Diagnostic Rubric

Part 1 – Structured Reasoning

Question 1: Diagnosis — List 3 Possible Diagnoses (0–3 points)

The response should list three possible diagnoses.

Scoring: - 1 point per diagnosis if it is plausible and appropriate for the case - 0 points if the diagnosis is implausible or incorrect

Maximum: 3 points

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Question 2: Support Diagnosis — For each possible diagnosis listed, provide findings/risk factors supporting this hypothesis (0–6 points)

For each diagnosis: - 2 points: Correct and specific findings or risk factors that support the diagnosis and are grounded in the case - 1 point: Partially correct or incomplete supporting information - 0 points: Incorrect, irrelevant, or missing

Maximum: 6 points (2 per diagnosis)

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Question 3: Opposing Diagnosis — For each possible diagnosis listed, provide findings opposing this hypothesis, or findings that were expected but not present (0–6 points)

For each diagnosis: - 2 points: Correct identification of findings that contradict the diagnosis or expected findings that are absent - 1 point: Partially correct or incomplete opposing reasoning - 0 points: Incorrect, irrelevant, or missing

Maximum: 6 points (2 per diagnosis)

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Part 2 – Final Diagnostic Decision (0–2 points)

Question: Based upon your reasoning above, what is your final diagnosis?

Scoring: - 2 points: Correct diagnosis - 0 points: Incorrect diagnosis

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Part 3 – Additional Steps (0–2 points)

Question: Name up to 3 additional steps that you would take in your diagnostic process

Scoring: - 2 points: Appropriate, specific, and clinically useful next steps - 1 point: Partially appropriate or incomplete - 0 points: Incorrect or not useful

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Total Score

Maximum score: 19 points