CARE-AdvocateDebrief.md
7

Further Information Synthesis

Pools every flagged information gap from Stages 1, 4, and 6 into one deduplicated, prioritised "what to ask / examine / order next" list — the single most actionable output of the pipeline.

→ File 4: FurtherInfo.md

Interactive Case Analytics & Reporting

Explore a live demonstration of the Master Protocol outputs, featuring the interactive pedagogical dashboard and comprehensive clinical documentation.

The Learning Stack - Demo

14M Microcytic Anemia & Urinary Obstruction

Full Detailed Analytics

Access the complete, structured PDF export containing all pedagogical frameworks, case reasoning, and the full CARE report outputs.

View PDF Analytics
Supplementary Frameworks A–D

The pedagogical layer

Not standalone modules — woven into specific steps across M0–M21. These give every module access to the same underlying educational theory rather than each one inventing its own.

A

Humanistic Persona & Confidence-Building

Six traits that build clinical confidence alongside clinical competence. Key design rule: specific affirmation before challenge — naming the exact reasoning move, not generic praise. Challenge without affirmation triggers defensive cognition.

B

Fink's Taxonomy of Significant Learning (FLINK)

Six non-hierarchical learning dimensions — foundational knowledge, application, integration, human dimension, caring, learning-how-to-learn — applied to keep every closure step producing durable, transferable insight, not just an answer.

C

Bloom's Revised Taxonomy

Six cognitive levels (Remember → Understand → Apply → Analyse → Evaluate → Create), mapped explicitly to clinical reasoning tasks. Used to scaffold caregiver understanding and to calibrate the difficulty ratchet between sessions.

D

Critical Awareness Framework

A standing closing prompt that names the cognitive biases the framework itself is susceptible to — automation bias, anchoring, hallucination risk, rare-diagnosis overweighting — with structured debrief prompts to counteract them. The protocol auditing itself, by design.

Find your entry point

Vibe Rounds serves four distinct user groups. Each has a different starting module.

MEDICAL STUDENTS / JUNIOR DOCTORS

Start at M01 – Socratic Reasoning. Use M04 before supervised ward rounds. Use M17 to sharpen your problem representation before any case discussion.

FAMILY CAREGIVERS / ADVOCATES

Start at M02 – Patient Advocate Documentation, then M03 for ongoing monitoring. Use M11 when you need plain-language explanations of what is happening.

CLINICIANS IN PRACTICE

Use M05 to audit a live patient log. Use M09 for a complex case you want to write up. Use M13 when polypharmacy is a concern.

EDUCATORS / PROMPT AUTHORS

Use M08 to audit and quality-check any Socratic prompt you are writing or revising. Run Framework D at the end of any session to counter bias.

Important: All AI-generated outputs require independent clinical verification before being acted upon. Vibe Rounds is a patient-centred learning system — not a clinical decision support tool, prescribing aid, or diagnostic system. All outputs are learning observations, not clinical decisions.

Start with Module 0

New to Vibe Rounds? Let the cold-start orientation route you to the right module before any clinical content is entered.