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iRubric: Family Medicine Case Study rubric

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Family Medicine Case Study Family Medicine Case Study This is the rubric to be used by AU faculty when grading Family Medicine case studies submitted by senior physician assistant students in their clinical year. This is a COMPLETE History and Physical Exam and should be graded as such. Rubric Code: Q5BC9A By polarbear57 Ready to use Public Rubric Subject: Medical Type: Assessment Grade Levels: Graduate

I. HISTORY: 15 POINTS
	Consider Remediation 0 pts	Does Not Fully Meet Expectations 5 pts	Meets Expectations 10 pts	Exceedes Expectations 15 pts	Points Given 0 pts	Comments 0 pts
History: 15 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program.	Does Not Fully Meet Expectations	Meets Expectations History is COMPLETE, age and gender appropriate. HPI approached in logical format utilizing OLDCARTS or OPQRST Every appropriate system is addressed that coincides with chief complaint. ALL pertinent positives and negatives are included	Exceedes Expectations	Points Given	Comments
II. PE/A&P: 15 POINTS
	Consider Remediation 0 pts	Does Not Fully Meet Expectations 5 pts	Meets Expectations 10 pts	Exceedes Expectations 15 pts	Points Given 0 pts	Comments 10 pts
PE/A&P: 15 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations Physical Exam is COMPLETE, age and gender appropriate. Physical Exam fully addresses the chief complaint, including at least one special test if required. Appropriate labs and diagnostic tests are listed with all findings. Abnormal findings are flagged as either (H) high or (L) low. Plan of care is appropriate and reasonable for the patient. Plan follows accepted community standards of care, evidence based medicine, and has logical flow of information.	Exceedes Expectations	Points Given	Comments
III-Lit. Review Part A: 15 Points
	Consider Remediation 0 pts	Does Not Fully Meet Expectations 3 pts	Meets Expectations 4 pts	Exceeds Expectations 5 pts	Points Given 0 pts	Comments 5 pts
Pathophysiology: 5 POINTS	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations There is clear explanation and obvious understanding of the current/traditionally accepted pathophysiology of the presented disease/condition including a complete description of signs and symptoms. Recent research findings and/or new theories about pathophysiology are discussed.	Exceeds Expectations	Points Given	Comments
Diagnostic Studies: 5 POINTS	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations All currently accepted diagnostic tests/procedures/and screening tests are discussed. Sensitivity and specificity of each test is covered. Newer diagnostic tests/studies are discussed. Sensitivity and specificity of each new test is covered.	Exceeds Expectations	Points Given	Comments
Treatment and Prognosis: 5 POINTS	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations There is a complete discussion of currently accepted treatments and how they work. There is discussion of new medications and/or treatments and how they work. There is a full explanation of the course of the disease, treated and untreated, including morbidities and prognosis.	Exceeds Expectations	Points Given	Comments
III.Lit Review Part B: 5 POINTS
	Consider Remediation 0 pts	Does Not Fully Meet Expectations 3 pts	Meets Expectations 5 pts	Comments 0 pts	Points Given 0 pts	Comments (N/A)
Resources: 5 POINTS	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations Review of at least (12) journal articles and text references. No more than two (2) texts. All references are less than 5 years old. There are no more than (3) on-line references used. Sources are peer-reviewed.	Comments	Points Given	Comments
IV.Clin Synth: Part A: 15 Points
	Consider Remediation 0 pts	Does Not Fully Meet Expectations 3 pts	Meets Expectations 4 pts	Exceeds Expectations 5 pts	Points Given 0 pts	Comments 0 pts
Summary: 5 points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations There is one brief paragraph summarizing ONLY the pertinent findings in the History and Physical Exam that are critical for the discussion of this case. It is NOT a rewritten H&P.	Exceeds Expectations	Points Given	Comments
Assessment and Plan: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations There is a complete discussion of the actual treatment of this patient vs. best treatment as supported by the cited literature. Student discusses if and how he/she would treat this patient differently based on these findings. *If the literature supports recommended treatment the student defends the current practice	Exceeds Expectations	Points Given	Comments
Diagnostics: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectations	Meets Expectations There is a complete discussion of the diagnostic work-up given to the patient, vs alternative recommendation as cited by the literature. The student either defends what was done or makes recommendations on what could have been done differently based on the literature.	Exceeds Expectations	Points Given	Comments
IV.Clin Synth: Part B: 15 Points
	Consider Remediation 0 pts	Does Not Fully Meet Expectation 3 pts	Meets Expectations 4 pts	Exceeds Expectations 5 pts	Poiints Given 0 pts	Comments 0 pts
Alternative Treatment: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectation	Meets Expectations Students discusses any/all alternative medications and/or treatments that may be used based on their cited literature.	Exceeds Expectations	Poiints Given	Comments
Patient Follow-Up: 5 Points	Consider Remediation	Does Not Fully Meet Expectation	Meets Expectations There is a complete discussion regarding patient education including signs, symptoms, follow up care, and prognosis. This discussion should include what was actually done and what the student feels SHOULD have been done. There is a complete discussion of necessary follow-up including any appropriate referrals.	Exceeds Expectations	Poiints Given	Comments
Student Opinion: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectation	Meets Expectations Student summarizes his/her opinion regarding actual patient management vs what he/she believes to be the best plan of care based on their cited literature. It the student agrees to the current approach he/she must defend the current practice.	Exceeds Expectations	Poiints Given	Comments
V. Medication List: 5 Points
	Consider Remediation 0 pts	Does Not Fully Meet Expectation 3 pts	Does Not Fully Meet Expectation 5 pts	Comments 0 pts	Points Given 0 pts	Comments 0 pts
Medications: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectation	Does Not Fully Meet Expectation A complete list of medications is given as an addendum following the Clinical Synthesis. List includes all medications that the patient was on prior to the visit as well as medications given during this encounter. The list should include both generic and brand names, indications, contraindications, and potential side effects of each medication.	Comments	Points Given	Comments
VI. Style: 15 Points
	Consider Remediation 0 pts	Does Not Fully Meet Expectation 3 pts	Does Not Fully Meet Expectation 4 pts	Exceeds Expectations 5 pts	Points Given 0 pts	Comments 0 pts
Documentation: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectation	Does Not Fully Meet Expectation Documentation and referencing follows the current AMA Manual of Style guidelines.	Exceeds Expectations	Points Given	Comments
Content: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectation	Does Not Fully Meet Expectation Lit Review/Clin Synthesis is at least 5000 words in length but not more than 12-13 typed pages, in a font size of 12, with 1 inch margins Paper is written at graduate level and is written in a logical and organized manner.	Exceeds Expectations	Points Given	Comments
Grammar/Med. Term: 5 Points	Consider Remediation Faculty may assign "0" points when work in the category is far below what is expected from a graduate-level student in this program	Does Not Fully Meet Expectation	Does Not Fully Meet Expectation The paper has appropriate spelling, grammar, punctuation, and pagination. There is consistent and appropriate use of medical terminology	Exceeds Expectations	Points Given	Comments

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