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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
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 fair 42% 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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