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Building Clinical Reasoning Skills

Aquifer is committed to preparing students for clinical practice. Our case content focuses on teaching evidence-based decision making, and developing the problem-solving skills vital to providing quality patient care. Each case walks you through a complete patient encounter:

Aquifer Case Patient Encounter Experience

Aquifer Cases Give You:

Access to Patients & Key Conditions

Gain experience missed in clinic due to lack of patients, disruption, or seasonality.

Access to Patients

A Safe Space to Practice Clinical Decisions

Realistic patient scenarios develop clinical decision-making skills.

Deep Evidence-Based Content

Comprehensive coverage of national curriculum standards with authentic clinical context.


Tips to Make the Most of Aquifer Cases

Think of each Aquifer case as a real patient

Consider cases the patients that you didn’t get to see or cases you want to review at your own pace.

Plan enough time for a thorough review

Cases are deep and can take up to 45 minutes to complete.

Don’t miss the Case Summaries at the end of each case

Perfect to save or print as a study guide.

Discussing cases makes connections

Plan to talk through cases with a friend or study group to maximize your learning if you aren’t covering them in class.

Why Students Love Aquifer

Student Stories: How Aquifer Helps

Million Aquifer cases completed since our founding in 2006.

138,247 Students Have Spoken

Case Rating Feedback on Aquifer Cases

Each Aquifer case includes three student feedback ratings. Since 2018, students have rated Aquifer cases an average of 4.4 stars (out of 5) across these three statements:

  • This case was a valuable use of my time.
  • I will apply what I learned to patient care.
  • I would recommend this case to another student.

Mobile Access—Anytime, Anywhere

With the launch of our iOS and Android apps, students enjoy a completely mobile experience and the ability to complete cases offline.

Meet our 2022 Student Advisory Groups

In addition to our Medical Student Advisory Group, Aquifer has recently debuted our PA Student Advisory Group. Both of these teams ensure that student voices and ideas are part of the feedback and innovation process at Aquifer. Learn more…

Aquifer Student Advisory Group

Supporting Physician Assistant Programs

With so much to cover in so little time, today’s PA program directors and faculty need clinical learning tools they can trust.

Over 90 physician assistant programs, 96% of US allopathic medical schools, and a growing number of osteopathic & international medical schools trust Aquifer to standardize clinical experiences and develop clinical reasoning skills.

With 15 million virtual patient cases completed since our founding in 2006, Aquifer is the leader in developing clinical learning tools for medical and health professions education.

Get in touch & talk to an expert

Our Proven Pedagogy

Complete Encounters with Patients & Preceptors

Aquifer cases walk students through all of the steps of a patient encounter.

Aquifer Case Patient Encounter Experience

Realistic Clinical Experiences

Cases include results of diagnostic testing, videos, audio, and images to provide a deep and realistic patient scenario.

Modeling Communication

Each case includes detailed dialog that models effective communication with both patients and preceptors—an ideal way to prepare students for clinic.

Embedded Questions with Answer Explanations

Each case has built-in questions for self-assessment with detailed answer explanations. Answers are not visible to faculty to create a safe space for student learning.

Physician Assistant programs across the country are using Aquifer to:

  • Standardize clinical rotations

    Realistic scenarios walk through a complete patient encounter

  • Develop clinical decision-making skills

    A safe space to practice before EOR’s or OSCE’s

  • Ensure coverage of key competencies

    Fill educational gaps and level the playing field with trusted tools

  • Provide structured remediation

    Rich case library for individualized learning targeted skills development

  • Support faculty with trusted tools

    Ready-to-use teaching resources and classroom activities

  • Enhance their curriculum

    Upgrade lectures, build electives, or supplement courses

The Most Informative & Up-to-Date Content


The Aquifer Educators Consortium is made up of 70+ healthcare educators across disciplines who write, edit, and update Aquifer’s course content, in addition to providing strategic academic leadership.

National Collaborators

Every course Aquifer delivers is created in close collaboration with a leading national organization. We’re proud to partner with organizations like STFM, AAIM, AGS, COMSEP, and AUR to ensure that our content meets national standards.

Aquifer courses include a selection of cases specially developed to provide comprehensive coverage of a clinical discipline, specialty, or key topic. Each of our cases presents a virtual patient encounter—demonstrating best practices and modeling patient and preceptor interactions. Aquifer courses focus on teaching the evidence-based clinical reasoning skills that are vital to providing quality patient care.

Aquifer’s discipline-specific courses—Aquifer Family Medicine, Internal Medicine, and Pediatrics—are our foundational courses, serving as key components of many programs’ clinical rotations.

Aquifer Geriatricsand Radiology include top-quality content that can be integrated into other courses or rotations to provide instruction on these critical topics, or used as individual elective courses. These courses bring our expert healthcare educators—and a wealth of resources—to you and your students.

Aquifer’s free courses on key topics like Social Determinants of Health, Foundations of Telemedicine, Diagnostic Excellence, and High Value Care deliver case-based learning and skill-building exercises. Use the courses as individual capstone projects, or integrate cases with other content in a custom course to meet your needs.

Aquifer Curricular Partners have access to the latest content, including Integrated Illness Scripts, Excellence in Palliative Care, and Trauma-Informed Care.

Aquifer partners with NYU and the Hazelden Betty Ford Foundation to offer access to WISE-MD (Surgery), WISE-OnCall (Readiness for Practice), and CARE (Course on Addiction Recovery Education).

A wealth of Educator Guides, resources, and tools are available to help you integrate our cases into your curriculum or course and make the most of your Aquifer subscription.

We have a range of ready-to-use tools for full classroom sessions, discussions in clinic, and more—perfect for supporting your faculty in delivering engaging case-based learning.

Aquifer online clinical learning platform

Aquifer Delivers

  • Standardized clinical experiences

  • Evidence-based, peer-reviewed content

  • Access to expert medical educators

  • Coverage of national curricular standards

  • Easy to use platform with reporting

Get in touch: Talk to an expert

Our Subscribers

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