This criterion is linked to a Learning Outcome Chief Complaint (Reason for seeking health care) – S |
4 pts
Distinguished
Includes a direct quote from patient about presenting problem |
3 pts
Excellent
Includes a direct quote from patient and other unrelated information |
2 pts
Fair
Includes information but information is NOT a direct quote |
0 pts
Poor
Information is completely missing |
|
4Â pts |
This criterion is linked to a Learning Outcome Demographics – S |
2 pts
Distinguished
Begins with patient initials, age, race, ethnicity and gender (5 demographics) |
1.5 pts
Excellent
Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity and gender) |
1 pts
Fair
Begins with 3 or less patient demographics (patient initials, age, race, ethnicity and gender) |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
2Â pts |
This criterion is linked to a Learning Outcome History of the Present Illness (HPI) – S |
4 pts
Distinguished
Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) |
3 pts
Excellent
Includes the presenting problem and 7 of the 8 dimensions of the problem (OLD CARTS Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) |
2 pts
Fair
Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS Onset, Location, Duration, Realistic Clinical Case Study Character, Aggravating factors, Relieving factors, Timing and Severity) |
0 pts
Poor
Information is completely missing |
|
4Â pts |
This criterion is linked to a Learning Outcome Allergies – S |
2 pts
Distinguished
Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy) |
1.5 pts
Excellent
If allergies are present, students lists type Drug, environmental factor, herbal, food, Realistic Clinical Case Study, latex name and includes severity of allergy OR description of allergy |
1 pts
Fair
If allergies are present, students lists only the type of allergy name |
0 pts
Poor
Information is completely missing |
|
2Â pts |
This criterion is linked to a Learning Outcome Review of Systems (ROS) – S |
9 pts
Distinguished
Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words admits and denies |
7 pts
Excellent
Includes 3 or fewer assessments for each body system and assesses 5-8 body systems directed to chief complaint AND uses the words admits and denies |
5 pts
Fair
Includes 3 or fewer assessments for each body system and assesses less than 5 body systems directed to chief complaint OR student does not use the words admits and denies |
0 pts
Poor
Information is completely missing Realistic Clinical Case Study |
|
9Â pts |
This criterion is linked to a Learning Outcome Vital Signs – O |
2 pts
Distinguished
Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), Realistic Clinical Case Study weight, height, BMI (or percentiles for pediatric population) and pain.) |
1.5 pts
Excellent
Includes 7 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) |
1 pts
Fair
Includes 6 or less vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) |
0 pts
Poor
Information is completely missing |
|
2Â pts |
This criterion is linked to a Learning Outcome Labs – O |
3 pts
Distinguished
Includes a list of the labs reviewed at the visit, values of lab results and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed. |
2 pts
Excellent
Includes a list of the labs reviewed at the visit, values of lab results but does not highlight abnormal values. |
1 pts
Fair
Includes a list of the labs reviewed at the visit but does not include the values of lab results or highlight abnormal values. |
0 pts
Poor
Information is completely missing – Realistic Clinical Case Study |
|
3Â pts |
This criterion is linked to a Learning Outcome Medications – O |
4 pts
Distinguished
Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency) |
2 pts
Excellent
Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including 3 of the 4: name, dose, medications route, frequency) |
1 pts
Fair
Includes a list of all of the patient reported medications (including 2 of the 4: name, dose, route, frequency) |
0 pts
Poor
Information is completely missing |
|
4Â pts |
This criterion is linked to a Learning Outcome Screenings – O |
3 pts
Distinguished
Includes an assessment of at least 5 screening tests |
2 pts
Excellent
Includes an assessment of at least 4 screening tests |
1 pts
Fair
Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current OR does not include a medical diagnosis for each medication listed under medications. |
0 pts
Poor
Information is completely missing |
|
3Â pts |
This criterion is linked to a Learning Outcome Past Medical History – O |
3 pts
Distinguished
Includes, for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications |
2 pts
Excellent
Includes, for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications |
1 pts
Fair
Includes, for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications |
0 pts
Poor
Information is completely missing |
|
3Â pts |
This criterion is linked to a Learning Outcome Past Surgical History – O |
3 pts
Distinguished
Includes, for each surgical procedure, the year of procedure and the indication for the procedure |
2 pts
Excellent
Includes, for each surgical procedure, the year of procedure OR indication of the procedure |
1 pts
Fair
Includes, for each surgical procedure but not the year of procedure or indication of the procedure |
0 pts
Poor
Information is completely missing |
|
3Â pts |
This criterion is linked to a Learning Outcome Family History – O |
3 pts
Distinguished
Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. |
2 pts
Excellent
Includes an assessment of at least 3 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. |
1 pts
Fair
Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. |
0 pts
Poor
Information is completely missing |
|
3Â pts |
This criterion is linked to a Learning Outcome Social History – O |
3 pts
Distinguished
Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. |
2 pts
Excellent
Includes 10 of the 11 following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. |
1 pts
Fair
Includes 9 or less of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. |
0 pts
Poor
