Appendix M: New Rubric

Competency/ Level of Proficiency

Honors

High Pass

Pass

Fail

Clinical Skills

Practical

Clinical skills

The student is able to independently obtain a comprehensive and/or focused medical history. Performs physical examinations of all categories appropriate to the patient’s condition. Present sand or document pertinent health information in a concise, complete and responsible way. Performs routine and basic medical procedures. Selects appropriate investigations and interpret the results for diseases and conditions.

Student with minimal guidance:

Is able to obtain a comprehensive and/or focused medical history. Performs physical examinations of all categories appropriate to the patient’s condition. Presents and or document pertinent health information in a concise, complete and responsible way. Able to perform routine and basic medical procedures. Able to select appropriate investigations and interpret the results for diseases and conditions.

Student with continual guidance:

Is able to obtain a comprehensive and/or focused medical history. Performs physical examinations of all categories appropriate to the patient’s condition. Presents and or document pertinent health information in a concise, complete and responsible way. Able to perform routine and basic medical procedures. Able to select appropriate investigations and interpret the results for diseases and conditions.

Student unable despite maximal guidance:

Is unable to obtain a comprehensive and/or focused medical history.
Performs physical examinations of all categories appropriate to the patient’s condition. Presents and or document pertinent health information in a concise, complete and responsible way. Is unable to perform routine and basic medical procedures. Is
unable to select appropriate investigations and interpret the results for diseases and conditions.

Clinical

Reasoning Grade

The student is able to independently: Able to explain etiology, pathogenesis, structural and molecular alterations as they relate to the signs, symptoms, laboratory results imaging investigations and causes of common and important diseases. Advanced clinical reasoning ability in complex clinical scenarios. Generates a prioritized differential to propose various diagnostic and therapeutic options. Utilizes the important pharmacological and non-pharmacological therapies available for the prevention and treatment of disease. Independently identifies individuals at risk for disease and select appropriate preventive measures. Identifies individuals at risk for disease including life threatening emergencies and initiate appropriate primary intervention. Incorporates the impact of factors including aging, psychological, cultural, environmental, genetic, nutritional, social, economic, religious and developmental on health and disease of patients as well as their impact on families and caregivers

The student with minimal guidance:  Able to explain etiology, pathogenesis, structural and molecular alterations as they relate to the signs, symptoms, laboratory results imaging investigations and causes of common and important diseases. Able to apply logical clinical reasoning in complex clinical scenarios. Able to generate a prioritized differential to propose various diagnostic and therapeutic options. Able to utilize the important pharmacological and non-pharmacological therapies available for the prevention and treatment of disease. Able to identify individuals at risk for disease and select appropriate preventive measures. Able to identify individuals at risk for disease including life threatening emergencies and initiate appropriate primary intervention. Able to incorporate the impact of factors including aging, psychological, cultural, environmental, genetic, nutritional, social, economic, religious and developmental on health and disease of patients as well as their impact on families and caregivers

The student with continual guidance:  Able to explain etiology, pathogenesis, structural and molecular alterations as they relate to the signs, symptoms, laboratory results imaging investigations and causes of common and important diseases. Able to apply logical clinical reasoning in complex clinical scenarios. Able to generate a prioritized differential to propose various diagnostic and therapeutic options. Able to utilize the important pharmacological and non-pharmacological therapies available for the prevention and treatment of disease. Able to identify individuals at risk for disease and select appropriate preventive measures. Able to identify individuals at risk for disease including life threatening emergencies and initiate appropriate primary intervention. Able to incorporate the impact of factors including aging, psychological, cultural, environmental, genetic, nutritional, social, economic, religious and developmental on health and disease of patients as well as their impact on families and caregivers

