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iRubric: Physician Assistant Student History and Physical Rubric

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Physician Assistant Student History and Physical Rubric Physician Assistant Student History and Physical Rubric This rubric is designed for the assessment of Physician Assistant Students (PA-S) in developing a written history and physical. This rubric will be applied to papers written for the following class: Clinical Skills, PA 312. Rubric Code: W4A5C2 By dsolimini Ready to use Public Rubric Subject: Medical Type: Writing Grade Levels: Graduate

I. History I
	Unacceptable 0 pts	Marginally Acceptable 5 pts	Satisfactory 7.5 pts	Exceptional 15 pts
Chief Complaint (CC) and HPI 15 %	Unacceptable Chief Complaint and History of Present Illness is scant. The majority of vital information to the chief complaint is missing. Remediation Required	Marginally Acceptable Chief Complaint and History of Present Illness is age and gender appropriate, however is missing some vital information relevant to the chief complaint.	Satisfactory 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.	Exceptional 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.
Complete Review of Systems (ROS) 15 %	Unacceptable Complete Review of Systems is missing. Remediation Required	Marginally Acceptable Three components of a complete Review of Systems is missing or poorly addressed: General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.	Satisfactory Two components of a complete Review of Systems is missing or vaguely addressed. General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.	Exceptional A complete Review of Systems is present: General; Skin; HEENT; Respiratory; Cardiac; GI; GU; GYN; Musculoskeletal; Vascular; Neurological; Psychiatric; Endocrine; Hematologic.
II. History II
	Unacceptable 0 pts	Marginally Acceptable 5 pts	Satisfactory 7.5 pts	Exceptional 10 pts
Past Medical History I (PMH) 10 %	Unacceptable Complete Past Medical History is missing. Remediation Required	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.	Satisfactory Past Medical History complete however there are missing key components from: Childhood illnesses; Adult medical illnesses; Surgeries, OB/GYN; Psychaitric illnesses. The year of diagnosis and treatment is included if known.	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.
Past Medical History II 10 % Current Medications Allergies Social History Family History Sexual History	Unacceptable Complete Past Medical History is missing. Remediation Required	Marginally Acceptable Two components of the complete past medical history are missing: Current medications, allergies, social history, and family history.	Satisfactory One component of the complete past medical history is missing: Current medications, allergies, social history, and family history.	Exceptional A complete history is present regarding current medications, allergies, social history, and family history.

Keywords:

Physician Assistant

Subjects:

Medical

Types:

Writing

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