Assignment

PE / acute dyspnea — recognition + stewardship

Med-2 Clerkship · Acute Dyspnea After Arthroplasty · due Apr 20, 2026

Completion funnel

43% completed the case

Assigned

—

Started

−2

Completed timeline

−2

Submitted DDx

−1

Submitted plan

−2

Completed case

−1

Cohort

Who this assignment targets

Cohort: Med-2 Clerkship
Rotation: Internal Medicine Clerkship
Learners: 14
Assigned: Apr 6, 2026
Due: Apr 20, 2026

Reasoning patterns from this assignment

Insights scoped to this cohort and case

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.

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.