Student unable despite maximal guidance:  Unable to explain etiology, pathogenesis, structural and molecular alterations as they relate to the signs, symptoms, laboratory results imaging investigations and causes of common and important diseases. Unable to apply logical clinical reasoning in complex clinical scenarios. Unable to generate a prioritized differential to propose various diagnostic and therapeutic options. Able to utilize the important pharmacological and non-pharmacological therapies available for the prevention and treatment of disease. Unable to identify individuals at risk for disease and select appropriate preventive measures. Unable to identify individuals at risk for disease including life threatening emergencies and initiate appropriate primary intervention. Unable to incorporate the impact of factors including aging, psychological, cultural, environmental, genetic, nutritional, social, economic, religious and developmental on health and disease of patients as well as their impact on families and caregivers

Communication skills (Patient)

Independent and excellent use of: Questioning styles, including effective information gathering. Appropriate levels of eye contact and posture. Excellent active listening. Demonstrates excellent empathy, rapport-building and acknowledgement of emotional responses.

Independently communicates effectively with patients, their families. Provide patient education for all ages regarding health problems and health maintenance.

Minimally dependent and above average use of: Questioning styles, including effective information gathering. Appropriate levels of eye contact and posture. Excellent active listening. Demonstrates good empathy, rapport-building and acknowledgement of emotional responses.

With minimal supervision communicates effectively with patients, their families. Provides patient education for all ages regarding health problems and health maintenance.

With continual guidance a good use of: questioning styles, including effective information gathering. Good levels of eye contact and posture. Good active listening. Demonstrates fair empathy, rapport-building and acknowledgement of emotional responses. With continual guidance communicates effectively with patients, their families. Provides patient education for all ages regarding health problems and health maintenance.

Student despite maximal guidance unable to: Use adequate questioning styles, including ineffective information gathering. Poor to no eye contact and poor posture. Poor active listening. Unable to demonstrating empathy, rapport-building and acknowledgement of emotional responses. With continual guidance, unable to communicate effectively with patients, their families. provide patient education for all ages regarding health problems and health maintenance.

Communication skills (Healthcare Team)

Highly effectively communicates with members of the health care team using medical terminology, utilizing semantic qualifiers. Recognizes and communicates common and important abnormal clinical findings

Minimally dependent with above average communication skills with members of the health care team using medical terminology, utilizing semantic qualifiers. Recognizes and communicates common and important abnormal clinical findings

With continual guidance a good use of communication skills with members of the health care team using medical terminology, utilizing semantic qualifiers. Recognizes and communicates common and important abnormal clinical findings

Student despite maximal guidance unable to: Consistently communicates with members of the health care team using poor medical terminology, unable to utilize semantic qualifiers. Unable to consistently recognize and communicate common and important abnormal clinical findings

Competency/ Level of Proficiency

Honors

High Pass

Pass

Fail

Professional Behavior

Direct Observation

A student that
independently: Fosters
an atmosphere of
excellence, participates
and attends in all
rounds, clinical sessions
and lectures on time.
Accepts criticism well.
Demonstrates
sensitivity to issues
related to culture, race,
age, gender, religion,
sexual orientation and
disability in the delivery
of health care.
Demonstrates a
commitment to high
professional and ethical
standards. Recognizes
one’s own limitations in
knowledge, skills and
attitudes and the need
for asking for additional
consultation. Reacts
appropriately to difficult
situations involving
conflicts, nonadherence,
and ethical dilemma

A student with continuous
guidance: Fosters an
atmosphere of excellence,
participates and attends in
all rounds, clinical
sessions and lectures on
time. Accepts criticism
well. Demonstrates
sensitivity to issues
related to culture, race,
age, gender, religion,
sexual orientation and
disability in the delivery of
health care. Demonstrates
a commitment to high
professional and ethical
standards. Recognizes
most limitations in
knowledge, skills and
attitudes and the need for
asking for additional
consultation. Participates
in activities to improve the
quality of medical
education. Reacts
appropriately to difficult
situations involving
conflicts, nonadherence,
and ethical dilemmas

A student despite
continuous guidance:
Fails to show up, is
frequently late to rounds
and lectures. Does not
Accept criticism well.
Does not recognize one’s
own limitations in
knowledge, skills and
attitudes and the need for
asking for additional
consultation.
Reacts inappropriately to
difficult situations
involving conflicts,
nonadherence, and ethical
dilemmas