September 2025 Malleus Clinical Medicine (AU/NZ) Update

📖 AnkiHub Decks Updates
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Hey everyone!

This update is very, very overdue and for that I do apologise. Quite a number of our core Maintainer team have been busy over the past few months with a mix of university, work commitments and annual leave. Despite this, many developments have occurred over the August-September period, most notably our Annual General Meeting, which I have tried to summarise below as best as I can.

:books: Deck Updates

  • Deck Stats:

    • Current card count: 7274

    • Current subscribers: 1569

  • Various minor changes:

    • Improved HTML for tables within cards (ongoing process)

    • Changed extra field to left inclined bulleted lists for 2+ pieces of information listed

    • Fixed tags visibility issue for Android users

    • Decision to implement more stricter tagging guidelines surrounding yield to make deck more useful for users (definitions in our Submission Guidelines):

      • Low

      • Medium

      • High

      • Beyond medical student level

  • New topics include (but not limited to):

    • ADHD

    • Alcohol use disorder

    • Anambryonic pregnancy

    • Anorexia nervosa

    • Bacterial prostatitis

    • Canadian CT Head Rules

    • Collagenous colitis

    • Conn syndrome

    • Couvelaire uterus

    • Defence mechanisms

    • Delusional disorders

    • Ectropion

    • Fluids in children

    • Gartland classifications of supracondylar fractures

    • GOLD Guidelines for asthma

    • Hyponatraemia

    • Kawasaki disease

    • Lichen planus

    • Lithium treatment and toxicity

    • LLETZ

    • Mallammpati score

    • Naegele’s Rule

    • Neuroleptic malignant syndrome

    • Obstructive jaundice

    • Personality disorder

    • Placental abruption

    • Placental abruption

    • Pre-eclampsia (including sFlt-1/PIGF ratio)

    • Psychiatric drug brand names

    • Psychosis

    • Reactive arthritis

    • Respiratory failure

    • Serotonin syndrome

    • Shoulder dystocia manoeuvres

    • SIADH

    • Stages of labour

    • Wernicke-Korsakoff syndrome

  • Updated topics include (but not limited to):

    • Ectopic pregnancy

    • Maintenance fluid requirements (with new randomisation)

    • Menstrual cycle

    • Pyelonephritis

    • Urinary tract infection

    • Schizophrenia

:spiral_calendar: Project Malleus Annual General Meeting (AGM) 2025

On the 23rd of September at 6:30pm, we held our first AGM! For those interested, the AI minutes of this meeting can be found here and the accompanying slides can be viewed in PDF format here. We spoke about some of the major developments of the project over the past few years including our new notetype, not-for-profit registration, the new 2026 Executive and General Committee structure and our plans for 2026-27. Of particular note, we discussed our current major objective which is to finish the Malleus deck by the end of 2026, which is an achievable goal now that we have a more clearly defined committee structure and a clear way of tracking progress according to the PassMed ‘High Yield’ database, which we are slowly integrating into our Notion site so we can have everything within Notion rather than a sole Google doc. More about this development in our previous e-newsletter earlier this year here.

Since we opened registrations to become a ‘General Member’ of Project Malleus, we have had 69 people sign up, with a broad demographic make-up from pre-clinical students allow the way to practicing consultants! A reminder anyone can sign up for free on our website homepage here to keep up-to-date on the project and learn about new ways to get involved.

:check_box_with_check: Project Malleus Elections 2025

The current make-up of the 2026 Project Malleus Committee was advertised recently on our social media accounts, and can be viewed on our dedicated elections webpage here. Congratulations to all elected officers! We will be in touch in the coming weeks regarding an induction meeting for all elected members. For any questions regarding the elections process, please email Alex (secretary@malleus.org.au) or Eric (president@malleus.org.au).

We plan to kick off with an entirely new meetings structure in January 2026 with;

  • Executive Committee meetings (monthly)
  • General Committee meetings (fortnightly)
  • Maintainer Subcommittee meetings (fortnightly)

As can be seen above, we still have several unfilled/vacant positions that you may wish to nominate by emailing our Secretary Alex (secretary@malleus.org.au) if eligible. We are especially actively seeking someone to fill our final vacant Executive Committee position of ‘Sponsorship Officer’ - if this is a role you think you might be interested in, please consider putting your hand up! A reminder that you must check your eligibility by reading the Election Rules document before applying.

:globe_with_meridians: Website Updates

:hammer_and_wrench: Plugin Updates

Special thanks to @sabicool for ongoing enhancements to our plugins! :laptop:

  1. Malleus Anki Helper Add-on

    • Addition of dedicated ‘Yield’ checkbox when creating all cards.

  2. Malleus Chrome Extension

    • Minor bug fixes.

