Clue 1: Orient yourself
What happens if each section uses a different score?
Use the labels and the picture's left-to-right, near-to-far, or before-and-after order. Name only what you can point to.
The question
What happens if each section uses a different score?
Why it matters: Cleft care connects diagnosis, feeding, speech, hearing, and family support. A weak classification can send a team toward the wrong problem or make an important need easy to miss. Today you practice the professional reasoning behind that work: A cleft team works when specialists share one plan, one record, and clear ownership across time.
On your WebXam
Explaining why coordination, not the roster alone, drives cleft-care outcomes
For life
One result can have many causes; the outcome alone never tells you which.
Principle: Many roads, one ending
Five principles we return to
Having it is not using it
Same instructions, different switches
Same look, different cause
Change one thing and watch
Boss or doorman?
Decides the result or only allows it
Held down, not gone
Remove the brake and it returns
Many roads, one ending
One result can begin many ways
Try the everyday version first
An orchestra needs a shared score and a conductor
An orchestra has many sections that enter at different times. The score holds the shared plan, and the conductor helps each section know when to act and listen.
Do not jump to the biology yet. Treat the picture as a small system. Track its parts, follow one change at a time, and keep more than one explanation open until the picture supplies a way to separate them.
Clue 2: Trace one change
Does the conductor replace the specialists?
Follow one object, stage, or path. Point to the first place where the situation changes instead of jumping to the ending.
Clue 3: Keep the cause open
How does the group know who enters next?
List more than one explanation that still fits. Name the extra observation that would help you separate those possibilities.
Now inspect the illustration
Work from the visible evidence. A useful answer names the part of the picture that supports it and leaves unknown causes open.
- 1What happens if each section uses a different score?
- 2Does the conductor replace the specialists?
- 3How does the group know who enters next?
Tier 1 check
Finish with the everyday model
Use the everyday picture to answer today's question in plain words: What happens if each section uses a different score?
You can complete today's required check without opening the technical details below.
Ready for the real names? Optional tier 2
Technical rules and limits
Rule 1: Keep one shared plan.
Rule 2: Preserve specialist expertise while coordinating timing.
Rule 3: Name who owns the next action and handoff.
Where the analogy stops: Care is a partnership with the patient and family, not a performance controlled by one person. The analogy models coordination.
Carry the previous idea forward
A repaired cleft still needs surveillance because speech, hearing, teeth, airway, and growth can change later.
Today's technical takeaway
A cleft team works when specialists share one plan, one record, and clear ownership across time.
Now map the same rules onto biology
Coordinate many specialists around one child
Shared score
Shared longitudinal care plan and record
Instrument sections
Surgery, speech, hearing, dental, genetics, psychosocial care
Conductor cues
Coordinator tracks timing, ownership, and handoffs
The family remains part of every decision. Coordination connects expertise without erasing choice.
Mateo's case file: evidence supplied in this lesson
D19-E1
Mateo has three follow-up actions due in different clinics within six months.
Why it matters: Uncoordinated scheduling creates a risk that one action will be missed.
D19-E2
The speech finding affects surgical planning, and hearing status affects speech interpretation.
Why it matters: The specialists' decisions depend on each other's evidence.
D19-E3
The family asks for one contact person and one written plan.
Why it matters: Coordination must be visible and usable to the family.
Make the clinical decision
You are the cleft team coordinator closing the conference.
Before the meeting ends, every next action needs an owner, date window, and handoff.
APublish one shared action list with named owners and a family contact
BLet each clinic contact the family separately
CRecord only the surgery plan
Choose the coordination plan and show where each evidence item changes the plan.
Evidence required
D19-E1 + D19-E2 + D19-E3 Claim ceiling
You may assign ownership and sequence. You may not make a specialist's clinical decision without that specialist and the family.Go deeper Optional tier 3
Everything required for today is above. Open these only if you want the explainer, source trail, or download files.
The everyday model and Tier 1 check are the complete required path for this lesson.
Use these checks to keep your place. They are not turned in through the portal.
Check off as you finish
- Worked through the everyday picture and answered its three questions.
- Completed the Tier 1 check in plain words.
Turn in: Disease lesson 19: How a Team Delivers Care Without Gaps
Go to Schoology to turn this in.
Submit one PDF. Put your first and last name in the document header. Name the file: FirstName LastName - Assignment Title - YYYY-MM-DD.pdf.
Open Schoology PDF upload helpIf you cannot get in, see Mr. Mendoza. Do not skip the work.
Optional legacy technical materials Open only if you want the original notes, vocabulary, artifact, and CER work
Before this page, you should know
- An is a hole that reopens between mouth and nose after repair, causing nasal leakage; the surgeon finds it on exam.
- is the repaired failing to seal off the nose during speech ( dysfunction), causing ; the SLP catches it.
If not, review
Today's new idea is only
Assembling the right specialists is not enough; coordination over years, through a coordinator and shared records, is what the reviews credit for good outcomes.
Goal: Students will explain why care is delivered by a coordinated multidisciplinary team, name the core specialties and what each contributes, and describe how a coordinator and shared records keep an 18-year from developing gaps.
