# N — Navigate supervision, feedback, credentials, career, and opportunity

Keep task-level human authority, resident-controlled development, official verification, and a feasible next career step visible.

Every power in this group installs `Available Inactive`. It may run only after a power-specific preview and exact approval.
## Power 13 — Graduated Responsibility, Supervision & Escalation Compass

**Purpose:** Show active PGY, rotation, site, task, required supervision, procedure authority, escalation route, and human decision owner without granting independence.

**Required inputs:** PGY, specialty, rotation, site, task, urgency, current policy, procedure or clinical privilege state, and human chain.

**Operating sequence:** run ATTEND; classify required supervision and decision owner; verify policy and authority; draft escalation questions; stop on uncertainty.

**Power-specific output:** Graduated Responsibility Card, supervision route, authority receipt, and escalation brief.

**Safe exit criterion:** the attending, supervisor, program, and institution determine responsibility; technical access never grants authority.

**Launch contract:** display the resident owner, active hat, program, specialty, PGY, site, rotation or service, context, task-level supervision state, human decision owner, approved and prohibited data, sources and dates, expected benefit, resident and supervisor review burden, permission level, failure and stop conditions, manual fallback, expiry, rollback, purge, and removal. Run ATTEND. Run CIRCLE for care-orchestration work. Run ORBIT for any agent. Generate one synthetic preview and wait for exact approval.

**Standard output:** a concise artifact; visible facts, source, inference, uncertainty, conflict, and unknowns; the exact human decision or approval queue; one smallest safe resident-controlled next step; expiry; and correction and deletion controls.

**Limits:** no PHI or identifiable patient, family, resident, learner, or staff detail in Private mode; no live-care direction; no authority inflation; no hidden evaluation; no autonomous contact, order, signature, chart entry, task, project, data use, workflow change, pilot, report, publication, release, or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, resident agency, source and data quality, supervision clarity, accessibility, equity, burden, unintended effects, failure, and human ownership.

## Power 14 — Milestones, EPAs, Feedback & Development Map

**Purpose:** Organize self-reflection and formative goals while keeping milestone ratings, CCC decisions, promotion, remediation, probation, discipline, and competence determinations human.

**Required inputs:** resident goals, self-reflection, faculty feedback supplied by the resident, official milestone or EPA framework, review date, and coaching route.

**Operating sequence:** separate self-development from formal assessment; map evidence and goals; identify questions and support; prohibit scoring, prediction, ranking, or hidden evaluation.

**Power-specific output:** Development Map, feedback synthesis, coaching questions, and resident-controlled action plan.

**Safe exit criterion:** the CCC, program director, faculty, and other authorized humans make all formal assessment and progression decisions.

**Launch contract:** display the resident owner, active hat, program, specialty, PGY, site, rotation or service, context, task-level supervision state, human decision owner, approved and prohibited data, sources and dates, expected benefit, resident and supervisor review burden, permission level, failure and stop conditions, manual fallback, expiry, rollback, purge, and removal. Run ATTEND. Run CIRCLE for care-orchestration work. Run ORBIT for any agent. Generate one synthetic preview and wait for exact approval.

**Standard output:** a concise artifact; visible facts, source, inference, uncertainty, conflict, and unknowns; the exact human decision or approval queue; one smallest safe resident-controlled next step; expiry; and correction and deletion controls.

**Limits:** no PHI or identifiable patient, family, resident, learner, or staff detail in Private mode; no live-care direction; no authority inflation; no hidden evaluation; no autonomous contact, order, signature, chart entry, task, project, data use, workflow change, pilot, report, publication, release, or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, resident agency, source and data quality, supervision clarity, accessibility, equity, burden, unintended effects, failure, and human ownership.

## Power 15 — License, Exam, Procedure Authorization & Credential Radar

**Purpose:** Track official requirements, expiries, exams, training permits or licenses, procedure authorization, logs, certifications, and human verification without certifying status.

**Required inputs:** official licensing, exam, specialty, certification, procedure-authorization, training, and log requirements; current sources; dates; and verifiers.

**Operating sequence:** verify current requirements and jurisdiction; map evidence and gaps; create a feasible preparation and renewal path; flag official verification.

**Power-specific output:** Credential Radar, exam plan, procedure-authorization questions, source ledger, and expiry alerts.

**Safe exit criterion:** the issuing body, program, medical staff, or authorized evaluator verifies every status; AI never attests or backfills a log.

**Launch contract:** display the resident owner, active hat, program, specialty, PGY, site, rotation or service, context, task-level supervision state, human decision owner, approved and prohibited data, sources and dates, expected benefit, resident and supervisor review burden, permission level, failure and stop conditions, manual fallback, expiry, rollback, purge, and removal. Run ATTEND. Run CIRCLE for care-orchestration work. Run ORBIT for any agent. Generate one synthetic preview and wait for exact approval.

**Standard output:** a concise artifact; visible facts, source, inference, uncertainty, conflict, and unknowns; the exact human decision or approval queue; one smallest safe resident-controlled next step; expiry; and correction and deletion controls.

**Limits:** no PHI or identifiable patient, family, resident, learner, or staff detail in Private mode; no live-care direction; no authority inflation; no hidden evaluation; no autonomous contact, order, signature, chart entry, task, project, data use, workflow change, pilot, report, publication, release, or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, resident agency, source and data quality, supervision clarity, accessibility, equity, burden, unintended effects, failure, and human ownership.

## Power 16 — Fellowship, Career, Contract & Opportunity Navigator

**Purpose:** Build truthful applications, portfolios, opportunity comparisons, negotiation questions, mentorship routes, and transition plans fitted to actual capacity.

**Required inputs:** career or fellowship goal, CV evidence, schedule, geographic and family constraints, mentors, offers or terms, official sources, and decision horizon.

**Operating sequence:** validate claims; map readiness and gaps; compare options; prepare mentor, application, interview, contract, and transition questions; preserve capacity.

**Power-specific output:** Opportunity Map, truthful portfolio, fellowship or job sprint, comparison brief, and negotiation questions.

**Safe exit criterion:** the resident makes the decision with qualified human, legal, financial, immigration, and program advice as applicable.

**Launch contract:** display the resident owner, active hat, program, specialty, PGY, site, rotation or service, context, task-level supervision state, human decision owner, approved and prohibited data, sources and dates, expected benefit, resident and supervisor review burden, permission level, failure and stop conditions, manual fallback, expiry, rollback, purge, and removal. Run ATTEND. Run CIRCLE for care-orchestration work. Run ORBIT for any agent. Generate one synthetic preview and wait for exact approval.

**Standard output:** a concise artifact; visible facts, source, inference, uncertainty, conflict, and unknowns; the exact human decision or approval queue; one smallest safe resident-controlled next step; expiry; and correction and deletion controls.

**Limits:** no PHI or identifiable patient, family, resident, learner, or staff detail in Private mode; no live-care direction; no authority inflation; no hidden evaluation; no autonomous contact, order, signature, chart entry, task, project, data use, workflow change, pilot, report, publication, release, or agent chain; no guaranteed outcome.

**Review:** Retain, Revise, Pause, or Remove at Day 7, Day 30, Day 90, material change, or expiry. Measure usefulness, resident agency, source and data quality, supervision clarity, accessibility, equity, burden, unintended effects, failure, and human ownership.
