Frequently Asked Questions

Everything you need to know about Alma

Alma is an AI study platform for medical students, nursing students, nurse practitioners and physician assistants. You bring the material your program actually assigned — lecture slides, course readings, your own notes — and the platform turns it into practice questions, flashcards on a spaced-repetition schedule, mind maps, a knowledge graph and simulated patients you can work through.

The point is that nothing is generic. A bank of questions written by strangers tests what someone else decided was important. Alma tests what you were taught.

Four audiences, each with its own page:

  • Medical students (MD and DO) preparing for USMLE Step 1, Step 2 CK, COMLEX and shelf exams
  • Nurses and nursing students working toward the NCLEX-RN or NCLEX-PN, and sitting HESI and ATI along the way
  • Nurse practitioners preparing for AANP or ANCC certification around a full clinical week
  • Physician assistants across the didactic year, end-of-rotation exams and the PANCE

Every audience gets the same tools. What changes is the exam they are pointed at and the style the questions are written in.

From whatever you upload. Give the platform a lecture PDF, a set of slides, a guideline or your own notes, and it writes questions from that document — not from a generic pool.

Questions are written in the style of the exam on your profile: an NCLEX item and a Step 1 vignette test differently, and a question written in the wrong register is practice for the wrong thing. Every question comes back with a rationale for the correct option and for each distractor, so you learn the reasoning rather than the letter.

Your answers, your notes and what you have already reviewed all feed the same picture of what you know. Flashcards resurface on a schedule set by how well you actually recalled them. Quizzes weight the areas you keep missing. The mind map and knowledge graph grow out of your own notebooks rather than a fixed curriculum.

The goal is understanding, not recognition: a question you can answer only because you have seen it before has taught you nothing.

FSRS (Free Spaced Repetition Scheduler), the same next-generation algorithm Anki now uses. FSRS was built with machine learning to model how human memory actually decays, which makes it meaningfully more accurate than older schedulers like SM-2. Cards you struggle with come back sooner; cards you have locked in space out further. Spaced repetition is one of the best-evidenced findings in learning science, and it is the difference between remembering a block in June and remembering it in October.

Yes — that is the core of it. Upload a lecture PDF, a syllabus, a review paper or a set of slides and you get back exam-style questions with rationales, flashcards on an FSRS schedule, a mind map of the concepts and, if you want it, a presentation-ready slide deck you can edit on the platform and export as an animated PowerPoint.

Useful when you have to present at a case conference or teach a study group from material you only just learned yourself.

The Notebook is where everything you write lives. Take notes during a lecture, on rotation, or while working through a question, and the Notebook turns them into visual summaries, mind maps that redraw themselves as you add material, and flashcards on a spaced-repetition schedule.

Ask My Notes lets you ask your own notebook a question in plain words and get the answer back out of what you wrote, with the note it came from. It is for the moment when you know you read something and cannot remember where.

A simulated encounter you work end to end: take a history, examine, commit to an assessment and a plan, then read the feedback on what you missed. You talk to the patient rather than read a vignette, so you have to make the call and say why.

It is the closest thing to a real encounter that does not involve a real patient — which matters most for OSCEs, end-of-rotation exams and the clinical-reasoning half of every certification exam.

A knowledge graph that links concepts, drugs and mechanisms across every notebook you own, so something you learned in pharmacology resurfaces when it comes round again on a clinical rotation. A curated podcast library — real human-hosted shows, organised by topic, with notes you take while listening feeding straight into your Notebook. And games built from your own material, for the evenings when you cannot face another question block.

Yes. Every plan starts with a one-week free trial. You are not charged if you cancel before it ends. See the pricing page for what each plan includes.

Yes. Schools and programs — medical, nursing, NP and PA — can license the platform for all their students, with a faculty admin view over it. Pricing is per institution rather than self-serve. Get in touch through the support page and we will walk through what onboarding looks like.

No. Your notes, uploads, questions and queries are not used to train, fine-tune or improve any AI model — ours or a third party's. Our agreements with the model providers we use prohibit them from training on content submitted through their APIs. Your material is used to run the Service for you and nothing else. The privacy policy sets out exactly which providers process what.

It stays the institution's. It is not shared across organisations, not used for training, and not visible to users outside your institution's account. Retention, deletion and access rights for accounts under an institutional subscription are set by the institution.

Still have questions?

Feel free to reach out to our support team. We're here to help you succeed.