The Scoring Instrument provides guidance on how to score the clinical reasoning case in three domains: Problem Representation, Differential Diagnosis, and Diagnostic Plan.  

Problem Representation has a total of 12 possible points; Differential Diagnosis, 12 possible points; Diagnostic Plan, 8 possible points.  After adding the total points for each domain, calculate the percentage of total points achieved (points earned/total points possible X 100). This is the score for each domain.  Scores below a certain threshold, suggest a need for remedial coaching:

The following are scores below which coaching is suggested:

Problem Representation: 57%

Differential Diagnosis with Justification: 59%

Diagnostic Plan with Justification: 62%