Grading Policies

Overall Clerkship Grade Policy
Clerkship Clinical Floor Grade
Clerkship Exam
Students Presenting Psychiatric Aspects of Medicine (SPPAM)
Competencies
Failure and Remediation
Grade Reporting
End of Year Review

Overall Clerkship Grade Policy:

The contributions of each educational exercise towards the overall clerkship grade are as follows:

 

Max points

Percentage of grade

Attending/Service Evaluation

100

100/360 = 27.8%

Clerkship Exam

100

100/360 = 27.8%

SPPAM presentation

40

40/360 = 11.1%

Standardized Patient Exercise

40

40/360 = 11.1%

Video OSCE

35

35/360 = 9.7%

Risk Assessment Exercise

15

15/360 = 4.16%

Mental Status Exam Exercise

15

15/360 = 4.17%

IRATs-Individual Readiness Assessment Tests

15 total

15/360 = 4.17%

 

The final grade assignment is based on the total number of points earned out of the 360 maximum.

Example:  Mean = 315, Standard Deviation=13

Honors:

> Mean + 1 Standard Deviation             

Honors  > 328

High Pass:        

Mean to Mean + 1 standard deviation 

High Pass 315-327

Pass:               

< Mean                                                  

Pass < 315

The final grade for the psychiatry clerkship will be Honors, High Pass, Pass, Fail, Unsatisfactory or Incomplete per the SSOM grading system.

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Clerkship Clinical Floor Grade

Approximately the fifth week of the clerkship, students will provide their supervising clinical attending(s) with the clinical 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 the supervisor. After the review of the clinical evaluation, both the attending and student sign the form. The attending is responsible for returning the form.

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.

 

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Clerkship Exam

Students must pass the clerkship exam to pass the clerkship. The passing grade cutoff is the exam's mean - 2 Standard Deviations.  Or the mean - 2 Standard Deviations from the past 6-18 months of clerkships.  If the student passes by either standard, then the student passes.

 

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Students Presenting Psychiatric Aspects of Medicine (SPPAM)

SPPAM faculty (psychiatrist, 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 fill out one composite evaluation for the student's presentation.

 

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Competencies:

Meeting Expectations, Meetings Expectations with Concerns, Not Meeting Expectations

Clinical Performance Evaluation

The evaluation form is not numbered, but there are 5 choices for each category. Even if the overall evaluation is acceptable, any individual evaluation category that is evaluated as "2" or "1", will result in a "Meets with Concerns" for the corresponding competency of that individual category.

 

Clerkship Exam

Any exam performance that does not pass will result in a Not Meeting Expectations in the Knowledge Competency. After successful remediation of the exam, this will be changed to "Meets with Concerns" in the Knowledge Competency.  A borderline passing performance on the exam will result in a "Meets with Concerns" for the Knowledge Competency.

 

SPPAM

Any SPPAM performance that is less than the Mean - 2.25 Standard Deviations over the past 12-18 months of the clerkship will result in a "Meets with Concerns" for the Communication Competency.

 

Clinical Skills-Standardized Patient

A performance that will result in a "Meets with Concerns" for the Communication Competency is one that is less than:

The Mean - 2 Standard Deviations over the past 12-18 months of the clerkship.                                                     

 

Video OSCE

A performance that will result in a "Meets with Concerns" for the Clinical Care Competency is one that is less than:

The Mean - 2 Standard Deviations over the past 12-18 months of the clerkship.

 

Overall Score

A performance that will result in a "Meets with Concerns" for the Clinical Care Competency is one that is less than:

The Mean - 2 Standard Deviations over the past 12-18 months of the clerkship.

                                                                                                              

 

 

 

                                                          

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 Failure and Remediation

A failing clinical performance evaluation will result in an overall clerkship failure and a need to remediate the clerkship.

If a student fails the clerkship exam he/she will receive a grade of U (unsatisfactory) for the clerkship. The student will be given the opportunity to remediate the exam within 30 working days from the time the grades are submitted to the Registrar's Office. Upon successful remediation, a revised grade of Pass will be submitted to the Registrar's Office. If the remediation is unsuccessful, this will result in a failure of the Psychiatry Clerkship and a need to remediate the clerkship.

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 IRAT's 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.

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Grade Reporting

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.

 

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End of the Year Review

At the end of the academic year, a review is done. In this review an overall mean and standard deviation for the year is calculated. In reviewing the entire years' worth of grades, some students would have received different grades using the full year's data than what they actually received from their individual clerkship. For students who would benefit from the use of the full year's data, their grades are revised to the higher grade. For students who would not benefit from the full year's data and would receive a lower revised grade, these student's grades remain what they received from their individual clerkship.

 

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