Video Presentation #1: Infant or Toddler (Under Age 6)


Step 1: For this assignment, students will create a video presentation performing a comprehensive psychiatric evaluation of an infant or toddler. You are expected to choose a child and an adult to conduct an interview with. The child and parent are not required to be actual clinic patients, but merely someone who has agreed to perform the interview with you. You will be graded on your interview skills when interviewing the persons performing as an infant or toddler and a parent. You are expected to ask the patient and the parent questions the same way you do with your patients in the clinic. Both should be available virtually or in-person to answer questions. You may use a Zoom/video call to assess the simulated patient if you do not have a child/parent you can assess face to face.

I expect that you will conduct a mental status exam during the interview. If you don’t ask it or explain how you observed it, then don’t document it. Only the information asked in the video will be used for grading.

Use the rubric as a guide for collecting data. Don’t miss points because something was not addressed.

Use Canvas Studio’s Screen Capture feature to record (voice and video) your presentation. No other medium will be accepted. Upload the comprehensive psychiatric examination document. Your documentation will be graded on what you asked during the session. The instructions for creating the video are listed below:

How do I record a Canvas Studio video with a webcam in a course? (Links to an external site.)

Step 2: Each student will create a focused SOAP note or PowerPoint presentation. SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The comprehensive psychiatric SOAP note or PowerPoint is to be written using the attached template below. Do not provide a voiceover or video for the PowerPoint. Only the information asked in the video will be used for grading.

S =Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS). Click here (Links to an external site.) for more details
O =Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; and Mental Status Exam
A =Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes
P =Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up

Other: Incorporate current clinical guidelines NIH Clinical Guidelines (Links to an external site.) or APA Clinical Guidelines (Links to an external site.), research articles, and the role of the PMHNP in your presentation.

Reminder: It is important that you complete this assessment using your critical thinking skills. You are expected to synthesize your clinical assessment, formulate a psychiatric diagnosis, and develop a treatment plan independently. It is not acceptable to document “my preceptor made this diagnosis.” An example of the appropriate descriptors of the clinical evaluation is listed below. It is not acceptable to document “within normal limits.”

Submission Instructions:

In addition to the video demonstrating proficiency in completing a comprehensive psychiatric evaluation, students must upload a comprehensive written submission.

  • The written submission should be limited to PowerPoint 10-12 slides or a comprehensive psychiatric note and include all sections of the SOAP note listed above.
  • The comprehensive psychiatric examination is original work and logically organized, formatted, and cited in the current APA style, including citation of references. Incorporate a minimum of four current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style, 7th Edition (the library has a copy of the APA Manual).
  • Students must wear their lab coats, display their STU or other identification, and conduct the video in a professional setting, or the presentation will not be graded.
  • Complete and submit the assignment by 11:59 PM ET Sunday
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Grading Rubric


Your assignment will be graded according to the grading rubric.

