Case-based learningcloser to clinical reality.
CBL finally gets an upgrade. Students explore clinical cases as they unfold in real time — making decisions and seeing the consequences.
The problems with traditional CBL
CBL has enormous potential—but in practice, these challenges get in the way of real learning.
Too passive to feel clinical
Students discuss cases without truly having to reason, prioritise and decide.
Too much information, too soon
Cases are often presented in full rather than progressively uncovered.
Too dependent on the room
Participation and facilitation can vary significantly between groups.
Clinical reasoning is hard to see
Educators often see the final answer, but not the thinking behind it.
Everydecisionchangesthecase.
Students investigate, reason together and see the consequences of their clinical decisions unfold in real time.
One case. Seven stages.
Clinical reasoning in action.
Breakthrough turns clinical cases into interactive team experiences, taking students from presentation to debrief.
Meet the patient
Start with only what you’d know in real life.
Take the history
Ask the questions. Uncover the story.
Examine
Choose what matters. Reveal the findings.
Order tests
Order tests. Interpret results. Decide what’s next.
Diagnose
Build, rank and refine your differentials.
Manage
Treat, refer and make the next call.
Discuss your learning
Review the decisions. Understand the reasoning.
Learn by reasoning, not just recalling.
You drive the case
Learn with your team
Think like a clinician
Patient reveals new clinical information
Students question the patient to uncover onset, pain character, and radiation patterns.
“David, can you describe what the chest discomfort feels like right now? Does it travel anywhere else?”
“It feels like an immense crushing weight right in the centre... aching up into my jaw and down my left arm.”
Clinical inquiry unlocks key ischaemic symptoms and Levine's sign in real time.
See the reasoning, not just the result.
Breakthrough gives educators a live view of how students approach clinical cases — from their first question to their final management decision.
Explore DemoProgressive by Design
Information unfolds as students uncover it through their decisions.
Progressive by Design
Information unfolds as students uncover it through their decisions.
Gamified to Keep Students Engaged
Teams earn points for high-yield decisions and see how they perform.
Multimedia Cases
Images, audio and clinical media make every case feel more real and less text-based.
Educator-Led
Facilitators control progression, guide discussion and access teaching prompts.
See Breakthrough in action
Clinical Stages
Acute Chest Pain
David Mensah, 58 (Male), presents to Emergency Triage with chief complaint: 1 hour of crushing retrosternal and epigastric chest tightness with dizziness and lightheadedness.
Observations & Vitals
Live Telemetry (ED Monitor)Heart Rate
54 bpm
Blood Pressure
98/62 mmHg
SpO₂
97 %
Temperature
36.9 °C
Resp Rate
18 /min
Patient Statement (David Mensah)
"1 hour of crushing retrosternal and epigastric chest tightness with dizziness and lightheadedness."
FAQ & RESOURCES