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C.A.F.E.

cafe.academy

Cognitive Adaptive Framework for Excellence

Medical learning system that transforms content into measurable competence. Combines CAFE Granularity (universal map of medical knowledge) with C-TAGS (C1–C5) to guide study, assessment and clinical training at the right level.

The Problem

The gap between study and proficiency

Most curricula measure "content covered". Exams and practice demand safe decisions under uncertainty.

This creates an illusion of progress: lots of study, little applicable proficiency.

Study hours

Real competence

The CAFE Solution

Two layers that transform learning into competence

The Map

CAFE Granularity

A semantic map of medical knowledge that organizes any specialty into layers:

Specialty
Domains
Concepts
Assessable Micro-skills

Result: curriculum, AI and assessment speak the same language.

The Cognitive Seal

C-TAGS (C1–C5)

Each node on the map receives a mastery level:

C1
Recognizeβ€” Identify/define patterns and criteria
C2
Applyβ€” Execute rules and algorithms in standard scenarios
C3
Analyzeβ€” Interpret data and support differentials
C4
Decideβ€” Choose conduct with trade-offs and uncertainty
C5
Integrateβ€” Manage complex, cross-cutting and longitudinal cases

Key principle: small topic doesn't mean simple thinking. A micro-topic can be at C1 or C4, depending on the evidence.

How It Works

Three steps to measurable competence

01

Map

Transform topics into concepts + trainable micro-skills

02

Measure

Assign C-TAGS by evidence (questions, cases, simulation, supervised practice)

03

Evolve

Tracks define target-C per node and deliver adaptive training to proficiency

What You Get

Concrete benefits of the CAFE system

Real Progression

By competence, not by chapters

Focused Personalization

On high-impact gaps

Editorial Scale

Single standard for authors and AI

Multi-specialty Consistency

Same core, multiple tracks

B2B

CAFE Ecosystem

CAFE works as a Core. From it, Editions and Programs emerge for different objectives (exams, residency, clinical practice), adopted by Partners who can customize tracks, weights and evidence β€” without breaking the standard.

CAFE Core

Granularity + C-TAGS

Editions & Programs

Exams, Residency, Clinical Practice

Partners

Schools, Products, Teams

Medical Director

Dr. Guilherme Isaac Schreiber Litwinski

CRM-MG 44713 | Neurologist RQE 38089

Nexro Tecnologia Ltda

Neurologist, educator, and entrepreneur dedicated to transforming medical education through technology.