H & P note 2

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Rubric.docx

History and Physical Note

12 points

Criteria Description

History and Physical Note (Chief Complaint, HPI, Patient History, Home Medications, Review of Systems, Vital Signs, Physical Exam, Test Results)

5. Target

12 points

The history and physical note is thoroughly explored and clearly explained with relevant details and support.

4. Acceptable

10.8 points

The history and physical note is provided with appropriate details and support.

3. Approaching

9.6 points

The history and physical note is present, but only minimal detail or support is provided.

2. Insufficient

6 points

The history and physical note is incomplete or otherwise deficient.

1. Unsatisfactory

0 points

The history and physical note is not included.

Assessment and Clinical Impressions

12 points

Criteria Description

Assessment and Clinical Impressions (Identification of Three Differential Diagnoses, List of Acute and Chronic Diagnoses, List of Diagnoses and Conditions in Priority Order)

5. Target

12 points

The assessment and clinical impressions are thoroughly explored and clearly explained with relevant details and support.

4. Acceptable

10.8 points

The assessment and clinical impressions are provided with appropriate details and support.

3. Approaching

9.6 points

The assessment and clinical impressions are present, but only minimal detail or support is provided.

2. Insufficient

6 points

The assessment and clinical impressions are incomplete or otherwise deficient.

1. Unsatisfactory

0 points

The assessment and clinical impressions are not included.

Plan Component Management and Criteria

12 points

Criteria Description

Plan Component Management and Criteria Incorporation (Interventions, Disposition, Expected Outcomes, Health Education, and Case Summary)

5. Target

12 points

The plan component management and plan criteria incorporation are thoroughly explored and clearly explained with relevant details and support.

4. Acceptable

10.8 points

The plan component management and plan criteria incorporation are provided with appropriate details and support.

3. Approaching

9.6 points

The plan component management and plan criteria incorporation are present, but only minimal detail or support is provided.

2. Insufficient

6 points

The plan component management and plan criteria incorporation are incomplete or otherwise deficient.

1. Unsatisfactory

0 points

The plan component management and plan criteria incorporation are not included.

Peer-Reviewed Articles

6 points

Criteria Description

Peer-Reviewed Articles

5. Target

6 points

Three peer-reviewed articles are included.

4. Acceptable

5.4 points

N/A

3. Approaching

4.8 points

N/A

2. Insufficient

3 points

Fewer than three peer-reviewed articles are provided.

1. Unsatisfactory

0 points

Three peer-reviewed articles are not included.

Mechanics of Writing 

6 points

Criteria Description

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

5. Target

6 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

4. Acceptable

5.4 points

Few mechanical errors are present. Suitable language choice and sentence structure are used. 

3. Approaching

4.8 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

2. Insufficient

3 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent. 

1. Unsatisfactory

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout. 

Format/Documentation 

12 points

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

5. Target

12 points

No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.

4. Acceptable

10.8 points

Appropriate format and documentation are used with only minor errors.

3. Approaching

9.6 points

Appropriate format and documentation are used, although there are some obvious errors.

2. Insufficient

6 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident. 

1. Unsatisfactory

0 points

Appropriate format is not used. No documentation of sources is provided. 

Total 60 points