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Discussion: clinical reasoning, confidence and learning of multiple pharmacological agents

Grand Rounds

Guidelines with Scoring Rubric

Purpose

The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of multiple pharmacological agents through facilitated discussion.

Description

In Week 6, you will create a PowerPoint Grand Rounds presentation on the topic assigned to you by the faculty member. In Week 7, you will lead a discussion based on your presentation as well as interact with peers in discussions related to their Grand Rounds presentations.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

1. Describe the most commonly prescribed drugs use in primary care for the chose condition.

2. Utilize clinical guidelines, research articles or other materials to support your findings.

3. Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).

4. Discuss best practices for optimal outcomes.

Due Dates: Week 6: Grand Rounds PowerPoint Presentation due by Sunday 11:59 p.m. MT at the end of Week 6.

Week 7: Presentation must be uploaded to Week 7 discussion by Sunday 11:59 p.m. MT at the end of Week 6. Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7, answers five questions in three different presentations (total of 15) and all follow-up posts to your presentation due by Sunday at 11:59 p.m. MT at the end of Week 7.

Requirements:

In Week 6, create a narrated PowerPoint presentation related to a common condition in primary care. Your professor will assign you the condition that you are to present. Please use the Kaltura feature available in your classroom to record and submit your presentation. Additional instructions on Kaltura can be found under Course Resources.In a Kaltura narrated PowerPoint presentation of 15 slides or less, students present a narrated case using a fictional patient who presents to clinic with assigned medical condition. Students will describe the most commonly prescribed drugs for your assigned condition. Provide evidence by sharing clinical guidelines, research articles, or other scholarly materials to support your findings. You will identify barriers to practice or additional issues related to the condition and the use of pharmacologic treatment, including potential issues related to cultural diversity and healthcare literacy. The length of your presentation should be between 8-12 minutes total.Read the following article and incorporate evidence from it as a part of your presentation: Dreischulte, T., & Guthrie, B. (2012). High-risk prescribing and monitoring in primary care: how common is it, and how can it be improved? Therapeutic advances in drug safety3(4), 175-184. The article can be found at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110851/Finally, you will describe the expected outcomes for medication management, including expectations for follow up care. Citations should be provided at the bottom of slides, and a full reference list should be included in APA format on the final slide. You will create five (5) multiple choice or true-false questions created from your presentation content. Include the questions in the presentation, but DO NOT give the answers. Instead, provide the answers to the questions you have created in a comment to the Assignment; this allows your instructor to see the correct answers. The PowerPoint presentation and questions are due by Sunday 11:59 p.m. MT at the end of Week 6.In Week 7, you will post your Kaltura presentation that you have created to the discussion area, without the answers to the multiple choice questions. Please post the presentation to the discussion area by Sunday 11:59 p.m. MT at the end of Week 6 to facilitate a robust discussion.Participating in the Discussion: You will be required to respond to at least three other students, who have no responses to their posting.** In your post, you will discuss a drug that could be prescribed for the condition DIFFERENT than those presented. Come up with a different treatment plan from the Walmart or Target $4 RX list, and offer reasons for the change or if the drug is not on the list, why? Use references to support your responses. You should also answer the presenter’s five questions.Three responses to a peer’s presentations are due by Thursday 11:59 p.m. MT of Week 7 so that the presenting student can interact with you.**If all students have a response, then choose the student with the least responses to their posting.Leading the Discussion: You must respond to any student who posts to you by THURSDAY regarding your case with a substantial response, either answering their questions or noting their response and acting as leader. You also must respond to any faculty responses to your initial posting if posted by THURSDAY. Use references to support your responses. All FINAL responses to your initial posts must be completed by Sunday, 11:59 p.m. MT.

Preparing the power point presentation

Grand Rounds PowerPoint Week 6

CategoryPoints%Description
Case Study Presentation15Presents a narrated case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, patient’s current medical conditions, gender, race, age, weight vital signs, smoker non-smoker and current medications. Also include signs and symptoms of condition
Medication Management20Describes, in detail, the most commonly prescribed drugs for condition, including trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions. Describes alternate therapies such as herbal medication, homeopathic methods; acupuncture, tai chi, yoga etc. Alternative therapies must apply to the students case study.
Evidence Based Support10Provides evidence from clinical guidelines, research-based articles, or other appropriate provider-level resources. Includes evidence from Dreischulte & Guthrie (2012) article.
Barriers to Practice5Describes potential barriers, issues, or problems related to disease process and prescribing, including potential issues related to cultural or socioeconomic diversity and healthcare literacy
Identifying Outcomes5Describe optimal outcomes after treatment with suggested medication
Test Questions15Includes five (5) knowledge-based questions related to presentation materials
Formatting5Slides are clear and easy to read. No more than 15 slides (excluding test question and reference slides) are submitted. Oral presentation is no less than 8 mins and no longer than 12 minutes .References use APA format.
Total 75100A quality assignment will meet or exceed all of the above requirements.

