Three generations of podiatric medicine. One obligation: evidence that's real.
UpToDate was built for internal medicine. When a podiatric surgery resident searches Lapidus fixation constructs, they get a bunion page written for a GP. The subspecialty depth isn't there. It was never going to be.
So surgeons turned to general AI.
Every foot and ankle surgeon has tried it for a clinical question. The answer comes back confident. The citations look authoritative. Then you check the PMIDs.
They don't exist.
A 30–70% fabrication rate isn't a bug. It's an architectural reality of how large language models work. They predict plausible text — and a plausible PMID looks exactly like a real one until you look it up.
Continuum doesn't predict citations. It queries PubMed directly, returns real PMIDs, and grades the evidence level against Oxford CEBM criteria. Every reference is verifiable because every reference is real.
That's not a feature. It's the minimum standard for a clinical tool.
— Michael Lynde, DPM, FACFAS · Founder, First Ray Labs
Real citations. Defensible care.
Direct PubMed retrieval. Real PMIDs, real abstracts, structured by evidence level. Ask a clinical question in natural language. Get the literature.
AI synthesis from retrieved evidence — not from memory. Retrieval-first means the fabrication failure mode doesn't exist. Every answer is grounded in real literature.
Your curated evidence. Everywhere you work. Save any Continuum result to your personal Evidence Library. Every citation you store becomes available inside Sorted — powering your Defensive documentation with the exact literature you trust.
Free access during Founding Surgeon Program. No lock-in.