Overall Clerkship Grade Policy:
Per the SSOM grading system, the final grade for the Psychiatry Clerkship will be: Honors, High Pass, Pass, Fail, Unsatisfactory or Incomplete. The final grade is based on the total number of points earned out of the 360 maximum. The contributions of each educationsl exercise towards the overall clerkship grade are as follows:
Max points |
Percentage of grade |
|
Clinical Performance Evaluation |
100 |
100/360 = 27.8% |
Clerkship Exam |
100 |
100/360 = 27.8% |
SPPAM presentation |
35 |
35/360 = 9.7% |
Standardized Patient Exercise |
40 |
40/360 = 11.1% |
Video OSCE |
40 |
40/360 = 11.1% |
Risk Assessment Exercise |
15 |
15/360 = 4.16% |
Mental Status Exam Exercise |
15 |
15/360 = 4.17% |
Quiz/IRATs - Individual Readiness Assessment Tests |
15 total |
15/360 = 4.17% |
Example: Mean = 310, Standard Deviation=10 |
||
Honors: |
> Mean + 1.1 Standard Deviation |
Honors > 321 |
High Pass: |
Mean to Mean + 1 Standard Deviation |
High Pass 310-321 |
Pass: |
< Mean |
Pass < 310 |
Clinical Performance Evaluation
Approximately the fifth week of the clerkship, students will
provide their supervising clinical attending(s) with the clinical performance
evaluation form from their orientation packet. After filling out the form, the
supervising clinical attending will review the evaluation with the student. At
this time, if there are any concerns regarding the clinical evaluation the
student may discuss this with their supervising clinical attending. After the
review of the clinical evaluation, both the attending and student sign the
evaluation form. The attending is responsible for returning the form to the
Clerkship Coordinator.
While the supervising clinical
attending is ultimately responsible for the evaluation, the attending is
encouraged to consider input from others about the student's clinical
performance. If the student has worked with multiple attendings, a
composite evaluation may be done. Or each attending may fill out a separate
evaluation. In the event of multiple attending evaluations, each evaluation will
be weighted by the amount of clinical time the student spent with each
attending.
Students must receive a passing
evaluation to pass the clerkship. A
Likert scale of 6-10 is applied to the evaluation form.
A passing evaluation score is set as >
80%. Hypothetically, if a student
received a failing evaluation and a passing evaluation, final determination of
pass/fail would be done by the Clerkship Director after reviewing all available
information with the two supervising clinical attendings who did the individual
evaluations.
Students must pass the clerkship exam to pass the clerkship. The passing score cutoff is set as > 60%. If any exam question(s) are thrown out, all students are given credit for those question(s).
Students Presenting Psychiatric Aspects of Medicine (SPPAM presentation)
SPPAM faculty (psychiatrists,
psychologists, or senior residents) will evaluate individual student's
presentations. The final numerical evaluation is the average of the SPPAM
faculty's evaluations. Alternatively, the SPPAM faculty may together fill out
one composite evaluation for the student's presentation.
There is no defined minimal passing score for SPPAM.
Mental Status Exam, Risk Assessment, Standardized Patient, Video OSCE exercises
Individual student
exercises are de-identified prior to the application of the exercise scoring
rubric. There is no defined minimal passing score for these individual
exercises.
Competencies: Meets, Meets with Concerns, Does Not Meet
This part of the grading system is for internal use by
SSOM to identify students who have struggled in competency area(s) over multiple
clerkships. SSOM desires to use this
system to identify struggling students and then to help these students
successfully address whatever issues are hindering their performance.
Information contained in this section does NOT appear in a student's
Dean's Letter.
In general, a student's individual performance on an
exercise is compared with student performance data from the past academic year
and any individual performance that is more than 2 Standard Deviations below the
mean of the past year's data may result in a Meets with Concerns for one of the
Competencies. Consideration is given
to when during the academic year the individual performance took place.
A Clerkship Exam performance that is passing, but
close to the pass/fail cut-off, will result in a Meets with Concerns designation
for a Competency. Similarly, an
Overall Clerkship Composite Score that is passing, but close to the pass/fail
cut-off, will result in a Meets with Concerns designation for one of the
Competencies.
A failing Clerkship Exam will
require successful remediation in order to pass the clerkship.
All clerkship exam remediation are set-up in conjunction with the Dean of
Student Affair's office after the student meets with the Associate Dean of
Student Affairs.
Similarly, a failing Clinical
Performance Evaluation will require successful remediation to pass the
clerkship. All Clinical Performance remediation are set up in conjunction with
the Dean of Student Affair's office after the student has met with the Associate
Dean of Student Affairs.
Finally, a failing performance
from not meeting the minimal required overall composite score standard will
require successful remediation in order to pass the clerkship.
All remediation of a failure from
not meeting the overall composite score standard is set up in conjunction
with the Dean of Student Affair's office after the student has met with the
Associate Dean of Student Affairs.
Upon successful remediation, a
revised grade of Pass will be submitted to the Registrar's Office. Unsuccessful
remediation attempt(s), whether a student has earned a P* passing grade for the
clerkship, or has failed the clerkship are determined per the SSOM Academic
Policy Manuel regarding these issues.
Students will NOT be
required to remediate the Standardized Patient exercise, the Video OSCE
exercise, SPPAM, the Mental Status Exam Exercise, the Risk Assessment Exercise
or any IRAT's/quizzes due to a poor performance in that particular activity. In
the event of an irregularity in one of these exercises, that activity may need
to be repeated/remediated per the discretion of the Clerkship Director. In the
event of an overall clerkship failure, these activities may play a role in the
remediation of the clerkship.
The final grade will be reported to the Registrar within 30 days of
the last day of the clerkship. Once the Registrar has processed all
documentation, the Registrar will notify students that their grades are
available. Please note that the SSOM grading system requires the grade data
(grade ranges, grade cutoffs) to be in a percentage format.
At the end of the academic year, a
review is done in which an overall year-long Mean (M) and Standard Deviation
(SD) is calculated. In reviewing the entire years' worth of grades, some
students would have received a higher grade had the full year's M and SD been
used for the grading cut-offs rather than their individual clerkship's M and SD.
For students who would benefit from the
use of the full year's M and SD, their grades are raised to the higher grade.
Please note, SSOM's grade distribution guidelines per the Central Curricular
Authority are also taken into account during the end-of-the-year-review.
In no situation will a student's grade be lowered as a result of the
end-of-the-year-review.