Grading, Assessment & Expectations for Success

Robert Acton, MD Briar Duffy, MD

Goals of this hour…

• Overview to clerkships grading and assessments

• Some specific thoughts on expectations of students on clerkships, and grading/assessment examples from Surgery and Medicine

• Questions

Overview to clerkships grading and assessments

• Policies:– Clinical Course Grades, years 1-4– Required Clerkship Grade Standardization, years 3 and 4– Attendance Requirements for Courses, Clerkships and Exams– Excused Absences, years 3 and 4

If you’re doing an elective away rotation, please provide your preceptor with a form for evaluation from the U with the expectation/reminder they will need to give it to you before your depart or within 2 weeks of your completion of the rotation.

Overview to clerkships grading and assessments

Overview to clerkships grading and assessments

Expectations

• Work hard—arrive early, stay late…• Positive attitude, professional behavior• Learn how to do an specialty specific

presentation• Each shift/day set expectations with your

staff/resident• Be open to feedback/ask for feedback• Be resourceful

Expectations

• Be confident yet aware of your limitations• Communication is key!• During down time, ask if anyone needs a hand• Follow up/through…keep focus on your patients• Don’t go too crazy!!!• Keep an open mind about your future specialty

choice• Apply these lessons to all of your rotations

Expectations

• If you doubt why you’re becoming a physician in year three of Medical School, ask for help from a favorite preceptor, your advisor or the Medical School support staff. We are here to help you!

• Have fun!!!

Clerkship Websites

• Have ESSENTIAL information!– Contact information for sites– Schedules for labs + lectures, study questions, reading

references– Skills lab materials– Session Pre-Tests and Course Post-Test– Links to library resources and med school policies

• Most are on Moodle – changing to LCMS+

• You are responsible for website content!

What is General Surgery?

“A discipline having a central core of knowledge embracing anatomy, physiology, metabolism, immunology, nutrition, pathology, wound healing, shock and resuscitation, intensive care and neoplasia within the essential content areas.”

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Expectations

• Study hard• Conduct thorough

history and physicals• Formulate plans for

patients• Execute procedures at

bedside and in OR

• Support + learn from others

• Know when to refer, call for help

• Practice professionalism• Show up on time• Dress professionally

Recognize, diagnose, and begin care for your patients

Function as junior member of an inter-disciplinary health care team

Transition to Adult Learning

ACGME Core Competencies1. Medical knowledge2. Patient care (including technical skills)3. Practice-based learning and improvement4. Interpersonal and communication skills5. Systems-based practice6. Professionalism

Transition to Adult Learning

Secrets to Success1. Be excited and willing2. Pre-round on your patients3. Insist on presenting your patients4. Write great notes with even better Plans5. Prepare for the operating room6. Take call7. Have fun

Assessment

Assessment

Assessment

Grading

• Subjective• Course evals• Patient write-ups• Quality Project

• Objective• Shelf Exam• Standard Cases• OSATS

• Participation / Professionalism

Questions?Transition to adult

learningSkills labsYour hospital siteDay-to-day responsibilities80-hour work weekWork life balanceAssessment, gradesYour evaluation of usWhat happens next

• HAVE FUN

Internal Medicine

• Internists — physician specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness

– American College of Physicians

• Internal Medicine Clerkships: – Med I– Med II will become sub-internship. You’ll hear more

about this at a later date

Medicine 7500

Grade breakdown

Clinical evaluationsShelf examEKG examLecture participation, assignments

Clinical success on medicine clerkships

• Enthusiasm• Adds to team• Ownership of patients– Read about their

problems– Update them throughout

the day– Communicate with other

teams (nursing, consultants, social work)

• Professionalism• Communication skills– Presentations– Notes

• Synthesis of data• Explain clinical reasoning• Progression of skills• Willingness to accept

feedback

Transition to Adult Learning(medicine version)

Secrets to Success1. Be excited and willing2. Pre-round on your patients3. Present your patients4. Write great notes with even better Plans5. Prepare for the operating room

Own your patients’ care6. Take call (but not overnight on Med I) and help admit new

patients7. Take responsibility for your own learning—you can find

something to learn about from every patient8. Have fun

Questions???