Table 1:

Required tasks for each clinical scenario

Scenario 1: Urinary Tract Infection	Severity Grade
Review the clinical history and physical exam notes.
Specify low risk for venous thromboembolism (VTE) prophylaxis.	1
Note: Ambulatory, out-of-bed, and education are sufficient prophylaxis.
Order any necessary urine test(s).	3
Check results of test(s).
Order the appropriate treatment for the patient.	3
Scenario 2: Pneumonia
Review the clinical history and physical exam.
Specify low risk for VTE prophylaxis.	1
Note : Ambulatory, out of bed, and education are sufficient prophylaxis.
Write admission orders:
Admit to Med wing G.	2
Supplemental O2/nasal cannula, wean per nursing.	3
IV antibiotics, arterial blood gas, blood and sputum cultures, posterior-anterior and lateral chest X-ray (PA/Lat CXR).	4
AM labs: Complete blood count with differential, basic metabolic panel.	2
Check results of tests and PA/Lat CXR.
Order CT of chest w/o contrast.	2
Check results of CT.
Change to oral antibiotics and write discharge order; schedule for follow-up to Medicine clinic in 1 week.	3
Scenario 3: Heart Failure
Review the History and Physical. This contains pertinent clinical history as well as physical exam.
Specify high risk for VTE prophylaxis.	3
Subcutaneous heparin.	3
Order labs: complete blood count, chemistry, trans-thoracic echocardiogram.	3
Check results of labs.
Write admission orders including daily weights and low-salt diet.	2
Restart meds.	3
Tobacco cessation consult.	1
Order IV Lasix.	3