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VCOM Clinical Case Presentation Grade Sheet

Clinical Case Presentations are assessed with the following form and a grade will be given which is part of the permanent record.

Printed Name of Student: _______________________________________ Date _________________________

Printed Name of Scoring Faculty: _________________________________ Hospital Site____________________

Topic: _________________________________________________________

Scoring Key: Strongly disagree 2, Fair 4, Satisfactory 7, Good 8, Strongly agree 10

1. PERTINENT HISTORY
The history is a concise review of the patient’s medical and social history _____
2. REVIEW OF SYSTEMS
The review of systems highlights only pertinent positive and negative data pertaining
to the case _____
3. PHYSICAL FINDINGS
The physical is a concise review of the positive findings and pertinent negatives only _____
4. INITIAL DIFFERENTIAL DIAGNOSIS
The student presents a well thought-out problem list and the differential diagnosis _____
5. INITIAL PLAN
The student demonstrates an understanding of the case by describing the initial
diagnostic plan and how this would contribute to the diagnosis. The student
describes warranted management of any emergent conditions. _____
6. LAB, X-RAY, AND DIAGNOSTICS – FINDINGS
The student describes the pertinent findings only and how they relate to the
differential diagnosis of the case _____
7. DIAGNOSIS
The student presents a final diagnosis applying concise review of evidence to clinical
decision making _____
8. MANAGEMENT PLAN
The student presents a management plan along with a brief description of why each portion
of the plan was chosen. The student included the response to the treatment and any
complications that occurred _____
9. OSTEOPATHIC CONTENT
The student included all osteopathic findings and OMM indications. The student
described all OMM treatment given or when not given, how the patient might have
benefited if OMM had been used _____
10. REFERENCES
The student presents and provides documentation of current medical literature
pertinent to this case using reputable sources _____

Total ______
The presentation is worth a total of 100 points. 91-100 =Honors, 81-90=High Pass, 70-80=Pass, less than 70=fail
15 points will be subtracted for late presentations.
Students with a score of less than 70 points must repeat the presentation within the academic year with a maximum
grade of 70 points.

Scoring Faculty Signature _____________________________

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