Current practices and perspectives on clerkship grading in obstetrics and gynecology.

Autor: Chen KT; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: katherine.chen@mssm.edu., Baecher-Lind L; Tufts University School of Medicine, Boston, MA., Morosky CM; Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, CT., Bhargava R; Department of Obstetrics and Gynecology, University of Saskatchewan College of Medicine, Regina, Saskatchewan, Canada., Fleming A; Department of Obstetrics and Gynecology, Corewell Health, Farmington Hills, MI., Royce CS; Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA., Schaffir JA; Department of Obstetrics and Gynecology, Ohio State University Wexner Medical Center, Columbus, OH., Sims SM; Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL., Sonn T; Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO., Stephenson-Famy A; Department of Obstetrics and Gynecology, University of Washington, Seattle, WA., Sutton JM; Department of Obstetrics and Gynecology, East Carolina University Brody School of Medicine, Greenville, NC., Morgan HK; Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.
Jazyk: angličtina
Zdroj: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2024 Jan; Vol. 230 (1), pp. 97.e1-97.e6. Date of Electronic Publication: 2023 Sep 24.
DOI: 10.1016/j.ajog.2023.09.020
Abstrakt: Background: Clerkship grades in obstetrics and gynecology play an increasingly important role in the competitive application process to residency programs. An analysis of clerkship grading practices has not been queried in the past 2 decades in our specialty.
Objective: This study aimed to investigate obstetrics and gynecology clerkship directors' practices and perspectives in grading.
Study Design: A 12-item electronic survey was developed and distributed to clerkship directors with active memberships in the Association of Professors of Gynecology and Obstetrics.
Results: A total of 174 of 236 clerkship directors responded to the survey (a response rate of 73.7%). Respondents reported various grading systems with the fewest (20/173 [11.6%]) using a 2-tiered or pass or fail system and the most (72/173 [41.6%]) using a 4-tiered system. Nearly one-third of clerkship directors (57/163 [35.0%]) used a National Board of Medical Examiners subject examination score threshold to achieve the highest grade. Approximately 45 of 151 clerkship directors (30.0%) had grading committees. Exactly half of the clerkship directors (87/174 [50.0%]) reported requiring unconscious bias training for faculty who assess students. In addition, some responded that students from groups underrepresented in medicine (50/173 [28.9%]) and introverted students (105/173 [60.7%]) received lower evaluations. Finally, 65 of 173 clerkship directors (37.6%) agreed that grades should be pass or fail.
Conclusion: Considerable heterogeneity exists in obstetrics and gynecology clerkship directors' practices and perspectives in grading. Strategies to mitigate inequities and improve the reliability of grading include the elimination of a subject examination score threshold to achieve the highest grade and the implementation of both unconscious bias training and grading committees.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: