{"snapshot":{"total_samp_questions":804,"total_samp_cases":352,"total_soos":13,"overall_samp_accuracy":63.6,"recent_samp_accuracy":71.4,"overall_soo_average":4.13,"study_streak_days":0,"total_study_days":28},"trajectory":{"status":"Mixed","headline":"Mixed Performance (62% recent average)","rationale":"Strong performance in routine ambulatory presentations, but variability occurs when navigating complex polypharmacy or acute urgency prioritization (2 of last 6 errors involve reasoning rather than knowledge).","confidence_level":"High"},"top_strengths":[{"id":9,"item_type":"strength","modality":"samp","category":"Clinical Domain","specific_concept":"Psychiatry Clinical Management","evidence_count":25,"first_identified_date":"2026-09-13","most_recent_date":"2026-11-12","trend":"stable","status":"persistent","supporting_notes":"Demonstrated 78% accuracy across 25 SAMP questions in Psychiatry.","dimension":"Clinical Knowledge"},{"id":12,"item_type":"strength","modality":"samp","category":"Clinical Domain","specific_concept":"Infectious diseases Clinical Management","evidence_count":21,"first_identified_date":"2026-09-13","most_recent_date":"2026-09-13","trend":"stable","status":"persistent","supporting_notes":"Demonstrated 76% accuracy across 21 SAMP questions in Infectious diseases.","dimension":"Clinical Knowledge"},{"id":8,"item_type":"strength","modality":"samp","category":"Clinical Domain","specific_concept":"Endocrinology Clinical Management","evidence_count":14,"first_identified_date":"2026-09-13","most_recent_date":"2026-11-12","trend":"stable","status":"persistent","supporting_notes":"Demonstrated 75% accuracy across 14 SAMP questions in Endocrinology.","dimension":"Clinical Knowledge"},{"id":7,"item_type":"strength","modality":"samp","category":"Clinical Domain","specific_concept":"Gastroenterology Clinical Management","evidence_count":12,"first_identified_date":"2026-09-13","most_recent_date":"2026-09-14","trend":"stable","status":"persistent","supporting_notes":"Demonstrated 79% accuracy across 12 SAMP questions in Gastroenterology.","dimension":"Clinical Knowledge"}],"top_weaknesses":[{"id":27,"item_type":"weakness","modality":"samp","category":"Clinical Domain","specific_concept":"Chronic disease management Decision Thresholds","evidence_count":426,"first_identified_date":"2026-09-19","most_recent_date":"2026-11-12","trend":"stable","status":"persistent","supporting_notes":"Current accuracy is 59% across 426 SAMP questions; needs targeted review.","dimension":"Knowledge"},{"id":17,"item_type":"weakness","modality":"samp","category":"Reasoning Skill","specific_concept":"Knowledge Gap in Multi-Step Management","evidence_count":197,"first_identified_date":"2026-09-13","most_recent_date":"2026-11-12","trend":"worsening","status":"persistent","supporting_notes":"197 logged occurrences involving The underlying medical knowledge was missing..","dimension":"Reasoning"},{"id":28,"item_type":"weakness","modality":"samp","category":"Clinical Domain","specific_concept":"Emergency medicine Decision Thresholds","evidence_count":100,"first_identified_date":"2026-09-19","most_recent_date":"2026-11-12","trend":"stable","status":"persistent","supporting_notes":"Current accuracy is 50% across 100 SAMP questions; needs targeted review.","dimension":"Knowledge"},{"id":18,"item_type":"weakness","modality":"samp","category":"Reasoning Skill","specific_concept":"Prioritization Error in Multi-Step Management","evidence_count":48,"first_identified_date":"2026-09-13","most_recent_date":"2026-11-12","trend":"worsening","status":"persistent","supporting_notes":"48 logged occurrences involving Recognized multiple issues, but chose the wrong priority or urgency..","dimension":"Reasoning"}],"recent_error_patterns":[{"error_type":"knowledge_gap","label":"Knowledge Gap","dimension":"Knowledge","count":197,"percentage":65.2,"example_scenario":"36-Year-Old Female Presenting with Primary Infertility and Menstrual Irregularities: Q2 - Which of the following investigations should be ordered to evaluate this patient's secondary amenorrhea/oligomenorrhea a..."},{"error_type":"prioritization_error","label":"Prioritization Error","dimension":"Reasoning","count":48,"percentage":15.9,"example_scenario":"36-Year-Old Female Presenting with Primary Infertility and Menstrual Irregularities: Q3 - Which one of the following management actions is most appropriate regarding specialty referral for this couple given the..."},{"error_type":"recognition_error","label":"Recognition Error","dimension":"Reasoning","count":19,"percentage":6.3,"example_scenario":"58-Year-Old Male with Newly Detected Elevated Office Blood Pressure: Q2 - Which of the following baseline investigations should be ordered for this patient? 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