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iRubric: Clinical Feedback rubric

iRubric: Clinical Feedback rubric

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Clinical Feedback 
Evaluation for clinical performance inpatient or outpatient
Rubric Code: V4X55B
By joabbott
Draft
Public Rubric
Subject: Medical  
Type: Assignment  
Grade Levels: Graduate

Powered by iRubric Clinical Evaluation
  Novice

Student is rule driven, requires close supervision for each task. Occasionally makes major errors, and frequent minor ones.

(N/A)

Intermediate

Student is is able to perform under indirect supervision. Student still requires directed guidance. Skills are performed with no major errors, though often minor ones.

(N/A)

Competent

Student is independent, requiring minimal supervision, self guided and resourceful. Student makes no major errors, and minor ones infrequently.

(N/A)

Unskilled

Student is unable to function under close supervision with full direction. Frequently making major errors.

(N/A)

Not applicable

(N/A)

Reliability/Responsibility

Exhibits consistent behaviors of a health care professional
Novice

Is occasionally late without explanation. Needs to be reminded to follow through on expected tasks.
Intermediate

Arrives on time to each session. If absent or delayed notifies approp. When asked, performs tasks as expected.
Competent

Role model for timeliness and budgeting tasks. Seeks out ways to assist team with pt. care or educational opportunities.
Unskilled

Student has unexplained absences or repeated lateness. Does perform expected tasks at the appropriate time. Is seen to avoid patient care interactions.
Not applicable
Honesty/Integrity

In all clinical, administrative and team based interactions.
Novice

Maintains pt. confidentiality. Consistently identifies self as student. When questioned, admits oversights/errors.
Intermediate

Student is forthright in all interactions. Is aware of when errors or oversights have occured, and brings them to the attention of the team
Competent

Shows awareness of clinical boundaries, and those with staff. Shows respect for roles, experience and sets a standard for peers
Unskilled

Violates pt. or provider confidentiality, OR misleads or intentionally gives false data regarding a patient.
Not applicable
Altruism/Advocacy

Pt. interests are placed above students
Novice

Although not aware of how/what health issues are impacted by home or family situation, when asked to do so will gather this data for the team.
Intermediate

Is able to identify and articulate to the team how pt/family situation will affect health or care of patient. Follows through on teams plans to assist pt/family.
Competent

Goes above and beyond role to identify and meet patient/family needs. Identifies resources for them, and follows through.
Unskilled

Unaware or insensitive to patients needs. Doesn't follow through
Not applicable
Team member

Effective contributor to the team, and improves patient care and education for the team
Novice

Student follows explicit direction in team management. Does not consistently perform same tasks without direction.
Intermediate

Student competently follows all requeested activities to assist team and will then perform same activities without direction moving forward.
Competent

Student is proactive and appropriately independent. Seeks guidance after appropriately accessing resources. Functions as role model by anticipating needs of the team and identifies needed resources.
Unskilled

Doesn't communicate with team about abscences, clinical information or is unaware of who or when to communicate with.
Not applicable
Reporter: History taking skills

Novice

Student is able to gather relevant information in an organized approach. History is somewhat disordered, lacking in detail or overly focused on info not relevant to current issues
Intermediate

Hx is gathered in an organized and systematic way. Student is able to understand which information needs additional clarifying detail.
Competent

Student elicits a focused detailed and chronologic history. With both clarifying and quantifying information. Accesses additional hx sources independently to corroborate story.
Unskilled

Student is unfocused, disorganized, unable to gather relevant or important information. OR unable to gather the information needed within a reasonable time.
Not applicable
Reporter: Physical exam

Novice

Physical exam is performed appropriately but is not well organized, or is lacking in relevant detail or overly attentive to irrelevant detail. Exam either too rushed or too slow.
Intermediate

Student performs systematic physical exam which is appropriate, organized and includes all relevant aspects regarding current encounter.
Sensitive to pts. needs.
Competent

Exam is organized, detailed and includes all relevant aspects. Student appreciates subtle and/or unspoken cues from patient.
Unskilled

Student avoids physical exams. Or physical exams are disorganized, or student shows no respect for pt. during exam
Not applicable
Reporter: Write-ups

Provides well-organized, accurate physical exam
Novice

Note is organized and follows expected structure. Note includes all important aspects of patients history/pe but may be either too superficial with details or too busy with unneeded information to be best practice.
Intermediate

Note is organized, focused and appropriately detailed
Competent

Note is focused, organized succinct with appropriate detail and chronology. Includes outside sources and supporting information. Is able to place in context of patient's life
Unskilled

Note is not organized in expected structure. Note is lacking vital information, or is so disorganized as to be distracting.
Not applicable
Reporter: Oral Presentation

Delivers convincing and organized oral presentations. 0
Novice

Presentation is in expected format; the most vital information is present, but is overly detailed or misses relevant details or does not present a management plan.
Intermediate

Presentation is organized and includes both basic and supporting positives and negatives but is either missing an interpretation of findings, or fails to support management plan.
Competent

Presentation is organized, focused, succinct and contains all relevant positive and negative findings. Presented clearly and proposes and supports management plan
Unskilled

Presentation is not in expected format, is rambling or contains incorrect information. Is incoherent or distracting in it's disorganization
Not applicable
Manager: Procedures

Includes wound care, aspirations, catheterizations, OR assistance
Novice

Student, though tentative or rough, understands basic technique of procedure, and is able to follow under structured supervision.
Intermediate

Student is prepared for procedure, familiar with technique and is able to perform adequately with minimum supervision .
Competent

Student is appropriately ready for procedure opportunity. Student is prepared, has read about technique and follows smoothly independently with respect for sterility, comfort and feedback.
Unskilled

Procedures are either avoided or do not show respect for patient comfort or sterile technique. No improvement over time.
Not applicable
Interpreter

Ability to analyze and synthesize data and knowledge
Novice

Diff. Dx is complete, but not prioritized, doesn't take pt's specific presentation into account. Doesn't interpret how data/findings change the differential.
Intermediate

Student is able to contribute a relevant appropriate ddx which includes the most likely, most impt to diagnose, and a step wise dx plan.
Competent

Student is able to synthesize & incorporate complex information into a ddx supported by the patient's specific info and can support assessment with scientific info. Is able to assess how pt is progressing.
Unskilled

Student is not able to offer a complete problem list (too superficial or arcane). Frequently reports data without interpretation. Unable to recognize urgent problems/findings.
Not applicable
Manager

Offers a reasonable diagnostic and management plan supported by sound reasoning
Novice

Student is able to identify an appropriate evaluation and plan with feedback and direction.
Intermediate

Plan presented is reasonable and appropriate but is not consistently prioritized or does not take into account specifics of pts. clinical presentation.
Competent

Student presents prioritized appropriate plan for which supporting data (scientific & clinical) is applied. Can modify plan based on changes in information.
Unskilled

Unable to articulate plan OR plan is not based on provided information or is inappropriate either in caution or aggressiveness. Does not improve over time.
Not applicable
Educator/Self directed learning

Student identifies and acts on their learning needs and contributes to the team learning environment by sharing this info
Novice

Student is able to demonstrate improvement in knowledge over time, with use of basic resources. When asked, can identify educational goals.
Intermediate

Students has educational goals and seeks out answers to share with the team. Is able to access resources appropriately on their own.
Competent

Consistently identifies learning needs and seeks out info. Is able to identify team needs and seek evidence based info to effectively educate team
Unskilled

When asked, student does not look up info about patient or topic to share with the team. Shows no improvement or evidence of reading over time.
Not applicable




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