| Overall scores will be determined by the following method: Clinical Performance: 40 points Weekly Report: 25 points LCLG: 15 points Exam: 20 points
There will be 4 general categories: HONORS, HIGH PASS, PASS, FAIL *please see full descriptions of these students following
Full attendance in the office and weekly Wednesday sessions are mandatory, but not sufficient, for a passing grade. All students must attend CSA, complete the dermatology module and return the Mid Clerkship feedback form. In addition to full attendance, students must demonstrate a minimum proficiency in all aspects of the clerkship; their cumulative point score must be greater than 65. A final examination percent score of 65% is required as well.
In addition to the above these students will generally have excellent evaluations from their preceptors and above average scores in Weekly Report and on their LCLG presentations and handouts. Their total point score is > 80 and a final examination percent score of 80% is required as well.
In addition to the above these students will receive predominately outstanding evaluations from their clinical preceptors and must excel in all other areas of the clerkship. For example, in Weekly Report, honors candidates are those students who have retrieved and effectively summarized articles relevant to the topic they are presenting. Their total point score is >83 and a final examination percent score of 85% is required as well.
These students clinical performance is below expectations for a similar student at their level of training as described by their clinical and/or Weekly Report preceptors. Any clinical performance score less than 4 is sufficient to mandate a failure. They may have substandard LCLG projects. They may fail the examination (score <65%) OR their cumulative point score is <65.
Students may also fail for professionalism issues i.e. dishonesty, unexcused absences or other inappropriate behavior despite their cumulative scores.
- Accountable, professional and motivated.
- Generally are able to consistently perform a complete history and physical even on complicated cases. They are able to present this patient in a well organized fashion including retrieving pertinent information from the medical record. They are easily able to determine important issues in “acute” type primary care visits and be able to focus their history, physical and plan accordingly.
- Have an exceptional knowledge base and are able to formulate differential diagnosis, diagnostic and often therapeutic plans.
- They are independent learners continuing to read extensively and use the literature to advance their knowledge base.
- In Weekly Report they are active participants adding to the differential diagnoses of other students’ patients, using excellent knowledge base to offer sound diagnostic, therapeutic options. On their own patients they can review the differential clearly for their peers, they bring in relevant original articles and briefly summarize key points for their peers.
- Their LCLG projects reveal extra effort with good references, thoughtful insights or conclusions. Their handouts and presentations are well organized and succinct.
- Honors is considered if their cumulative point score is >83 and their final examination score is >85%.
- Accountable, professional and motivated.
- Generally are able to consistently perform a complete history and physical on routine patients, occasionally on complex ones. They are able to present this patient in a well organized fashion. They frequently can determine important issues in “acute” type primary care visits and be able to focus their history, physical and plan accordingly. They may need help with this skill initially but are able to do this by the end of the clerkship.
- Have a solid knowledge base and are able to formulate differential diagnosis, they may need help to formulate diagnostic and therapeutic plans.
- They are independent learners continuing to read extensively and use the literature to advance their knowledge base.
- In Weekly Report they are active participants often adding to the differential diagnoses of other students’ patients. They occasionally offer sound diagnostic, therapeutic options. On their own patients they can review the differential clearly for their peers.
- Their LCLG projects reveal good effort with solid references. Their handouts and presentations are well organized and succinct.
- They elicit and respond to feedback by improving their performance.
- Honors is considered if their cumulative point score is >80 and their final examination score is >80%.
Accountable, professional and motivated. They pass the examination i.e. percent score >65. They are able to perform complete histories and physicals on most Primary Care patients by the end of the clerkship. They should rarely miss pertinent positive historical elements, physical findings except on complicated patients. Physical Examination skills should reveal good technique but may occasionally need help with subtle physical findings. Oral presentations/ write ups should be organized, accurate but occasionally missing minor details. In Weekly Report they are engaged in the discussion and contribute to the differential on many patients. They may need help formulating the differential diagnosis and therapeutic plan on some patients. On their own patients they should be able to clearly review the differential and explain their rationale for their workup and plan. They should give some further information on their patients’ diagnosis. They continue to read and to improve their knowledge base. They elicit and respond to feedback by improving their performance.
These students often have clinical skills that are reported to be below expectations i.e. they often cannot do complete histories and physicals even on routine cases. They have difficulty differentiating pertinent issues in the primary care setting. Their presentations and writeups may be disorganized and incomplete. They may have poor participation in Weekly Report less frequently adding to the differential diagnosis or being inaccurate. They may fail the examination. These students cumulative point score falls below 65.
Students may also fail for professionalism issues i.e. dishonesty, unexcused absences, or other inappropriate behavior despite their cumulative scores.
As always these are general descriptions and are subject to the clerkship directors discretion based on circumstances. | |
