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COLLEGE OF MEDICINE

Clinical Student Assessment and Grading Policies

A. 3rd Year Course Failure

Each 3rd-year course sets criteria for failure, pass, and honors for the course prior to the start of each academic year. These criteria will be made available to students at the beginning of each course in written form. All clinical faculty and rotations will assess the clinical performance of students using the standardized COM Clinical Performance Evaluation (CPE).

A student will fail a course if any one of the following conditions is met:

  • A Clinical Performance Evaluation grade of

1)      2.5 or lower, or

2)      at the discretion of the course director if the following occurs: one (1) or more ratings of “rarely, if ever” or four (4) or more ratings of “inconsistently.”

  • A remediated written exam grade at a minimum of at least two (2) standard deviations below the national norm for that exam.
  • A failing grade on any secondary component (of the grade).
  • Additionally, a student is eligible for failure at the discretion of the course director for unprofessional behavior. A professionalism form must be completed and submitted to the COM Dean’s office.

 

What if a student fails some component of the grade?

If a student fails the clinical component of the grade (CPE), the student must repeat the course. The Medical Student Performance Evaluation (MSPE) and the academic transcript will reflect the failure and repeating of the course.

If a student fails the written examination, the student will receive a grade of “Incomplete” (IN) and will have the opportunity to remediate that exam. The student will not be eligible to receive honors for the written exam or for the course as a whole regardless of the score obtained on the remediated exam. A note will be made in the Medical Student Performance Evaluation (MSPE) of the need to remediate the exam. If the written examination is failed a second time, the student must repeat the course. The MSPE and the academic transcript will reflect the failure and repeating of the course.

If a student fails a secondary component of the grade (i.e., OSCE) the student will receive a grade if “Incomplete” (IN) and will have the opportunity to remediate that portion of the grade. The student will not receive honors for the course as a whole regardless of their performance on the remediated component. If the secondary component is failed a second time, the student must repeat the course. A note will be made in the MSPE of the need to remediate that component.

 

B. Policy: 3rd Year Clerkship Honors

The criteria for the designation of honors will be determined by each clerkship and approved by the appropriate academic committees. Each clerkship will publish honors criteria prior to the start of the academic year and will make this information available to students at the beginning of the clerkship in written form. NOTE: Selectives are not eligible for honors.

 

C. Policy: 4th Year Course Failure

Each 4th-year course sets criteria for failure, pass, and honors for the course prior to the start of each academic year. These criteria will be made available to students at the beginning of each course in written form. All clinical faculty and rotations will assess the clinical performance of students using the standardized COM Clinical Performance Evaluation (CPE).

A student will fail a course if any one of the following conditions is met:

  • A Clinical Performance Evaluation grade of

1)      2.75 or lower, or

2)      at the discretion of the course director if the following occurs: one (1) or more ratings of “rarely, if ever” or two (2) or more ratings of “inconsistently.”

  • A failing grade on any secondary component (of the grade).
  • Additionally, a student is eligible for failure at the discretion of the course director if the student receives any comments of concern about the professional behavior of the student. A professionalism form must be completed and submitted to the COM Dean’s office.

 

What if a student fails some component of the grade?

If a student fails the clinical component of the grade, the student must repeat the course.

If a student fails a secondary component of the grade (i.e., OSCE) the student will receive a grade of “Incomplete” (IN) and will have the opportunity to remediate that portion of the grade. The student will not receive honors for the course as a whole regardless of their performance on the remediated portion of the grade. If the secondary component is failed a second time, the student must repeat the course. 

 

D. Policy: 4th Year Course Honors

A student will be eligible for honors at the discretion of the course director if the student achieves a Clinical Performance Evaluation clinical grade of 3.60 or higher with no ratings of “rarely, if ever” or “inconsistently.”

 

E. Policy: Formative and Summative Feedback and Timeliness of Grading

In accordance with LCME standard 9.4, 9.7, 9.8, the directors of all courses in a medical education program must design and implement a system of fair and timely formative and summative assessment of medical student achievement in each course.

  • Formative Feedback

Each course lasting 4 weeks or more will offer purposeful opportunities for formative feedback regarding clinical performance and achievement of requirements (i.e., patient diagnosis log) at the mid-point of the rotation.

1)      An assessment of the student’s performance

2)      Confirmation of an adequate learning environment (conducive to learning, demonstrates professionalism, safe.)

3)      Confirmation of adherence to education hours policy

4)      Review of diagnosis logs

  • Summative Feedback

Each course will provide students with summative feedback regarding their performance in the course in order to help students identify strengths and weaknesses and improve knowledge, attitudes, and skills as they progress throughout their clinical training.

  • Timeliness

To ensure the timeliness with which medical students are informed about their final performance in courses, final grades will be available within 40 calendar days (not business days) of the end of a course.

 

F. Policy: Narrative Feedback

Each course must provide students with a narrative summary of their individual performance in the course. This narrative may include both comments intended for formative feedback and comments intended as a summative description. Summative comments from clerkships will be submitted to the COM Dean’s office for inclusion in Medical Student Performance Evaluation.

 

 G. Policy: Disclosing Remediation

Any written examination or OSCE failure must be reported to the COM Dean’s office by the corresponding course. In addition, the failure and/or remediation of either a written examination or an OSCE must be disclosed in the narrative description of the student’s performance for the clerkship or required rotation. (E.g., “The student passed the examination on the second attempt with a very solid performance.”)

 

Originally approved by UCC May, 2015. Revised and approved by CSPE  on January 11, 2017. Revision approved by UCC on February 17, 2017.

 

 

 

 
 
 

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