RTT Medical Module — Instructor Rubric

Purpose#

This rubric evaluates student mastery of the six medical operators:

Students must demonstrate:

Students must not produce medical advice.

Mastery: 45–50
Proficient: 38–44
Developing: 30–37
Needs Support: 0–29

Level	Criteria
8 — Mastery	Correctly identifies substrate type, stability, noise, translation layers, AI overlays, commercial overlays, accessibility stability, and regime hint for all three regimes. No false positives.
6 — Proficient	Minor errors in one regime; correctly identifies major overlays and substrate type.
4 — Developing	Misses 2–3 key metadata elements (e.g., translation drift, AI overlays).
0–2 — Needs Support	Treats all regimes as similar; fails to detect overlays or substrate differences.

Instructor Notes:
Students must treat Ping An as high‑noise, translation‑unstable, AI‑augmented.

Level	Criteria
8 — Mastery	Produces accurate drift maps for all regimes; identifies all drift types; assigns correct drift scores; flags drift sources.
6 — Proficient	Minor misclassification of drift severity.
4 — Developing	Misses AI or translation drift; underestimates Ping An drift.
0–2 — Needs Support	Treats all regimes as low drift; fails to identify drift sources.

Instructor Notes:
Students must distinguish semantic drift from translation drift.

Level	Criteria
6 — Mastery	Correctly evaluates substrate stability, noise, interference layers, accessibility, and substrate score for all regimes.
4 — Proficient	Minor errors in stability or interference classification.
2 — Developing	Misses accessibility or interference layers.
0 — Needs Support	Treats mobile_html as equivalent to html; ignores interference.

Instructor Notes:
Students must identify layer interference in Ping An.

Level	Criteria
6 — Mastery	Correctly classifies all regimes; identifies regime signals; evaluates coherence; detects regime shifts.
4 — Proficient	Minor errors in coherence or signals.
2 — Developing	Misclassifies one regime; misses regime signals.
0 — Needs Support	Treats all regimes as clinical; ignores regime logic.

Instructor Notes:
Students must recognize public‑health framing in NHS.

Level	Criteria
12 — Mastery	Extracts a correct, regime‑invariant continuity kernel; excludes drift‑sensitive elements; identifies stable symptoms, risks, red flags, actions, and differentials.
9 — Proficient	Minor inclusion of regime‑specific elements.
6 — Developing	Includes AI‑generated or commercial elements; misses stable red flags.
0–4 — Needs Support	Fails to extract continuity kernel; collapses regimes.

Instructor Notes:
Students must exclude AI triage suggestions and commercial prompts.

Level	Criteria
10 — Mastery	Produces a drift‑bounded, regime‑aware synthesis; separates regime‑specific elements; identifies substrate risks; includes uncertainty + escalation indicators; summary is patient‑safe.
8 — Proficient	Minor issues with uncertainty or regime separation.
5 — Developing	Collapses regimes; misses drift‑sensitive elements; weak uncertainty disclosure.
0–3 — Needs Support	Produces medical advice; ignores drift; unsafe summary.

Instructor Notes:
The summary must be structural, not prescriptive.

Emphasize regime literacy: differences are structural, not contradictory.
Emphasize drift awareness: especially translation + AI drift in Ping An.
Emphasize substrate literacy: mobile_html ≠ html.
Emphasize patient safety: no advice; only structure, uncertainty, escalation.
Encourage students to use the example JSON packets as their “data.”

Updated May 8, 2026