Grading Procedure for Senior Medicine at NMHYour final clerkship grade will be based on demonstration of competence in the objectives set out in the curriculum (see page 4 of the coursebook). Your performance will be judged by your attending physicians and your residents. The pgy-1 interns on your team are not part of the formal evaluation process since they have less ability to directly observe your orders/exams/assessments/notes/etc. We encourage you to view them more as your colleagues rather than your evaluators. You will also be evaluated by your clerkship director based on conference performance, and review of your class assignments. You may also be evaluated by the allied health professionals on your floor (nurses, social workers, discharge planners) as part of interdisciplinary rounds. Your final "score" will be used to determine your grade (Honors, High Pass, Pass and Fail). However - regardless of the final numerical "score" - students may still receive a failing grade and require remediation if they do not demonstrate a minimum proficiency in each of the individual core competencies. Example: a student who has a total score of 70 based on excellent knowledge and communication skills - but fails the core competency of professionalism (gets a score of <4) would fail the course. Similarly - a student who has a total score of 70 based on wonderful interpersonal skills and professional attributes- but fails the core competency of patient-centered medical care (gets scores <4) would also fail the course and require remediation. | Core Competencies | How this will be evaluated | Contribution to final grade | | Patient-Centered Medical Care | Average of attending & resident CP evaluation forms
Directly observed patient encounter forms | 30% | | Communication & Interpersonal Skills | Average of attending & resident CP evaluation forms
Directly observed patient encounter forms
Conference participation evaluated by clerkship director | 10% | | Medical Knowledge & Scholarship | Average of attending & resident CP evaluation forms
Clinical reasoning skills evidenced during case discussions | 10% | | Continuous Learning & Improvement | Average of attending & resident CP evaluation forms
Self-evaluation exercise, comparison with team evaluations | 10% | | System Awareness & Team-Based Care | Average of attending & resident CP evaluation forms
Average of RN and SW evaluations at SIDRounds
Meaningful completion of web-based handoff cases | 15% | | Personal Awareness & Self-Care | Average of attending & resident CP evaluation forms
Self-evaluation exercise and clerkship director evaluation | 5% | Professional Behavior & Moral Reasoning
Community Engagement and Service | Average of attending & resident CP evaluation forms
Directly observed patient encounter forms
Participation and insight during ethics & CES discussions | 20% | | | | | | Total score: | | 100 |
Final Grade:
| Honors | 80 points and higher (average clinical scores of 8+) | | High pass | 72 points and higher (average clinical scores of 7+) | | Pass | 60 points and higher (average clinical scores of 6+) | | Marginal pass | 56-59 points (average clinical scores under 6) | | Fail, needs remediation | <55 points overall, or less than 4 on any individual competency |
Grading procedures for sub-interns at the Jesse Brown VA may vary. Please check with your site director. | 
