Points

Writing Style

Completenes

Of Case History

Description of  Test

Results

 

Appropriate Selection

Of Tests

Recommendations

Completenes

Clarity

Accuracy

Clarity

Appropriateness

0

Very difficult to read. Writing is unclear. Contains numerous grammatical/ spelling errors.

No case history information or only demographic information provided.

No description of results provided.

Description is unclear.

All descriptions provided are incorrect.

Missing the majority of appropriate tests or simply includes results for all available tests without regard to appropriateness for this case.

Recommendations are unclear.

No recommendations made or recommendations are all inappropriate for this case.

1

Difficult to read.  Writing is somewhat unclear.  Contains several grammatical/ spelling errors.

Minimal case history information provided.  Missing important pieces relevant to case.

Description of some results provided, but others are omitted.

Description is moderately clear.

The descriptions contain a mix of accurate and inaccurate information.

Missing 1-2 important tests and/or included information for 1-2 inappropriate tests.  The tests choosen are broadly appropriate.

Recommendations moderately clear.

Recommendations contain a mix of appropriate and inappropriate recommendations and/or 1-2 key recommendations are omitted.

2

Moderately easy to read.  Writing is clear.  Few grammatical/ spelling errors.

Case history information is mostly complete, only less important information has been omitted.

Description of all relevant test results provided.

Description is clear and easy to understand.

The descriptions are mostly accurate with only 1 or 2 errors.

No more than one error of omission or inclusion of appropriate tests.  Test choice is accurate with one exception.

Recommendations very clear.

Recommendations are appropriate and comprehensive.

3

Easy to read.  Writing is very clear.  <2 grammatical/ spelling errors.

Case history information is complete.

 

 

The descriptions are accurate.

All necessary tests included and no unnecessary tests included.

 

 

 


 

 

 

 

 

Correct (1 pt. each)

Incorrect (0 pts. each)

Identifying Information

 

 

 

Pure-Tone Audiogram AC Thresholds

 

 

 

Pure-Tone Audiogram BC Thresholds

 

 

 

Tympanometry

 

 

 

Ipsilateral Reflexes

 

 

 

Contralateral Reflexes

 

 

 

Acoustic Reflex Decay

 

 

 

Pure-tone Average

 

 

 

SRT

 

 

 

Word Recognition

 

 

 

 

Total Correct