**Gastroenterology OSCE Grading Criteria and Rubric**

**OVERVIEW**

* Assessment Name: Gastroenterology Clinical Skills Examination (CGSE)
* Total Points Available: 100
* Weight in Final Grade: 20%
* Assessment Format: Objective Structured Clinical Examination (OSCE)

**GRADING SCALE**

* Letter Grade Breakdown:
+ A: 90-100%
+ B: 80-89%
+ C: 70-79%
+ D: 60-69%
+ F: Below 60%
* Percentage Ranges:
+ Excellent (> 90%): Mastery of all competencies
+ Proficient (80-89%): Demonstrates competence in most areas, with some minor errors
+ Developing (70-79%): Shows developing competence, with noticeable improvements needed
+ Beginning (< 70%): Fails to demonstrate basic competence
* Pass/Fail Threshold: 60%
* Honors Designation (if applicable): Not offered for this assessment

**DETAILED RUBRIC**

1. **Patient Presentation and Initial Assessment**
* Description: Ability to assess patient presentation, identify potential diagnoses, and develop an initial management plan.
* Point Value: 10 points
* Performance Levels:
+ Excellent (> 90%): Clearly identifies potential diagnoses, develops a comprehensive management plan, and demonstrates effective communication skills.
+ Proficient (80-89%): Accurately identifies potential diagnoses, but may miss critical details or fail to develop an adequate management plan. Communication skills are generally good.
+ Developing (70-79%): Fails to identify key diagnoses or develops inadequate management plans. Communication skills are variable.
+ Beginning (< 70%): Fails to assess patient presentation, identify potential diagnoses, or develop a basic management plan.
2. **Diagnostic Testing and Interpretation**
* Description: Ability to select appropriate diagnostic tests, interpret results, and adjust management plans accordingly.
* Point Value: 12 points
* Performance Levels:
+ Excellent (> 90%): Selects the most relevant diagnostic tests, accurately interprets results, and adjusts management plans effectively.
+ Proficient (80-89%): Selects most relevant diagnostic tests, but may misinterpret results or fail to adjust management plans.
+ Developing (70-79%): Fails to select appropriate diagnostic tests or misinterprets results. Management plans are variable.
+ Beginning (< 70%): Fails to select diagnostic tests or accurately interpret results.
3. **Therapeutic Intervention and Management**
* Description: Ability to develop and implement an effective management plan, including pharmacological and non-pharmacological interventions.
* Point Value: 15 points
* Performance Levels:
+ Excellent (> 90%): Develops a comprehensive, well-supported management plan, and demonstrates effective therapeutic intervention skills.
+ Proficient (80-89%): Develops a basic management plan, but may lack supporting evidence or fail to demonstrate effective therapeutic intervention skills.
+ Developing (70-79%): Fails to develop a comprehensive management plan or lacks supporting evidence. Therapeutic intervention skills are variable.
+ Beginning (< 70%): Fails to develop a basic management plan or demonstrates ineffective therapeutic intervention skills.
4. **Communication and Interpersonal Skills**
* Description: Ability to effectively communicate with patients, families, and healthcare teams, including empathy, active listening, and conflict resolution.
* Point Value: 8 points
* Performance Levels:
+ Excellent (> 90%): Demonstrates excellent communication and interpersonal skills, including empathy, active listening, and effective conflict resolution.
+ Proficient (80-89%): Displays good communication and interpersonal skills, but may lack empathy or fail to resolve conflicts effectively.
+ Developing (70-79%): Shows developing communication and interpersonal skills, with noticeable improvements needed.
+ Beginning (< 70%): Fails to demonstrate basic communication and interpersonal skills.
5. **Safety and Infection Control**
* Description: Ability to maintain a safe environment for patients, including proper hand hygiene, use of personal protective equipment (PPE), and infection control measures.
* Point Value: 10 points
* Performance Levels:
+ Excellent (> 90%): Demonstrates excellent safety and infection control practices, with no evidence of errors or near misses.
+ Proficient (80-89%): Displays good safety and infection control practices, but may have minor errors or near misses.
+ Developing (70-79%): Shows developing safety and infection control practices, with noticeable improvements needed.
+ Beginning (< 70%): Fails to demonstrate basic safety and infection control practices.

**ASSESSMENT COMPONENTS**

* Written Exam: 20%
* Practical Skills: 30%
* Clinical Reasoning: 20%
* Professional Behavior: 10%
* Participation: 20%

**PERFORMANCE STANDARDS**

* Excellent (90-100%):
+ Demonstrates mastery of all competencies
+ Exhibits exceptional communication and interpersonal skills
+ Maintains a safe environment for patients, with no evidence of errors or near misses
* Proficient (80-89%):
+ Demonstrates competence in most areas, with some minor errors
+ Shows good communication and interpersonal skills, but may lack empathy or fail to resolve conflicts effectively
+ Maintains a safe environment for patients, with minor errors or near misses
* Developing (70-79%):
+ Shows developing competence, with noticeable improvements needed
+ Fails to demonstrate basic communication and interpersonal skills
+ May have noticeable safety and infection control issues
* Beginning (< 70%):
+ Fails to demonstrate basic competence
+ Lacks safe environment for patients

**CLINICAL COMPETENCY CHECKLIST**

* Must-pass clinical skills:
+ Accurately assesses patient presentation
+ Selects appropriate diagnostic tests
+ Interprets results accurately
+ Develops and implements an effective management plan
+ Communicates effectively with patients, families, and healthcare teams
* Safety requirements:
+ Maintains a safe environment for patients
+ Demonstrates proper hand hygiene and use of PPE
+ Follows infection control measures

**FEEDBACK GUIDELINES**

* Students will receive feedback on their performance via an online portal, with the option to request additional support or clarification.
* Timeline for grade release: 2 weeks after assessment completion.
* Regrade policy:
+ Re-grading will occur only in cases of egregious errors or disputes.

**IMPROVEMENT PLAN**

* For students not meeting standards, a remediation plan will be developed with the student's guidance and support.
* Remediation options may include additional training, mentorship, or observation.
* Resources for improvement:
+ Online tutorials and educational materials
+ Mentorship from experienced healthcare professionals
+ Observation of high-performing clinicians
Last modified: Sunday, 9 November 2025, 5:47 PM