Grading Rubric PowerPoint Presentation- Week 6

CriterionExceptionalOutstanding or highest level of performanceExceedsVery good or high level of performanceMeetsSatisfactory level of performanceNeeds ImprovementPoor or failing level of performanceDevelopingUnsatisfactory level of performance
ContentPossible Points = 70
Case Study Presentation15 Points13 Points12 Points6 Points0 Points
Presents a narrated Kaltura case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, including signs and symptoms of condition.Presents a narrated Kaltura case using a fictional patient who presents to clinic with assigned medical condition. Provides detailed description of patient, but omits some signs and symptoms of condition.Presents a narrated Kaltura case using a fictional patient who presents to clinic with assigned medical condition. Provides vague description of patient and omits some signs and symptoms of condition.Presents a narrated Kaltura case using a fictional patient who presents to clinic with assigned medical condition, but does not provide description of patient, including signs and symptoms of condition.Does not present a narrated case study.
Medication Management20 Points18 Points16 Points8 Points0 Points
Describes, in detail, the first line prescribed drugs for condition, including trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions. Describes alternate therapies.Generally describes the first line prescribed drugs for condition, omitting one of the following: trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions, and alternate therapies.Generally describes the first line prescribed drugs for condition, omitting 2-3 of the following: trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions, and alternate therapies.Generally describes the first line prescribed drugs for condition, or incorrectly identifies first line drug, omitting 4 or more of the following: trade and generic names, typical dosages, mechanism of action, adverse effects, and major contraindications and interactions, and alternate therapies.Does not describe medications for condition.
Evidence-Based Support10 Points9 Points8 Points4 Points0 Points
Provides evidence from clinical guidelines, research-based articles, or other appropriate provider-level resources. Includes evidence from Dreischulte & Guthrie (2012) article.Provides evidence from clinical guidelines, research-based articles, or other appropriate provider-level resources. Does not include evidence from Dreischulte & Guthrie (2012) article.Provides evidence from sources other than clinical guidelines, research-based articles, or other appropriate provider-level resources. Includes evidence from Dreischulte & Guthrie (2012) article.Provides evidence from sources other than clinical guidelines, research-based articles, or other appropriate provider-level resources. Does not include evidence from Dreischulte & Guthrie (2012) article.Does not provide evidence to support.
Barriers to Practice5 Points4 Points3 Points1 Point0 Points
Describes potential barriers, issues, or problems related to disease process and prescribing, including potential issues related to cultural or socioeconomic diversity and healthcare literacy.Describes potential barriers, issues, or problems related to disease process and prescribing, but omits potential issues related to either cultural, socioeconomic diversity, or healthcare literacy.Describes potential barriers, issues, or problems related to disease process and prescribing, but omits potential issues related to two of the following: cultural, socioeconomic diversity, or healthcare literacy.Describes potential barriers, issues, or problems related to disease process and prescribing, but omits potential issues related to cultural, socioeconomic diversity, AND healthcare literacy.Does not describe potential barriers.
Identifying Outcomes5 Points4 Points3 Points1 Point0 Points
Describe optimal outcomes after treatment with suggested medication, including expected follow up care.Describe optimal outcomes after treatment with suggested medication, does not include expected follow up care.Incorrectly identifies optimal outcomes after treatment with suggested medication, including expected follow up care.Incorrectly identifies optimal outcomes after treatment with suggested medication, does not include expected follow up care.Does not address outcomes.
15 Points13 Points12 Points6 Points0 Points
Test QuestionsIncludes five (5) knowledge-based questions with correct responses related to presentation materials submitted as a comment to the assignment dropbox.Includes four (4) knowledge-based questions with correct responses related to presentation materials submitted as a comment to the assignment dropbox.Can we just have the student add their questions to their presentation without the answer and discuss the answers durning week 7Includes two-three (2-3) knowledge-based questions related to presentation materialsORIncludes five (5) questions but does not include correct responses.Includes one (1) knowledge-based question related to presentation materials.Does not include questions.
Content Subtotalof 70 points
FormatPossible Points = 5 Points
Formatting5 Points0 Points
Slides are clear and easy to read. No more than 15 slides (excluding test question and reference slides) are submitted. Oral presentation is no less than 8 mins and no longer than 12 minutes. References use APA format.Slides are not clear and easy to read. More than 15 slides (excluding test question and reference slides) are submitted. Oral presentation is less than 8 mins or more than 12 minutes. References include errors in APA format.
Format Subtotalof 75 points
Total Pointsof 75 points

