Systems and methods are disclosed that access over a network a set of codes and respective code descriptions from a first data store. Course data for courses is accessed over a network from a second data store. Code descriptions and course data are compared, and the comparison is used to generate a mapping of courses to codes. The network interface is used to access codes associated with patient records for a plurality of patients from an electronic medical record system associated with a medical service provider. Relevancy values are calculated for codes using the codes associated with patient records. The calculated relevancy values and the accessed mapping of courses to codes are used to generate a first ranked presentation of recommended courses. A course selection is detected. Using the selection, a second ranked presentation of recommended courses is generated by a learning engine with updated learning engine weights.