Assignment

PE / acute dyspnea — evidence applicability

PGY-3 Internal Medicine · Acute Dyspnea After Arthroplasty · due Mar 30, 2026

Completion funnel

90% completed the case

Assigned

—

Started

—

Completed timeline

—

Submitted DDx

—

Submitted plan

—

Completed case

−1

Cohort

Who this assignment targets

Cohort: PGY-3 Internal Medicine
Rotation: Senior Resident — Ambulatory
Learners: 10
Assigned: Mar 16, 2026
Due: Mar 30, 2026

Reasoning patterns from this assignment

Insights scoped to this cohort and case

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.

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.