Determining Grades in the Internal Medicine Clerkship: Results of a National Survey of Clerkship Directors.

Autor:	Hernandez CA; C.A. Hernandez is professor of medicine, Departments of Internal Medicine and Medical Education, University of Central Florida College of Medicine, Orlando, Florida., Daroowalla F; F. Daroowalla is associate professor of medicine, Department of Medical Education, and Internal Medicine Clerkship Director, University of Central Florida College of Medicine, Orlando, Florida., LaRochelle JS; J.S. LaRochelle is professor of medicine, Department of Medical Education, and assistant dean of medical education, University of Central Florida College of Medicine, Orlando, Florida., Ismail N; N. Ismail is associate professor of medicine, Department of Medicine, and associate dean, curriculum, Baylor College of Medicine, Houston, Texas., Tartaglia KM; K.M. Tartaglia is associate professor of clinical medicine and pediatrics, Division of Hospital Medicine, The Ohio State University, Columbus, Ohio., Fagan MJ; M.J. Fagan is professor of medicine emeritus, Department of Medicine, Alpert Medical School of Brown University, Providence, Rhode Island., Kisielewski M; M. Kisielewski is Surveys and Research Manager, Alliance for Academic Internal Medicine, Alexandria, Virginia., Walsh K; K. Walsh is associate professor of clinical internal medicine, Division of Hematology and Internal Medicine Inpatient Clerkship Director, The Ohio State University, Columbus, Ohio.
Jazyk:	angličtina
Zdroj:	Academic medicine : journal of the Association of American Medical Colleges [Acad Med] 2021 Feb 01; Vol. 96 (2), pp. 249-255.
DOI:	10.1097/ACM.0000000000003815
Abstrakt:	Purpose: Trust in and comparability of assessments are essential in clerkships in undergraduate medical education for many reasons, including ensuring competency in clinical skills and application of knowledge important for the transition to residency and throughout students' careers. The authors examined how assessments are used to determine internal medicine (IM) core clerkship grades across U.S. medical schools. Methods: A multisection web-based survey of core IM clerkship directors at 134 U.S. medical schools with membership in the Clerkship Directors in Internal Medicine was conducted in October through November 2018. The survey included a section on assessment practices to characterize current grading scales used, who determines students' final clerkship grades, the nature/type of summative assessments, and how assessments are weighted. Respondents were asked about perceptions of the influence of the National Board of Medical Examiners (NBME) Medicine Subject Examination (MSE) on students' priorities during the clerkship. Results: The response rate was 82.1% (110/134). There was considerable variability in the summative assessments and their weighting in determining final grades. The NBME MSE (91.8%), clinical performance (90.9%), professionalism (70.9%), and written notes (60.0%) were the most commonly used assessments. Clinical performance assessments and the NBME MSE accounted for the largest percentage of the total grade (on average 52.8% and 23.5%, respectively). Eighty-seven percent of respondents were concerned that students' focus on the NBME MSE performance detracted from patient care learning. Conclusions: There was considerable variability in what IM clerkships assessed and how those assessments were translated into grades. The NBME MSE was a major contributor to the final grade despite concerns about the impact on patient care learning. These findings underscore the difficulty in comparing learners across institutions and serve to advance discussions for how to improve accuracy and comparability of grading in the clinical environment. (Copyright © 2020 by the Association of American Medical Colleges.)
Databáze:	MEDLINE
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