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iRubric: Chest X-Ray Interpretation rubric

iRubric: Chest X-Ray Interpretation rubric

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Chest X-Ray Interpretation 
This rubric is to assess first-year PA students on the interpretation of a chest x.
Rubric Code: FXAA3CA
By tapysell
Ready to use
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Graduate

Powered by iRubric Chest X-Ray Interpretation
Interpretation of a chest radiograph for first-year PA students.
  Not Yet Competent

1 pts

Partially Competent

2 pts

Competent

3 pts

Score

(N/A)

Patient identification
10 pts

notes name of the patient and ensures that the films belong to the correct patient.
Not Yet Competent

The student fails to confirm the identity of the patient before proceeding with interpretation of the x-ray.
Partially Competent

The student partially identifies the patient before proceeding with interpretation of the x-ray.
Competent

The student correctly identifies the patient before proceeding with interpretation of the x-ray.
Score
Time and Date Identification
10 pts

notes date/time stamp (DTS)
Not Yet Competent

The student correctly identifies the DTS before proceeding with the interpretation of the x-ray.
Partially Competent

The student partially identifies the DTS before proceeding with interpretation of the x-ray, or identifies the DTS and fails to request the most recent films or all films.
Competent

The student correctly identifies the DTS before proceeding with interpretation of the x-ray. The student requests all films available.
Score
X-ray format: PA or AP
5 pts

Correctly denotes AP or PA image
Not Yet Competent

The student omits discussion on the orientation of the x-ray; AP or PA.
Partially Competent

The student partially notes the orientation of the x-ray; AP or PA.
Competent

The student correctly notes the orientation of the x-ray; AP or PA.
Score
Comment on Image Quality
5 pts

underprenetrated, overpenetrated, image entirety
Not Yet Competent

The student omits comments on the quality of the image penetration, rotation.
Partially Competent

The student partially comments on the quality of the image penetration, rotation.
Competent

The student comments on the quality of the image penetration, rotation.
Score
A: Airway
10 pts

trachea, bronchi, lungs
Not Yet Competent

The student fails to mention airway components in the discussion.
Partially Competent

The student reviews the airway incompletely or in a disorganized manner through the trachea, main stem bronchi, segmental bronchi, and lung fields and lobes.
Competent

Beginning at the top if the film, the student progresses through the film through the trachea, main stem bronchi, segmental bronchi, and lung fields and lobes.
Score
B: Bones
10 pts

vertebrae, clavicles, ribs, scapulae, and sternum
Not Yet Competent

The student fails to review vertebrae, scapulae, clavicles, sternum, and ribs and notes correctly all major abnormalities.
Partially Competent

The student partially reviews vertebrae, scapulae, clavicles, sternum, and ribs and notes correctly all major abnormalities.
Competent

The student correctly reviews vertebrae, scapulae, clavicles, sternum, and ribs and notes correctly all major abnormalities.
Score
C: Circulation
10 pts

Great vessels, cardiac silhouette,
Not Yet Competent

The student omits review of the cardiac silhouette and great vessels.
Partially Competent

The student correctly reviews cardiac silhouette and great vessels and notes correctly all major abnormalities.
Competent

The student correctly reviews cardiac silhouette and great vessels and notes correctly all major abnormalities.
Score
D: Diaphragm
10 pts

description of diaphragm (humped, flat, etc)
Not Yet Competent

The student omits identification of the shape of diaphragms, hyperinflation/underinflation, and fails to mention costophrenic angles.
Partially Competent

The student partially identifies the shape of diaphragms, hyperinflation/underinflation, and may or may not mention costophrenic angles.
Competent

The student correctly identifies the shape of diaphragms, hyperinflation/underinflation, and mentions costophrenic angles.
Score
E: Everything Else
10 pts

implants, foreign bodies,
Not Yet Competent

The student fails to note the presence of foreign objects, or any over-arching conditions related to the x-ray.
Partially Competent

The student incompletely notes the presence of foreign objects, and any over-arching conditions related to the x-ray.
Competent

The student correctly notes the presence of foreign objects, and any over-arching conditions related to the x-ray.
Score
Diagnosis
20 pts

Not Yet Competent

The student provides no or an incorrect diagnosis of the condition based on x-ray findings.
Partially Competent

The student provides no or an incorrect diagnosis of the condition based on x-ray findings.
Competent

The student provides a correct diagnosis of the condition based on x-ray findings.
Score




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