Grading and Evaluation Policies

Grading and Evaluation Policies


To obtain a passing grade, all of the following requirements must be met

1. Adhere to all applicable University of Virginia and School of Medicine codes of student conduct.

  • You are on your honor to comply with all clerkship requirements as detailed herein.

2. Submit a properly completed Neurology Requirement Checklist.

  • see Logistics > Requirement Checklist.

3. Receive a passing score on your OASIS Clerkship Student Evaluation.

  • These are completed by your service attendings and residents.
  • Any student who receives an overall grade of "marginal" or "unsatisfactory" from any evaluator will be asked to meet with the Clerkship Director to discuss and develop a remediation plan.

4.  Submit a completed "Student Evaluation of the Neurology Clerkship" form in OASIS.

5.  Complete the Clerkship/Faculty Evaluation in OASIS

  • These are our primary quality control measures; they ensure we are meeting your learning needs and teaching appropriately.

6.  You must pass the local take-home Knowledge/Application exam in Neurology with a score  ≥70%

7.   Demonstrate competency on the neurology physical exam.

8.   Pass the NBME "shelf examination" in Neurology

  • A passing score is at or above the national 5th percentile (as defined by NBME for the time period from which the most recently available NBME percentiles were calculated. ).
  • For more information on the neurology subject examination from the National Board of Medical Examinerssee
  • It is a closed-book, tightly proctored test.
  • The test is on the morning of the last day of the clerkship.
  • Do not bring backpacks, pagers, cell phones etc. to the exam room.
  • Use the bathroom before you enter the exam room.



The Clerkship Director will submit, via the OASIS system, a report to the Dean's office including written description of the student's clerkship performance. This may comment on professionalism, attendance, and compliance with clerkship's requirements as appropriate.  It may include direct quotations from individual evaluators, summative assessments, qualitative statements, and formative feedback.  Both strong points and weak points in performance may be included in the narrative. Except under extenuating circumstances this will be delivered approximately 5-6 weeks after the conclusion of the clerkship.

Clerkship grades will be calculated as follows:

1. Clinical evaluations

  1. Account for 20% of overall grade
  2. Weighted by exposure and evaluator type
i. Attendings weight higher than residents
ii. PGY-1 evaluations are not included in this weighted calculation, but will be used to support the narrative summary comments
iii. OASIS exposure descriptions by time
1. Extensive (x7)
2. Moderate (x3)
3. Minimal (x1)
  1. OASIS reports an unweighted arithmetic average of all evaluators, it may therefore vary from the final clerkship evaluation of clinical performance, which is weighted (see above).
  2. The Clerkship Director will not override any individual evaluator's determination of a student's performance for the purpose of grade adjustments.

2.  Knowledge/Application exam

a. 15% contribution to overall grade
b. Open-book multiple choice exam, subject to Honor Code standards
c. Minimum passing score is 70%
d. Among passing scores, actual percent correct rather than letter grade equivalent will be used in the final grade calculation. However, a rough approximation of letter grade equivalents on the test is as follows:
i.   94-100 = A
ii.  90-93   = A-
iii.  87-89  = B+
iv.  84-86  = B
v.   80-83  = B-
vi.  77-79  = C+
vii.  74-76 = C
viii. 70-73 = C-
ix. Scores lower than 70 receive no credit and require remediation.
x. Item validity and discrimination analyses are performed on all questions on all exam administrations.
  • Items answered correctly by <50% of students on a test administration are NOT automatically considered invalid

3.  NBME Shelf exam

a. 10% contribution to overall grade
b. Percentile based on national quarterly adjusted norms from prior academic year

i. >80%ile = A
ii. 20-79%ile = B
iii. 5-19%ile = C
iv. Scores <5%ile receive no credit and require remediation

4.  Competency on the neurological physical exam

10 % contribution to the overall grade

5.  Class participation / Professionalism

a. 5% contribution to overall grade

b. all evaluators are encouraged to comment on aspects of student participation and professionalism

6. Weekly Quizzes

a. Each quiz will be 10% of your overall grade.

b.  There will be one quiz every Friday at noon.  There will be three quizzes during the clerkship.  Material from week 4 will be tested on the final take home examination.


7. Written note assessment

a. 10% contribution to the overall grade.

b.  You will hand in two (2) write ups of patients you have seen  (H&P).  You are expected to turn one at the end of the first week and the second write up before the end of week three.   The first will be critiqued and you will receive feedback by the end of the second week.  The second write up will be graded.


8Overall  Grade:

a..   To receive a passing grade in neurology, the student

i.     Must pass NBME (³5th percentile)

ii.    Must pass Neurology Knowledge/Application exam (≥70%)

iii.    Must pass clinical evaluations with weighted performance above “marginal”

iv.   Must complete all other clerkship requirements as noted in the syllabus

v.      Must demonstrate competency in the neurological physical exam

b.   Letter grade is calculated as follows:

i.     Clinical grade weighted at 20%

ii.     Knowledge Exam = 15%

iii.    Shelf exam = 10%

iv.     Physical exam = 10%

v.     Class participation / professionalism = 5%

vi.     Written note assessment = 10%

vii.    3 weekly quizzes = 30%.

c.    Final letter grade will be determined solely by these criteria


If any of these requirements for a passing grade are not met, you must see the Neurology Clerkship Director immediately to discuss remediating the clerkship, in part or in total. The final remediation decisions are made by the Medical School’s Student Academic Standards & Achievement Committee, acting on the Clerkship Director’s recommendation.


Last Week of the Clerkship

  • All students take the required NBME exam. There will be no excused absences from the final day of the clerkship.
  • All students are excused from all clinical activities on the last day of the clerkship.  Thus, you finish your clinical activities after the last Thursday of the clerkship. (Wednesday, when the shelf exam is on a Thursday)
  • Thursday afternoon all students will be examined on their physical exam skills and interpretation of abnormal findings. The examination will be held at the Adult Neurology Clinic at Fontaine Research Park Building 500. Each student will be given a time slot for their examination and should arrive at the testing site about 15 minutes before their testing time.
  • Medical School policy requires that all clinical responsibilities be accomplished prior to sitting for the shelf exam. Exceptions may only be granted by Dean Pearson in Student Affairs.