Lusitropy Terms of Service

"Cognitive Relaxation"

Lusitropy is an AI-powered educational platform for trainees and providers in pediatric cardiac anesthesia and congenital heart disease. It supports studying and case planning and lets you pose follow-up questions, and your learning plan is updated continuously with further recommendations. Lusitropy is not a replacement for clinical experience, formal training, or independent critical thinking.

Lusitropy is available as an iOS app and as a companion web experience at lusitropy.com. Account creation is optional: you may use the app anonymously, or create an account to sync your progress across devices and the web.

Key Features

My Learning Plan — Set your learner level to receive a more precise educational experience tailored to your training stage.

Review — Topic-based reading and practice questions, with difficulty suited to your learner type.

Guided Tutoring — Do you ever wish you could ask your textbook a question? Pediatric cardiac anesthesia concepts are complex and often overwhelming. Let the guided tutor walk you through topics and ask clarifying questions to dig deeper into difficult concepts.

Case Stories — Log and plan for your upcoming cases. Take it a step further by generating story preambles or moving the discussion to the tutor to dive deeper. Case Stories must use fictional or de-identified educational scenarios only.

Daily Insights — AI-generated educational content summaries to keep concepts fresh.

Progress — Your progress is always a tap away. Track completion, strengths, weaknesses, and long-lost knowledge, and find recommendations for refreshers or areas of improvement.

Simulation — Educational scenario practice for rehearsing decision-making in a study setting.

Advocating AI Safety — While the scope of use for AI is ever-evolving, Lusitropy aims to provide a measured approach to AI in education. This tool augments, but does not replace, your cardiac curriculum. All content and conversation are moderated by experts to help ensure accuracy. If you have created an account, you may be notified of updates in content or if we feel you have been taught something in error.

Education Use and Limitations

Not a Replacement for Clinical Experience. Lusitropy is designed as a tool to enhance your existing educational model. It does not replace formal training experiences, clinical exposure to patients, or professional medical judgment. Lusitropy's content is based on medical literature, expert opinion, and general knowledge present in AI model training. While expert opinion hopes to steer your conversation in the right direction, generative AI can be inaccurate — hence the need for safety and careful evaluation of data. All clinical decisions must be made by qualified professionals in line with institutional policies and current standards of care.

Protected Health Information. Lusitropy must never be used to enter or process protected health information (PHI) or any personally identifiable patient data. Never enter patient names, medical record numbers, dates of birth, or other identifiers. Such use violates this policy and may result in account action. You are responsible for complying with institutional privacy policies, data protection laws, and applicable regulations (for example, HIPAA in the United States).

Not a Medical Device. Lusitropy is not regulated as a medical device and is not designed or validated for clinical use, emergency care, or time-critical decisions. It is an adjunctive study aid only.

By using Lusitropy, you acknowledge and agree that it is an educational tool only and not for clinical use from any perspective — diagnostic, therapeutic, procedural, or operational.

About Guided Tutoring

The guided tutor is Lusitropy's AI-powered educational assistant, built using an LLM (large language model) and a growing database of expert-curated knowledge. It is designed to support your learning in pediatric cardiac anesthesia and congenital heart disease by answering questions, explaining concepts, and discussing topics alongside the app's reading, questions, and case content. Responses are tailored to your learner type to better match your level. The guided tutor is a study aid only and is not part of clinical care or decision-making.

Limitations and Risks of AI

Generative AI poses well-known risks in medicine and medical education. The tutor may produce inaccurate, incomplete, or outdated information; generate plausible-sounding but false content ("hallucinations"); reflect biases or gaps in training data; and lack awareness of the latest guidelines, institutional protocols, or local practice standards. AI output is not peer-reviewed, not validated for clinical use, and should never be relied on for diagnosis, treatment, or patient care decisions. You are responsible for verifying important information against authoritative sources and for using the tutor only as an educational supplement under appropriate supervision.

Educational Use Only

The tutor is for educational use only and does not provide medical advice, diagnosis, or treatment recommendations. It is not a substitute for formal training, supervised clinical experience, or professional judgment. All clinical decisions must be made by qualified healthcare professionals in accordance with institutional policies and current standards of care.

Privacy and Protected Health Information

Conversations with the tutor may be processed for accuracy and product improvement. The tutor must never be used to enter or process protected health information (PHI) or any personally identifiable patient data. Never enter patient names, medical record numbers, dates of birth, or other identifiers. Such use violates this policy and may result in account action. You are responsible for complying with institutional privacy policies, data protection laws, and applicable regulations (for example, HIPAA in the United States).

By using the tutor, you acknowledge that:

• The tutor is for education only and must not be used for diagnosis, treatment, or clinical decision-making; it does not replace supervised training or professional medical judgment.

• The tutor's responses can be wrong, incomplete, or outdated and may not reflect current guidelines or your institution's protocols.

• You will verify important information with authoritative sources and not rely on the tutor for clinical or patient care.

