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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:
P4BA96
By
drdenise6
Ready to use
Public Rubric
Subject:
Health
Type:
Assignment
Grade Levels:
(none)
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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
Keywords:
Medical
Subjects:
Health
Types:
Assignment
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