MARCUS keeps your protocols, rotation guides, order sets, and teaching files together, so residency knowledge is still there when a clinician needs it.
MARCUSYour 2024 bariatric protocol says to use enoxaparin 40 mg SC q12h starting 8 h post-op, continued for 10 days after discharge for BMI >= 40.
The service note documents a 60 mg q12h variation for BMI >= 50; MARCUS presents it as local service guidance, not as the institutional default.
rev. Mar 2024 · p. 6
rev. Q1 2024 · p. 2
CHEST · 2024 · p. e545S
Every teaching hospital carries a clinical memory.
It lives in protocols, pathways, order sets, formularies, antibiograms, rotation guides, and the residents and attendings who know where to look.
That memory is fragile. It scatters across drives, rotations, and graduating classes.
MARCUS exists so it doesn't.
Search is only the beginning. Knowledge has to stay connected, current, and tied to a source someone can check.
When guidance changes, when residents rotate, and when a night-float resident covers an unfamiliar service, the hard part is rarely whether an answer exists somewhere.
The hard part is whether it is still reachable, still current, and still tied to the document someone can open.
MARCUS is built for that: the resident on night float, the attending checking a protocol, and the program director preserving working knowledge across rotations.
MARCUS keeps the chain intact: the question, the reviewed sources, the relevant passages, and the answer a clinician can verify.
Question → Evidence → Verified Answer
What should we use for VTE prophylaxis after bariatric surgery?
Bariatric VTE protocol
rev. Mar 2024 · p. 6Service variant
rev. Q1 2024 · p. 2CHEST VTE guideline
CHEST · 2024 · p. e545SUse enoxaparin 40 mg SC q12h, starting 8 h post-op; continue 10 days after discharge for BMI >= 40.
Keep the BMI >= 50 order-set variation separate from the default.
EvidenceProtocols, order sets, pharmacy guidance, and service preferences change across rotations and services. MARCUS keeps the local clinical answer tied to the source so the next resident can use it without starting over.
Teaching hospitals already have protocols, order sets, rotation guides, formularies, and service rules. MARCUS makes those clinical documents speak first, then uses outside literature only as context.
Residency source of truthSurgery, medicine, ICU, pharmacy, and site committees may handle the same problem differently. MARCUS keeps the default separate from the exception so residents can see what is policy and what is service practice.
Policy versus practiceInterns start, seniors graduate, residents rotate, and attendings change services. MARCUS keeps the reasoning and source context available for the next resident who needs it.
Continuity across rotationsMARCUS is useful only when it can distinguish an answer from a gap. That edge should be visible before anyone treats a response as local clinical guidance.
The useful part is seeing the edge of the evidence before a question becomes an answer.
Keep the guidance your residency relies on available when rotations change.
