Visually diagnosed medical tests (e.g. radiographs, electrocardiograms) are the most commonly ordered tests in front-line medicine. As such, front-line health care professionals are faced with the task of learning the skill of interpreting these images to an expert performance level by the time they provide opinions that guide patient management decisions. However, discordant interpretations of these images between front-line physicians and expert counterparts (radiologists, cardiologists) are a common cause of medical error1–9. In …
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A 68-year-old woman presents with palpitations, feeling generally unwell for three days. She denies any chest pain, shortness of breath, or lightheadedness. Past medical history includes hypertension, dyslipidemia, and osteoarthritis with no history of dysrhythmia. Her heart rate is 125 and her remaining vital signs are normal. Her pulse is irregular and her physical exam is otherwise unremarkable. ECG shows atrial fibrillation. You slow her heart rate using diltiazem. Your workup reveals no …