This criterion is linked to a Learning OutcomePatient Demographics
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5 pts
Outstanding
States all 9 demographic information, including ethnicity, preferences, and ethnicity .
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3 pts
Acceptable
Includes 3 to 7 items of biographical data
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0 pts
Unacceptable
Biographical data includes less than 2 items
|
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5 pts
|
This criterion is linked to a Learning OutcomeChief Complaint (CC)
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5 pts
Outstanding
Single CC; clearly stated from the patient’s perspective. Identifies sources of information
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3 pts
Acceptable
Single chief complaint clearly stated
|
0 pts
Unacceptable
Too many complaints; too much information; not based on patient’s perspective
|
|
5 pts
|
This criterion is linked to a Learning OutcomeHistory of Present Illness (HPI)
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10 pts
Outstanding
Meets expectations and is also pt-centered focusing on the pt’s description of symptoms (e.g. does not use medical terms, like angina, to describe chest pain). Accurately conveys pertinent medical eval up to time of interaction.
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6 pts
Acceptable
Symptoms fully characterized (quality, duration, severity, etc). Chronology is evident. Well organized
|
0 pts
Unacceptable
Symptoms not fully characterized (quality, duration, severity, etc). No discernable chronology.
|
|
10 pts
|
This criterion is linked to a Learning OutcomePast Medical History (PMH)
|
5 pts
Outstanding
Includes more detailed but pertinent qualifying info (treatment course, recent studies, studies or sx’s documenting change in nat’l h/o disease process). List of all medications.Detail on OTC/supplements. Meds matched to indication. Pts’ descriptions of adverse events and delineation b/w allergy and reaction.
|
3 pts
Acceptable
PMH with basic qualifying information (date of dx, last testing, e.g.) Meds with doses; and OTC meds. List of allergies with reactions.
|
0 pts
Unacceptable
Just lists conditions. No mention of medications. Allergies and reactions are not included.
|
|
5 pts
|
This criterion is linked to a Learning OutcomeCurrent Health Status
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5 pts
Outstanding
Student identifies correctly patient lifestyle and functioning. Provides examples.
|
3 pts
Acceptable
The student describes the patient’s present health status and lifestyle. However, there are no examples.
|
0 pts
Unacceptable
The student does not describe the patient current health status and lifestyle.
|
|
5 pts
|
This criterion is linked to a Learning OutcomeFamily History Narrative and Genogram
|
10 pts
Outstanding
addresses key elements of past and family health history. Student shows 3 generations of family on Genogram. Denotes family relationships using accurate symbols with supporting explanations.
|
6 pts
Acceptable
addresses all key elements. Student shows 3 generations of family on genogram.
|
0 pts
Unacceptable
Does not develop a complete family history. Genogram is not included in assignment.
|
|
10 pts
|
This criterion is linked to a Learning OutcomeRisk assessment based on family history
|
10 pts
Outstanding
Identify health patterns that affect different generations and ways to promote good health to combat these patterns. identify at least three specific health risks or diseases that have been passed down through generations.
|
6 pts
Acceptable
Discussion articulates generational health patterns but does not fully address health promotion activities to combat these health patterns. Identified and communicated 2-3 health risk/disease patterns through the generations depicted.
|
0 pts
Unacceptable
Discussion lacks depth in relation to patterns of health and health promotion activities to combat these patterns Identified and communicates one health risk/disease pattern throughout generations depicted.
|
|
10 pts
|
This criterion is linked to a Learning OutcomePast Surgical History
|
5 pts
Outstanding
The student identifies surgical history with dates and outcomes.
|
3 pts
Acceptable
The student identifies past surgical history but omits dates and outcomes.
|
0 pts
Unacceptable
Past surgical history is not present.
|
|
5 pts
|
This criterion is linked to a Learning OutcomeSocial History
|
5 pts
Outstanding
Relevant, thorough, accurate, in-depth social patient history. Including alcohol and drug history.
|
3 pts
Acceptable
The general patient’s social history was presented. However, omits some of the criteria requirements.
|
0 pts
Unacceptable
Minimal patient social history presented
|
|
5 pts
|
This criterion is linked to a Learning OutcomeSexual Activity
|
5 pts
Outstanding
The sexual history detects most key and relevant information that triggers prevention activities.
|
3 pts
Acceptable
The sexual history is detailed. However, it does not trigger future prevention activities.
|
0 pts
Unacceptable
The sexual history is disorganized and does not follow recommendations.
|
|
5 pts
|
This criterion is linked to a Learning OutcomeWork/Hobbies/Other
|
5 pts
Outstanding
Succinct yet detailed prose with hobbies and/or other details to give a sense of pt prior to acute illness
|
3 pts
Acceptable
List some hobbits and occupations.
|
0 pts
Unacceptable
Does not mention hobbies or other activities prior to illness.
|
|
5 pts
|
This criterion is linked to a Learning OutcomeReview of systems (ROS)
|
10 pts
Outstanding
Student provides an adequate review of systems documentation that covers the majority of systems
|
6 pts
Acceptable
Student provides a limited review of systems documentation.
|
0 pts
Unacceptable
Too many complaints; too much information; not based on patient’s perspective
|
|
10 pts
|
This criterion is linked to a Learning OutcomePrevention and Health Promotion
|
10 pts
Outstanding
The student provides a comprehensive list of prioritized recommendations for health promotion substantiated with referenced rationales.
|
6 pts
Acceptable
Student provides at least 3 prioritized recommendations for health promotion with rationales provided.
|
0 pts
Unacceptable
Student provides 0-1 recommendations with no rationales provided
|
|
10 pts
|
This criterion is linked to a Learning OutcomeAPA Guidelines & Writing Style
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10 pts
Outstanding
>2 scholarly resources used to support the analysis .<2 spelling, grammatical, punctuation errors Follows APA guidelines.
|
6 pts
Acceptable
1-2 scholarly resources utilized. 2-5 spelling, grammatical, and punctuation errors. Follows APA guidelines
|
0 pts
Unacceptable
Lacks scholarly resources. >5 spelling, grammatical, punctuation errors. Do not follow APA guidleines.
|
|
10 pts
|
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