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iRubric: Clinical  Case Study rubric

iRubric: Clinical Case Study rubric

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Clinical Case Study 
This rubric is designed for assessment of a clinical case study.
Rubric Code: Z5336C
Ready to use
Public Rubric
Subject: Medical  
Type: Writing  
Grade Levels: Graduate

Powered by iRubric I. History I
  Unacceptable

0 pts

Marginally Acceptable

5 pts

Satisfactory

7.5 pts

Exceptional

15 pts

Chief Complaint (CC) and HPI

Unacceptable

Chief Complaint and History of Present Illness is scant. The majority of vital information to the chief complaint is missing.

Remediation Required
Marginally Acceptable

Chief Complaint and History of Present Illness is age and gender appropriate, however is missing some vital information relevant to the chief complaint.
Satisfactory

Chief Complaint and History of Present Illness is age and gender appropriate. Some non-vital information relevant to chief complaint is missing. PQRST or OLDCARTS is not adhered to.
Exceptional

Chief Complaint and History of Present Illness is complete and age and gender appropriate. It is written in a logical format utilzing PQRST or OLDCARTS.
Complete Review of Systems (ROS)

Unacceptable

Complete Review of Systems is missing.

Remediation Required
Marginally Acceptable

Three components of a complete Review of Systems is missing or poorly addressed:
General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
Satisfactory

Two components of a complete Review of Systems is missing or vaguely addressed.
General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
Exceptional

A complete Review of Systems is present:
General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
II. History II
  Unacceptable

0 pts

Marginally Acceptable

5 pts

Satisfactory

7.5 pts

Exceptional

10 pts

Past Medical History I (PMH)

Unacceptable

Complete Past Medical History is missing.

Remediation Required
Marginally Acceptable

Past Medical History is incomplete. There are key components missing from: Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.
Satisfactory

Past Medical History complete however there are missing key components from:
Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.
Exceptional

A complete Past Medical History is present and contains: Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.
Past Medical History II

Unacceptable

Complete Past Medical History is missing.

Remediation Required
Marginally Acceptable

Two components of the complete past medical history are missing: Current medications, allergies, social history, and family history.
Satisfactory

One component of the complete past medical history is missing:
Current medications, allergies, social history, and family history.
Exceptional

A complete history is present regarding current medications, allergies, social history, and family history.



Keywords:
  • Nurse Practitioner

Subjects:

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