Grand Rounds Discussion Week 7

CategoryPoints%Description
Leading the Discussion25Posts the narrated PowerPoint presentation(Kaltura) by Sunday 11:59 p.m. at the end of Week 6. Responds substantively to all peers who interact with PowerPoint presentation, and answers any faculty questions posted to discussion by Sunday 11:59 p.m. MT at the end of Week 7.
Participating in the Discussion10Responds substantively to at least three different peer presentations by Thursday 11:59 p.m. MT of Week 7.
Identifying best practices20In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Presents an alternate treatment plan from the Walmart or Target $4 RX list, and offers reasons for the change or if the drug is not on the list, why? Uses scholarly, evidenced based references to support responses.
Responding to questions15Answers five (5) questions for three different presentations for a total of 15 questions.
Format5Compose the posts in clear, concise, and organized manner using proper APA format, grammar and syntax.
Total75

Grading Rubric Grand Rounds Discussion- Week 7

CriterionExceptionalOutstanding or highest level of performanceExceedsVery good or high level of performanceMeetsSatisfactory level of performanceNeedsImprovementPoor or failing level of performanceDevelopingUnsatisfactory level of performance
ContentPossible Points = 70
Leading the Discussion25 Points22 Points21 Points10 Points0 Points
Posts narrated PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds substantively to all peers who interact with PowerPoint presentation, and answers any faculty questions posted to discussion by Sunday 11:59 p.m. MT at the end of Week 7.Posts narrated PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds substantively to some peers who interact with PowerPoint presentation, and answers any faculty questions by Sunday 11:59 p.m. MT at the end of Week 7.Posts narrated PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds with limited substance to some peers who interact with PowerPoint presentation, but does not answer faculty questions by Sunday 11:59 p.m. MT at the end of Week 7.Posts narrated PowerPoint presentation by Sunday 11:59 p.m. MT of the end of Week 6. Responds to faculty questions, but does not respond to peers in own presentation discussion.Does not post narrated PowerPoint presentation in the discussion.
10 Points9 Points8 Points4 Points0 Points
Participating in the DiscussionStudent responds substantively to at least three different peer presentations by Thursday 11:59 p.m. MT.Student responds substantively to at least two different peer presentations by Thursday 11:59 p.m. MT.Student responds substantively to at least three different peer presentations by Sunday 11:59 p.m. MT.Student responds substantively to one peer presentation by Thursday 11:59 p.m. MT.Student does not participate; or, student responds to less than three peer presentations by after Thursday 11:59 p.m. MT.
Identifying Best Practices (Participant)20 Points18 Points16 Points8 Points0 Points
In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Presents an alternate treatment plan from the Walmart or Target $4 RX list, and offers reasons for the change or if the drug is not on the list, why? Uses scholarly, evidenced based references to support responses in ALL responses to presentations.In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Presents an alternate treatment plan from the Walmart or Target $4 RX list, but does not provide reasons for the change or why the drug is not on the list. Uses scholarly, evidenced based references to support responses in at least 2 responses to presentations.In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Does not present alternate treatment.Uses scholarly, evidenced based references to support responses in at least 2 responses to presentations.In participation responses to presentations, discusses a drug that could be prescribed for the condition DIFFERENT than those presented. Does not present alternate treatment. Does not provide scholarly, evidence based references.Does not provide substantive responses to peer presentations. Does not include different drugs nor provide scholarly resources.
Responding to questions (Participant)15 Points13 Points12 Points6 Points0 Points
Answers five questions for three different presentations for a total of fifteen questions.Answers three-four questions for three different presentations for a total of nine-twelve questions.Answers three-five questions for two different presentations for a total of six-ten questions.Answers three-five questions for one presentation.Does not answer presentation questions.
Content Subtotal_____of 70 points
FormatPossible Points = 5 Points
Grammar, APA Formatting, Syntax, Spelling, & Punctuation5 Points4 Points3 Points1 Point0 Points
APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.Two to four errors in APA format, grammar, spelling, and syntax noted.Five to seven errors in APA format, grammar, spelling, and syntax noted.More than 7 errors in APA format, grammar, spelling, and syntax noted.Post contains ten or more errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.
Format Subtotalof 5 points
Total Pointsof 75 points
NR508 Directions & Rubric.docx revised 10/18 jbb/kk1

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