Where judgement is the assessment.
What Meandrix was built for, and the ways educators actually use it. Practical, specific, and grounded in decisions that define safe practice.
Built for the disciplines that need it most.
Three primary disciplines where every decision carries weight, taught at the scale that regulated education requires.
Nursing
Hundreds of decisions across every shift, every patient, every handover. Meandrix builds Encounters from the full range of practice, so judgement is tested where it actually keeps patients safe.
Pre-registration programs, postgraduate specialty programs, and clinical workforce education.
"Mrs Patel, day 3 post-op. RR 28, SpO₂ 91% on 2L. She remains alert but is using accessory muscles. What is your first action?"
Midwifery
Advocating for and delivering high-quality care to women and birthing people. Meandrix builds Encounters that test the woman-centred judgement that safe practice depends on.
Pre-registration midwifery, postgraduate practice, and continuing professional development.
"Amelia, 37 weeks, primigravida. She presents to antenatal review with a new frontal headache and visual disturbance. What concerns you first?"
Paramedicine
No ward. No senior on hand. No second opinion. Paramedicine places clinicians in environments where the decision is theirs alone. Meandrix builds Encounters that test that judgement on its own terms.
Pre-registration paramedicine programs, postgraduate intensive care paramedicine, and workforce simulations.
"60-year-old male. Witnessed VF arrest on the golf course. Bystander CPR in progress. Automatic External Defibrillator is not present. How do you respond?"
And the disciplines next to them.
Meandrix is not only for the three primary disciplines. It works wherever practice depends on applied judgement under uncertainty.
Medicine
Clinical reasoning across acute and primary care contexts. Useful for junior doctor decision-making, registrar viva preparation, and scope-of-practice scenarios.
Allied health
Pharmacy, physiotherapy, occupational therapy, social work, and others. Disciplines where applied reasoning under uncertainty defines safe, person-centred practice.
Psychology
Clinical formulation, risk assessment, safe practice, and ethical decision-making. The judgement-rich moments of professional psychology practice that should not be reduced to a multiple-choice answer.
And any regulated profession where judgement is the assessment.
Three ways educators use Meandrix.
Different purposes, the same platform. The format choice depends on what you are trying to assess and how high the stakes are.
Formative learning.
Practice, try, and retry. Learners work through Encounters and Consults in a safe environment where mistakes are part of the learning, not the end of it.
Embed into LMS modules for week-by-week practice
Set unlimited attempts and provide detailed, immediate feedback
Run before placement or before clinical exams
Track engagement, retry rates, and improvement
Typically Encounters. The freedom-to-fail principle is what drives engagement and allows learners to consolidate learning in a simulated situation.
Summative assessment.
High-stakes assessment with defined boundaries. One attempt, time-limited, with integrity monitoring where the assessment requires it.
Replace a written paper or supplement an OSCE
Set time limit, attempt cap, and feedback timing
Enable Sentinel where additional integrity is required
Generate defensible evidence for moderation and review
Either Encounters or Consults. For when you need to see what your learners can do under pressure. Supported by Sentinel for increased assessment integrity
Dialogic assessment.
Individualised, conversational assessment grounded in what the learner actually did. The Encounter or Consult is the starting point. The dialogue is the assessment.
Run an Encounter or Consult with the learner
Open the auto-generated viva prompts in Insights
Drive a structured conversation about reasoning
Document the dialogic outcome alongside the attempt
Either format. The dialogue happens after the assessment, anchored in the learner's decisions or actions. The focus is on learning, growth, and future practice.
A primer on sequenced dialogic assessment.
Sequenced dialogic assessment is a unit-level design pattern. Learners complete a connected task that produces evidence of their reasoning, and that evidence anchors the assessment conversation that follows.
The primer sets out where the pattern comes from, how it draws on programmatic assessment, dialogic feedback, interactive oral assessment scholarship, and how it differs from the presentation-plus-questions approach that has become common since generative AI arrived.
The primer includes a model rubric you can adapt to your discipline and local marking conventions.
Sequenced Dialogic Assessment
Using personalised evidence to assess insight, growth and application
Want to build one in your discipline?
Bring a situation from your practice. In thirty minutes, we'll turn it into a working draft and map the choices, pathways, and feedback that matter.