Who Does What, and When: Mateo's Care Timeline
Anatomical domain · Lesson 19 of 20 · Human Body Systems (HBS)
Today's goal: Build a staged, age-ordered multidisciplinary care timeline for a child with complete unilateral CL/P, naming who acts, when, and why each step is timed to growth and development.
This is a model of the work you should turn in. Use it to check your own: match the structure and the level of detail, do not copy it. Your wording should be your own.
- First weeks: Nasoalveolar molding, orthodontist and feeding team, to narrow the gap and shape the nose before surgery.
- About 3 to 6 months: Lip repair, craniofacial surgeon, the standard primary window.
- About 10 to 14 months: Palate repair, craniofacial surgeon, because delay worsens speech.
- Around palate repair and ongoing: Ear tubes and hearing checks, ENT and audiologist (SURVEILLANCE), because fluid is mostly acquired after birth.
- Preschool to school age: Speech assessment and possible VPI surgery, speech-language pathologist (SURVEILLANCE), because VPI shows once he talks.
- Mixed dentition, before age 9: Alveolar bone graft, oral surgeon and orthodontist, so the graft takes and the canine has bone to erupt into.
- Teen years (skeletal maturity): Definitive nose repair and, if needed, orthognathic surgery, craniofacial surgeon and orthodontist, after the face stops growing.
This model shows the level of evidence and organization needed to complete: A staged, age-ordered timeline naming each specialist and the growth or surveillance reason for the timing.
- Copy the required categories or checkpoints.
- Record the current evidence in each field.
- Mark the next action and update the tracker after new evidence arrives.
Keep the structure. Replace the question, facts, measurements, and evidence. Then recheck units, vocabulary, and whether the conclusion goes beyond the evidence.
The finished product above did not appear all at once. Here is the path from the question to the turned-in work, so you can follow the same steps.
- 1Start from today's question: Why do all sections need the same score?
- 2Work the Model and the Explore questions to reason it out before writing anything.
- 3Pull the specific evidence the product needs from the reading and any database you used.
- 4Write it up in the required format: As the coordinator, put the eight care steps into a single age-ordered timeline for Mateo, from birth to the late teens. Next to each step write the leading specialist and one phrase saying why it sits there (for example, "before age 9 so the graft takes" or "after the face stops growing"). Mark the two steps that are surveillance, not one-time operations.
- 5Check it against the rubric, then submit.
| Criterion | Proficient | Developing | Beginning |
|---|---|---|---|
| Complete | Every required part of the artifact is present and filled in. | Most parts are present, but one is missing or left blank. | Several parts are missing. |
| Accurate | The science and data are correct and match the evidence. | Mostly correct, with a small factual slip. | Key science or data is wrong. |
| Scientific reasoning (CER) | States a claim, backs it with specific evidence, and explains the reasoning. | Has a claim and evidence, but the reasoning is thin or missing. | Gives an answer with no evidence or reasoning. |
| Professional communication | Clear, organized, and labeled the way a clinician or scientist would write it. | Readable but disorganized or missing labels. | Hard to follow. |
| Submitted | Turned in through the route named under Submit here and confirmed. | Turned in, but in the wrong place or unconfirmed. | Not turned in. |
- CompleteProficient: Nothing is left blank: the model fills every part of "As the coordinator, put the eight care steps into a single age-ordered timeline for Mateo, from birth to the late teens. Next to each step write the leading specialist and one phrase saying why it sits there (for example, "before age 9 so the graft takes" or "after the face stops growing"). Mark the two steps that are surveillance, not one-time operations.".
- AccurateProficient: Every number and claim matches the case evidence.
- Scientific reasoning (CER)Proficient: It names a claim, cites the specific evidence, and explains the reasoning, not just the answer.
- Professional communicationProficient: It is organized and labeled like a real chart note.
- SubmittedProficient: It would be attached to your class form or handed in, and confirmed.
One exam-style question that uses exactly what you practiced today. Try it before you reveal the answer, then read why each choice is right or wrong.
Tap an answer to see the full explanation. Nothing is recorded or graded.
It builds this reusable test skill: Applying the rule of growth to order cleft care steps by age.
- Name the concept or data pattern being tested.
- Cross out choices that violate that rule or the evidence.
- Justify the best remaining choice before checking the answer.