Q: How do you approach teaching the honing of skills to picking up high risk disease with a low prevalence?
A: “It is a shit-show. let’s just get it out there. these conditions should be missed or we should accept an enormous amount of overtesting.
Our society should issue a statement that missing pulmonary embolism, dissection (of any vessel), necrotizing fascitis – unless the pt presents with totally classic symptoms, should be considered the standard of care”
– Scott Weingart, emcrit.org.