Five tabs of chaos.
One system that solves it.
Turn your own slides, PDFs, and notes into active recall and board-quality vignettes — Focus Flow reads, Vignette Forge tests, spaced repetition keeps it on schedule. One system, not five tabs.
Free to start, no card. Takes minutes to set up.
A PDF here. Anki there. A Qbank in a third tab. Nothing talks to anything.
Every tool lives somewhere else, so the work gets scattered — and the forgetting curve gets a head start while you're still organizing tabs. The fix isn't more hours. It's a better loop.
- drinking from a firehoseone section at a time
- the Review Mountainfewer reps, same retention
- “I read it five times”recall, not re-reading
Ebbinghaus, 1885 — the forgetting curve
Reading isn't studying. Make it studying.
Drop in your own PDF. Focus Flow splits it into focused sections and walks you through read → recall — flashcards the moment you finish a section, board-style questions on what you read just before. The forgetting curve never gets a head start.
One section at a time
No firehose. You read a focused chunk, then prove you got it.
Recall while it's fresh
Flashcards now, spaced questions a beat later — interleaved by design.
Coverage you can see
Every page mined into study content. Restart to dig into what's left.
PDF · up to 30MB · cards flow into FSRS review
Beta-1 selective antagonists such as metoprolol blunt sympathetic stimulation at the SA node, lowering heart rate and contractility. In heart failure with reduced ejection fraction, chronic β-blockade drives reverse remodeling — the basis of their mortality benefit.
The boards don't test facts. They test the second step.
Vignette Forge writes exam-faithful, two-step clinical vignettes from your own decks — the kind that make you diagnose first, then decide. Every option comes with the reason it's wrong and the teaching point you'll actually remember.
Two-step reasoning
Patient story in, clinical decision out — recognition won't cut it.
Every distractor explained
Learn why each wrong answer is wrong, not just which one is right.
A bank per deck
A growing practice set tuned to your exam, separate from your reviews.
Gemini 3.1 Pro · USMLE / UKMLA styles · elimination logic
A 58-year-old woman has 40 minutes of crushing substernal chest pain radiating to the jaw. ECG shows 2 mm ST elevation in II, III, and aVF; she is hemodynamically stable. After aspirin, what is the next best step?
You already know spaced repetition works. This is it, done right.
No explainer needed — you know retrieval and spacing make memory stick. Engram is the workflow built around both, end to end, with nothing bolted on.
The testing effect
Retrieving beats re-reading. In the classic study, repeated testing produced large gains in long-term recall — while repeated studying did almost nothing.
Karpicke & Roediger, Science, 2008
Spacing, scheduled
FSRS-5 schedules each card for the moment you're about to forget it — benchmarked on 700M+ real reviews to hit the same retention in fewer reps.
Benchmarked on 700M+ reviews — not a clinical claim
Only two methods won
Of ten study techniques reviewed, only practice testing and distributed practice earned the top rating. Highlighting and re-reading ranked low.
Dunlosky et al., 2013
default retention target
fewer reviews vs SM-2
reviews benchmarked
Everything those five tabs did. In one place.
Generation, review, audio, analytics, occlusion, import — the whole stack, consolidated. No subscriptions to juggle, no exports to babysit.
Cards from anything
Turn a PDF, a YouTube lecture, a slide, or pasted text into clean flashcards in seconds — auto-tagged and traceable back to the source.
See what you'll forget
Retention forecasts, an activity heatmap, and per-topic mastery — so you study the weak spots, not the comfortable ones.
Study with your eyes closed
Audio Loop reads your cards aloud — review on the walk, on the train, between rotations.
Label anatomy from memory
Drop in an image and AI draws the occlusion masks. Reveal each structure as you recall it.
Bring your Anki decks
Import .apkg files with media, tags, and scheduling intact. Your work comes with you.
Study by topic
Hierarchical tags drill one subject across every deck at once.
Share or clone decks
Publish a deck or pull a classmate's into your library, fresh.
Cram when it's crunch
Night-before mode drills the whole deck, weakest cards first.
The exam in front of you. And the boards after.
Your own material becomes practice for this week's exam — then the two-step vignettes Step, the UKMLA, and PLAB actually ask. Same system, same decks, all the way through.
United States · United Kingdom · Europe
Start free. Go Pro when boards get real.
One paid plan. Everything in it. No tiers to decode.
Free
Everything to build the habit.
- Unlimited manual cards
- FSRS-5 spaced repetition
- 50 AI-generated cards / month
- Anki import
- Core analytics
- Deck sharing
Engram Pro
The full read → recall → vignette loop.
or $249/year — save $99
- Everything in Free, plus —
- Focus Flow (read → recall)
- Vignette Forge & Exam-Triage
- 2,000 AI-generated cards / month
- Audio Loop & AI image occlusion
- Advanced analytics & AI coach
Cancel anytime · Secure checkout via Dodo Payments
From chaos to solved.
The cube is solved. So is the workflow. Start with the next PDF you'd open — flashcards, vignettes, and a schedule that holds, in one place.
Free plan, no card · Step 1 · Step 2 · UKMLA · PLAB