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iRubric: Clinic Practical Exam - Lower Extremity rubric

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Clinic Practical Exam - Lower Extremity Clinic Practical Exam - Lower Extremity Rubric Code: N69X4A By ajgabriel Ready to use Public Rubric Subject: Medical Type: Exam Grade Levels: (none)

Clinic Practical Exam Lower Extremity
	Is struggling to meet Colleges minimum expectations of a student at this level 1 pts	Is approaching Colleges minimum expectations of a student at this level 2 pts	Meets the Colleges minimum expectations of a student at this level 3 pts	Exceeds Colleges minimum expectations of a student at this level 4 pts	Points Comments if needed (N/A)
Client History and Consultation Listening/ Body Language	1 -Eye contact is minimal. -Individual seems unaware of body language. Inappropriate inflection during consultation.	2 -Eye contact is intermittent. -Body language indicates lack of confidence. Inappropriate inflection during consultation.	3 -Eye contact made consistently. -Body language is appropriate.	4 -Eye contact made. -Head movements in acknowledgment. -Body language respectful and appropriate. -Demonstrates active listening skills.	Points _________
Client History and Consultation Questioning/Response	1 -Questioning and responses appear random. -Not well thought out, lack direction	2 -Responses and questioning are mostly adequate though not focuses to address clients issues.	3 -Questioning and responses are adequate -Attempts to rephrase/summarize clients comments to get clarification and further direction	4 -Questioning and responses are timely and well thought out, demonstrating critical thinking. -Effectively rephrases/summarizes clients comments to get further clarification and direction	Points _________
Client History and Consultation Direction/Focus	1 -Individual lacks confidence and understanding of the process. -Poor communication skills. -Tone seems inappropriate, condescending/demeaning towards their client. -Expansion or clarification of client history was lacking in any direction.	2 -Lacking in communication skills with their client. -Expansion or clarification of client history was somewhat lacking in direction. -A few minor concerns were not addressed. -Consent not obtained prior to assessment components.	3 -Client communication was mostly focused and directed. -Noted or inquired into the majority of concerns that were present. -Indicated findings that would lead them to problem areas. -Obtained consent prior to assessment components.	4 -Client communication was consistently focused and well directed. -Made note of or inquired into any concerns that were present. -Indicated findings that would lead them to possible problem areas. -Able to gather pertinent information which helped them in developing a direction for their assessment protocol. -Obtained consent prior to assessment components.	Points _________
Client History/Consultation/Consent Time Consideration	1 -Appeared to lack confidence and understanding of the process. -Seemed to be "going through the motions" of a client history/consultation -Appeared unaware of the time.	2 -Use of time was lacking slightly in both effectiveness and efficiency. -Appeared to struggle in their confidence and ability to gain some direction from the process.	3 -Time was used well to help expand on details/concerns noted by the client. -Some direction in protocol was gained.	4 -Time was well directed and focused to clarifying and gathering information for further direction in their protocol. -Appeared confident and comfortable with the process.	Points _________
Pathological/Integrity Tests Skills and Knowledge
Pathological/Integrity Tests Structures Assessed/ Application/Confidence	1 -Difficulty with determining appropriate tests to incorporate for clients indicators. -Unable to explain what structures are being tested in the majority of test performed. -Does not understand the relevance of a positive test finding.	2 -Struggles with the tests performed. -Lacks confidence and control of limbs being tested. -Unable to explain what structures were being tested in a some of the test performed. -Performed several tests unnecessarily	3 -The majority of the tests done were performed properly. -Some difficulty with the name of specific tests. -Minor control issues with the limbs being tested. -Is able to explain what structures were being tested. -No indication so didn't perform	4 -Pathological and/or integrity tests that were performed were done correctly. -Demonstrates confidence and control of the limb. -Is able to explain what structures were being tested. -Understands the relevance of a positive test finding. Able to choose appropriate tests for client indicators.	Points _________
General Assessment Skills and Knowledge
General Assessment Visual Assessment/Palpation	1 -Difficulty noting visual asymmetry. -Lacks confidence in own judgment. Cannot proceed without direction from examiner	2 -Starting to note visual asymmetry. -Struggles to connect visual asymmetry and where it would lead. -Palpation not utilized.	3 -Is able to note visual asymmetry. -Understands meaning of asymmetry. -Can use this component to help direct them to areas needing further assessment.	4 -Uses this component fully. -Incorporates palpation. -Note visual asymmetry readily. -Demonstrates ability to utilize this component to direct them to areas requiring further assessment and the relevance of doing so.	Points _________
General Assessment Active Range of Motion Testing	1 -Struggles to incorporate knowledge into clinical application. -Some assimilation of knowledge is evident, but has difficulty making connections of detail in assessment findings. -Struggles with structures being tested.	2 -Lacks confidence and uncomfortable with general assessment protocol. -Not beneficial in helping direct the student to areas or motions of dysfunction. -Time was a factor.	3 -Confident and comfortable with concept of general assessment. -Starting to use this component to help direct them to areas of dysfunction. -Can explain structures tested though not with full comprehension. -No reason to perform,proceeded to passive testing	4 -Confident and comfortable with concept of general assessment. -Demonstrates understanding of concept. -Utilizes component to help direct them to areas or specific motions of dysfunction. -Utilizes time to get most benefit from general assessment protocol.	Points _________
Specific Assessment Skills and Knowledge
