Analytics

Reasoning insight feed

Every cohort-level reasoning pattern the analytics engine surfaced, ranked by clinical priority. Each card cites the events it was derived from and what to teach next.

Pillar
Severity
Cohort

11 insights · ranked by severity × prevalence × teachability

Missed red flagDiagnostic abilityhigh59% of learners

Hypoxia not pinned before ordering

Only 41% of Med-2 learners pinned the SpO2 89% hypoxia as a safety red flag before opening the test-ordering page; the rest advanced to ordering with the desaturation unflagged.

Prevalence59%
Teachability80%
EvidenceModerate

n = 14 opportunities

Med-2 ClerkshipCases: CDEMO01
FromPinned findingOrder page viewedModule completed

Recommended faculty action

Run a focused timeline review on the SpO2 89% finding; require learners to flag hypoxia before unlocking the workup.

Baseline readiness gapManagement & safetyhigh44% of learners

Anticoagulation started without baseline labs

44% of PGY-1 learners started a DOAC before ordering the baseline CBC, creatinine and coagulation panel — skipping the pretreatment baseline that sets bleeding risk and renal dosing.

Prevalence44%
Teachability85%
EvidenceModerate

n = 12 opportunities

PGY-1 Internal MedicineCases: CDEMO01
FromTest orderedIntervention selectedPlan submitted

Recommended faculty action

Reinforce the baseline panel required before anticoagulation and gate the DOAC order on it.

Can't-miss omissionDiagnostic abilityhigh42% of learners

Aortic dissection dropped from the differential

42% of learners omitted aortic dissection — a must-not-miss cause of sudden chest pain — from the submitted differential, considering only PE and ACS.

Prevalence42%
Teachability80%
EvidenceStrong

n = 36 opportunities

Med-2 Clerkship, PGY-1 Internal Medicine, PGY-3 Internal MedicineCases: CDEMO01
FromDiagnosis addedDifferential submitted

Recommended faculty action

Anchor the can't-miss list for sudden chest pain; require aortic dissection to be considered and excluded explicitly.

Safety monitoring gapManagement & safetyhigh36% of learners

Continuous monitoring omitted before transport to CTPA

36% of PGY-1 learners ordered CTPA without first ordering ECG and continuous telemetry, sending a hypoxic patient to an unmonitored scanner.

Prevalence36%
Teachability82%
EvidenceModerate

n = 12 opportunities

PGY-1 Internal MedicineCases: CDEMO01
FromIntervention selectedTest orderedPlan submitted

Recommended faculty action

Pair CTPA with its mandatory ECG + continuous-monitoring set and make the dependency explicit in the debrief.

Over-testingTest stewardshipmedium52% of learners

Reflex broad panels in mild hyponatremia

52% of Med-2 learners ordered a CT head and an extended metabolic panel for an asymptomatic mild hyponatremia, beyond the indicated osmolality work-up.

Prevalence52%
Teachability78%
EvidenceModerate

n = 14 opportunities

Med-2 ClerkshipCases: CDEMO02
FromTest orderedOrders submitted

Recommended faculty action

Review the indicated work-up for asymptomatic mild hyponatremia; contrast yield and cost of the ordered extras.

Distractor fixationDiagnostic abilitymedium47% of learners

Low-grade temperature drove a pneumonia detour

47% of Med-2 learners tagged the 37.6 °C temperature as relevant and ordered a chest film for pneumonia before pursuing the PE pathway, despite the clear chest on exam.

Prevalence47%
Teachability75%
EvidenceModerate

n = 14 opportunities

Med-2 ClerkshipCases: CDEMO01
FromTagged pinTest orderedDifferential submitted

Recommended faculty action

Debrief why the 37.6 °C temperature is a distractor in PE and contrast it with the swollen calf that changes management.

Missed discriminatorDiagnostic abilitymedium38% of learners

Swollen calf skipped before committing the differential

38% of learners submitted their differential without pinning the unilateral calf swelling — the finding that localises the DVT source and adds three Wells points.

Prevalence38%
Teachability70%
EvidenceStrong

n = 26 opportunities

Med-2 Clerkship, PGY-1 Internal MedicineCases: CDEMO01
FromPinned findingTest orderedDifferential submitted

Recommended faculty action

Teach the discriminating value of the unilateral calf swelling against ACS and pneumonia before the differential is committed.

Context ignoredDiagnostic abilitymedium34% of learners

Recent arthroplasty not factored into pretest probability

34% of learners left the recent knee arthroplasty unpinned and ranked a non-VTE cause first, ignoring the dominant post-operative VTE context.

Prevalence34%
Teachability72%
EvidenceModerate

n = 14 opportunities

Med-2 ClerkshipCases: CDEMO01
FromPinned findingDiagnosis rankedDifferential submitted

Recommended faculty action

Highlight how the 10-day-post-arthroplasty context shifts pretest probability toward PE and re-rank around it.

Contraindication missManagement & safetyhigh18% of learners

Systemic thrombolysis selected in a stable patient

18% of learners selected systemic thrombolysis for a normotensive, haemodynamically stable PE — the case killer — exposing the patient to major bleeding risk with no benefit.

Prevalence18%
Teachability90%
EvidenceModerate

n = 22 opportunities

PGY-1 Internal Medicine, PGY-3 Internal MedicineCases: CDEMO01
FromIntervention selectedDrug orderedPlan submitted

Recommended faculty action

Make the haemodynamic-stability boundary for thrombolysis explicit and rehearse anticoagulation as the safe alternative.

Evidence applicability missKnowledge & evidencemedium31% of learners

D-dimer applied at high pretest probability

31% of PGY-3 learners ordered a D-dimer to gate the workup in a high-Wells post-operative patient, applying the rule outside the low/moderate-probability population where it holds.

Prevalence31%
Teachability70%
EvidenceLimited

n = 10 opportunities

PGY-3 Internal MedicineCases: CDEMO01
FromAnswer selectedQuestion submittedReference clicked

Recommended faculty action

Teach the applicability conditions of the D-dimer gate; contrast where it excludes PE versus where it misleads.

AnchoringDiagnostic abilitymedium29% of learners

Top diagnosis unchanged after the CTPA result

29% of learners did not re-rank their differential after viewing the discriminating CTPA result, leaving an alternative diagnosis on top despite confirmed PE.

Prevalence29%
Teachability68%
EvidenceModerate

n = 22 opportunities

PGY-3 Internal Medicine, PGY-1 Internal MedicineCases: CDEMO01
FromResult viewedDiagnosis rankedDifferential submitted

Recommended faculty action

Run an update-after-evidence exercise: show the CTPA result and require re-ranking before resubmission.