Information is completely missing |
|
3Â pts |
This criterion is linked to a Learning Outcome Physical Examination – O |
9 pts
Distinguished
Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint |
7 pts
Excellent
Includes a minimum of 3 assessments for each body system and assesses at least 4 body systems directed to chief complaint |
5 pts
Fair
Includes a minimum of 2 assessments for each body system and assesses at least 4 body systems directed to chief complaint |
0 pts
Poor
Information is completely missing |
|
9Â pts |
This criterion is linked to a Learning Outcome Diagnosis – A |
5 pts
Distinguished
Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority) |
3 pts
Excellent
Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority |
2 pts
Fair
Includes an inaccurate diagnosis as the principal diagnosis |
0 pts
Poor
Information is completely missing |
|
5Â pts |
This criterion is linked to a Learning Outcome Differential Diagnosis – A |
5 pts
Distinguished
Includes at least 3 differential diagnoses for the principal diagnosis
Realistic Clinical Case Study |
3 pts
Excellent
Includes 2 differential diagnoses for the principal diagnosis |
2 pts
Fair
Includes 1 differential diagnosis for the principal diagnosis |
0 pts
Poor
Information is completely missing |
|
5Â pts |
This criterion is linked to a Learning Outcome Pharmacologic treatment plan – P |
4 pts
Distinguished
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under assessment. The plan includes ALL of the following: Realistic Clinical Case Study drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. |
3 pts
Excellent
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under assessment. The plan includes 4 of the following 7: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. |
2 pts
Fair
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under assessment. The plan includes less than 4 of the following: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
4Â pts |
This criterion is linked to a Learning Outcome Diagnostic/Lab Testing – P |
5 pts
Distinguished
Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges no diagnostic testing clinically required at this time Realistic Clinical Case Study |
3 pts
Excellent
Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges no diagnostic testing clinically required at this time |
2 pts
Fair
Includes appropriate diagnostic testing less than 50% of the time. |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
5Â pts |
This criterion is linked to a Learning Outcome Education – P |
5 pts
Distinguished
Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.
Realistic Clinical Case Study |
3 pts
Excellent
Includes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives. |
2 pts
Fair
Includes at least 1 strategies to promote and develop skills for managing their illness and at least 1 self-management methods on how to incorporate healthy behaviors into their lives. |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
5Â pts |
This criterion is linked to a Learning Outcome Anticipatory Guidance – P |
4 pts
Distinguished
Includes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening)) |
2 pts
Excellent
Includes at least 2 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening)) |
1 pts
Fair
Includes at least 1 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 1 secondary prevention strategies (related to age/condition (i.e. screening)) |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
4Â pts |
This criterion is linked to a Learning Outcome Follow up plan – P |
4 pts
Distinguished
Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months) |
2 pts
Excellent
Includes recommendation for follow up, but does not include time frame (i.e. x # of days/weeks/months)
Realistic Clinical Case Study |
0 pts
Poor
Does not include follow up plan |
|
4Â pts |
This criterion is linked to a Learning Outcome References |
3 pts
Distinguished
High level of APA precision |
2 pts
Excellent
Moderate level of APA precision |
1 pts
Fair
Incorrect APA style |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
3Â pts |
This criterion is linked to a Learning Outcome Grammar |
3 pts
Distinguished
Free of grammar and spelling errors
Realistic Clinical Case Study |
2 pts
Excellent
Writing mechanics need more precision and attention to detail |
0 pts
Poor
Writing mechanics need serious attention |
|
3Â pts |
This criterion is linked to a Learning Outcome Incorporation of Current Practice Guidelines |
4 pts
Distinguished
Includes recommendations from at least 1 professional set of practice guidelines (although not the current version) |
3 pts
Excellent
Includes 2 or fewer recommendations from at least 1 current, professional set of practice guidelines |
2 pts
Fair
Includes recommendations from at least 1 professional set of practice guidelines (although not the current version)
Realistic Clinical Case Study |
0 pts
Poor
Information is completely missing or student includes a non-credible set of treatment guidelines |
|
4Â pts |
This criterion is linked to a Learning Outcome Role of the Nurse Practitioner |
4 pts
Distinguished
Includes a discussion of the role of NP pertaining to the assessment, work up, collaboration and management of the case presented AND gives at least 1 example pertaining to each of the 4 areas (assessment, work up, collaboration and management). |
3 pts
Excellent
Includes a discussion of the role of NP pertaining to the assessment, work up, collaboration and management of the case presented AND gives atleast 1 example pertaining to 2 of the 4 areas (assessment, Realistic Clinical Case Study, work up, collaboration and management). |
2 pts
Fair
Does not include a discussion of the role of NP pertaining to the assessment, work up, collaboration and management of the case presented OR give at least 1 example pertaining to 3 or more of the following areas (assessment, work up, collaboration and management). |
0 pts
Poor
Information is completely missing
Realistic Clinical Case Study |
|
4Â pts |
Total Points: 100: Realistic Clinical Case Study |