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iRubric: Evidence-based Research Case Studies rubric

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Evidence-based Research Case Studies Evidence-based Research Case Studies This is the rubric to be used by AU faculty when grading evidence-based case studies submitted by senior physician assistant students in their clinical year. This rubric will be applied to grading the Family Medicine and Emergency Medicine papers. Rubric Code: TX2CC67 By jmathews Ready to use Public Rubric Subject: Nursing Type: Writing Grade Levels: Graduate

I: HPI DIRECTED for EM COMPREHENSIVE for FP
	Consider Remediation 0 pts	Unacceptable 6 pts	Marginally Acceptable 7 pts	Satisfactory 8 pts	Very Good 9 pts	Exceptional 10 pts
IA. History 10 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program.	Unacceptable History is scant. The majority of vital information is missing relating to the chief complaint.	Marginally Acceptable	Satisfactory History is age/gender appropriate and contains pertinent information. However, it is missing some vital points relating to the chief complaint.	Very Good	Exceptional History is complete and age/gender appropriate. It is written in logical format (utilizing OLDCARTS or OPQRST)
IB: ROS Pertinent Positvies and Negatives required in HPI ( EM & FP) Complete separate ROS required in FP only.
	Consider Remediation 0 pts	Unacceptable 3 pts	Marginally Acceptable 3.5 pts	Satisfactory 4 pts	Very Good 4.5 pts	Exceptional 5 pts
ROS 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable Review of systems is incomplete and the majority of pertinent positives and negatives are missing from the HPI. (EM & FP) A separate ROS is listed but it is largely incomplete. (FP Only)	Marginally Acceptable	Satisfactory The majority of pertinent positives and negatives are noted in the HPI, but several are missing. (EM & FP) A separate ROS is noted but is somewhat incomplete(FP Only)	Very Good	Exceptional There is a complete review of systems addressing all systems related to chief complaint noted in the HPI. (EM & FP) A complete and separate ROS is noted (FP Only)
II-Assessment and Plan
	Consider Remediation 0 pts	Unacceptable 3 pts	Marginally Acceptable 3.5 pts	Satisfactory 4 pts	Very Good 4.5 pts	Exceptional 5 pts
Physical Examination 5 points DIRECTED FOR EM COMPREHENSIVE FOR FP	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable Appropriate physical examination is incomplete. The information obtained would not be sufficient to support the diagnosis. (EM & FP) The physical examination has not been completed as instructed. (DIRECTED for EM, COMPREHENSIVE for FP)	Marginally Acceptable	Satisfactory Physical exam is appropriate for the chief complaint but there are pertinent systems or special tests missing. (EM & FP) Physical examination is appropriate for chief complaint but not all other systems were examined (FP Only)	Very Good	Exceptional Physical exam has been completed as instructed, is age/gender appropriate, relates to the chief complaint, and pertinent findings in the HPI. All appropirate special tests are noted. (EM & FP) Physical Examination is appropriate and comprehensive (FP Only)
Labs/Diagnostic Tests 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The majority of the appropriate tests are missing and/or abnormal findings are not flagged as (H) high or (L) low.	Marginally Acceptable	Satisfactory The majority of the appropriate tests have been ordered. There are one or more missing or abnormal findings are not flagged as (H) high or (L) low.	Very Good	Exceptional All appropriate labs and diagnostic tests are recorded. Abnormal findings are flagged as (H) high or (L) low
Assessment and Plan 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The main problem is not listed, the majority of the plan is missing, and/or there is a recommendation that is potentially harmful for the patient.	Marginally Acceptable	Satisfactory The assessment lists the chief complaint/main problem for the patient but one or more problems is missing. The plan is appropriate but not complete or contains recommendations which may not be appropriate for the patient.	Very Good	Exceptional The assessment lists ALL of the pertinent problems for the patient, not just the chief complaint. The plan is ordered properly, follows evidence based medicine, is appropriate for the patient, and demonstrates a logical flow of information.
III-Literature Review
	Consider Remediation 0 pts	Unacceptable 3 pts	Marginally Acceptable 3.5 pts	Satisfactory 4 pts	Very Good 4.5 pts	Exceptional 5 pts
Resources 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable There are (3) or more journal articles that are more than 5 years old. There are more than (2) texts cited. Online resources are not reliable or peer-reviewed.	Marginally Acceptable	Satisfactory There is (1) or more journal article that is more than 5 years old. There are more than (2) texts cited or there are more than (3) online resources cited.	Very Good	Exceptional Review of at least (12) journal articles and text references with a max of (2) texts. All references are less than 5 years old. There are no more than (3) on-line references.
Pathophysiology 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable Explanation of the pathopysiology is weak and incomplete. The majority of the signs and symptoms are not addressed. Epidemiology is not addressed.	Marginally Acceptable	Satisfactory There is adequate explanation of the currently accepted pathophysiology/epidemiology of the chief complaint. There are some points not covered. All signs and symptoms are not covered fully.	Very Good	Exceptional There is clear explanation and obvious understanding of the currently accepted pathophysiology of the chief complaint including a complete description of signs and symptoms. There is an adequate discussion of epidemiology.
Diagnostic Studies 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The majority of the currently accepted diagnostic tests/procedures/screening tests are not discussed.	Marginally Acceptable	Satisfactory Some of the currently accepted diagnostic tests/procedures/screening tests are not discussed. The student does not mention sensitivity/specificity.	Very Good	Exceptional All currently accepted diagnostic tests/procedures/and screening tests are discussed. Sensitivity and specificity of each test is covered. Newer diagnostic tests/studies are discussed.
