Clinical Inquiry Template
Sample Answer for Clinical Inquiry Template Included After Question
Description
INSTRUCTIONS: Overview of the Clinical Inquiry Assignment Retrieval, interpretation, and application of drug information for various patient populations is a core skill that all pharmacists must be able to perform. One method to respond to drug information questions is through the formulation of a clinical inquiry.
Clinical Inquiry Assignment Materials: Infects Disease/Immun Mod II (01) 2023SP Clinical Inquiry Assignment Materials Overview of the Clinical Inquiry Assignment Retrieval, interpretation, and application of drug information for various patient populations is a core skill that all pharmacists must be able to perform. One method to respond to drug information questions is through the formulation of a clinical inquiry. The purpose of the clinical inquiry is to develop the student’s ability to present medical information in an accurate, brief, and concise manner and to answer most clinical questions in a matter of minutes. Essentially, these serve as a quick reference to aid in clinical decision-making. Clinical inquiries should focus on interpreting and applying the best available evidence to a given patient scenario. During this course, you will be completing one (1) clinical inquiry assignment that is worth 10% of the final course grade. Requirements of a Clinical Inquiry: Question The question assigned to each student will address a specific scenario encountered in pharmacy practice. Questions generally follow the PICO model of questioning (Patient or Population, Intervention or Investigation, Comparison, Outcome). The question should be restated at the beginning of your clinical inquiry response. Evidence Summary of Primary Evidence(300-350 words) This section allows you to explain the evidence behind your recommendation. This section should include information from primary evidence only (Primary evidence is made up of all the primary literature sources as well as meta-analysis and systemic reviews), such as outcomes data (e.g. pain, functional status, resolution of the problem, quality of life, mortality). Be sure to discuss statistically significant results that support your recommendation (e.g., effect sizes with confidence intervals, the number needed to treat, likelihood ratios, predictive values, and relative and/or absolute risk reduction). Be sure to include the level of evidence for each study reviewed. (The LOE does not count against the word count for this section) For help with figuring the LOE of an article refer to the LOE flow chart (https://cedarville.instructure.com/courses/13966/files/2067206?wrap=1) (https://cedarville.instructure.com/courses/13966/files/2067206/download?download_frd=1) (https://cedarville.instructure.com/courses/13965/files/1981709/download?wrap=1) . The use of a table or figure is highly encouraged, as this helps to condense information for the reader. Guidelines and Tertiary Literature Summary (100-200 words) https://cedarville.instructure.com/courses/13966/pages/clinical-inquiry-assignment-materials?wrap=11/3 2/7/23, 5:47 AM Clinical Inquiry Assignment Materials: Infects Disease/Immun Mod II (01) 2023SP This section should provide a summary of guideline recommendations, expert consensus statements, review articles, or textbook information that pertain to the question. These should support your recommendation, but should not be the primary support for your recommendation. Evidence-Based Answer (50-100 words) This is the bottom-line conclusion based on your assessment of the available evidence. If asked to give a response for a provider: This should be written in a manner that the physician could read and understand this conclusion in a matter of minutes. You must use SBAR to format your response. (Remember the SBAR method from PHAR 6111!) The conclusion should be brief and as concrete as possible. Stating, “more research is needed” is not acceptable for this project. Strength of Recommendation (Does NOT count in word limits) Be sure to state the strength of recommendation (SOR) and reason for the destination (e.g. SOR = A, based on three Level 1 articles having consistent findings). See the Strength of Recommendation Taxonomy (SORT) reference f (https://cedarville.instructure.com/courses/13965/files/1981708/download?wrap=1) (https://cedarville.instructure.com/courses/13965/files/1981708/download?download_frd=1) or more information about SOR. References (limit 10) Focus on identifying the highest-quality original published manuscripts that pertain to your question. This may include meta-analyses or systemic reviews. Personal communications, historical practice, and unpublished data should not be referenced. References must be appropriately cited using AMA format. CI Grading Rubric (https://cedarville.instructure.com/courses/13966/files/2067217?wrap=1) (https://cedarville.instructure.com/courses/13966/files/2067217/download?download_frd=1) Clinical Inquiry Assignment (https://cedarville.instructure.com/courses/13966/assignments/252696) https://cedarville.instructure.com/courses/13966/pages/clinical-inquiry-assignment-materials?wrap=12/32/7/23, 5:47 AM Clinical