Know by the end
- Optimal care is delivered by a cleft/craniofacial team spanning dental specialties (orthodontics, oral/maxillofacial surgery, pediatric dentistry, prosthodontics), medical specialties (plastic surgery, ENT, genetics, pediatrics, psychiatry), and allied health (audiology, speech-language pathology, nursing, psychology, social work).
- The reviews state that coordination of these specialties over years is what drives good functional and esthetic outcomes, not the specialists alone.
- A coordinator (often the pediatrician or a nurse navigator) holds the master plan and makes sure each stage happens on time and that findings move between members.
- Shared records and a shared give and clean handoffs, so the team's knowledge of the child follows him; the team also adapts technique to the child, for example VPI surgery choice can depend on .
1
Why a team, not a list of doctors
Model start: A is not one organ's problem, so it cannot be one specialist's job.
- Care is delivered by a ______ team (many disciplines together), spanning dental, medical, and allied-health specialties.
- Each specialist owns a different piece, and the pieces interact: hearing loss stalls speech, changes the bite, psychosocial stress affects everything.
2
What coordination adds
- The reviews are explicit that the ______ of these specialists over years is what produces good outcomes, not the specialists alone.
- A coordinator (often the pediatrician or a nurse navigator) keeps the master plan and makes sure findings move between members.
3
Staying gap-free over 18 years
- A shared and shared records give , so a clean ______ (handoff) from one specialist or stage to the next does not lose information.
- The care is ______ (longitudinal), following the same patient across a long span rather than treating one visit in .
Everything you need for today is on this page. These links are optional.
What to read
Read the short plain-language explanation written for this lesson. Plain-language explainer for this lesson
Why this source matters
This explanation gives you the background for today's idea without making you decode a research paper: Assembling the right specialists is not enough; coordination over years, through a coordinator and shared records, is what the reviews credit for good outcomes.
Words to unlock first
multidisciplinary teamcoordinatorcontinuity of carehandofflongitudinal care
Reading moves
- Skim the title and abstract first to get the gist.
- Circle the one sentence that states the main claim.
- Box the evidence the authors give for that claim.
- Mark one sentence that confuses you, and move on.
Stop point
Stop after the final 'Use it now' section. The research citations are available separately for advanced readers.
Your output
Write one claim-evidence sentence: state the main idea, then name the example or evidence that supports it.
Where this fits
Tested on (Ohio WebXam)
Genetics of Disease · 072130
PLTW lesson
MI · Disease domain · Medical Interventions (MI), team-based care and care coordination
WebXam domain
Molecular and Genetic Technology
Evidence to produce
Onboard a brand-new coordinator taking over Mateo's case. In a short half-page, explain (1) the three groups of specialties and one member from each, (2) why coordination matters as much as the specialists themselves, citing the review idea that coordination over years drives outcomes, and (3) two concrete tools or habits (for example a shared record and a master timeline) that keep an 18-year plan from developing gaps.
Lab / skill
Clinical backbone (cleft team) · Clinical backbone (cleft team)
Everything required for today's decision is already in the case file and plain-language explainer. The links below are original papers and database records for teachers and advanced readers, not assigned student reading.
- American Cleft Palate Craniofacial Association. 2024 Parameters of Care.
- Vyas T, et al. 2020. Cleft of lip and palate: A review. J Family Med Prim Care. [PMID:32984097]
- James JN, et al. 2014. Management of cleft lip and palate and orthognathic considerations. Oral Maxillofac Surg Clin North Am. [PMID:25438882]
- Wilkes C, et al. 2023. Prenatal diagnosis of cleft lip and/or palate: counseling parents. Prenat Diagn. [PMID:37552068]
- Claim: Mateo needs a ____ team, not just a collection of specialists.
- Evidence: The reviews say ____ over years drives good outcomes, and the failed handoff shows that an audiology finding that never reached the ____ stalled his speech.
- Reasoning: A coordinator, a shared , and prevent gaps across an 18-year journey because ____.
How this is graded (rubric)
For: Onboard a brand-new coordinator taking over Mateo's case. In a short half-page, explain (1) the three groups of specialties and one member from each, (2) why coordination matters as much as the specialists themselves, citing the review idea that coordination over years drives outcomes, and (3) two concrete tools or habits (for example a shared record and a master timeline) that keep an 18-year plan from developing gaps.
| 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. |
How the model answer scores against this rubric
- CompleteProficient: Nothing is left blank: the model fills every part of "Onboard a brand-new coordinator taking over Mateo's case. In a short half-page, explain (1) the three groups of specialties and one member from each, (2) why coordination matters as much as the specialists themselves, citing the review idea that coordination over years drives outcomes, and (3) two concrete tools or habits (for example a shared record and a master timeline) that keep an 18-year plan from developing gaps.".
- 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.
What's next: We answered how the team holds it all together: shared records, a coordinator, and continuity across 18 years. That completes the machinery of Mateo's care. So now, with everything from his first to his lifelong team in hand, we can finally ask the biggest question of all: what is Mateo's complete clinical story, and what, after eighteen lessons of evidence, is his actual diagnosis?