For international medical graduates

Practice in a US emergency department before residency.

Code Status is a medical simulation game for iPhone and Android, written by a board-certified emergency physician. Each case is a full encounter on your phone: history, exam, workup, diagnosis, treatment and disposition, then a score and cited teaching.

You already know the medicine. What changes in a US residency is the setting around it: drug names like epinephrine and acetaminophen, glucose in mg/dL and the way an American emergency department decides who goes home and who is admitted.

In most specialties, intern year means admitting patients from the emergency department. Here you can practice in one before your first shift.

The Daniel Kim case as it opens in Code Status: shortness of breath, his vitals, and the History, Exam, Workup, Treatment and Diagnosis buttons

What you practice

Use US drug names and units.
Cases follow US practice: epinephrine, acetaminophen, albuterol, glucose in mg/dL. If you trained with SI units and international drug names, switch Region to International in Settings, then switch back when you are ready.
Work a patient the way a US ED does.
Take the history, examine, order the workup, make the diagnosis and treat, then decide where the patient goes: home, admission, the ICU or the operating room. Each case is scored on all of it.
See the evidence behind each call.
After every case, Attending’s Notes explains what mattered and why, with about 10 cited sources per case, linked to the originals.

See how it teaches: free lessons from the cases.

What it is not

Code Status is not USMLE prep or a question bank, and it does not count as US clinical experience on a residency application. It does not help with ECFMG certification or the Match. The cases are adult presentations. Every patient is fictional, and it is for training only.

Cases to start with

See all 31 cases

New to emergency care? 12 of the 31 cases are Beginner: spot the pattern and give the standard care.

Mentoring international graduates?

Send a learner into a case, then talk through the decisions they made. Every case closes with sourced teaching, and scores are teaching feedback, not an assessment of competence. Tell us what you need.

Play two complete cases, free.

For iPhone (iOS 16.4 or later) and Android phones (Android 7.0 or later).