iRubric: ICR - Case Scenario and Narrative Project Guiding Rubric

edit print share Copy to my rubrics Bookmark test run assess... delete Do more...

ICR - Case Scenario and Narrative Project Guiding Rubric

FDI - Case Scenario and Narrative Project Guiding Rubric

This rubric is for guiding your work on this project.

Rubric Code: LC3A38

By cppetrie

Ready to use

Public Rubric

Subject: Health

Type: Project

Grade Levels: Graduate

History and Initial Diagnosis You will be given the basic demographic information and presenting complaint for patient who presents to your clinic. Take a history on your patient and based upon the information gathered create a list of reasonable differential diagnosis list, select a working diagnosis, and decide on what, if any, imaging you would like to have performed on your patient.
	Rudimentary (N/A)	Emerging (N/A)	Exemplary (N/A)
History Interview Using OPQRST as a starting point and guide, conduct a history interview of your patient.	Rudimentary The questions asked of the patient are superficial in nature and demonstrate a lack of concern for the patient's presenting complaint, lack a logical progression and demonstrate a lack of clinical reasoning.	Emerging The questions asked of the patient are probing and demonstrate an effort to understand the patient's presenting complaint, demonstrate a logical progression, and adequately elicit the information needed to appropriately workup the patient.	Exemplary The questions asked of the patient are probing and open-ended. They demonstrate an effort to understand the patient's presenting complaint and other outside factors that may have caused or contributed to the patient's presentation. The questions follow a logical progression and follow-up questions are asked as needed. The questions elicit a complete clinical picture of the patient's presenting complaint, contributing factors, and identify unreported additional complaints.
Differential Diagnosis Based on the information gathered from the history interview, create a list of reasonable differential diagnoses that fit the clinical picture. Remember, a list of differentials is a list of diagnoses that could be responsible for the clinical presentation seen.	Rudimentary The differential list provided does not demonstrate adequate clinical reasoning about what diagnoses have been included or excluded.	Emerging The differential list provided reflects sound clinical reasoning; however, the list is overly inclusive or exclusive based on the clinical information known.	Exemplary The differential list provided reflects sound clinical reasoning and includes most reasonable diagnostic considerations based on the clinical information known.
Working Diagnosis Select from the list of differential diagnoses, the diagnosis the group considers to be most likely based on what is known of the clinical case so far.	Rudimentary The working diagnosis is wildly unjustified based on the clinical information.	Emerging	Exemplary The working diagnosis is reasonable based on the clinical information.
Physical Exam and Lab Tests Based on the clinical picture so far, decide what physical exam and other testing you need to perform on the patient as part of the initial work-up of the patient. Include in your recommendation your reasoning for your selection.	Rudimentary The testing recommendations are wildly unjustified based upon the clinical picture or no reasoning for the selection was provided.	Emerging The testing recommendations are suitable for the clinical picture, but the reasoning behind the explanation is weak.	Exemplary The testing recommendations are suitable for the clinical picture and is based on sound reasoning with identification of how the results will be used to further the clinical work-up.
Physical Exam and Lab Test Findings Relate the imaging findings back to your case. How do they support your working diagnosis? Did they rule out any differentials you were considering?	Rudimentary Exam findings are poorly described using lay terminology. The results are not connected back to the case.	Emerging Exam findings are adequately described using appropriate terminology, but the results are not connected back to the case to show how they supported the clinical work-up.	Exemplary Exam findings are adequately described using appropriate terminology. The results of the imaging studies are connected back to the case to show support for the working diagnosis and/or rule out other differentials being considered.
Imaging Studies Based on the clinical picture so far, decide what, if any, imaging you need to perform on the patient as part of the initial work-up of the patient. Include in your recommendation your reasoning for your selection.	Rudimentary The imaging recommendation is wildly unjustified based upon the clinical picture or no reasoning for the selection was provided.	Emerging The imaging recommendation is suitable for the clinical picture, but the reasoning behind the explanation is weak.	Exemplary The imaging recommendation is suitable for the clinical picture and is based on sound reasoning with concern for patient dose, cost of the study, and unique abilities of the modality.
Imaging Findings Relate the imaging findings back to your case. How do they support your working diagnosis? Did they rule out any differentials you were considering?	Rudimentary Imaging findings are poorly described using lay terminology. The results are not connected back to the case.	Emerging Imaging findings are adequately described using appropriate terminology, but the results are not connected back to the case to show how they supported the clinical work-up.	Exemplary Imaging findings are adequately described using appropriate terminology. The results of the imaging studies are connected back to the case to show support for the working diagnosis and/or rule out other differentials being considered.
Wrapping Up the Case Consider all of the clinical information you have gathered and decide on the patient's final diagnosis, create a brief treatment (management) plan for the patient's case, and offer a prognosis for the patient's case.
