Interactive Demo

Experience
OnShift

Scroll to explore the complete feedback journey — from shift start to competency tracking.

Scroll to begin
01Shift Creation

Start your shift
in seconds.

OnShift pulls your schedule automatically — shift details and assigned residents are pre-populated from your institution's scheduling system. Just confirm and go.

onshift / new-shift
New Shift
Auto-populated from AMION scheduleEdit
March 28, 2026
7:00 AM
3:00 PM
Main ED — Bays 4–8
Confirm & Start Shift →
02Learner Selection

Select your
learners.

Pick the residents you're working with today. Group by PGY level, select all, or choose individually. Every learner gets their own observation space.

onshift / select-learners
Residents on Shift
PGY 1–3
SC
Dr. Sarah Chen
PGY-2
MW
Dr. Marcus Williams
PGY-1
PP
Dr. Priya Patel
PGY-3
Confirm 3 Learners →
03Clinical Observations

Observe in real time.

Capture clinical moments as they happen. Quick notes with timestamps — OnShift tags EPAs automatically.

onshift / shift-workspace / dr-chen
SC
Dr. Sarah Chen
PGY-2 · Main ED
Live
7:42 AM

Led initial assessment of 67yo M with chest pain. Ordered troponin, EKG, CXR. Good differential discussion.

EPA 5 Clinical Judgment Chest Pain Workup
8:15 AM

Performed bedside echo — identified pericardial effusion. Excellent probe technique, correct interpretation.

EPA 10 Procedural Skill
9:30 AM

Managed hypotensive sepsis. Initiated fluids and pressors appropriately. Strong nursing communication.

EPA 1 Clinical Judgment Communication
11:00 AM

Presented complex case clearly and identified key decisions. Needs earlier disposition planning.

EPA 12 Communication Systems Mgmt
04Chat Wrap-Up

Talk it through
with AI.

OnShift's AI facilitates a reflective debrief. Speak or type naturally — it asks the right follow-ups to capture a complete picture of learner performance.

onshift / feedback-chat
OnShift AI
Let's wrap up feedback for Dr. Chen. She showed strong clinical judgment today. Can you elaborate on her procedural skills during the echo?
Impressive echo work — good probe positioning, identified the effusion immediately. She's progressing well with US.
OnShift AI
Great. Any areas for growth?
She gets absorbed in acute management and forgets to plan dispo. Needs to think about the full arc of care earlier.
OnShift AI
Understood. I'll weave that into her narrative with actionable next steps.
Speak or type your response
05AI Narrative

AI-packaged feedback.

Your observations and conversation become a polished, competency-mapped narrative — ready to share with the learner.

onshift / narrative-feedback
Narrative Feedback — Dr. Sarah Chen
NEQI 9 / 12

Dr. Chen demonstrated exemplary clinical performance during today's emergency department shift, showing continued growth across multiple core competencies.

She led the initial assessment of a 67-year-old male presenting with chest pain, demonstrating a systematic approach to the primary survey and appropriately ordering troponin, EKG, and chest radiograph. Her differential diagnosis discussion was thorough and well-reasoned.

Her bedside ultrasound skills continue to impress — she correctly identified a pericardial effusion with excellent probe technique and accurate interpretation, reflecting strong procedural competency.

In managing a hypotensive sepsis patient, Dr. Chen demonstrated decisive clinical judgment by initiating fluid resuscitation and vasopressors in a timely manner, while maintaining clear communication with the nursing team.

Growth Opportunity: Dr. Chen should focus on integrating disposition planning earlier in the patient encounter. While her acute management skills are strong, earlier consideration of the full arc of care will strengthen her systems-based practice.

EPA 1EPA 5EPA 10EPA 12
Hover a paragraph to see mapped EPAs

Your Dashboard

See how your feedback practices stack up — quality, coverage, and fairness.

06Faculty Dashboard

Feedback on your feedback.

EPA Utilization

1
Emergency Stabilization
12 observations
2
Focused H&P
12 observations
3
Diagnostic Studies
12 observations
4
Differential Diagnosis
Coverage gap
5
Pharmacotherapy
12 observations
6
Observation & Reassessment
Coverage gap
7
Disposition
12 observations
8
Multitasking
Coverage gap
9
Airway Management
Coverage gap
10
Emergency Ultrasound
12 observations
11
Wound Management
Coverage gap
12
Patient Communication
12 observations
13
Team Management
Coverage gap
14
Clinical Informatics
12 observations
15
Resuscitation
Coverage gap
16
Vascular Access
Coverage gap
17
Trauma Management
12 observations
18
Medical Knowledge
12 observations
19
Risk Management
Coverage gap
20
Procedural Sedation
12 observations
21
Pediatric EM
Coverage gap
22
Special Populations
Coverage gap
18 / 22 EPAs covered82%

Feedback Quality (NEQI)

Performance Domains Addressed4/4
Specificity of Comments3/4
Usefulness to Trainee2/4
9/ 12 overallGood

Bias & Fairness Corrections

Language pattern flagged
“Confident” used 3× more for male residents
Corrected
Feedback length disparity
PGY-1 feedback 40% shorter than PGY-3
Corrected
2patterns detected & auto-corrected this month

vs. Department

Performance Domains Addressed
You: 85%Dept: 72%+13
Specificity of Comments
You: 92%Dept: 78%+14
Usefulness to TraineeGrowth Area
You: 58%Dept: 81%-23
EPA Coverage
You: 82%Dept: 65%+17
Volume
You: 88%Dept: 64%+24

The Learner's View

Now see the experience from your resident's perspective.

07Learner View

The learner's perspective.

Competency Progress

16/22 EPAs
EPA 1
Emergency Stabilization
L4
Minimal supervision
EPA 2
Focused H&P
L4
Minimal supervision
EPA 5
Pharmacotherapy
L3
Indirect supervision
EPA 10
Emergency Ultrasound
L3
Indirect supervision
EPA 12
Patient Communication
L2
Direct supervision
EPA 17
Airway Management
L1
Observed only

Readiness for Independence

72%Ready

On track for expected PGY-2 milestones.
↑ 8% from last quarter

Professional Domains

Communication
84%4.2/5
Clinical Judgment
90%4.5/5
Procedural Skill
76%3.8/5
Systems Mgmt
70%3.5/5
Professionalism
94%4.7/5

Precision Education

Early Disposition Planning
Module · From recent feedback
Interactive module on early dispo decision-making in the ED
Start
Advanced Cardiac Ultrasound
Simulation · EPA 10 growth path
Hands-on sim with pericardial, valvular, and wall-motion cases
In Progress
Sepsis Bundle Mastery
Case Series · EPA 1 milestone
6-case series covering early recognition through resuscitation
Done
Airway Decision Framework
Workshop · EPA 17 gap identified
Structured approach to difficult airway prediction and management
Start

Ready to transform
your feedback?

Join academic medical centers using AI to provide comprehensive, competency-based resident feedback.