Pecan
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For students, physiotherapists & educators

AI-simulated clinical reasoning and communication training for physiotherapists.

Practise realistic consultations through text, audio or video and receive expert, detailed feedback aligned with best-practice guidance — building the clinical confidence to handle any patient, and any conversation.

Start free simulation Book an institutional pilot / demo
  • Evidence-based feedback
  • Fixed clinical findings
  • 200+ cases
  • Text, voice and video patients

pecan · Simulation replay

Illustrative patient Alex

Alex, 24

Foot & ankle

Subjective history

Could you walk on it straight after?

Alex

Yeah, I could put weight on it straight away. I hobbled off the pitch, sat on the bench, then limped to the changing room and into my mate's car. I can walk on it today, just with a limp.

Illustrative replay · 1 / 4

What you'll practise

Every part of a real consultation.

Text, audio or video consultations

Practise by typing, speaking or video call with a simulated patient.

History taking

Ask the right questions; the patient only shares what you ask.

Examination choice

Select tests and interpret findings fixed by the case file.

Clinical reasoning

Commit to a working diagnosis and management plan.

Difficult conversations

Address fears, expectations and shared decisions.

Patients you'll meet

Real conversations, diverse patients.

200+ cases — a growing library of presentations to build clinical confidence. Your first case is free.

Simulated patient Alex
Free case

Alex · 24 · White British

Foot & ankle

Simulated patient Priya

Priya · 67 · British Indian

Knee

Simulated patient Marcus

Marcus · 45 · Black British

Lumbar spine

Simulated patient Kasia

Kasia · 34 · White Polish

Cervical spine

Simulated patient George

George · 78 · White British

Illustrative persona

Patients are artificially generated. Not real people.

How pecan works

From consultation to confidence.

1

Consult

Take a history from a patient who answers only what you ask, in their own words.

Subjective history

  • Mechanism of injury
  • Weight-bearing status
  • Red flag screening

Expert feedback

Detailed feedback in line with best practice.

After every consultation you receive specific, referenced feedback on what you did well, what you missed and why it matters. Repeated practice with clear feedback is how clinical confidence grows.

Every case ends with a completed CPD reflection — a branded PDF with your score, feedback and reflections, ready for your portfolio.

See it in a free case

Sample feedback · Foot & ankle case

  • Safety screening

    Were fracture rules, neurovascular status and red flags checked first?

    Stiell et al. (1993) · Ottawa Ankle Rules

  • Diagnosis & imaging

    Is your working diagnosis and imaging decision supported by your findings?

    NICE CKS (2020)

  • Management

    Does your plan follow the best evidence-based practice, favouring functional support and exercise?

    Vuurberg et al. (2018) · BJSM

  • Communication

    Did you take a patient-centred, biopsychosocial approach, exploring concerns and reassuring in language the patient understands?

    Biopsychosocial & motivational interviewing principles

Built for clinical rigour

Realistic patients. Fixed clinical facts. Feedback you can trust.

The conversation feels natural, but the clinical facts never change — so every learner is assessed fairly and consistently.

No hallucinated findings

Objective MSK testing is fixed by the case specification. The patient never invents a sign or a result.

Evidence-based marking

Feedback references NICE CKS, BJSM and JOSPT guidance, including Ottawa Ankle Rules validation.

University aligned

Consistent, repeatable marking against a shared standard — built for physiotherapy programmes.

Individual clinicians

Personal subscription

Start free, or explore monthly text, voice and video patient plans.

Explore plans

Educators & universities

University pilot

  • Consistent marking against a shared standard
  • Cohort practice with educator oversight
  • Bespoke cases aligned to your curriculum
Book a pilot / demo

Questions

Are the patients real?

No. Patients are artificially generated, so you can practise safely and repeatedly.

Can the AI invent findings?

No. Patient answers and examination findings come only from an expert-approved case file. If something isn't defined, the patient says they're not sure.

What does the free plan include?

You can try a full case with text consultation, examination and detailed feedback.

Can universities run a pilot?

Yes. Educators can enquire about cohort access and bespoke cases built around their curriculum.

Challenge your colleague

Think a colleague would score higher?

Send them a link to try a case and compare your clinical reasoning.

Email a challenge WhatsApp

Try your first case free.

Meet your patient, take a history, examine and get detailed feedback.

Start free simulation