In Pursuit of Honors: A Multi-Institutional Study of Students' Perceptions of Clerkship Evaluation and Grading
| Autor: | Christopher L. Knight, Justin L Bullock, Karen E. Hauer, Patricia S. O'Sullivan, Paul B Aronowitz, Tai M. Lockspeiser, Cindy J. Lai, Deborah Dellmore, Cha Chi Fung |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Medical psychology Students Medical 020205 medical informatics media_common.quotation_subject MEDLINE 02 engineering and technology Education 03 medical and health sciences Young Adult 0302 clinical medicine Bias Perception Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Grading (education) media_common Medical education Education Medical Learning environment Clinical Clerkship Reproducibility of Results General Medicine United States Multicenter study Female Clinical Competence Educational Measurement Psychology |
| Zdroj: | Academic medicine : journal of the Association of American Medical Colleges. 94(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 58th Annual Research in Medical Education) |
| ISSN: | 1938-808X |
| Popis: | To examine medical students' perceptions of the fairness and accuracy of core clerkship assessment, the clerkship learning environment, and contributors to students' achievement.Fourth-year medical students at 6 institutions completed a survey in 2018 assessing perceptions of the fairness and accuracy of clerkship evaluation and grading, the learning environment including clerkship goal structures (mastery- or performance-oriented), racial/ethnic stereotype threat, and student performance (honors earned). Factor analysis of 5-point Likert items (1 = strongly disagree, 5 = strongly agree) provided scale scores of perceptions. Using multivariable regression, investigators examined predictors of honors earned. Qualitative content analysis of responses to an open-ended question yielded students' recommendations to improve clerkship grading.Overall response rate was 71.1% (666/937). Students believed that being liked and particular supervisors most influenced final grades. Only 44.4% agreed that grading was fair. Students felt the clerkship learning environment promoted both mastery and performance avoidance behaviors (88.0% and 85.6%, respectively). Students from backgrounds underrepresented in medicine were more likely to experience stereotype threat vulnerability (55.7% vs 10.9%, P.0005). Honors earned was positively associated with perceived accuracy of grading and interest in competitive specialties while negatively associated with stereotype threat. Students recommended strategies to improve clerkship grading: eliminating honors, training evaluators, and rewarding improvement on clerkships.Participants had concerns around the fairness and accuracy of clerkship evaluation and grading and potential bias. Students expressed a need to redefine the culture of assessment on core clerkships to create more favorable learning environments for all students. |
| Databáze: | OpenAIRE |
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