Specific Assessment Passive Testing	1 -Struggles with the concept of passive testing. -Some assimilation of knowledge is evident, but has difficulty knowing when and where passive testing fits into clinical application. -Struggles with structures being tested.	2 -Struggles with specific assessment protocols based on indicators gained from consultation and general assessment. -Majority of assessments were properly performed. -Unable to determine the conclusions based on their findings. -Lacks understanding of end-feel and relevance in passive testing.	3 -Chose mostly accurate specific assessment protocols based on indicators gained from consultation and general assessment. -Majority of assessments were properly performed. -Is able to arrive at sensible conclusions based on their findings. -Some understanding of end-feel and relevance in passive testing.	4 -Accurate specific assessments were chosen based on indicators gained from consultation and general assessment. -All assessments were properly performed. -Is able to arrive at accurate conclusions based on their findings. -Understanding of end-feel and it's relevance in passive testing.	Points _________
Specific Assessment Palpation of Bone Structure	1 -Assessments were missed and inaccurately performed. -Unable to arrive at accurate conclusions based on their findings. -Difficulty discerning structural vs function dysfunctions.	2 -Assessments were mostly performed accurately. -Confidence and control was lacking. -Struggles to understand when assessment would be applicable.	3 -Most assessments were properly performed. -Is able to arrive at a somewhat accurate conclusion based on their findings. -Understanding of when assessment would be applicable.	4 -All assessments were properly performed. -Is able to arrive at accurate conclusions based on their findings. -Demonstrates comprehensive understanding of positional bone assessment.	Points _________
Verifications Skills and Knowledge
Verifications Resisted Testing and Palpation	1 -No verification performed.	2 -Performs some component of verification -Has minimal understanding of importance of verifying findings.	3 -Performs verification, either palpation and/or resisted testing -Understands concept of verifying findings.	4 -Resisted testing and palpation performed. -Understands and has ability to discern contracture from hypertonicity. -Understands concept of verifying findings. -Utilizes component to its fullest.	Points _________
Verifications Associated Conditions	1 -Uncomfortable with the concept. -Unable to connect dysfunctions between different areas. -Weakness in Anatomy appears to play major role.	2 -Unable to connect dysfunctions between different areas consistently. -Struggles with the concept of associated conditions. -Anatomy knowledge appears to be a component of the reason.	3 -Knowledge of concept is evident and demonstrates ability to begin to incorporate critical thinking to connect dysfunctional areas. -Starting to demonstrate anatomy knowledge connection to concept.	4 -Is able to connect dysfunctions between different areas consistently. -Strong anatomy knowledge base in determining connection of dysfunctions. -Demonstrates sound knowledge in this area that is above expectations.	Points _________
Documentation Skills and Knowledge
Documentation Accuracy/ Legal Requirements	1 -Information through out is unclear, inaccurate, or irrelevant to the clients condition. Important details have been omitted. -Signatures and/or areas to be initialed have been overlooked.	2 -Information is occasionally unclear or inaccurate as to the clients condition. -Important details may be omitted. -A signature and/or area to be initialed has been overlooked.	3 -Information is fairly organized, accurate and mostly relevant to the clients condition. -Minor details may be missing. -All legal requirements have been met.	4 -Information is clear, accurate,organized and relevant to the clients condition such as soap notes -All legal requirements have been met.	Points _________
Documentation Treatment Plan	1 -Uncomfortable with the concept of treatment plan development. -Difficulty discerning relevant information needed for this process. -Unclear in their understanding of the purpose of having goals and development of a treatment plan.	2 -Struggling with the concept of treatment plan development. -Difficulty discerning relevant information needed for this process. -Goals and/or treatment plan are lacking in description and detail.	3 -Beginning to demonstrate an ability to formulate a treatment plan -A little unclear of the importance of objective evaluation (measurements) description and overall therapeutic goal.	4 -Clear understanding of treatment plan development. -Incorporates an objective evaluation (measurements) of clients condition which will allow for monitoring clients progress. -Ability to personalize treatment plan by involving client in process. -Includes and addresses therapeutic goal in treatment plan.	Points _________
Professional Presentatio
Professional Presentation Appearance/Hygiene Ease of client	1 -Inappropriate appearance/hygiene -Did not greet client and/or use of language appeared to make client uncomfortable	2 -Hands unwashed and/or scrubs unkept -Is not showing signs of being able to put client at ease (greeting/ appropriate use of language.	3 -Washed hands, hair clean and kept -Scrubs neat, clean -Is showing signs of being able to put client at ease (greeting/ appropriate use of language.	4 -Washed hands, hair clean and kept thoughout -No odor present (perfumes, smoke etc) -Scrubs neat,clean -Went out of their way to make sure that the client is at ease (greeting/ appropriate use of language) during entire treatment	Points _________
Professional Presentation Informed consent	1 -No consent obtained	2 -Some consent obtained -Minimal checking in with client though out process	3 -Some information provided and consent obtained before beginning assessment -Checked in with client though out process	4 -Informed consent throughout, at all appropriate times -Checked in with client as to comfort -Frequent/ongoing at all appropriate stages through out process	Points _________
Total Points Achieved _______ /60

Keywords:

Examiners: If student falls in between 2 catagories of marks, 1/2 mark above the lower of the 2 may be used. Example, between a 2 and a 3, 2 1/2 may be given. Comments may be added if needed.

Subjects:

Medical

Types:

Exam

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