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COLLEGE OF MEDICINE

Clerkship and Required Course Assessment & Grading Policy

Clerkship and Required Course Student Assessment and Grading Policies

 

A. 3rd Year Clerkship & Selectives Failure (Approved on May 1st, 2015)

Each clerkship, selective, and required 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 clerkship/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 the clerkship or selective if any one of the following conditions is met:

  • A Clinical Performance Evaluation grade of 2.5 or lower, or 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 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 Clerkship Director for unprofessional behavior.

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 (Approved on November 18, 2011)

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 Electives and Externship Failure (Approved on May 1st, 2015)

Each Elective, Externship, and required 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 the elective or externship if any one of the following conditions is met:

  • A Clinical Performance Evaluation grade of 2.75 or lower (with the exception of Internal Medicine which is a clinical grade of 2.80 or lower), or 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.

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 Electives and Externship Honors (Approved on May 1, 2015)

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 the exception of Internal Medicine which is a clinical grade of 3.81 or higher) with no ratings of “rarely, if ever” or “inconsistently”.

E. Policy: Formative and Summative Feedback and Timeliness of Grading (Approved by UCC electronic vote: 9/26/12)

In accordance with LCME standard 9.4, 9.7, 9.8, the directors of all preclinical themes, courses and clerkship rotations 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 theme, course and clerkship rotation.

  • Formative Feedback (Approved on November 18, 2011; revised June 1, 2012)

Each theme will offer scheduled mid-point formative feedback regarding performance and achievement of requirements in weekly small group activities.

Each clerkship or core rotation 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.

  • An assessment of the student’s performance
  • Confirmation of an adequate learning environment (conducive to learning, demonstrates professionalism, safe.)
  • Confirmation of adherence to education hours policy
  • Review of diagnosis logs
     
  • Summative Feedback

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

  • Timeliness

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

                       Procedure: Timeliness

A central grade submission tracking system in the COM Dean’s office is designed to track grade submission timeliness for the clinical courses and offer feedback to course directors regarding compliance with timeliness on an ongoing basis. Data from this tracking system will be reviewed semi-annually in the Clinical Sciences Curriculum and Evaluation Subcommittee.

 

F. Policy: Narrative Feedback (Approved by UCC electronic vote: 9/26/12)

Each theme, clerkship or required 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 intend as a summative description. In preclinical themes, narrative feedback should be provided for graded writing activities and participation in small groups.  Summative comments from clerkships will be submitted to the Dean’s office for inclusion in the medical student performance evaluation.

 

G. Policy: Disclosing Remediation (Approved on November 18, 2011)

Any written examination or OSCE failure must be reported to the dean’s office by the corresponding course or clerkship. 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.”)

 

Approved on June 9, 2010

Revised and approved on November 18, 2011

Revised and approved on June 1, 2012

Revised and approved on May 1, 2015

 

 

 

 

 

 
 
 

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