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A post hoc analysis suggested that higher cue utilization may be associated with a greater capacity to recognize low prevalence cases. This study provides support for the role of cue utilization in the development and maintenance of skilled diagnosis amongst pathologists. Pathologist training needs to be structured to ensure that learners have the opportunity to form cue-based strategies and associations in memory, especially for less commonly seen diseases. Pathologist training needs to be structured to ensure that learners have the oppor