Chronic Disease Management - Osce Grading Criteria

**Chronic Disease Management OSCE Grading Criteria and Rubric**

**OVERVIEW**

* Assessment Name: Chronic Disease Management OSCE (Objective Structured Clinical Examination)
* Total Points Available: 100
* Weight in Final Grade: 20%
* Assessment Format: Practical skills assessment with written components

**GRADING SCALE**

* Letter Grade Breakdown:
+ A: 90-100% (Excellent)
+ B: 80-89% (Proficient)
+ C: 70-79% (Developing)
+ D: Below 70% (Beginning)
+ F: Failure
* Percentage Ranges:
+ 90-100%: Excellent
+ 80-89%: Proficient
+ 70-79%: Developing
+ Below 70%: Beginning
* Pass/Fail Threshold: Pass if student achieves a minimum of 60%
* Honors Designation: Available for students achieving an A grade (90-100%)

**DETAILED RUBRIC**

1. **Introduction and Case Presentation**
* Description: Student introduces the case, provides background information, and outlines their management plan.
* Point Value: 10 points
* Performance Levels:
+ Excellent (9/10): Clear, concise presentation with thorough case analysis.
+ Proficient (8/10): Good introduction and overview of the case, but some minor errors in presentation.
+ Developing (6/10): Limited information provided, or unclear presentation.
+ Beginning (<6/10): No clear introduction or case analysis.
2. **Assessment of Comorbidities**
* Description: Student identifies and assesses comorbidities related to the patient's condition.
* Point Value: 12 points
* Performance Levels:
+ Excellent (11/12): Accurate identification and assessment of all relevant comorbidities.
+ Proficient (10/12): Most comorbidities correctly identified, but minor errors in assessment.
+ Developing (7/12): Some comorbidities identified, but incomplete or inaccurate assessment.
+ Beginning (<7/12): Few or no comorbidities identified.
3. **Medication Management**
* Description: Student demonstrates knowledge of medication management for the patient's condition.
* Point Value: 15 points
* Performance Levels:
+ Excellent (14/15): Accurate and comprehensive medication management plan.
+ Proficient (13/15): Most medications correctly managed, but minor errors in dosage or administration.
+ Developing (9/15): Some medications correctly managed, but incomplete or inaccurate plan.
+ Beginning (<9/15): Few or no medications managed correctly.
4. **Disease Education**
* Description: Student educates the patient on their condition and management plan.
* Point Value: 10 points
* Performance Levels:
+ Excellent (9/10): Clear, concise, and empathetic education of the patient.
+ Proficient (8/10): Good education of the patient, but some minor errors in communication.
+ Developing (6/10): Limited information provided or unclear education.
+ Beginning (<6/10): No clear education or communication.
5. **Communication with Healthcare Team**
* Description: Student communicates effectively with the healthcare team regarding the patient's care plan.
* Point Value: 12 points
* Performance Levels:
+ Excellent (11/12): Clear, concise, and respectful communication with the healthcare team.
+ Proficient (10/12): Good communication with the healthcare team, but minor errors in tone or language.
+ Developing (7/12): Some communication issues or incomplete information shared.
+ Beginning (<7/12): Limited or no communication with the healthcare team.

**ASSESSMENT COMPONENTS**

* Written Exam (20%):
+ Multiple-choice questions
+ Short-answer questions
* Practical Skills (30%):
+ Demonstration of clinical skills
+ Observation of patient interaction
* Clinical Reasoning (25%):
+ Ability to analyze complex cases
+ Decision-making and problem-solving
* Professional Behavior (10%):
+ Attitude and demeanor during the OSCE
+ Adherence to HIPAA guidelines and patient confidentiality
* Participation (15%):
+ Engagement with the OSCE process
+ Active participation in case presentation and discussion

**PERFORMANCE STANDARDS**

* Excellent (90-100%): Student demonstrates exceptional knowledge, skills, and behavior.
* Proficient (80-89%): Student shows good knowledge, skills, and behavior, but may have minor errors or limitations.
* Developing (70-79%): Student demonstrates some knowledge, skills, and behavior, but may require remediation.
* Beginning (<70%): Student fails to demonstrate basic knowledge, skills, and behavior.

**CLINICAL COMPETENCY CHECKLIST**

1. **Must-pass clinical skills**: Students must demonstrate proficiency in the following clinical skills:
+ History-taking
+ Physical examination
+ Medication management
+ Disease education
2. **Safety requirements**: Students must adhere to all safety guidelines and protocols during the OSCE, including:
* Use of personal protective equipment (PPE)
* Handling of hazardous materials
* Adherence to HIPAA guidelines

**FEEDBACK GUIDELINES**

1. **How students receive feedback**: Students will receive written feedback on their performance in the OSCE, highlighting strengths and areas for improvement.
2. **Timeline for grade release**: Feedback and grades will be available within 2 weeks of the OSCE date.
3. **Regrade policy**: In cases of disputed grades or concerns about student performance, a regrade process will be initiated, with a final decision made by the course instructor.

**IMPROVEMENT PLAN**

1. **For students not meeting standards**: Students who fail to meet the minimum pass/fail threshold will receive an improvement plan, outlining:
* Remediation options (e.g., additional coursework, tutoring)
* Resources for improvement (e.g., study groups, academic support services)
2. **Resources for improvement**:
* Study guides and review materials
* Online resources and tutorials
* One-on-one tutoring or mentoring