iRubric: FDI - Case Scenario and Narrative Project Grading Rubric

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FDI - Case Scenario and Narrative Project Grading Rubric

FDI - Case Scenario and Narrative Project Guiding Rubric

This rubric is for assessing the project narrative for FDI.

Rubric Code: N7AA56

By cppetrie

Ready to use

Public Rubric

Subject: Health

Type: Project

Grade Levels: Graduate

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 1 pts	(N/A)	Emerging 3 pts	(N/A)	Exemplary 5 pts
History of Present Illness
Presenting Complaint Relate the patient's presenting complaint.	Rudimentary The patient's presenting complaint is unclear.	N/A	Emerging	N/A	Exemplary The patient's presenting complaint is clearly specified.
History Interview Relate the information discovered during the history interview.	Rudimentary The history information is disorganized with no logical flow to the presentation of information.	N/A	Emerging The history information is presented in a logical fashion.	N/A	Exemplary The history information is presented in a logical fashion, building the case with clear connections between related items. Key pieces of information are clearly identified
DDx and Working Diagnosis
Differential Diagnosis Provide the list of differential diagnoses that fit the clinical picture based on the presenting complaint and the history interview. 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.	N/A	Emerging The differential list provided reflects sound clinical reasoning; however, the list is overly inclusive or exclusive based on the clinical information known.	N/A	Exemplary The differential list provided reflects sound clinical reasoning and includes most reasonable diagnostic considerations based on the clinical information known.
Working Diagnosis Provide the working diagnosis, the diagnosis on the DDx list considered to be most likely, and the clinical reasoning for that decision based on the clinical information obtained during the history interview.	Rudimentary The working diagnosis is wildly unjustified based on the clinical information or no clinical reasoning provided.	N/A	Emerging The working diagnosis is reasonable based on the clinical information.	N/A	Exemplary The working diagnosis is reasonable based on the clinical information and the clinical reasoning behind the decision is provided.
Imaging Studies
Description and Tech Assessment Describe the imaging study completed as part of the case work-up, and complete a technical assessment of the study.	Rudimentary The study is not described, and the technical assessment performed is incomplete or grossly inaccurate.	N/A	Emerging The study is described, and the technical assessment performed is complete with only minor inaccuracies in the assessment or any corrections supplied along with the assessment.	N/A	Exemplary The study is described, and the technical assessment performed is complete and accurate. The proper corrections necessary to improve the technical quality to the required level are also provided.
Imaging Findings Provide a concise description of the primary findings on the study that support your working diagnosis using appropriate terminology discussed in class. If further imaging is desired, identify what is needed and the rationale.	Rudimentary The findings are described incorrectly or using lay terminology.	N/A	Emerging The findings are described correctly using appropriate terminology from class. Additional imaging recommendations provided are not supported with a rationale.	N/A	Exemplary The findings are described correctly using appropriate terminology from class. Additional imaging recommendations provided are supported with a sound rationale.
Advanced Imaging If advanced imaging was provided for your case, identify what imaging was provided and how the findings support your diagnosis.	Rudimentary The advanced imaging study was incorrectly identified, or the connection to the diagnosis was not provided.	N/A	Emerging The advanced imaging study was correctly identified, and the findings are linked to the diagnosis.	N/A	Exemplary The advanced imaging study was correctly identified, and the findings, described using the appropriate modality-specific terminology, are linked to the diagnosis.
Dx, Treatment Plan & Prognosi
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.	N/A	Emerging The final diagnosis is correct but limited evidence of the clinical reasoning and decision-making process is provided.	N/A	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.	N/A	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.	N/A	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.	N/A	Emerging The prognosis offered is complete and offers a realistic expectation of the outcome of the disease process and the proposed management plan.	N/A	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.
Reflections
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.	N/A	Emerging The team reflection is substantive in nature, but does not completely address the questions posed in the assignment.	N/A	Exemplary The team reflection is substantive in nature, address 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.	N/A	Emerging The individual reflection is substantive but does not completely address the questions posed in the assignment.	N/A	Exemplary The individual reflection is substantive and reflects a thoughtful consideration of the questions posed in the assignment.
General
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.	N/A	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.	N/A	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.
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.	N/A	Emerging The narrative contains only minor errors in grammar and/or rare misspellings. Colloquialisms and other informal writing elements are rarely used.	N/A	Exemplary The narrative is free of grammar and/or spelling errors. The conventions of formal English writing are followed with the rarest of exceptions.

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