Take the "ROME" mnemonic for acid-base. It's catchy and, sure, it "works" something like 80% of the time. But one out of five is a rough failure rate when the outcome matters. If a patient heard "my acronyms get me most of the way there", they wouldn't be reassured.
What I wish existed is a resource that puts understanding first and makes passing the side effect. Picture a concept map of physiology and clinical priorities where every question hangs off the actual idea, so when you miss something the system walks you to the exact misconception - not just "do more cardio". Explanations would teach instead of justify, spelling out why each tempting distractor is wrong in this case and when it would be right in a different scenario. Adaptive practice would notice patterns in reasoning - prioritization slips, safety misses, lab confusion - and coach those directly, with a conversational tone drafted by a cheap LLM and reviewed by humans for accuracy.
I'm not here to dunk on any single company; the incentives feel off across the ecosystem. Expensive content and brittle heuristics reward short term gains over durable mental models, and that's backwards for a profession built on judgment. If anyone here is building a free or actually affordable, learner first NCLEX or general health science resource, I'd love to see it. I can't lead it right now, but I'll test, contribute where I can, and cheer.