• You will never enter protected health information (PHI) or any patient-identifiable data into the tutor.

The tutor is powered by OpenAI's technology, which is continually updated to reflect improvements in accuracy, safety, and utility. The tutor's development and deployment are guided by a commitment to responsible AI use in healthcare education, aligned with the principles set forth by the AAMC, AMA, and ACCME. Lusitropy prioritizes privacy with no ads, no tracking for advertising, and no sale of user data.

Category of Use — Educational Only

Lusitropy is an educational application. It is intended solely to support learning and study. It does not provide medical advice, clinical decision support, diagnosis, treatment recommendations, patient monitoring, or any real-world patient-care guidance. Do not use Lusitropy to make, confirm, or influence clinical decisions.

• Not a medical device: Lusitropy is not regulated as a medical device and is not designed or validated for clinical use, emergency care, or time-critical decisions.

• No replacement for formal training: It is an adjunctive study aid only. It does not replace formal medical education, institutional policies, supervision by attending physicians, or evidence-based clinical guidelines.

• Content limitations: Educational content may be simplified, incomplete, or out of date. Always consult authoritative primary sources and current institutional protocols.

• No PHI: Do not enter protected health information or real patient identifiers. Lusitropy is not designed to receive or store clinical records.

• Professional responsibility: You remain solely responsible for verifying information and for all decisions made in clinical or real-world settings.

Summary

• Privacy-first and non-commercial: Lusitropy has no ads, no tracking for advertising, and does not sell user data. It is a philanthropic, learner-centered tool created to improve education in pediatric cardiac anesthesia.

• Anonymous-by-choice: You may use the app without creating an account. The app will collect anonymous usage data to improve your experience (for example, saving progress on-device or with an app-generated identifier). Creating an account is optional and allows your data to sync across devices.

• Responsible AI: Lusitropy uses artificial intelligence (AI) features powered by OpenAI to support educational interactions. Our approach aligns with the principles set forth by the AAMC, AMA, and ACCME for responsible AI use in medical education — emphasizing transparency, human oversight, educational integrity, and data privacy.

• Limited service providers: We use essential service providers (secure hosting, email delivery, and AI processing). These providers act under our instructions and are not permitted to use your data for their own marketing.

Scope

This policy governs the Lusitropy iOS application and associated web services and APIs (the "Services"). By using the Services, you agree that your information will be handled as described herein. The Services are designed solely for educational purposes and are not a substitute for professional medical judgment, diagnosis, or treatment. You must not submit protected health information (PHI), real patient identifiers, or any data that would reasonably identify an individual patient.

For clarity, the Services include reading and interactive learning modules; practice questions and progress tracking; Case Stories tools for educational scenario planning; the AI tutor (topic-based tutoring, follow-up questions, and End the Story self-reflection); Daily Insights; Simulation; and account creation and synchronization features.

Misuse restrictions: You agree not to attempt to re-identify individuals from de-identified or anonymous data; upload unlawful, defamatory, harassing, or discriminatory content; probe, scan, or test the vulnerability of the Services; interfere with or disrupt the Services; use automated scraping or data harvesting tools; attempt to circumvent technical or policy restrictions; or use the tutor to generate, request, or store content contrary to these terms — including content intended for real clinical decision-making.

Data We Collect

We collect the minimum data necessary to operate features and improve learning. Depending on your choices, data may be linked to an app-generated identifier (anonymous mode) or to your account (if you create one).

• Account Information (optional): Username, email address, first and last name, date of birth, hashed password. Used for authentication, cross-device sync, account recovery, and service communications. Optional unless you choose to register.

• Learning Activity: Topics viewed, question attempts and results, time-on-task, session identifiers, and study plan progress. Used to show your progress, personalize recommendations, and improve product quality.

• Case Stories Data: Educational patient demographics and scenario data, AI-generated story preambles, End the Story reflections, and checklist items. These must be fictional or de-identified educational scenarios — never real patient data.

• AI Conversations: Messages you send to the tutor (prompts), AI-generated responses, conversation metadata, and token usage metrics. Do not include PHI, patient identifiers, or confidential institutional content.

• Device and App Diagnostics: App version, OS version, and basic event and error logs; servers may record IP address and user agent for security. Retained on a limited, rotating basis.

Data We Do Not Collect

• We do not access your device contacts, calendars, or precise location.

• We do not record audio or video, and we do not run background tracking.

• We do not collect payment information (there are no ads, subscriptions, or purchases).

• We do not scan your photo library; if you choose to upload a file, only the selected file is transmitted for that purpose.

• We do not collect biometric data or access Apple HealthKit data.

• We do not use advertising identifiers (IDFA) or participate in ad tracking frameworks.

AI Safety and Responsible Use

Lusitropy integrates AI features powered by OpenAI to support educational interactions through the tutor, story preambles, End the Story self-reflection, daily insights, and follow-up question generation. When you use AI-powered features, the text of your prompts and relevant conversation context are transmitted to OpenAI's API for processing. We do not send your name, email, or account credentials to OpenAI. Conversation data is also logged on our servers for quality review and improvement.

