How a round of Fesera Rounds works
Last updated 7 November 2026
One patient, six turns
Every day there is one patient, the same for everyone in your profession. You get six turns. Each turn shows three possible clues (a history question, an examination or a test) and you choose one. You only see the result of the clue you chose, so across the round you see six of eighteen possible clues. Good clinicians ask the question that changes their thinking. Rounds rewards the same habit.
Name the diagnosis, or refer
You can name the diagnosis at any point. You have three lives. If the patient needs someone else, you can choose refer.
Plan, knowledge and the teaching card
Then you pick a management plan. One option is evidence-based; another is a tempting habit, such as passive care on its own or imaging without red flags. You see the guideline’s verdict straight away. Two short knowledge questions about this patient follow, then a teaching card: the clue that mattered, the look-alikes, when to refer, and linked sources.
How scoring works
Your score is out of 1000.
| Part | Points | How you earn it |
|---|---|---|
| Reasoning | 300 | The average quality of the clues you chose |
| Diagnosis | 250 | 190 for solving, 10 for each clue you didn’t need, minus 50 per wrong guess |
| Plan | 200 | Best answer 200, acceptable answer 100 |
| Safety | 150 | 75 for each red-flag screen done before your diagnosis |
| Knowledge | 100 | Two questions about the patient |
Time is not scored, because rushing is the wrong clinical habit. Time only breaks leaderboard ties.
Why it feels like Wordle, but for clinical reasoning
Like Wordle, there is one puzzle a day, a streak and a spoiler-free share card. Unlike Wordle, every choice comes with the reasoning behind it.
Play today’s caseJoin early access
Learn more about Fesera Rounds, see the physiotherapy cases, or read the frequently asked questions.