Inquiry Assignment Materials: Infects Disease/Immun Mod II (01) 2023SP https://cedarville.instructure.com/courses/13966/pages/clinical-inquiry-assignment-materials?wrap=13/31/13/2019 about:blank Strength of Recommendation Taxonomy (SORT): A Patient-Centered Approach to Grading Evidence in the Medical Literature Level of Evidence for an Individual Study FIGURE 3. Algorithm for determining the level of evidence for an individual study. Copyright © 2004 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact [email protected] for copyright questions and/or permission requests. about:blank 1/2 1/13/2019 about:blank about:blank 2/2 PHAR 7345: CLINICAL INQUIRY RUBRIC – PROVIDER Requirements/ Technical Aspects Unacceptable Needs Improvement Satisfactory Mastery 0 3 4 5 Mechanical Correctness of Writing More than 5 technical mistakes 3-5 technical mistakes 1 or 2 technical mistakes NO spelling errors, typos, punctuation issues, or any other problems with the technical aspects of writing Word Counts Word counts were not within the specified limits. Citations All word counts were within the specified limits. Unacceptable Needs Improvement Satisfactory Mastery 0 3 4 5 More than 4 total mistakes in either AMA formatting and document referencing 3 or 4 total mistakes in either AMA formatting and document referencing 1 or 2 total mistakes in either AMA formatting and document referencing All citations in AMA format AND accurately referenced throughout the document Unacceptable Needs Improvement Satisfactory Mastery 0 3 4 5 More than 2 pieces of the PICO are inaccurate. 2 pieces of the PICO are inaccurate but remaining pieces are stated correctly. 1 piece of the PICO is inaccurate but remaining pieces are stated correctly. All parts of the PICO are completely and accurately stated. Unacceptable Needs Improvement Satisfactory Mastery 0 3 4 5 Evidence Summary of Primary Literature (x4) Student did not complete or did not address at least two of the three aspects: 1) the evidence summary represents what the primary literature has to contribute to the question, 2) relevant statistics are used to support the recommendation, or 3) the level of evidence and rationale is provided Student includes two of the following: 1) the evidence summary represents what the primary literature has to contribute to the question, 2) relevant statistics are used to support the recommendation, or 3) the level of evidence and rationale is provided. OR it is complete, but the student does not use primary literature Student includes all of the following: 1) the evidence summary mostly represents what the primary literature has to contribute to the question, 2) relevant statistics are used to support the recommendation, and 3) the level of evidence and rationale is provided Student includes all of the following: 1) the evidence summary accurately represents what the primary literature has to contribute to the question, 2) relevant statistics are used to support the recommendation, and 3) the level of evidence and rationale is provided Guidelines and Tertiary Literature Summary (x4) Student did not complete A summary of the guidelines or other important and relevant tertiary literature is provided but it is not adequately succinct AND thorough. A summary of the guidelines or other important and relevant tertiary literature is provided but it is not adequately succinct OR thorough. A succinct and thorough summary of the guidelines or other important and relevant tertiary literature is provided. Citations PICO PICO Literature Review Updated 07.02.2019 Evidence-Based Answer: Provider (x4) Student did not provide a response or did not answer the question at all in the response Student provided an inadequate response and erred on two of the following: did not 1) fully root the response in the evidence, 2) use the SBAR method appropriately, or 3) was not succinct enough or too verbose Strength of Recommendation (x4) Student did not complete or assigned an inaccurate strength of recommendation Strength of recommendation is provided but there is no rationale Student provided a good response but erred on one of the following: did not 1) fully root the response in the evidence, 2) use the SBAR method appropriately, or 3) was not succinct enough or too verbose Student provided a well thought-out response to the question using the SBAR format appropriately. The response was thorough, succinct, and clearly was rooted in the literature/ evidence Strength of Strength of recommendation is recommendation is provided, and the provided, and the rationale is mostly rationale is fully appropriate appropriate *NOTE: Clear communication principles include: short sentences, no jargon or technical language, and a reading level below 8th grade Comments: Total: _____ of 100 points Updated 07.02.2019 CLINICAL INQUIRY TEMPLATE Note: This is used to avoid issues with the TurnItIn platform and uploading of assignment directions. PICO PICOPrimary Evidence Summary (300-350 words) Word Count: Guidelines and Tertiary Literature Summary (100-200 words) Word Count: Physician-Appropriate Answer (50-100 words) Word Count SBARSOR: (Make sure to include level & rationale) References (limit 10)