Skip to main content
iRubric: Physician Assistant Student Inpatient Admission Rubric

iRubric: Physician Assistant Student Inpatient Admission Rubric

find rubric

edit   print   share   Copy to my rubrics   Bookmark   test run   assess...   delete   Do more...
Physician Assistant Student Inpatient Admission Rubric 
Physician Assistant Student Inpatient Admission Rubric
This rubric is designed for the assessment of Physician Assistant Students (PA-S) in developing written inpatient admission notes. This rubric will be applied to papers written for the following clinical rotations: Family Practice, General Surgery, Internal Medicine, Orthopedics, Pediatrics, and Psychiatry.
Rubric Code: WXA969A
By jgweber
Ready to use
Public Rubric
Subject: Medical  
Type: Writing  
Grade Levels: Graduate

Powered by iRubric I. History I
  Sophisticated

4 pts

Competent

3 pts

Partially Competent

2 pts

Not Yet Competent

0 pts

Chief Complaint (CC) and HPI
15 pts

Sophisticated

Chief Complaint and History of Present Illness is complete and age and gender appropriate. It is written in a logical format utilzing PQRST or OLDCARTS.
Competent

Chief Complaint and History of Present Illness is age and gender appropriate. Some non-vital information relevant to chief complaint is missing. PQRST or OLDCARTS is not adhered to.
Partially Competent

Chief Complaint and History of Present Illness is age and gender appropriate, however is missing some vital information relevant to the chief complaint.
Not Yet Competent

Chief Complaint and History of Present Illness is scant. The majority of vital information to the chief complaint is missing.<BR>
<BR>
Remediation Required
Complete Review of Systems (ROS)
15 pts

Sophisticated

A complete Review of Systems is present:<BR>
General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
Competent

Two components of a complete Review of Systems is missing or vaguely addressed.<BR>
General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
Partially Competent

Three components of a complete Review of Systems is missing or poorly addressed:<BR>
General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
Not Yet Competent

Complete Review of Systems is missing.<BR>
<BR>
Remediation Required
II. History II
  Exceptional

10 pts

Satisfactory

7.5 pts

Marginally Acceptable

5 pts

Unacceptable

0 pts

Past Medical History I (PMH)
10 pts

Exceptional

A complete Past Medical History is present and contains: Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.
Satisfactory

Past Medical History complete however there are missing key components from:<BR>
Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.
Marginally Acceptable

Past Medical History is incomplete. There are key components missing from: Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.
Unacceptable

Complete Past Medical History is missing.<BR>
<BR>
Remediation Required
Past Medical History II
10 pts

Current Medications<BR>
Allergies<BR>
Social History<BR>
Family History
Exceptional

A complete history is present regarding current medications, allergies, social history, and family history.
Satisfactory

One component of the complete past medical history is missing:<BR>
Current medications, allergies, social history, and family history.
Marginally Acceptable

Two components of the complete past medical history are missing: Current medications, allergies, social history, and family history.
Unacceptable

Complete Past Medical History is missing.<BR>
<BR>
Remediation Required
III. Physical Examination
  Exceptional

20 pts

Satisfactory

15 pts

Marginally Acceptable

7.5 pts

Unacceptable

0 pts

Physical Examination
20 pts

Exceptional

All components of the physical examination are present:<BR>
Vital Signs<BR>
General Assessment<BR>
Skin, HEENT, Cardiovascular, Respiratory, GI, GU, Musculoskeletal, Neurologic and Psychiatric examiantion.
Satisfactory

Two components of the physical examination are missing:<BR>
Vital Signs<BR>
General Assessment<BR>
Skin, HEENT, Cardiovascular, Respiratory, GI, GU, Musculoskeletal, Neurologic and Psychiatric examiantion.
Marginally Acceptable

Four components of the physical examination are missing:<BR>
Vital Signs<BR>
General Assessment<BR>
Skin, HEENT, Cardiovascular, Respiratory, GI, GU, Musculoskeletal, Neurologic and Psychiatric examiantion.
Unacceptable

The physical examination is missing or grossly incomplete.<BR>
<BR>
Remediation Required
IV. Labs/Diagnostics/Problem List
  Exceptional

5 pts

Satisfactory

3.5 pts

Marginally Acceptable

1.5 pts

Unacceptable

0 pts

Labs/Diagnostic Tests
5 pts

Exceptional

All appropriate labs and diagnostic studies are recorded. All abnormal findings are flagged as high (H) or low (L).
Satisfactory

All appropriate labs and diagnostic studies are recorded. <BR>
Abnormal findings are not flagged as high (H) or low (L).
Marginally Acceptable

Some of the appropriate labs and diagnostic studies have been addressed. Abnormal findings are not flagged as high (H) or low (L).
Unacceptable

There are no mention of laboratory testing or diagnostic imaging.<BR>
<BR>
Remediation Required.
Problem List
5 pts

Exceptional

All associated medical problems associated with the hospital admission are documented.
Satisfactory

The chief problem is documented. One to several of the other medical problems associated with the admission are missing.
Marginally Acceptable

The chief problem is documented however other medical problems associated with the admission are not recorded.
Unacceptable

No problem list is generated.<BR>
<BR>
Remediation Required.
V. Assement and Plan
  Exceptional

20 pts

Satisfactory

15 pts

Marginally Acceptable

7.5 pts

Unacceptable

0 pts

Assessment and Plan
20 pts

Exceptional

The assessment lists ALL of the pertinent problems for the patient, not just the chief complaint. The plan is ordered properly and follows evidence based medicine, is appropriate for the patient and demonstrates a logical progression of knowledge.
Satisfactory

The assessment lists the chief complaint but one or more problems is missing. The treatment plan is complete for the complaints presented.
Marginally Acceptable

The assessment lists the chief complaint but is missing other problems. The treatment plan is incomplete for the complaints presented.
Unacceptable

The diagnosis(s), assessments, or treatment plan is not documented.<BR>
<BR>
Remediation Required.



Keywords:
  • Physician Assistant

Subjects:

Types:

Discuss this rubric




Do more with this rubric:
Preview

Preview

Preview this rubric.
Edit

Edit

Modify this rubric.
Copy

Copy

Make a copy of this rubric and begin editing the copy.

Print

Print

Show a printable version of this rubric.
Categorize

Categorize

Add this rubric to multiple categories.
Bookmark

Bookmark

Bookmark this rubric for future reference.
Assess
Test run

Test run

Test this rubric or perform an ad-hoc assessment.
Grade

Grade

Build a gradebook to assess students.
Collaborate

Collaborate

Apply this rubric to any object and invite others to assess.
Share
Publish

Publish

Link, embed, and showcase your rubrics on your website.
Email

Email

Email this rubric to a friend.
Discuss

Discuss

Discuss this rubric with other members.
 

Do more with rubrics than ever imagined possible.

Only with iRubrictm.


Copyright © 2024 Reazon Systems, Inc.  All rights reserved.
n98