3:11

AnkiNex · discharge

Caribbean Cohort HBOC · bush-medicine context · OECS access

Cards in deck

Reviewed today

151

CARIBCHAT thread refs

Caribbean Cohort HBOC · discharge teaching★ DRAWN FROM case-001

#03

Pre-test counseling in obeah / bush-medicine context CaribChat Trinidad thread #142 · cultural-broker patterns · informed-consent variants

SIGNED

#08

PARP inhibitor access in OECS Olaparib availability · regional formulary · medical-tourism alternatives

SIGNED

#12

Mastectomy + reconstruction · Trinidad / Tobago access Public vs private surgical pathways · timing relative to chemo · cohort outcomes

SIGNED

#17

Discussion guide for patient: family-screening cascade When + how to bring siblings / daughters in · age-tier prompts · LAUDE-templated dialogue

FED

#22

Diaspora handoff · T&T ↔ Miami ↔ Toronto continuity-of-care CaseNex bundle hash-chains across borders · PARP-i protocol valid Eric Williams Hospital + Princess Margaret Toronto · no rework

SIGNED

#19

Patient-facing pedigree visualization (3-generation, autosomal dominant) Plain-language explanation of "1 in 2 chance" for children · cultural-broker template for grandmother-conversation · lowercase Anki for family-share

DRAWN

#20

Patient ANKI download · 8-card patient deck for the train ride home Stripped-down patient-facing language · QR code for siblings · ANKI_CARD_DOWNLOAD fires · family-share opt-in to CaribChat

QR+SHARE

SIG

Cohort signal back to ABOPM faculty (auto-routed) If 4+ peers grade card #08 above 0.7 difficulty, faculty re-review queue fires · community LEARNING.md row gets promoted to governed CHARTER lane · loop closes

AUTO

LLAUDE0.1.0(2)

Marcus · MS3

discharge teaching for this patient — Caribbean cohort, BRCA1, what should I cover?

LAUDE

18 faculty-signed cards in the Caribbean Cohort HBOC deck. Four are essential for this patient: bush-medicine context, OECS PARP access, T&T surgical pathways, family-cascade discussion. Drawn from case-001 + CaribChat 151 sessions.

Marcus · MS3

my review feeds back into the cohort?

LAUDE

Yes. Each tap fires ANKI_CARD_REVIEW. Your difficulty signal contributes to the cohort baseline — if your peers struggle with card #08, ABOPM faculty re-review automatically. Open-write base.

Walk patient through cascade screening…

Discharge day, 3 PM. Marcus is asked to walk the patient through what comes next.

He opens the Caribbean Cohort HBOC deck — 18 faculty-signed cards on bush-medicine context, OECS PARP access, T&T surgical pathways. Four reviews feed the cohort signal back. The system loops.

SLIDE ?? / ??

Student · MS3 · discharge day · 3:11pm

The loop closes.
Marcus walks the patient out.

Discharge teaching is a deck

Not a brochure. Not a stack of PDFs. An 18-card Anki deck signed by ABOPM faculty, drawn from case-001 + 151 Trinidad CaribChat threads.

Cultural context is governed

Obeah / bush-medicine patterns. OECS PARP-inhibitor access. T&T surgical pathways. Faculty-signed by clinicians who serve those communities — not generic patient-ed material.

Open-write base feeds the cohort

Marcus's ANKI_CARD_REVIEW events flow into the same ledger as 142 other MS3s. If cohort difficulty crosses 0.7, ABOPM faculty re-review fires automatically.

The case becomes curriculum

case-001 → AnkiNex cards 1–22 → CaribChat threads → ABOPM curriculum update → next MS3's morning rounds. One signature, downstream forever.

CANONIC Nexus

magic://hadleylab/ANKINEX/decks/caribbean-cohort-hboc · 18 cards · 4 reviewed

LEDGER · ANKI_CARD_REVIEW · ANKI_CARD_DOWNLOAD · ANKI_DIFFICULTY_SIGNAL

The loop closes.Marcus walks the patient out.

The loop closes.
Marcus walks the patient out.