NR 511 Peer Review Assignment

Outstanding or highest level of performance

Very good or high level of performance

Satisfactory level of performance

Poor or failing level of performance

Unsatisfactory level of performance

Peer reviewers should provide thoughtful constructive feedback for each area.

*Constructive feedback implies that the student does not just state vague or general comments such as “well done” or “I agree”.

Possible Points =  135 pts

Outstanding or highest level of performance

Very good or high level of performance

Satisfactory level of performance

Poor or failing level of performance

Unsatisfactory level of performance

Presenter: Shandra Figueroa

Student identifies the disease condition and gives a brief statement of incidence and prevalence in the US.  The student briefly summarizes the disease pathophysiology and identifies the typical clinical presentation seen in a patient with the disease (4 critical elements)

AND

-Student states the incidence and prevalence in the US

AND

-Student provides a pathophysiology statement

AND

-Student states the typical clinical presentation seen in a patient with the disease

OR

-presentation was not submitted

You mentioned the “overproduction androgen testosterone, menstrual abnormalities when ovulation does not occur, and enlarged ovaries with multiple small follicles” as a part of identifying PCOS, but did not provide a specific pathophysiology statement that explains PCOS.

Student identifies the author, organization or group that developed the CPG. Student denotes the year of the original guideline publication as well as any subsequent revisions (student’s reference should be the most recent version). The student discusses the applicability for use of this CPG in the primary care setting (4 critical elements)

AND

-Student states the year of the original CPG guideline

AND

-Student notes all subsequent revisions of the guideline (with the students version being the most recent)

AND

-Student discusses how this CPG is applicable to primary care

-presentation was not submitted

You correctly identified the author/organization/ groups that developed the CPG.

You stated the year of the CPG, but I wasn’t sure if this was the original or not, as this wasn’t stated- I didn’t count off for this though.

The student provides each of the CPG’s “Key Action” or “Guideline Statements” AND the body of evidence strength for each [If the statement has applicability to other groups, only discuss the relevant primary care ones]. (3 critical elements)

AND

-Student denotes the evidence strength for EACH recommendation

AND

-Student discusses ONLY the ones applicable to primary care

OR

-Presentation was not submitted

You provided great details on evidence that supported the relevant recommendations and discussed the ones applicable to primary care.

Using an example of a patient from their clinical rotation with the same condition, the student discusses how the diagnosis and treatment of their patient compared to the recommendations given in the guidelines. Specific examples of what was done well or what could have been done better is noted. (3 critical elements)

AND

-The student discusses how the diagnosis & treatment of their patient compared to those recommended in the guideline

AND

-specific example are given on what was done well or what could have been done better

OR

-Presentation was not submitted

You didn’t give a specific example on what you felt was done well or what could have been done better.

Application to Practice:  

As student stated in her discussion of her PCOS patient in clinical practice, it is clear that PCOS could be easily missed.

1)      PCOS presents in many different ways in each patient and other factors contributing to difficulties in menstruation/ pregnancy can be missed as far as hormonal issues. Thyroid disease, hyperprolactinemia, and nonclassic congenital adrenal hyperplasia (primarily 21-hydroxylase deficiency by serum 17-hydroxyprogesterone [17-OHP]) (Table 3)- these are all conditions that mimic PCOS and need to be eliminated from differentials.

2)      Insulin problems can also be easily missed if the provider is only focused on one aspect of the patient care and not considering all possibilities. This clinical practice guideline ensures that this diagnosis is not missed and is also treated/managed properly. Proper treatment of PCOS with OSA helps improve insulin sensitivity.

3)      My specific rotation sees a lot of women’s health, so this will support any future differential diagnosis thought process and management. Knowing these guidelines, I now know metformin can be useful in not only helping insulin sensitivity but can also synergistically help fertility.

Possible Points =   15 Points

The student used Power Point and Voicethread.  Presentation was professional in quality.  Slides were well organized and aesthetically pleasing.  Student’s narration was understandable and well-paced.  References were noted. Presentation was under 15min in length. Transcript and presentation posted before Wed., 11:59pm MT of week 7 deadline (6 critical elements)

AND

-Student’s slides were well organized

AND

-Student’s narration was understandable and well-paced

AND

-References were noted

AND

-Presentation was <15min

AND

-A written transcript was posted with the presentation before the deadline.

OR

Presentation or written transcript was not submitted before deadline on Wed., before 11:59pm MT

Slides were well organized, but I think you would benefit in making more specific slides that denote rubric check off points, ie: a pathophysiology slide so you don’t forget it, etc. Narration was understandable and paced well. I could tell you sped up at the end as you were getting close to the 15 minute mark. You stayed under the 15 minute mark. References were noted.