Rubric

Video Case Presentation and Psychiatric SOAP Note Rubric 2022

CriteriaRatingsPts
This criterion is linked to a Learning OutcomeChief ComplaintChief Complaint (Reason for seeking health care) – S4 to >3.0 ptsExemplaryIncludes a direct quote from patient about presenting problem3 to >2.0 ptsDistinguishedIncludes a direct quote from patient and other unrelated information2 to >0.0 ptsDevelopingIncludes information but information is NOT a direct quote0 ptsNoviceInformation is completely missing4 pts
This criterion is linked to a Learning OutcomeDemographics – S2 ptsExemplaryBegins with patient initials, age, race, ethnicity, and gender (5 demographics)1.5 ptsDistinguishedBegins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity, and gender)1 ptsDevelopingBegins with 3 or less patient demographics (patient initials, age, race, ethnicity, and gender)0 ptsNoviceInformation is completely missing2 pts
This criterion is linked to a Learning OutcomeHistory of the Present Illness (HPI) – S5 to >3.0 ptsExemplaryIncludes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)3 to >2.0 ptsDistinguishedIncludes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing2 to >1.0 ptsDevelopingIncludes the presenting problem and 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing1 to >0 ptsNoviceThe presenting problem is not clearly stated and/or there are < 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing5 pts
This criterion is linked to a Learning OutcomeAllergies – S2 ptsExemplaryIncludes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)1.5 ptsDistinguishedIf allergies are present, students list type Drug, environmental factor, herbal, food, latex name and include severity of allergy OR description of the allergy1 ptsDevelopingIf allergies are present, students lists only the type of allergy name0 ptsNoviceInformation is completely missing2 pts
This criterion is linked to a Learning OutcomeReview of Systems (ROS) – S5 to >3.0 ptsExemplaryIncludes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies”3 to >2.0 ptsDistinguishedIncludes 3 or fewer assessments for each body system, assesses 5-8 body systems directed to chief complaint, AND uses the words “admits” and “denies”2 to >0.0 ptsDevelopingIncludes 3 or fewer assessments for each body system, and assesses less than 5 body systems directed to chief complaint, OR student does not use the words “admits” and “denies”0 ptsNoviceInformation is completely missing5 pts
This criterion is linked to a Learning OutcomeVital Signs – O2 ptsExemplaryIncludes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)1.5 ptsDistinguishedIncludes at least 6 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)1 ptsDevelopingIncludes at least 4 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)0 ptsNoviceInformation is completely missing2 pts
This criterion is linked to a Learning OutcomeLabs, Diagnostic Tests and Screening Tools – O3 ptsExemplaryDuring the visit: Includes a list of the labs, diagnostic tests or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic tests were reviewed.2 ptsDistinguishedDuring the visit: Includes a list of the labs, diagnostic tests, or screening tools reviewed at the visit, but does not include the values of lab results or screening tools, but does not highlight abnormal values.1 ptsDevelopingDuring the visit: Includes a list of the labs, diagnostic tests, or screening tools reviewed at the visit but does not include the values of the results or highlight abnormal values.0 ptsNoviceInformation is completely missing.3 pts
This criterion is linked to a Learning OutcomeMedications-S4 to >3.0 ptsExemplaryIncludes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency)3 to >2.0 ptsDistinguishedIncludes a list of all of the patient reported psychiatric and but omits the medical medications and the diagnosis for the medication (including name, dose, route, frequency)2 to >0.0 ptsDevelopingIncludes a list of some of the patient reported psychiatric and/or medical medications and the diagnosis for the medication (omits the dose, route, frequency of the medications)0 ptsNoviceInformation is completely missing4 pts
This criterion is linked to a Learning OutcomePast Medical History-S3 ptsExemplaryIncludes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current2 ptsDistinguishedIncludes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current1 ptsDevelopingIncludes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current0 ptsNoviceInformation is completely missing3 pts
This criterion is linked to a Learning OutcomePast Psychiatric History-S5 to >3.0 ptsExemplaryIncludes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), year of diagnosis and3 to >2.0 ptsDistinguishedIncludes (Outpatient and Hospitalizations), for each psychiatric diagnosis (omits addiction treatment), year of diagnosis2 to >0.0 ptsDevelopingIncludes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), does not include the year of diagnosis0 ptsNoviceThe information is completely missing5 pts
This criterion is linked to a Learning OutcomeFamily Psychiatric History-S3 ptsExemplaryIncludes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts2 ptsDistinguishedIncludes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts1 ptsDevelopingIncludes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attempts0 ptsNoviceInformation is completely missing3 pts
