October 22 29 2013 6 00 7 00p chs 63 105
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October 22 & 29, 2013 6:00-7:00p CHS 63-105 PowerPoint PPT Presentation


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FEC Student and Faculty Forum Should We Change the Medical Student Grading System? H ow we arrived here… and Where we are going … Revisiting Lauren Wolchok’s Data (c/o 2013). October 22 & 29, 2013 6:00-7:00p CHS 63-105. Current System: Pass/Fail. Pass/Fail System:

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October 22 & 29, 2013 6:00-7:00p CHS 63-105

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October 22 29 2013 6 00 7 00p chs 63 105

FEC Student and Faculty ForumShould We Change the Medical Student Grading System?How we arrived here…and Where we are going…Revisiting Lauren Wolchok’s Data (c/o 2013)

October 22 & 29, 2013

6:00-7:00p

CHS 63-105


Current system pass fail

Current System: Pass/Fail

Pass/Fail System:

“The UCLA SOM has a pure Pass/Fail grading system for all four years.”

During the 3rd year…

  • Each required clerkship has a (1) clinical evaluationand (2) final exam.

    1. Clinical: evaluations submitted by the residents/faculty to Course Chair

    • 5-part criteria

      2. Exam: National shelf or exam of the clerkship’s choosing

    • Have set passing rates you must get above to pass

  • If a student passes both the clinical and final exam component the first time, the student will receive a “Pass.”

  • If a student fails the clinical portion of a clerkship and/or the exam, the student will receive a grade of “Fail” and must remediate.

  • DGSOM Website Policies and Forms  Policies General Guidelines on Pass/Fail Grading (modified)http://www.medstudent.ucla.edu/offices/sao/clinical/GradingStudentEvaluations.cfm


    Current system lod

    Current System: LOD

    Letter Of Distinction: An opportunity for faculty members to recognize a student who has distinguished himself/herself by demonstrating extraordinary performance…

    “Only truly remarkable performance will be recognized…”

    • LODs are cited in the Dean’s Letter accompanying internship and residency applications…

    • No LOD maximum or minimum per clerkship (i.e., either several letters or none may be awarded)

    • Exam Score Minimums: While not required, most clerkships have minimum Shelf Scores cut off the be eligible (normally ~80-85%)

    • Evaluation Score Minimums: While not required, most clerkships have minimum 5-point evaluation scores required to obtain an LOD (i.e. must have more 5s than 4s)

    DGSOM Website Policies and Forms  Policies General Guidelines on Pass/Fail Grading (modified)http://www.medstudent.ucla.edu/offices/sao/clinical/GradingStudentEvaluations.cfm


    Background

    Background*

    The elected representative body of the Faculty of the School of Medicine

    Key Responsibility:

    • Oversee the design and conduct of the academic program of courses and curriculum

    • A standing subcommittee of the FEC

    • Key Responsibilities:

    • Formulate and periodically review the mission statement for undergraduate medical education

    • To evaluate existing courses and clerkships

    • To review and recommend revisions of the Medical School curricula

    *http://www.medsch.ucla.edu/public/faculty/fec/fec.htm


    Research lcme student survey

    Research: LCME Student Survey

    Survey of the entire student body covering varous aspects of student education and wellbeing that was independently created, distributed and analyzed by the Medical Student Council

    92% satisfaction with P/F in preclinical years

    68% satisfaction with P/F in clinical years

    39% believe P/F helpful in applying to residency

    26% think LOD awards are transparent59% do NOT think LOD awards are transparent22% think LOD awards are fair42% do NOT think LOD awards are fair

    --> Students are generally displeased with the Fail/Pass/LOD system of the 3rd year

    http://mscdgsom.weebly.com/lcme-student-surveys.html


    Research lod consistency

    Research: LOD Consistency

    LODs in Pediatrics by Site(20% Overall)

    0% !!

    TEXTReference


    Research lod consistency1

    Research: LOD Consistency

    LODs in Internal Medicine by Site (23% Overall)

    0% !!

    TEXTReference


    Research lod consistency2

    Research: LOD Consistency

    CONCLUSIONS

    • LOD distribution varied by Site

    • Range: 0% to 54%

    LOD distribution varied by Clerkship

    Range: 13-25%


    Comparison top 30 schools

    Comparison: Top 30 Schools

    77% used 4+ tiers for evaluating

    3rd and 4th year medical students

    TEXTReference


    Proposed changes

    Proposed Changes

    Grading Task Force Recommendations:

    • Move to 4-point grading system in 3rd & 4th years

      (Honors, High Pass, Pass, and Fail)

    • Final clerkship evaluation grade will be comprised of

      (1) clinicaland (2) exam performance

    • There should be a clear spell out in the MSPEof

      clinicaland exam performance separately

      Note: These changes would only come into affect for the next incoming class of students (starting with c/o 2018).

    FEC WebsiteMECPageMinuteshttp://www.medsch.ucla.edu/public/faculty/MEC/Minutes.htm#


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