• Private by default
  • Free to start
  • Built for clinicians
  • Web today · iPhone and Android soon
pearls.md
Your clinical second brain

Every clinical pearl
kept alive.

Type a teaching point in one line. Pearls files it into the right page of your own notes. Search finds it by meaning and Anki brings it back for review.

Pearls pearls.md
Capture
Don’t let procalcitonin decide whether to start antibiotics in CAP
File pearl ⌘ ↵
Suggested placementHigh
File to
Respirology/Community-acquired pneumonia/Workup
In the note

CURB-65 for severity and disposition. Blood cultures if severe or immunocompromised.

NEWStart antibiotics for confirmed CAP regardless of the initial procalcitonin. Treat the clinical picture instead of the number.

Sputum culture only when it will change management.

ApproveEditMove
How it works

Capture once. Filed forever. Back when it counts.

You write one line and approve one placement. Pearls does the slow filing so what you saw today is still there in May.

  1. Step 1of 3

    File a pearl in one line

    A drug interaction you caught. A threshold you keep forgetting. The reason behind a call. Type it the way you would tell a colleague. No titles or folders needed.

    Capture
    Don’t let procalcitonin decide whether to start antibiotics in CAP
    File pearl ⌘ ↵
  2. Step 2of 3

    Pearls files it where it belongs

    It reads your own notes and proposes the exact home with the line already drafted. That can be an existing section, a new subheading or a new page. Approve it, edit it or file it for later. The AI drafts. You always sign.

    Suggested placementHigh
    File to
    Respirology/Community-acquired pneumonia/Workup
    In the note

    CURB-65 for severity and disposition. Blood cultures if severe or immunocompromised.

    NEWStart antibiotics for confirmed CAP regardless of the initial procalcitonin. Treat the clinical picture instead of the number.

    Sputum culture only when it will change management.

    ApproveEditMove
  3. Step 3of 3

    It leaves as an Anki deck

    Every pearl lands in a clean page you can search by meaning. Any pearl can become a flashcard. Export them to Anki with decks and tags included.

    Respirology/Community-acquired pneumonia
    Community-acquired pneumonia
    Workup

    CURB-65 for severity and disposition. Blood cultures if severe or immunocompromised.

    FILEDStart antibiotics for confirmed CAP regardless of the initial procalcitonin. Treat the clinical picture instead of the number.

    Card added to deck RespirologyExport to Anki
Features

Find it again three patients deep

Capture takes a line. Filing happens for you. Search works when you are three patients deep and cannot remember where you wrote it.

Find it by meaning

Search covers every page and pearl by what you meant. It opens at the exact line.

Notes organized by rotation

A clean knowledge base with callouts, tables and images. Areas follow the rotations you are on.

Web today with phone apps next

Capture in any browser today. Native iPhone and Android apps are on the way with the same account.

Why it works

You learn more in a week on the wards than in a month with a textbook. Most of it is gone by Friday.

The volume that makes you a good clinician also erases what you saw. A great teaching point at 2pm is gone by the time you get home unless capturing it costs almost nothing. Pearls makes capture a single line. It does the slow work of filing. It sends the pearl to Anki so it keeps coming back until it is yours.

A patient you cared for is already the deepest version of the material. Ordinary studying throws that away for a stranger’s vignette. Pearls keeps your own cases in your own words.

The pearl you almost forgot is the one worth keeping.
Private by default

Keep the medicine. Leave the patient out.

Capture the teaching point. Leave names, MRNs and dates at the door. Everything is private to you by default and yours to export. Pearls is not a medical record. It is not medical advice.

  • Private to you
  • Yours to export
  • Not a medical record
Common questions

What clinicians ask before they start

What is Pearls?

A private notebook for clinical pearls. You type a quick teaching point. Pearls files it into the right place in your own notes. Search finds it later by meaning. It is free to start.

Do I have to organise anything?

No. You write one line. Pearls reads your existing notes and proposes exactly where it belongs. That can be an existing section, a new subheading or a new page. You approve, edit or file it for later in one tap. The AI drafts. You always sign.

How is this different from Notion or a notes app?

A notes app makes you decide where everything goes. Then you hunt for it later. Pearls files each pearl for you. It also makes your whole knowledge base searchable by meaning. A search for “afib rate control” finds the note even if you wrote it another way.

Is it safe to write about patients?

Pearls is for the medicine. It is not for the record. Keep names, MRNs and dates out. Capture the teaching point instead of the patient. Everything is private to you by default. Pearls is not a medical record or medical advice.

Will it help me remember?

That is the whole point. Turn a pearl into a flashcard in two taps. Export it straight to Anki. What you learned on a busy Tuesday comes back in the app you already review every day.

Is Pearls free?

Free to start. Capture your first pearl and watch Pearls file it.

File your first pearl in ten seconds.

Type one line and watch Pearls file it. It is free to start.

Start free
Pearls — Your clinical second brain