| Case Study Rubric |
| Criteria | Ratings | Pts |
| This criterion is linked to a Learning OutcomeChief 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 | | 4 pts |
| This criterion is linked to a Learning OutcomeDemographics – 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 | | 2 pts |
| This criterion is linked to a Learning OutcomeHistory 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, Character, Aggravating factors, Relieving factors, Timing and Severity) | 0 pts Poor Information is completely missing | | 4 pts |
| This criterion is linked to a Learning OutcomeAllergies – S | | 2 pts Distinguished Includes NKA (including = Drug, Environemental, 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, environemtal factor, herbal, food, 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 | | 2 pts |
| This criterion is linked to a Learning OutcomeReview 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 | | 9 pts |
| This criterion is linked to a Learning OutcomeVital 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), 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 | | 2 pts |
| This criterion is linked to a Learning OutcomeLabs – 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 | | 3 pts |
| This criterion is linked to a Learning OutcomeMedications – 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 | | 4 pts |
| This criterion is linked to a Learning OutcomeScreenings – 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 | | 3 pts |
| This criterion is linked to a Learning OutcomePast 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 | | 3 pts |
| This criterion is linked to a Learning OutcomePast 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 | | 3 pts |
| This criterion is linked to a Learning OutcomeFamily 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 | | 3 pts |
| This criterion is linked to a Learning OutcomeSocial 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 | | 3 pts |
| This criterion is linked to a Learning OutcomePhysical 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 | | 9 pts |
| This criterion is linked to a Learning OutcomeDiagnosis – 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 | | 5 pts |
| This criterion is linked to a Learning OutcomeDifferential Diagnosis – A | | 5 pts Distinguished Includes at least 3 differential diagnoses for the principal diagnosis | 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 | | 5 pts |
| This criterion is linked to a Learning OutcomePharmacologic 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: 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 | | 4 pts |
| This criterion is linked to a Learning OutcomeDiagnostic/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” | 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 | | 5 pts |
| This criterion is linked to a Learning OutcomeEducation – 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. | 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 | | 5 pts |
| This criterion is linked to a Learning OutcomeAnticipatory 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 | | 4 pts |
| This criterion is linked to a Learning OutcomeFollow 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) | 0 pts Poor Does not include follow up plan | | 4 pts |
| This criterion is linked to a Learning OutcomeReferences | | 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 | | 3 pts |
| This criterion is linked to a Learning OutcomeGrammar | | 3 pts Distinguished Free of grammar and spelling errors | 2 pts Excellent Writing mechanics need more precision and attention to detail | 0 pts Poor Writing mechanics need serious attention | | 3 pts |
| This criterion is linked to a Learning OutcomeIncorporation 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) | 0 pts Poor Information is completely missing or student includes a non-credible set of treatment guidelines | | 4 pts |
| This criterion is linked to a Learning OutcomeRole 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, 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 | | 4 pts |
| Total Points: 100 |
