Dr. Jawahar Karreddula Thomas is a fellow of the Royal Australian College of General Practitioners by examination and credentialed to work in hospitals in the state of South Australia. He suffered a life-threatening stroke and was assessed by a medical council-appointed neuropsychiatrist as being unable to ever practice clinical medicine again.

During this period, which progressed into an extended sabbatical, Dr. Thomas founded Meksi, a groundbreaking platform that simulates clinical consultations using AI-driven virtual patients. His academic work bridges the fields of diagnostic reasoning, simulation-based education, and logic-based inference systems. Over the course of this time, Dr. Thomas led the development of the Meksi Propositional Inference Model — a novel clinical reasoning framework that applies propositional logic to analyse learner performance.

Rather than evaluating outcomes alone, the model maps omissions and decision gaps back to their cognitive source: Did the learner not know the question? Did they forget to ask it? Did they misrecognise a pattern? Or did they consider it but dismiss it wrongly? This allows for dynamic, automated generation of what Dr. Thomas calls a “cognitive footprint report” — identifying the thinking flaws behind each missed action and offering individualised feedback and remediation.

This work is currently under peer review with BMJ Innovations and represents one of the first scalable frameworks for cognitive evaluation in virtual clinical training environments. It also integrates seamlessly with curriculum requirements for EPAs, Miller’s Pyramid, and CPD portfolios.

Beyond his platform innovation, Dr. Thomas actively collaborates with universities and medical schools to redesign assessment strategies that prioritise reasoning transparency, not just diagnostic accuracy. His academic interests include diagnostic error analysis, AI in medical education, and the future of digital competence mapping in healthcare. He is committed to shaping a generation of clinicians not just trained in what to ask — but in understanding why they miss what they miss.

Dr. Thomas has now returned to clinical practice after successfully suing the medical council — a pivotal point that made him thereafter a public interest litigant. However, he considers his most precious qualification being dad to Zara and Amaan.