Aditum Demo University

What should I pay attention to?

A cohort-level read on how your learners reason — the reasoning gaps worth a debrief, ranked by clinical priority, not by raw score.

Active learners

across 3 cohorts

Cases completed

this block

Median reasoning

4-pillar mean, 0–100

Open assignments

in progress

From insight to teaching

1. Spot the gap
Scan the top insight cards and the cohort heatmap — each card is a reproducible reasoning failure, ranked by clinical priority.
2. Trace the cause
Open the case report to see exactly where learners diverged — which clue was missed, which test over-ordered, which safety step skipped.
3. Close the loop
Run the suggested 10-minute debrief, then assign a case that targets the same reasoning habit and watch it improve.

Top reasoning insights

Ranked by severity × prevalence × teachability

Full feed

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.

Cases needing debrief

Highest-priority teaching moments

Acute Dyspnea After ArthroplastyCDEMO01
55% omitted a can't-miss diagnosis from the differential.
Anchor the can't-miss list for this presentation and require explicit exclusion.
Upper GI Bleed — Transfusion StewardshipCDEMO06
Test stewardship is the weakest pillar at 58 across the cohort.
Target a debrief on test stewardship for this case.

Cohort reasoning profile

Where each group is strong or thin across the four faculty pillars

On track ≥ 70Watch 40–69Needs attention < 40

Cohort	Diagnostic ability	Test stewardship	Management & safety	Knowledge & evidence
Med-2 Clerkship Internal Medicine Clerkship	64	41	58	72
PGY-1 Internal Medicine Inpatient Medicine — Block 9	76	68	52	74
PGY-3 Internal Medicine Senior Resident — Ambulatory	84	81	82	66

Cohort

Diagnostic ability

Test stewardship

Management & safety

Knowledge & evidence

Med-2 Clerkship

Internal Medicine Clerkship

PGY-1 Internal Medicine

Inpatient Medicine — Block 9

PGY-3 Internal Medicine

Senior Resident — Ambulatory

Cells colored by status thresholds from DDx scoring policy v1.0.0 — success ≥ 70, warning ≥ 40.

Cohort comparison

Overlaid pillar profiles — the gaps between cohorts are where targeted teaching pays off.