Fourteen Fisherman is an AI-powered SCA practice tool built around three things: voice AI patient consultations scored on the three SCA domains, a bank of 79 free RCGP-mapped cases, and an AI tool that helps structure portfolio case reviews. It is a genuinely useful consultation-practice resource, with the honest caveat that its headline AI consultation feature is currently waitlist rather than fully live. Here is a fair look at what it offers and where its limits sit.
Key takeaways
- Fourteen Fisherman combines AI SCA consultations, 79 free cases, and a portfolio case-review tool.
- The AI consultation product is currently on a waitlist, so check current availability before relying on it.
- The 79 free cases are RCGP-mapped, with a candidate brief, patient script, and marking scheme.
- The portfolio tool structures a clinical case review from a case description and selected capabilities.
- Like every consultation simulator, it scores how you consult, not whether your management is correct.
What is Fourteen Fisherman?
Fourteen Fisherman is a Simulated Consultation Assessment practice platform aimed at GP trainees preparing for the SCA. Its positioning is consultation practice plus portfolio support: you can rehearse SCA-style consultations, work through a free case bank, and use an AI tool to help draft the clinical case reviews your training portfolio requires. It sits in the growing field of AI SCA tools alongside platforms such as SCA Revision, Geeky Medics, MedTutor AI, and others, with its own particular mix of free cases and a portfolio feature.
The AI consultation product
The core idea is a voice-based AI patient. You take an SCA-style scenario, conduct a roughly twelve-minute voice consultation with a patient that responds in real time, and receive feedback mapped to the three SCA domains, with insights on key moments in the consultation and tracking of your progress over time. It is designed to solve the perennial SCA problem of finding someone to practise with. The important practical note is that, at the time of writing, this AI consultation feature is advertised as waitlist, with sign-ups notified when it goes live, so confirm current availability on their site before planning your revision around it.
The 79 free SCA cases
The free case bank is the most immediately usable part. Fourteen Fisherman offers 79 SCA practice cases built from the RCGP curriculum, each with a candidate brief, a patient script, and a marking scheme. That structure lets you run a case solo as a structured self-test, or with a friend playing the patient and marker, which mirrors the most effective low-cost SCA practice method. Free, RCGP-mapped cases with full scripts and mark schemes are a real contribution, and worth using regardless of what else you pair them with.
The GP Portfolio AI tool
The portfolio feature helps you turn a real encounter into a structured clinical case review: you describe the case, select the RCGP capabilities it demonstrates, and the tool produces a structured review to work from. Fourteen Fisherman states that over 20 percent of UK GP trainees already use its AI to write clinical case reviews, which is their own usage claim rather than an independently verified figure. Used well, a tool like this speeds up the mechanical part of portfolio writing, though the reflection itself still has to be yours to satisfy an educational supervisor.
Who it suits, and who it does not
It suits trainees who want consultation repetitions and a free case bank to practise structure, timing, and communication, and who want help organising portfolio entries. It suits less well the trainee whose main weakness is clinical knowledge, because a consultation simulator tests how you consult rather than whether the management you propose is correct. If you can run a smooth, empathetic consultation but reach for the wrong first-line treatment, a scoring tool focused on consultation skills will not reliably catch that. Match the tool to the gap you actually have.
The knowledge gap every simulator leaves
This is the limit shared by all consultation tools, not a criticism of Fourteen Fisherman specifically. Simulators score your consulting: data gathering, structure, empathy, safety-netting. What they cannot teach is whether your NICE or CKS pathway is right, because that is knowledge, not technique. The SCA marks clinical management as one of its three domains, and that domain is knowledge you either have or do not. So the sensible model is to pair consultation practice with a knowledge layer that keeps your management guideline-grounded. Ask iatroX gives you NICE and CKS-grounded answers to check a pathway for free, and the iatroX adaptive Q-bank drills the AKT-level management knowledge that underpins the clinical management domain, with free sample questions and then £29 per month or £99 per year. You can start with the free questions. For the wider field, see our SCA platform comparison.
Frequently asked questions
Is Fourteen Fisherman free? The 79 SCA cases are free. The AI consultation feature is advertised as waitlist, so check current availability and any pricing on their site. The portfolio case-review tool is offered as an AI feature; confirm current terms directly.
Are the AI consultations live yet? At the time of writing they are advertised as waitlist, with sign-ups notified when the feature goes live. Verify the current status before planning revision around it.
Are the free cases any good? They are RCGP-mapped and include a candidate brief, patient script, and marking scheme, which makes them usable solo or in role-play. Free, structured cases are a genuine resource for SCA practice.
Does Fourteen Fisherman teach clinical management? Not directly. Like all consultation simulators, it scores how you consult rather than whether your management is correct. Pair it with a guideline-grounded knowledge tool for the clinical management domain.
What is the 20 percent figure? Fourteen Fisherman states that over 20 percent of UK GP trainees use its AI to write clinical case reviews. This is the company's own usage claim, not an independently verified statistic.