Assignment

PE / acute dyspnea — safety sequencing

PGY-1 Internal Medicine · Acute Dyspnea After Arthroplasty · due Mar 30, 2026

Completion funnel

83% completed the case

Assigned

—

Started

—

Completed timeline

−1

Submitted DDx

—

Submitted plan

−1

Completed case

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Cohort

Who this assignment targets

Cohort: PGY-1 Internal Medicine
Rotation: Inpatient Medicine — Block 9
Learners: 12
Assigned: Mar 16, 2026
Due: Mar 30, 2026

Reasoning patterns from this assignment

Insights scoped to this cohort and case

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.

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.