Grading System for Students Who Started Their Core Clerkships (Year 3) After January 3rd, 2022

Clinical Grading System

Performance in the clinical years is graded using a 3-component grading system framed around and aligns with the domains of the MD program objectives: knowledge, clinical skills, and professional behavior.

Student performance will be assessed in the 3 primary areas of competency. Final grades will be reported as Honors/High Pass/Pass/Fail.

Component Grading Proposal for the Core Clerkships

Features 3-Component Grading System

Components	Elements Assessed	Measures	Weight	Overall Component Score
Knowledge Competency _{(for students who start their first year 3 rotations before August 1, 2024)}	Knowledge of Clinical Subjects	NBME Clinical Subject Exam	100%	Honors High Pass Pass Fail
Knowledge Competency _{(for students who start their first year 3 rotations after August 1, 2024)}	Knowledge of Clinical Subjects	SGU Midcore Examination NBME Clinical Subject Exam (*a failing grade for the NBME sub-component will result in a Failing grade for the Knowledge Competency)	20% 80%	Honors High Pass Pass Fail
Clinical Skills Competency	Clinical Skills	Clinical Preceptor Evaluations of Practical clinical skills Clinical reasoning Communication skills	40% 40% 20%	Honors High Pass Pass Fail
Professional Behavior Competency _{(rotations with start dates prior to August 1, 2023)}	Professional Attitude/Behavior	Direct Observation Clinical Preceptor Evaluations of Professional Attitude/Behavior Indirect Observation Participation in/Completion of Clinical Requirements _{(PELs, iHuman cases, Medical Ethics Module, Geriatrics Module, Quizzes)}	50% 50%	Honors High Pass Pass Fail
Professional Behavior Competency _{(rotations with start dates after August 1, 2023)}	Professional Attitude/Behavior	Direct Observation* Clinical Preceptor Evaluations of Professional Attitude/Behavior _{(*a failing grade for the direct observation sub-component will result in an Failing grade for the Professional Behavior Component)} Indirect Observation Participation in/Completion of Clinical Requirements _{(Web-based content as described in clerkship syllabus)}	70% 30%	Honors High Pass Pass Fail

Determination of Final Grade

Component 1	Component 2	Component 3	Final Grade
Honors	Honors	Honors	Honors
Honors	Honors	High Pass	Honors
Honors	Honors	Pass	High Pass

High Pass	High Pass	High Pass	High Pass
High Pass	High Pass	Pass	High Pass
High Pass	High Pass	Honors	High Pass

Pass	Pass	Pass	Pass
Pass	Pass	Honors	High Pass
Pass	Pass	High Pass	Pass

Honors	High Pass	Pass	High Pass

Fail	Honors/ High Pass/ Pass	Honors/ High Pass/ Pass	“I” (with required remediation of the failed component)

Fail	Fail	Honors/ High Pass/ Pass	Fail (if no prior Fs, must repeat the clerkship)

Fail	Fail	Fail	Fail (if no prior Fs, must repeat the clerkship)

Implications for Academic Progress