This criterion is linked to a Learning OutcomeSocial History-S3 ptsExemplaryDistinguished Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.2 ptsDistinguishedIncludes at least 8 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.1 ptsDevelopingIncludes all 6 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.0 ptsNoviceInformation is completely missing.3 pts
This criterion is linked to a Learning OutcomeMental Status Exam-O15 to >8.0 ptsExemplaryIncludes all 10 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area8 to >5.0 ptsDistinguishedIncludes all 8 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area5 to >3.0 ptsDevelopingIncludes >6 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with some descriptions for each area3 to >0 ptsNoviceIncludes <3 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) OR detailed descriptions is not included for each area15 pts
This criterion is linked to a Learning OutcomePrimary Diagnoses-A5 to >3.0 ptsExemplaryIncludes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)3 to >2.0 ptsDistinguishedIncludes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority2 to >0.0 ptsDevelopingIncludes an inaccurate diagnosis as the principal diagnosis0 ptsNoviceInformation is completely missing5 pts
This criterion is linked to a Learning OutcomeDifferential Diagnoses-A3 ptsExemplaryIncludes at least 2 differential diagnoses that can be supported by the subjective and objective data provided.2 ptsDistinguishedIncludes 1 differential diagnosis that can be supported by the subjective and objective data provided.1 ptsDevelopingIncludes at least 1 differential diagnosis that is NOT supported by the subjective and objective data0 ptsNoviceInformation is completely missing3 pts
This criterion is linked to a Learning OutcomeOutcome Labs/Screening Tools – O3 ptsExemplaryAfter the visit: orders appropriate diagnostic/lab testing or screening tool 100% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time”2 ptsDistinguishedAfter the visit: orders appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time”1 ptsDevelopingAfter the visit, orders appropriate diagnostic testing less than 50% of the time.0 ptsNoviceInformation is completely missing.3 pts
This criterion is linked to a Learning OutcomeTreatment8 to >6.0 ptsExemplaryIncludes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the current US clinical guidelines.6 to >4.0 ptsDistinguishedIncludes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4-7 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the current US clinical guidelines.4 to >2.0 ptsDevelopingIncludes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. Non-pharmacological treatment NOT included. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is NOT supported by the current US clinical guidelines OR is unsafe.2 to >0 ptsNoviceInformation is completely missing8 pts
This criterion is linked to a Learning OutcomePatient/Family Education-P5 to >3.0 ptsExemplaryIncludes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.3 to >2.0 ptsDistinguishedIncludes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives.2 to >0.0 ptsDevelopingIncludes at least 1 strategies to promote and develop skills for managing their illness and at least 1 self-management methods on how to incorporate healthy behaviors into their lives.0 ptsNoviceInformation is completely missing.5 pts
This criterion is linked to a Learning OutcomeReferral5 to >3.0 ptsExemplaryProvides a detailed list of medical and other interdisciplinary referrals or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments.3 to >2.0 ptsDistinguishedProvides a medical or other interdisciplinary referral or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments.2 to >0.0 ptsDevelopingProvides a medical or other interdisciplinary referral. DOES NOT include a timeline for follow up appointments.0 ptsNoviceInformation is completely missing.5 pts
This criterion is linked to a Learning OutcomeAPA Formatting5 to >3.0 ptsExemplaryEffectively uses literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style.3 to >2.0 ptsDistinguishedEffectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of precision with APA 7th Edition writing style.2 to >0.0 ptsDevelopingIneffectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. APA 7th Edition writing style not strictly adhered to.0 ptsNoviceAPA style and writing mechanics not used.5 pts
This criterion is linked to a Learning OutcomeAudio-Video Presentation10 ptsExemplaryAudio-Video presentation contains 10-15 slides. Well-rehearsed. Voice, eye contact and pacing hold interest and attention of the audience; introduced self and project.7 ptsDistinguishedAudio-Video presentation contains a minimum of 10 slides. Fairly fluid delivery. Communicates ideas with proper voice projection; perhaps one mispronounced work; made eye contact3 ptsDevelopingAudio-Video presentation contains fewer than 10 slides, or some slides designed do not support the therapeutic intervention/content of the presentation. Some difficulty communicating ideas. Poor voice projections; some eye contact; no introduction; mispronounced a few words; long pauses; somewhat confused.0 ptsNoviceAudio-Video presentation was not submitted or the video was not created using the audio or video platform required in the instructions. Great difficulty communicating ideas. Poor voice projection; no eye contact; no introduction; mispronounced words; stopped or had long pauses; read from notes
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