Capstone Overview This capstone applies ALL 5 principles in a single, continuous hospital workflow. You will follow Maria Gonzalez through her complete care journey — from ER arrival to home discharge. Every deliverable in this capstone builds on the previous one. The patient story is the thread.
Time: 60–90 minutes | Deliverables: 5 engineered prompts + 5 AI outputs + 1 reflection page |
The Patient — Maria Gonzalez
Full Clinical Context for the Capstone Name (for training only — de-identify in all prompts): Maria Gonzalez Age: 62 years old | Language: Spanish (limited English) | Setting: City General Hospital Presenting complaint: Fatigue, increased thirst, blurred vision, lower leg swelling for 3 weeks Key Labs: HbA1c 10.2% | Fasting glucose 287 mg/dL | eGFR 52 | BMP: K+ 5.1, Creatinine 1.6 Blood pressure: 158/94 mmHg | BMI: 31.4 Primary diagnosis: Type 2 Diabetes Mellitus — uncontrolled | Secondary: CKD Stage 2 Medications on admission: Metformin 500mg BID, Lisinopril 10mg daily Allergies: Penicillin (rash) Social: Lives alone, retired, uses public transport, daughter visits weekends Concern: Anxious about kidney disease diagnosis. Asks ‘Will I need dialysis?’ |
Your 5 Deliverables — One Per Principle
# | Principle | Your Task | Quality Gate |
1 | Give Direction (P1) | Write Maria’s admission SOAP note. Assign the correct clinical persona. Include: Chief Complaint, Vital Signs, Labs, Assessment (primary + differential), Treatment Plan. | Score on rubric. Must reach 20/25. Identify which criterion was hardest to achieve. |
2 | Specify Format (P2) | Generate Maria’s discharge medication table. Renal-adjusted doses required. Columns: Drug Name | Dose (renally adjusted) | Route | Frequency | Purpose | Side Effect to Monitor. | Verify: Is Metformin dose appropriate for eGFR 52? Is table importable to pharmacy system? |
3 | Provide Examples (P3) | Create Maria’s diabetes self-management education sheet. Provide 2 examples (for different chronic conditions) to guide AI toward simple, empathetic, teach-back style. Bilingual: English + key Spanish terms. | Does AI match example style? Is language at Grade 6 level? Would Maria understand it? |
4 | Evaluate Quality (P4) | Score your SOAP note from Task 1 using the 5-criterion rubric. Identify the lowest-scoring criterion. Revise one element of your Task 1 prompt. Re-run. Show before/after scores. | Document: What changed? Which prompt revision caused the improvement? |
5 | Divide Labor (P5) | Chain Tasks 1–4 outputs into a final 2-page care summary: Page 1 — Clinical Summary (for the medical record). Page 2 — Patient Discharge Letter for Maria (plain language, bilingual). | Evaluate the chain: Where did quality drop? Which step required the most revision? |
Capstone Evaluation Rubric
Criterion | Points | What Evaluators Look For |
All 5 principles clearly demonstrated | 20 pts | Each prompt explicitly uses its assigned principle |
Clinical accuracy of AI outputs | 20 pts | Diagnoses, medications, and labs are clinically correct and renally adjusted |
Format quality and usability | 20 pts | Each output is in the correct format for its clinical purpose |
HIPAA compliance and patient safety | 20 pts | No real PHI used, hallucination risks identified, human review noted |
Quality evaluation and iteration evidence | 20 pts | Before/after rubric scores shown; prompt revision documented |
TOTAL | 100 pts | Score below 80 = revise and resubmit |
Submission Checklist
- Task 1: Your exact prompt + AI output (SOAP Note) + rubric score
- Task 2: Your exact prompt + AI output (Medication Table) + renal dose verification note
- Task 3: Your exact prompt (with examples shown) + AI output (Education Sheet)
- Task 4: Before prompt + before score | Revised prompt + after score | Your analysis (what changed and why)
- Task 5: Final 2-page care summary (Clinical Summary + Patient Discharge Letter)
- Reflection page (max 1 page): Which principle had the highest impact on output quality? Where did the chain break down? What would you change for real clinical deployment?
Capstone Connection to Real Clinical Work Every document in this capstone maps to a real artifact used in hospital Internal Medicine: Task 1 SOAP Note → EHR admission note Task 2 Medication Table → Pharmacy reconciliation / dispensing import Task 3 Education Sheet → Patient teach-back material / discharge packet Task 4 Quality Evaluation → Clinical documentation audit / QA process Task 5 Care Summary + Letter → Medical record summary + patient take-home packet |