Treatment and Prognosis 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable There is inadequate discussion of the following and/or several points are left out completely: ALL of of the currently accepted treatments including how they work. New treatments on the horizon. Course of the disease (treated vs. untreated) Morbidities and prognosis	Marginally Acceptable	Satisfactory There is incomplete discussion of the following: ALL of of the currently accepted treatments including how they work. New treatments on the horizon. Course of the disease (treated vs. untreated) Morbidities and prognosis	Very Good	Exceptional There is a complete discussion of the following: ALL of of the currently accepted treatments including how they work. New treatments on the horizon. Course of the disease (treated vs. untreated) Morbidities and prognosis
IV-Clin Syn/Critical Anal
	Consider Remediation 0 pts	Unacceptable 3 pts	Marginally Acceptable 3.5 pts	Satisfactory 4 pts	Very Good 4.5 pts	Exceptional 5 pts
Summary 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The majority of the pertinent finding in this case are omitted or the H&P is simply rewritten.	Marginally Acceptable	Satisfactory Pertinent findings are summarzied but incomplete.	Very Good	Exceptional There is one brief paragraph summarizing ONLY the pertinent findings in the History and Physical Exam that are critical for the discussion of this case. It is NOT a rewritten H&P.
IV-Clin Syn/Critical Anal
	Consider Remediation 0 pts	Unacceptable 6 pts	Marginally Acceptable 7 pts	Satisfactory 8 pts	Very Good 9 pts	Exceptional 10 pts
Diagnostics 10 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable Discussion of actual vs. best treatment as supported by literature is weak and incomplete. There is no clear explanation as to whether or not diagnostics agree with the literature and there are no additional recommendations	Marginally Acceptable	Satisfactory There is discussion of actual diagnostics vs. recommended diagnostics as supported by the literature but it is incomplete. ICD-9/10 codes are included for actual and differential diagnoses. Student does not point out what he/she could have done differently or fails to defend actual recommendations.	Very Good	Exceptional There is a complete discussion of the diagnostic work-up given to the patient, vs alternative recommendation as cited by the literature. ICD-9/10 codes are included with thorough discussion of why differentials were or were not chosen as acutal diasnoses. The student either defends what was done or makes recommedations on what could have been done differently based on the literture.
IV-Clin Syn/Critical Anal
	Consider Remediation 0 pts	Unacceptable 6 pts	Marginally Acceptable 7 pts	Satisfactory 8 pts	Very Good 9 pts	Exceptional 10 pts
Assessment and Plan 10 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable Discussion of actual vs. best treatment as supported by literature is weak and incomplete. There is no clear explanation of whether or not the patient's treatment agrees with literature and there are no additonal recommendations	Marginally Acceptable	Satisfactory There is discussion of actual treatment vs. best treatment as supported by literature but it is incomplete. Student does not point out how he/she may have treated the patient differently/or does not defend current practice.	Very Good	Exceptional There is a complete discussion of the actual treatment of this patient vs. best treatment as supported by the cited literature. Student discusses if and how he/she would treat this patient differently based on these findings. *If the literature supports recommended treatment the student defends the current practice
IV-Clin Syn/Critical Anal
	Consider Remediation 0 pts	Unacceptable 3 pts	Marginally Acceptable 3.5 pts	Satisfactory 4 pts	Very Good 4.5 pts	Exceptional 5 pts
Patient Education/Follow Up Care 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable Patient education is noted but MOST of the major points are missed. OR There is no mention of patient education to be done at a future date. Follow up care is either not mentioned or largely incomplete.	Marginally Acceptable	Satisfactory Patient education is noted but SOME of the points are missing. OR Plans for future patient education is incomplete. Follow up care is mentioned but it is incomplete	Very Good	Exceptional Patient education including signs, symptoms, follow up care, and prognosis is noted. OR Plans for future patient education is noted. There is a complete discussion of necessary follow-up including any appropriate referrals.
V-Style (20 points)
	Consider Remediation 0 pts	Unacceptable 3 pts	Marginally Acceptable 3.5 pts	Satisfactory 4 pts	Very Good 4.5 pts	Exceptional 5 pts
Organization 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The paper does not relay adequate information on the subject, is disorganized and difficult to follow.	Marginally Acceptable	Satisfactory The paper relays infomation but is slighlty disorganized.	Very Good	Exceptional The paper is well-written in a logical, orgainzed manner.
Style 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The paper has numerous errors relating to spelling, grammar, punctuation, and pagination. There is inappropriate use of medical terminology.	Marginally Acceptable	Satisfactory The content has several mistakes in spelling, grammar, punctuation, and/or pagination. Medical terminology is used appropriately most of the time	Very Good	Exceptional The paper has appropriate spelling, grammar, punctuation, and pagination. There is consistent and appropriate use of medical terminology
Documentation 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The paper does not follow the current AMA Manual of Style guidelines.	Marginally Acceptable	Satisfactory The majority of the paper follows the current AMA Manual of Style guidelines.	Very Good	Exceptional All of the paper follows the current AMA Manual of Style gudelines.
Content 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Unacceptable The paper is poorly written with incomplete data and communication of thought.	Marginally Acceptable	Satisfactory There are topics throughout the paper which should have been explained more thouroughly.	Very Good	Exceptional The length of the paper is appropriate to communicate the ideas presented professionally.

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