The Step 1 tutor that gets to know you — and your misconceptions.

Study sessions that listen to how you reason. A tutor that remembers what you got wrong, what you almost got right, and what you've never seen yet. Gets sharper with every session.

Study Start free — find your first misconceptions.

Every misconception we catch reshapes what the tutor asks you next — and keeps coming back, in different forms, until it stops being a misconception.

Mostly tapping, not typing.

Quick quizzes, multiple choice, scan decks — built around the way you already study. The tutor only opens up the conversation when something in your answer suggests a real misconception worth digging into.

Then you explain in your own words, and we catch the broken step. Built to fit anywhere you'd already be doing flashcards — and if you've already got a deck, you can drop it in once and the tutor picks up from there.

Conversation is the exception, not the default.

Not a replacement for your stack. The listening layer alongside it.

Keep your question banks, your decks, your videos — they're great at what they do. lacunos does the one thing none of them can: hear how you reason, where it breaks, and what that means for what you'll miss on exam day. That listening role has always belonged to a 1:1 tutor — expensive, scarce, mostly out of reach. We make it available on your schedule, alongside everything you already use.

A layer, not a swap.

Different mode at different distances.

The tutor reads how close your exam is and shifts posture. Twelve weeks out it builds breadth methodically; a week out it refuses new ground and drills only what's still weak.

Not a label — it changes what the tutor offers, what it declines, and how it drills you.

3+ months / no date
Exploration

Explore freely. No urgency to constrain choices.

≤ 90 days
Building breadth

Tackle weak systems methodically. Map → deepen is the core loop.

≤ 30 days
Consolidation

Drill weak topics across systems. New ground is deferred.

≤ 7 days
Rapid review

No new ground. Scan + spot-deepen on what's still weak.

The same misconception, across sessions.

When the tutor catches a misconception, it doesn't just get filed away. It reshapes what we ask you next — and comes back, on its own schedule, from different angles, until it's solid. That's the loop the tutor's actually running on you in the background.

The bar chart, the gaps list, the map, the Anki export below — none of them are the loop. They're just four ways of looking at it from the outside.

The territory, with your evidence layered on it.

The canonical areas of your exam, with subtopic-level state shown as shape rather than a single score. A guide, not a checklist — built for agency over an overwhelming domain.

If you imported a deck, it shows up here too — what you've already been studying, alongside what we've caught in session.

USMLE Step 1 · six of sixteen areas
Solid Building Misconceptions Unseen

Catches don't just live in the tutor. They leave with you, too.

“Your Anki has been flagging eye anatomy and visual pathways pretty heavily lately, so we'll hit those directly.”

That sentence is from a real opening. Sync your AnKing, Lightyear, or Zanki deck once and the tutor reads it as backdrop — what you've been seeing, what you've been rehearsing, where your lapses are concentrated. The loop above runs the same; this just skips its cold start.

Every catch the loop produces becomes a card in your lacunos deck — visible alongside your Gaps, exportable as a standard .apkg whenever you want a fresh snapshot.

Re-imports merge into your Anki cleanly: cards keep their identity, so your deck updates in place instead of doubling. The tutor keeps re-surfacing the misconception in session; the card keeps it in your daily reviews. One file in, one file out — your work compounds in both places at once.

7 cards ready since your last download Download .apkg

Standard .apkg in and out — works with the deck you already run.

Already running a deck? Get a free Step 1 coverage report →

Pharm · Diuretics New card · saved today
Loop diuretics decrease serum Ca²⁺. The mechanism is reduced reabsorption in the thick ascending limb — not direct renal Ca²⁺ wasting from the diuretic itself.
Why this is a card
In session, you said "loops dump calcium directly." The step we caught: it's downstream of disrupted Na/K/2Cl transport, which is what abolishes the lumen-positive gradient.

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One-time payment, no subscription. Re-buy when you need more — your memory and progress carry across passes.

Start free first — find a misconception or two before you commit.

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7-day pass

$12

A week with the tutor — long enough to know if it fits your prep.

  • Unlimited tutor sessions
  • Full Map + Gaps
  • Anki misconception cards
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30-day pass

$29

A focused month. The right shape for a Step 1 prep arc.

  • Everything in 7-day
  • Time for spaced re-tests to land
  • Memory compounds across sessions
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3-month pass

$69 $87

Built for a longer Step 1 runway.

  • Everything in 30-day
  • Built for a 3-month Step 1 window
  • Cheapest per-day rate
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Not sure yet? Start free — no credit card. Pick a pass when you're ready to keep going.

Common questions.

If something's missing here, the answer is probably just ask us.

Does this replace my current study tools?

No. lacunos is the listening layer alongside them. Use your question banks, your decks, your videos — and bring the reasoning errors here, where they can actually be heard and worked through.

How much do I have to type?

Almost none. Tapping by default — multiple choice, swipe decks, quick quizzes. Explaining in your own words only happens when something in an answer suggests a real misconception worth digging into.

What happens to the misconceptions you catch?

They become cards in your lacunos deck — viewable on your Gaps page and exportable as a standard .apkg whenever you want to refresh your Anki. Re-imports merge cleanly: cards keep their identity, so your deck updates in place instead of duplicating. The session ends; the work compounds.

How is my data handled?

Your sessions are private to you. We use what you write to build your personal model — not to train shared ones. You can export your card history at any time, and delete your account in one tap.