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

Knowledge of Clinical Subjects

NBME Clinical Subject Exam

100%

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%

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

_{( PEL's, Quizzes, 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