Provide presenting complaint details |
Analysis: demonstrates interpretation of case information |
|
Q1: How have you interpreted the given information so far? |
Poor/no attempt to interpret information from case. |
Limited interpretation of case information |
Interprets information from case at an acceptable level. |
Thorough interpret information from case. |
Comprehensive interpretation of information from case. |
|
Q2: What further information is required to clarify the presenting complaint? |
Poor/no attempt to synthesise relevant information from case. |
Limited attempt to synthesise relevant information from case. |
Sound attempt to synthesise relevant information from case. |
Thorough synthesis of relevant information from case. |
Comprehensive synthesis of relevant information from case. |
Provide additional presenting complaint details |
Heuristics: makes connections between cues in the case and includes the patients’ context in the additional information. |
|
Q3: What are the primary cues and connections in the additional case information and why? |
Unable to identify major cues and make connections. |
Identifies a limited number of cues and make connections between them. |
Identifies main cues and make connections between them. |
Identifies majority of cues and make connections between them. |
Identifies all relevant cues and make connections between them. |
Inference and information processing: uses knowledge to generate ideas about differential diagnosis and treatment. |
|
Q4: What are your differential diagnoses? Are there any red flags in this case? |
Includes irrelevant differential diagnoses. Omits red flags present in the case. |
Includes a limited number of relevant and unlikely differential diagnoses. Omits red flags present in the case. |
Identifies relevant differential diagnoses. Includes red flags present in the case. |
Identifies most likely differential diagnosis and other relevant differential diagnoses. Includes red flags present in the case. |
Orders relevant differential diagnoses from most to least likely. Includes red flags present in the case. |
|
Q5: Upon what literature and evidence are you basing your ideas about potential differential diagnoses, and examinations. |
Poor application of knowledge with use of irrelevant literature. |
Limited application of knowledge with limited use of relevant literature. |
Appropriate application of knowledge and use of relevant literature. |
Thorough application o knowledge with use of relevant literature. |
Comprehensive application of knowledge with use of relevant literature. |
Logic: provides a sound rationale for differential diagnoses and choice of examinations. |
|
Q6: What is your rationale for your choice of differential diagnoses? |
Unable to provide sound reasoning for choice of differential diagnoses. |
Limited use of reasoning for choice of differential diagnoses. |
Provides sound reasoning for choice of differential diagnoses. |
Provides thorough reasoning for choice of differential diagnoses. |
Comprehensive reasoning for choice of differential diagnoses. |
|
Q7: What examination and investigations will you use to rule in/rule out differential diagnosis? |
No clear strategy for ruling in/ruling out differential diagnosis. |
Limited use of strategy for ruling in/ruling out differential diagnosis. |
Sound strategy for ruling in/ruling out differential diagnosis. |
Thorough strategy for ruling in/ruling out differential diagnosis. |
Comprehensive strategy for ruling in/ruling out differential diagnosis. |
Provide examination findings |
C ognition: thinks aloud about choices of differential diagnosis, examination, overall Management Plan, ability to adapt to emerging information OR ancillary question |
|
Q8: Can you now tell me your working diagnosis and your overall management plan? |
Working diagnosis not consistent with history and examination findings. Overall management inappropriate for working diagnosis. |
Working diagnosis not consistent with history and examination findings. Aspects of overall management appropriate for working diagnosis. |
Working diagnosis consistent with history and examination findings. Overall management appropriate for working diagnosis. |
Thorough working diagnosis consistent with history and examination findings. Thorough rationale for overall patient management. |
Comprehensive working diagnosis consistent with history and examination findings. Overall management addresses multiple aspects of the patient's presentation. |
|
Q9: If Patient does not respond as expected OR incorrect working diagnosis OR your overall management plan hasn't worked, can you tell me what you would do? |
Poor/no attempt to reason alternative options with this case. |
Limited ability to reason aloud alternative options with this case. |
Reasons aloud through problem solving strategies and alternative options with this case. |
Reasons aloud problem solving strategies in relation to alternative options with this case. |
Comprehensively articulates alternative options with this case. |
|
Q10: What would you do if patient was male/female /younger/older? |
Is not able to articulate alternative options |
Limited skills in articulating alternative options |
Illustrates ability to articulate reasonable alternative options |
Thoroughly demonstrates ability to articulate their reasoning and decision(s) in accordance with new information |
Comprehensively demonstrates flexibility in reasoning, with ability to adjust differential diagnoses and treatment plans according to new information. |
Meta-cognition: demonstrates ability to reflect on clinical reasoning process, including osteopathic principles. |
|
Q11: How have you used the osteopathic principles in your reasoning in this case? |
Poor/no attempt at reflection on osteopathic principles. |
Limited attempt to reflect on strengths and weaknesses in clinical reasoning. |
Sound attempt to reflect on strengths and weaknesses in clinical reasoning. |
Thorough reflections on strengths and weaknesses in clinical reasoning. |
Comprehensively reflects on strengths and weaknesses in clinical reasoning. |
|
Q12: What are your thoughts about how you handled this case? What would you improve on in your handling of this case? |
Ungraded |
|
|
|
|