Evaluation and Grading
Student Performance Evaluations and Faculty/Housestaff/Course evaluations are completed in OASIS.
Your grade on the Internal Medicine Clerkship is based on your clinical performance and your score on the written examination, which is administered at the end of the clerkship. We use the Subject Examination in Internal Medicine of the USMLE, Step 2. Your score is normalized against national standards (mean 70, standard deviation 8), and your performance is weighted at 33% of the grade.
Each of your two clinical rotations accounts for 33% of your grade. On the general inpatient service, your average attending evaluation counts for half of the score, and your average evaluation by housestaff counts for half of the score for that rotation.
On AIM, you will not work with housestaff, and so your entire
clinical evaluation is based on the score provided by your
preceptor(s). If you are evaluated by more than one physician,
the scores are weighted by your amount of contact with each
evaluator. These clinical evaluations count for 75% of the AIM
grade. 15% of your grade is based on an evaluation of your
performance in the workshop sessions, and 10% of your grade is based on
an evaluation of the case study that you will prepare as part of the
Grading scale: We use a nine-point grading scale. The nine-point scale is favored by the American College of Physicians and by the NBME. They note that with inflation of subjective elevations, it is useful to have three or four grade levels in the top half of the scale, so that one can still differentiate among good students.
Passing the Clerkship in Internal Medicine requires that one obtain an overall weighted score of 6.0 or higher and score in the 10th percentile or above on the Subject Examination in Internal Medicine administered at the end of the clerkship. Students with adequate clinical performance but failing the written examination may be asked to repeat the examination and obtain a passing score. Students with unsatisfactory clinical performances may be asked to do additional ward work.
Concerns: Concerns about grades can be taken
up with Dr. Wispelwey by individual appointment.
Under no circumstances should students directly contact faculty
or housestaff regarding grades.