Treatment Less than 50% Appropriate Appropriate Appropriate and 3 of problems have therapeutic goals therapeutic relevant Goals appropriate for a few identified goals for most therapeutic goals therapeutic problems identified for each identified goals. problems problem. (>80%). Treatment Less than 50% Partially complete Mostly Specific, 5 of problems have and/or complete and appropriate and Plan an appropriate inappropriate for a appropriate for justified and complete few identified each identified recommendations treatment plan. problems problem (including drug information (>80%). name, strength, other than route, frequency, “P” provided. and duration of therapy) for each identified problem. P Counseling, Less than 50% Patient education Patient Specific patient 3 of problems points, monitoring education education points, Referral, include parameters, points, monitoring Monitoring & appropriate follow-up plan and monitoring parameters, Follow-up counseling, referral plan parameters, follow-up plan monitoring, (where applicable) follow-up plan and (where referral and/or for a few identified and referral applicable) follow-up plan. problems plan (where referral plan for applicable) for each identified >80% of problem. identified problems. Header includes: date; course (for modules student name and PID and TA name) OR IPPE/APPE clinical site; patient initials; sex; age; and reason for visit; & Format: length does not exceed 1 page font; 1-inch margins). If directions are not followed, deduct ten points from final score. In addition, deduct 10 points (per day) for late submissions. /100 Total Possible Points
Treatment Goals Less than 50% of problems have appropriate therapeutic goals. Appropriate therapeutic goals for a few identified problems Appropriate therapeutic goals for most identified problems (>80%). Appropriate and relevant therapeutic goals for each identified problem. 3 P Treatment Plan Less than 50% of problems have an appropriate and complete treatment plan. Partially complete and/or inappropriate for a few identified problems information other than “P” provided. Mostly complete and appropriate for each identified problem (>80%). Specific, appropriate and justified recommendations (including drug name, strength, route, frequency, and duration of therapy) for each identified problem. 5 Counseling, Referral, Monitoring & Follow-up Less than 50% of problems include appropriate counseling, monitoring, referral and/or follow-up plan. Patient education points, monitoring parameters, follow-up plan and referral plan (where applicable) for a few identified problems Patient education points, monitoring parameters, follow-up plan and referral plan (where applicable) for >80% of identified problems. Specific patient education points, monitoring parameters, follow-up plan and (where applicable) referral plan for each identified problem. 3 & Header includes: date; course (for modules student name and PID and TA name) OR IPPE/APPE clinical site; patient initials; sex; age; and reason for visit; Format: length does not exceed 1 page font; 1-inch margins). If directions are not followed, deduct ten points from final score. In addition, deduct 10 points (per day) for late submissions. Total Possible Points /100
SOAP-Note-Rubric.docx