Most of what you study on Alma is generated from material you upload, and it is reviewed by you against the source it came from. This policy covers the other kind: the clinical material we publish — reference explanations, curated study material and anything presented as our own. Each piece follows a two-tier review model, so no clinical claim reaches a learner having been read by only one person.
Two-tier review workflow
Editorial review (first pass)
A trained editor performs structured review for clarity, organization, tone, and alignment with the sources actually cited — including whether a claim is supported by the reference sitting next to it.
Final medical review
A licensed clinician in the relevant field performs final review of clinical claims, interpretations, and educational framing. For material aimed at a specific examination, the reviewer is someone who holds that credential.
Clinical summaries prioritize current professional guidelines, standard references in the relevant discipline, and peer-reviewed literature indexed in PubMed. Where an examination publishes a blueprint or test plan — as the NCLEX and the PANCE do — material written for that exam is checked against it. When evidence is evolving or contested, we label the uncertainty explicitly and point learners to the primary source.
Articles display the most recent medical review date when available. Material may be updated when practice-changing evidence or guideline revisions warrant revisions; substantive updates are expected to go through the same two-tier review pathway.
Authors and reviewers disclose relevant financial and organizational relationships. When material is authored by someone with an ownership interest in Alma, an additional publisher disclosure appears on the page — a reviewer cannot be the only check on their own employer's content.
Reviewers are credited per article (not on individual author profile pages), because medical review applies to the published page and its version history.
Standards for generated questions
Questions, flashcards and cases generated from your own uploads are governed separately — what the model may assert, what it must cite, and what it must refuse. That is documented on the standards page.
