For education and evidence appraisal — not a substitute for clinical judgment.
CertaintyGrade

Terms of Service

Effective date: August 10, 2026

Educational use only. CertaintyGrade is an evidence-appraisal aid for educational purposes. It is not clinical decision support software, does not constitute medical advice, and is not a substitute for professional clinical judgment. All outputs require expert review before application to patient care.

Acceptance

By accessing or using CertaintyGrade (certaintygrade.com), you agree to these Terms of Service. If you do not agree, do not use the service.

What CertaintyGrade is

CertaintyGrade is an educational tool that applies GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology to help clinicians and students practice evidence appraisal. It is designed to supplement — not replace — formal evidence synthesis, expert review, and professional clinical judgment.

Assessments generated by this tool are illustrative outputs from a large language model (Anthropic Claude). They are not peer-reviewed, do not carry the authority of a published systematic review, and should not be used as the sole basis for clinical decisions.

Permitted use

You may use CertaintyGrade for:

  • Personal education and EBM skill-building
  • Medical education in classroom or training settings
  • Illustrative evidence appraisal practice

You may not use CertaintyGrade to generate reports presented to patients or third parties as authoritative clinical guidance, or for any purpose that violates applicable law.

Account and payment

You must be 18 years or older to create an account. You are responsible for maintaining the confidentiality of your login credentials. Pay-per-use assessments are billed via Stripe. All sales are final; refunds are issued at our discretion for technical failures.

Intellectual property

The CertaintyGrade tool, branding, design, and original content are owned by Dr. Adarsh K. Gupta. The GRADE methodology is the work of the GRADE Working Group and is used here in accordance with its open educational framework. The Information Mastery Tool content was developed by Dr. Gupta beginning in 2015.

You retain ownership of the clinical content you enter. By submitting content, you grant us a limited license to process it for the purpose of generating your assessment.

Disclaimer of warranties

CertaintyGrade is provided "as is" without warranties of any kind, express or implied, including warranties of accuracy, fitness for a particular purpose, or non-infringement. We do not warrant that AI-generated GRADE assessments are complete, accurate, or appropriate for any specific clinical situation.

Limitation of liability

To the maximum extent permitted by applicable law, Dr. Adarsh K. Gupta and CertaintyGrade shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising from your use of this service, including any clinical decisions made in reliance on tool outputs.

Changes to these terms

We may update these terms from time to time. Continued use of the service after changes constitutes acceptance of the revised terms. We will notify registered users of material changes via email.

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