EPA 1C: Obtain and Interpret Diagnostic and Screening Tests
SCOPE OF WORK: This activity includes identifying diagnostic and screening tests warranted for the information- gathering process, articulating the selection rationale, and communicating results to their patient, individuals within their care team, and other healthcare providers. This data gathering and communication serves as the foundation for patient evaluation and management. It also includes integrating the scientific foundations of biomedical sciences with clinical reasoning skills to guide test selection and interpretation.
Graduates must be able to obtain and interpret the following: Radiographs (e.g., panoramic, periapical, bitewings. Cephalometric and CBCT for interpretation but not acquisition), pulp vitality, diagnostic casts. Graduates must be able to interpret the following: Blood glucose levels, plasma / serum / blood studies (e.g., HgbA1c, CBC with differential, liver function tests, renal function tests, coagulation / bleeding profiles including INR), microbiology reports (may include aerobic / anaerobic bacteria, fungal, and viral cultures, and sensitivity results). Graduates will learn about and be exposed to CBCT, pathology studies collection (e.g., hard tissue biopsy, soft tissue biopsy, exfoliative cytology), culture & sensitivity tests, caries susceptibility (salivary) tests, cardiac function tests, sialometry, and buffer capacity.
- Critical Thinking and Decision Making
- Biomedical Science Application
- Diagnostic test options (clinical/laboratory)
- Use of, especially evidence and indications for, diagnostic tests (including biomedical, psychosocial, and economic)
- How to order and/or perform diagnostic tests
- Essential information to obtain from each diagnostic test
- Normal ranges of results for diagnostic tests
- Required documentation specific to diagnostic tests in electronic patient record (Epic Wisdom — charting, progress note, etc.)
- Select appropriate diagnostic test based on biomedical, psychosocial, and economic parameters
- Perform diagnostic test in a technically correct, person-centered manner, and in compliance with infection control
- Order diagnostic test appropriately
- Apply critical thinking skills to properly interpret diagnostic test and its implications to patient care
- Properly document diagnostic tests in electronic patient record (Epic Wisdom)
| Obtain and Interpret Diagnostic and Screening Tests |
Meets Expectations of the Graduate
|
Progressing
|
Below Expectations
|
Critical Error
|
|---|---|---|---|---|
| Selection and Procurement | Selects appropriate diagnostic and screening tests and radiographic images using school and national standards including selection criteria | Selects most of the appropriate diagnostic and screening tests and radiographic images | Inappropriately selects most diagnostic test; fails to use school and national standards including selection criteria correctly; or fails to obtain data of diagnostic quality | Patient exposed to unnecessary tests (e.g., radiation exposure) |
| Interpretation | Accurately interprets and records findings from all diagnostic and screening tests, casts, photographs, and radiographic images | Accurately interprets the diagnostic and screening tests except for the most complex aspects | Inaccurately interprets the most straightforward diagnostic test; fails to identify essential findings | Fails to accurately interpret diagnostic tests that creates vulnerability to malpractice litigation; fails to request guidance from faculty when needed |
Rating on "Documentation" for this encounter will be included for the assessment of this task.