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AI helps structure what happened, what went well, what felt uncertain, and what could be tried on the next shift.
Reflect on the shift before it disappears.
ShiftPearls is an iPhone journal for emergency clinicians who want to learn from difficult calls, keep the cases worth remembering, and decompress after work.
Illustrative example · Fictional case
ShiftPearlsWhat is worth revisiting from this shift?
Chest pain with a STEMI activation. I moved faster with the cath lab call, and I want to name uncertainty earlier next time.
Case card
Front: the case and what you did. Back: one reflection insight and one next step.
Built around three post-shift jobs.
ShiftPearls keeps the workflow narrow: capture the story, turn it into a useful reflection, and leave with one practical next move.
Remember the cases
Save the challenging, strange, satisfying, or funny cases that would otherwise vanish after sign-out.
Decompress
Use a short reflective ritual to close the loop after difficult work. The app is a journal, not clinical advice.
A private workflow by default.
Your words stay editable. The app checks for obvious identifiers before cloud processing, and you approve what leaves the phone.
Capture
Type, dictate on device, or use optional medical dictation after explicit audio consent.
Review
Check the transcript and remove names, record numbers, dates, locations, and other identifiers.
Reflect
Create an editable case summary, reflection, encouragement, next-shift habit, and wind-down note.
Remember
Local memory learns from saved reflections so future feedback can fit the clinician using the app.