	Rudimentary (N/A)	Emerging (N/A)	Exemplary (N/A)
Final Diagnosis Drawing upon all of the clinical information you have gathered about the patient's case, decide on a final diagnosis, supporting your decision process with evidence and clinical reasoning.	Rudimentary The final diagnosis is incorrect despite prompting to revise the diagnosis from the case consultant. No evidence of the clinical reasoning and decision-making process is provided.	Emerging The final diagnosis is correct but limited evidence of the clinical reasoning and decision-making process is provided.	Exemplary The final diagnosis is correct. Ample evidence of the clinical reasoning and decision-making processes is supplied to support diagnosis offered.
Treatment/Management Plan Having decided what the patient's diagnosis is, determine what course of action (brief overview) you are going to take to manage the patient's case. Will you adjust? Will you refer? What can the patient expect from the provider they are being referred to? What other adjunctive therapies might you use?	Rudimentary The management plan proposed is generic and vague, demonstrating little concern for the patient's well-being. Recommendations are wildly inappropriate or dangerous.	Emerging The management plan proposed is reasoned and appropriate for the patient's condition. Sufficient details are provided to understand the direction of care being recommended.	Exemplary The management plan is reasoned and appropriate for the patient's condition and supported with evidence. Sufficient details are provided to understand the direction of care being recommended.
Prognosis It is important for your patient to have realistic expectations of the outcome of their treatment. Provide a prognosis for the patient's condition. Will he/she recover fully? Will he/she have any long-term deficits? In what time-frame can the patient expect to recover?	Rudimentary The prognosis offered is incomplete or wildly unrealistic.	Emerging The prognosis offered is complete and offers a realistic expectation of the outcome of the disease process and the proposed management plan.	Exemplary The prognosis offered is complete and offers a realistic expectation of the outcome of the disease process and the proposed management plan based on supplied supportive evidence.
Narrative Using the pieces created in the earlier phases of the project, create a narrative of the patient's case on your group page in WikiSpaces.
	Rudimentary (N/A)	Emerging (N/A)	Exemplary (N/A)
Format Format the narrative according to the instructions given with the assignment, namely: 1) write in prose form, 2) organize the document using the section headers provided, and 3) include full-resolution versions any images included in the case.	Rudimentary The narrative report is grossly disorganized, written in non-prose form or includes poor quality copies of the imaging studies.	Emerging The narrative report largely follows the prescribed format with only minor inconsistencies, is largely written in prose form and includes full-quality copies of the imaging studies.	Exemplary The narrative report is well-organized and uses the prescribed format and section headings, is written completely in prose form and includes full-quality copies of the imaging studies.
Content The content of each area should be reflective of the work completed on those sections earlier in the project. Strive to achieve exemplary content according to the criteria found in the rubric items for those sections.	Rudimentary Required content areas are missing or are grossly inadequate. See specific comments.	Emerging Required content areas are largely complete, lacking only minor details. Included content largely meets the adequate criteria in the related sections of the rubric. See specific comments.	Exemplary Required content areas are compete and well-developed. All details outlined in the course assignment instructions are included. Included content largely meets the exemplary criteria in the related sections of the rubric.
Grammar and Spelling Your narrative should be free of spelling errors, and it should follow the conventions of standard English writing.	Rudimentary The narrative is littered with grammar and/or spelling errors. Colloquialisms and other informal writing elements are frequently used.	Emerging The narrative contains only minor errors in grammar and/or rare misspellings. Colloquialisms and other informal writing elements are rarely used.	Exemplary The narrative is free of grammar and/or spelling errors. The conventions of formal English writing are followed with the rarest of exceptions.
Team Reflection Reflect as a team on the case, paying particular attention to what history and exam findings seemed most critical in working up the patient. If your team did not arrive at the correct diagnosis initially, consider what history or imaging findings you missed or did not recognize the importance of that led to your incorrect diagnosis.	Rudimentary The team reflection is superficial or not substantive in nature and does not address the questions posed in the assignment.	Emerging The team reflection is substantive in nature, but does not completely address the questions posed in the assignment.	Exemplary The team reflection is substantive in nature, addresses all of the questions posed in the assignment and demonstrates deep, collaborative reflection by the group.
Individual Reflection At the conclusion of the project, reflect on your individual experience in the team project. Determine what you consider to be the most important lesson(s) learned from the experience. Submit a copy of your individual reflection to the instructor via MyParker.	Rudimentary The individual reflection is not substantive.	Emerging The individual reflection is substantive but does not completely address the questions posed in the assignment.	Exemplary The individual reflection is substantive and reflects a thoughtful consideration of the questions posed in the assignment.

Subjects:

Types:

Discuss this rubric