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iRubric: Summative OSCE's Rubric

iRubric: Summative OSCE's Rubric

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Summative OSCE's Rubric 
Rubric Code: RXXCC57
Draft
Public Rubric
Subject: Medical  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Grading Scale
  Good

2 pts

Adequate, but...

1 pts

Inadequate/ not done

0 pts

Introduction and orientation

Good

Student introduction to include appropriate title,name of patient, and orientation
Adequate, but...

Student introduces him/herself without complete title
Inadequate/ not done

No introduction or orientation performed
Washes Hands

Good

Task performed
Adequate, but...

N/A
Inadequate/ not done

No task performed
Interactive dialect/empathy

Good

Demonstrates caring and respectful behavior when interacting with patient
Adequate, but...

Yes, but...
Inadequate/ not done

Inadequate
HISTORY
HPI

Good

History is complete and age/gender appropriate. Utilizing OldCharts or OPQRST
Adequate, but...

History is age/gender aprropriate and contains pertinent information. However, it is missing viital points relating to chief complaint
Inadequate/ not done

History is scant. The majority of vital information is missing relating to the chief complaint
ROS

Good

There is a complete review of systems addressing all systems related to chief complaint
Adequate, but...

The majority of pertinent positives and negatives are noted but...
Inadequate/ not done

Review of systems is incomplete and the majority of pertinet positives and negatives are missing.
Family HX

Good

Family hx: Includes minimum of 3 generations, disease or infliction, alive or disease and at what age
Adequate, but...

Adequate but ...
Inadequate/ not done

History is scant
Social HX

Good

Includes marital status, dietary and exercise habits, education, military history, hobbies, tobacco, ETOH, and illicit drugs
Adequate, but...

Adequate but ...
Inadequate/ not done

Hx is scant
Surgical Hx

Good

Past Medical/Surgical History (PMH):
Major childhood illness
Adult illnesses
Includes negative statements
Hospitalizations (where, when, for what, Tx, complications)
Surgeries (where, when, for what, complications
Immunizations (adult and / or pediatric)
Adequate, but...

Adequate but...
Inadequate/ not done

History is scant
Medications

Good

Medication: All Rx, OTC, herbs, and home remedies. How much, for what, how long
Adequate, but...

Adequate but...
Inadequate/ not done

Not performed
Allergies

Good

Allergies: When, to what, what happens. Includes meds, food, environmental, insects, chemicals, dander
Adequate, but...

Adequate but...
Inadequate/ not done

Not performed
Physical Examination
Physical Exam

Good

Physical exam has been completesd thoroughly as instructed, is age/gender appropriate, relates to the chief complaint, and pertinent findings in the HPI. All appropriate special test are noted and performed appropriately
Adequate, but...

Physical exam is appropriate for the chief complaint but there are pertinet systems or special test missing
Inadequate/ not done

Physical examination is incomplete and not sufficient to support the diagnosis
Clinical skills

Good

Perfectly performed the appropriate clinical procedures for every clinical tasks with no omission; no unnecessary procedure was done
Adequate, but...

Performed the clinical procedures at an acceptable standard; committed some mistakes and some unnecessary procedures were done
Inadequate/ not done

Failed to carry out the necessary clinical procedures; committed lots of mistakes and misconception about operating clinical apparatus
Assessment and Plan
Assessment

Good

The assessment lists ALL of the pertinent problems for the patient, not just the chief complaint
Adequate, but...

The assessment lists the chief complaint/main problem but one or more problems are missing
Inadequate/ not done

The main problem is not mentioned
Labs/Diagnostic Tests

Good

All appropriate labs and diagnostic tests are ordered
Adequate, but...

The majority of the appropriate tests have been ordered but...
Inadequate/ not done

The majority of the appropriate tests are missing
Communication and intera

Good

Able to get detail information needed for diagnosis; gave very clear and detail explanation and answers to patients; paid attention to patients’ responses and words
Adequate, but...

Only able to get basic information needed for diagnosis; attempted to give a clear explanation to patients but omitted some points; did not pay attention to patients’ responses and words
Inadequate/ not done

Failed to get information for diagnosis; gave ambiguous explanation to patients
Plan

Good

Able to give an excellent analysis and understanding on the patients’ problems and situations and applied medical knowledge to the clinical practice and determined the appropriate treatment
Adequate, but...

Showed a basic analysis and knowledge on the patients’ problems, still provided the appropriate treatment
Inadequate/ not done

Only able to show minimal level of analysis and knowledge on the patients’ problems, unable to provide the appropriate treatment
Problem-solving skills

Good

Able to manage the time to suggest and bring out appropriate solutions to problems; more than one solutions were provided; logical approach to seek for solutions was observed
Adequate, but...

Still able to bring out one solution on time; logical flow was hardly observed
Inadequate/ not done

Failed to bring out any solution in specific time; logical flow was not observed
Scoring
Total Grade:

Good
Adequate, but...
Inadequate/ not done




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