AI responses are generated by a large language model guided by expert-curated knowledge and system instructions. Content is periodically reviewed by subject-matter experts to improve accuracy. However, AI-generated content is not peer-reviewed in real time and may contain errors. You are responsible for verifying important information against authoritative sources. No automated decisions are made about your account standing, access rights, or educational outcomes.

How We Use Data

We use data to provide and maintain the Services; generate AI responses tailored to your learner type; save and sync your progress and personalize recommendations; review AI conversations and learning interactions to improve content accuracy; conduct aggregated, de-identified research on AI in medical education; debug issues and prevent abuse; send account-related messages; and meet legal obligations.

Third-Party Services

We use a limited number of third-party service providers. We do not use third-party analytics SDKs, advertising networks, or social media tracking tools.

• OpenAI: Provides the large language model that powers the tutor and other AI features. When you use AI features, your prompt text and conversation context are transmitted to OpenAI's API. We configure our integration to minimize data retention on OpenAI's side consistent with their API data usage policies.

• DreamHost: Provides web hosting infrastructure and SMTP email delivery. Your account data (if created) and learning data are stored on DreamHost-hosted servers, and email communications are delivered through DreamHost's mail servers.

No other third-party services receive your data. We do not use Google Analytics, Firebase, the Facebook SDK, or any similar tools.

Sharing and Disclosure

• No ads, no selling: We do not sell your data and do not share it for advertising or marketing. We have never sold user data and have no plans to do so.

• Service providers only: We share information with the vendors listed above (OpenAI, DreamHost) strictly to operate the Services.

• De-identified research: We may publish or share aggregated, de-identified data for non-sponsored educational research purposes.

• Legal compliance: We may disclose information when required by law, regulation, or legal process, or to protect safety, rights, or the integrity of the Services.

Anonymity and Accounts

On first launch, the app generates a unique identifier (UUID) stored locally on your device. Progress, settings, and AI conversation data may be linked to this identifier in anonymous form. If you opt in to create an account, we link progress and conversation data to your account so it can sync across devices. Reinstalling the app or clearing local data may reset local identifiers and settings.

Data Retention

• Account and progress data: Retained while your account remains active. Upon an account deletion request, data is removed from active systems within 30 days, subject to lawful retention obligations.

• AI conversation logs: Retained for quality review and product improvement, up to 12 months after creation, after which they are de-identified or deleted.

• Security and error logs: Kept on a limited, rotating basis (typically 90 days).

• Aggregated analytics: De-identified, aggregated data may be retained indefinitely for research and product improvement.

Your Choices and Rights

You may use the app anonymously; request a copy of your data, correction of inaccuracies, or deletion; request a machine-readable export of key learning data linked to your account; and opt out of non-essential communications. Account and data-management tools are being expanded within the app and on the web; in the meantime you can exercise any right by contacting us.

For California residents (CCPA/CPRA): You have the right to know what personal information we collect, use, and disclose; request deletion; opt out of the sale or sharing of personal information (note: we do not sell or share personal information for advertising); and non-discrimination for exercising your privacy rights.

For EU/EEA/UK residents (GDPR): You have the right to access your personal data and obtain a copy; rectification; erasure ("right to be forgotten"); data portability; objection to processing; restriction of processing; and to lodge a complaint with your local data protection authority. Our legal bases for processing include legitimate interest, consent, and legal obligation.

How to exercise your rights: Contact us at learn@lusitropy.com. We will verify your request and respond within 30 days consistent with applicable law.

Security

We use administrative, technical, and physical safeguards designed to protect information, including encryption in transit (TLS), hashed passwords (never stored in plain text), role-based access controls, audit logging of administrative access, least-privilege practices, and secure software development processes. No system is perfectly secure. Please avoid submitting sensitive personal data, patient identifiers, or any data beyond what is needed for educational use.

Children's Privacy

Lusitropy is designed for medical professionals, trainees, and students. The Services are not directed to children under 13, and we enforce a minimum age of 13 at account registration, consistent with COPPA. If you believe a child under 13 has provided personal information, contact us at learn@lusitropy.com to request deletion.

International Use

Your information may be processed and stored on servers located in the United States. By using the Services, you consent to the transfer of your information to the United States. Where we transfer personal data from the EU/EEA/UK, we rely on applicable legal mechanisms to ensure adequate protection consistent with GDPR requirements.

Contact

If you have questions about this policy, our privacy practices, or wish to exercise any of your rights, contact us at learn@lusitropy.com.

Changes to This Policy

We may update these Terms and this Privacy section from time to time. Material changes are published with an updated version and effective date. When the version changes, the app and website will ask you to review and accept the updated Terms. If you have a registered account with an email on file, we will make reasonable efforts to notify you of material changes. Continued use of the Services after changes take effect constitutes acceptance of the updated Terms.