Skip to content
Lorraine logo

Reducing the cognitive load on doctors across Africa.

We build the infrastructure around medicine — learning, practice, billing, communication — so it works for the clinician, not against them. From the day a doctor starts studying for their specialist exams to the day they run their own practice.

Registrars studying today
~80
Practice questions
~900,000+
CMSA tracks
100+
Doctors in Africa
~1.5M
Pretoria's central business district from above, historic facades and office blocks packed back to the horizon
Capital cities across Africa: Pretoria, Nairobi, Accra, Kampala, Gaborone, Freetown, Maseru.
  • Live in South Africa
  • POPIA-aligned
  • Mapped to CMSA syllabi
  • Mobile-first + offline
  • Expanding to East & West Africa
  • Built in SA
A clinician leaning over a desk, writing case notes by hand
The problem

Africa's doctors carry a cognitive tax that was never theirs to bear.

  1. Fragmented exam prep

    Registrars preparing for the CMSA, COSECSA, or NPMCN study from outdated notes, scattered PDFs, and WhatsApp groups — in whatever hours a full clinical week leaves them.

  2. Paper-era practices

    Scheduling, billing, medical aid claims, patient follow-up, and compliance run on paper.

  3. The doctor absorbs the gap

    Every inefficiency lands on the same person. The doctor becomes the admin, the billing clerk, and the IT support — at the cost of their patients, and their own life.

CMSA — South AfricaCOSECSA — East AfricaNPMCN — West Africa
What we build

Two products. One continuum.

The same problem at two stages of a doctor's career. The registrar learning on Lorraine Learn today is the specialist running their practice on Loop in three to five years.

Lorraine Learn and Loop, compared by scope
Lorraine Learn/learn

Structured exam prep for the next generation of specialists.

Adaptive curricula mapped to each exam syllabus — CMSA today, COSECSA and NPMCN next. Formative assessment with detailed clinical reasoning. Short sessions, mobile-first, offline-capable, built around a clinical schedule.

Explore Learn
Loop/loop

AI-native practice management for African realities.

Scheduling, clinical documentation, billing, medical aid claims, patient communication, and compliance — handled by AI, confirmed by the doctor. Built for mixed cash-and-medical-aid billing, multilingual patients, and practices of one to five doctors.

Discover Loop
The flywheel

The same doctor, four times.

Today’s registrars become tomorrow’s specialists — and tomorrow’s specialists become the mentors and content contributors for the next cohort.

  1. 01

    Registrar

    Studies on Lorraine Learn between ward rounds, commutes, and night shifts.

  2. 02

    Specialist

    Passes the boards. Trust built during the learning phase carries forward.

  3. 03

    Practice owner

    Runs their practice on Loop — the system carries the operational load.

  4. 04

    Mentor

    Becomes a content contributor and reviewer for the next cohort.

The opportunity

The exam pipeline is a bottleneck. The practice environment is a drain.

Every registrar who fails or delays is a specialist the continent does not get. Every specialist who burns out on administration is clinical capacity lost. The AI moment makes it economically viable to build personalised, intelligent tools at African price points — for the first time.

We have not found a tool built for the whole arc — exams, then practice. So we are building one, starting with the exams.

~1.5M
Doctors in Africa
A continent of clinical talent working against systems never designed for them.
100+
CMSA tracks on Lorraine Learn
Covering the major colleges first, then East and West Africa.
Accountability

Held to the standards doctors are held to.

Curriculum alignment, clinical review, and where the data lives are the parts of this that cannot be taken on trust. So we publish them.

Exam alignment
Content is mapped to the CMSA syllabus today. COSECSA and NPMCN follow as we expand into East and West Africa.
Clinical review
We are seating a Clinical Advisory Board of practising specialists and registrars to review model output and guideline coverage, independently of the product team. Members will be named as seats are confirmed.
Data residency
Application data and backups are hosted in AWS af-south-1 (Cape Town). Model inference currently runs on GPU capacity in the United States. Every provider and the country it operates from is listed in our sub-processor register.
Privacy
POPIA-aligned handling throughout, with a signed Data Processing Agreement available on institutional contracts.
Where it runs
Mobile-first and offline-capable, for intermittent connectivity, shared devices, and a clinical schedule rather than a student one.
Our promise

The system should carry the load. Not the doctor.

Founded in South Africa · Building for the continent