:sparkles: Community Shoutouts

Huge thanks to the contributors making the Malleus deck stronger every day! :tada:

:heart_hands: Top Reviewers of the Week (as of 08/11/25):

:heart_hands: Top Contributors of the Month (as of 23/10/25):

Keep smashing those spacebars! :flexed_biceps:

:sparkles: Malleus Cup Updates

Congratulations to @braviboron who cleanly won the Malleus Cup, having demolished all competition pretty much from the get go. The final tally was;

  1. @braviboron = 444 points

  2. @mrvhyte = 69 points

  3. @mohsenz22 = 20 points

@braviboron has been immortalised on our website under our new Malleus Cup page and was awarded a AUD$100 VISA gift card. We will announce in the coming months whether the Malleus Cup will return next year.

:link: Partnerships & Collaboration

  • Therapeutic Guidelines and Clarity on AnkiHub’s Terms of Service

    • We are in ongoing formal discussions with Therapeutic Guidelines about licensing arrangements and reproducing their content in our deck while respecting copyright law.

    • It is likely we will be forced to reduce the screenshotted amount of content from Therapeutic Guidelines we include in our cards, however we are still in discussions on this

    • Therapeutic Guidelines have formally asked us to clarify the Terms of Service (ToS) of AnkiHub as a prerequisite for furthering discussions regarding any potential collaborations.

    • We have subsequently been in open communication with @TheAnKing and the AnKing team regarding amending the AnkiHub terms of service, specifically with respect to the following sections:

    Ownership Transfer. All rights, title, and interest in and to such content are hereby transferred to and shall be owned exclusively by AnkiHub. This transfer of ownership includes all intellectual property rights associated with the content.

    License Grant. You grant AnkiHub a perpetual, irrevocable, royalty-free, worldwide, and sublicensable license to use, reproduce, modify, publish, distribute, and display such content in connection with our website and the Service. This license also includes the right to use the content for our promotional, advertising, and marketing purposes.

    • We (the Project Malleus maintainers) believe the above ToS as written strongly stifles collaboration with external owners of copyrighted content and makes it difficult to maintain our open-source intentions and partner with other licensed providers of educational content

    • If someone voluntarily submits a flowchart or any sort of contribution to a deck, we do not feel it is appropriate or remotely ethical that AnkiHub takes intellectual ownership rights over such a contribution and would urge the owners of AnkiHub to update this as a matter of urgency

    • To Nick’s credit and the AnkiHub team, they have expressed a willingness to update their ToS to better represent the collaborative mission of AnkiHub and have advised they are awaiting their legal department to provide guidance on this

  • eMedici

    • We are continuing to tag eMedici questions and align them with existing cards in the Malleus deck

:waving_hand: Get Connected

Get involved with Project Malleus by visiting our website and following us on various social media channels below. We’re especially active on our community Discord, and if you are passionate about the project and are keen to become a Maintainer, don’t hesitate to get in touch so we can point you in the right direction. :slightly_smiling_face:

:round_pushpin: Website: malleus.org.au

:round_pushpin: Discord: Join Us

:round_pushpin: Facebook: Follow Us

:round_pushpin: YouTube: Subscribe

:round_pushpin: Email: admin@malleus.org.au OR president@malleus.org.au

Given the ongoing time constraints we have with putting these bimonthly newsletters together, we will be transitioning to Quarterly reports (4 newsletter updates a year) covering 3 months rather than 2 months. Our first Quarterly reports will be at the start of 2026.

See you then. Apologies once again for the late update!

Kind regards,

Stapedius & The Malleus Team :blue_heart:

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Hey everyone,

Thanks so much for bringing this up.

As we mentioned when you reached out to us privately, the current wording in our Terms of Service does not reflect what we actually intend around ownership of content shared through AnkiHub. As soon as this was brought to our attention, we flagged it with our legal team. Our goal is to make it clear that contributors keep ownership of their work and that our terms support the open, collaborative spirit we all care about. We’ll escalate this to make sure it gets done ASAP.

We really appreciate the time and thought you’ve put into this. Thanks for your patience and for working with us while we update the ToS.

— The AnkiHub Team

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Appreciate this and I have updated the paragraph to make it clear that you guys have been very forthcoming and supportive of such changes so far! Glad to hear it’s being escalated - as you know it’s been our main barrier to partnering with different licensed content providers hence the request for it to be expedited. :blush:

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Thank you! Appreciate that. We completely removed the following section from the TOS:

  1. Ownership Transfer. All rights, title, and interest in and to such content are hereby transferred to and shall be owned exclusively by AnkiHub. This transfer of ownership includes all intellectual property rights associated with the content.

LMK if that addresses the concerns!

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Thank you! Really appreciate you doing this. With regard to this other section:

License Grant. You grant AnkiHub a perpetual, irrevocable, royalty-free, worldwide, and sublicensable license to use, reproduce, modify, publish, distribute, and display such content in connection with our website and the Service. This license also includes the right to use the content for our promotional, advertising, and marketing purposes.

I personally think the use of decks for advertising should be opt-in, and with explicit permission sought from the deck owners. I think this also protects IP that may be given in the deck with strict permissions about its use (sharing outside of AnkiHub is not necessarily something they would agree to, particularly if this marketing promotes raising of funds which could theoretically be seen as making money off copyrighted content). Hope that makse sense!

Cheers! :blush:

2 Likes