week 2

Novice

Competent

Proficient

HPI statement

0 (0%) - 5 (5%)

Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills

6 (6%) - 10 (10%)

Well written HPI statement but may be missing 1-2 key components from the history

11 (11%) - 15 (15%)

Clearly written HPI statement with comprehensive information gathering from case questions.

History

0 (0%) - 6 (6%)

Incomplete history missing 3 or more aspects of the OLDCARDS critical to patient’s diagnosis.

7 (7%) - 8 (8%)

Fairly complete history covering most of the requirements but may be missing 1-2 aspects of OLDCARDS critical to patient’s diagnosis.

9 (9%) - 10 (10%)

Complete history covering all critical components of a focus exam. Includes all aspects of OLDCARDS

Physical Exam

0 (0%) - 6 (6%)

Incomplete physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis.

7 (7%) - 8 (8%)

Fairly complete physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis.

9 (9%) - 10 (10%)

Complete physical examination covering all critical components of a focus exam.

Testing

0 (0%) - 6 (6%)

Includes 3 or more inappropriate exams or tests. May include contraindicated testing.

7 (7%) - 8 (8%)

Tests ordered are generally apprropriate. May include 1-2 unnecessary exams or tests.

9 (9%) - 10 (10%)

Tests that are ordered are appropriate for patient and cost effective.

Differential Diagnosis Summary

0 (0%) - 9 (9%)

Primary diagnosis may be wrong.Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components.

10 (10%) - 14 (14%)

Correct primary diagnosis identified. Well written differential diagnoses. May be missing 1-2 critical components. Priority list may be out of order

15 (15%) - 20 (20%)

Primary diagnosis identified. Clearly written differential diagnoses.

Plan for patient

0 (0%) - 15 (15%)

Poorly written plan. May be missing 3 or more key issues that are critical to patient's diagnosis.

16 (16%) - 25 (25%)

Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.

26 (26%) - 30 (30%)

Clearly written plan covering all critical components for patient’s final diagnosis.

Exercises

0 (0%) - 2 (2%)

Correctly answered 0-69% of the clinical questions.

3 (3%) - 4 (4%)

Correctly answered 70-89% of the clinical questions.

0 (0%) - 5 (5%)

Correctly answered 90-100% of the clinical questions.

Total Points: 100