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Policy on Grading for the Core Clerkships in the Second 100 Weeks

Please note: In April of 2020, in response to the directive of Governor Cuomo to graduate final-year medical students as soon as possible, the grading scale and grading elements required to complete the core clerkships in the Second 100 Weeks were adjusted. The resultant policy is listed below and applies to the Class of 2020 only. This policy was approved by the Curriculum Committee, the Faculty Council, and the Dean, and is in full compliance with LCME accreditation standards.

Policy on Grading for the Core Clerkships in the Second 100 Weeks for the Class of 2020

Under normal circumstances, students earn a final grade of Honors, High Pass, Pass or Fail or a temporary designation of Conditional Pass in each of the six core clerkships (“courses”) (Psychiatry, Neurology, Obstetrics and Gynecology, Pediatrics, Medicine, and Surgery) of the Advanced Clinical Experience.

Due to the unusual nature of the learning environment during the COVID-19 emergency in New York State, a limited number of students will earn a final grade of Pass or Fail or a temporary designation of Conditional Pass after the completion of the clerkship experience. This exception applies to students who receive a core clerkship grade after April 3, 2020.

Under normal circumstances, there are six required grading elements in each course, as described below. For students who did not complete a clinical skills exam prior to March 27, 2020, the clinical skills exam (CSE) is not required.

Grading Elements:

Each grading element, with the exception of the Professionalism and Administrative Assessment described below, is assigned a grade of Honors, High Pass, Pass, or Fail.

  1. ACE Rounds
  2. Clinical Reasoning Assessment (Admission Notes/Write-ups/Written Exam)
  3. Clinical Assessment of Student
  4. NBME Clinical Subject “Shelf” Exam
  5. Clinical Skills Exam (CSE) (Not required for students who did not complete prior to March 27, 2020)
  6. Professionalism and Administrative Assessment

The Professionalism and Administrative Assessment includes:

  1. Attendance
  2. Timely completion of assignments, logs, and evaluations
  3. Professional etiquette in all forms of communication

Grading of the Professionalism and Administrative Assessment is assigned a designation of Meets Expectations, Meets Expectations with Recommendations, or Does Not Meet Expectations. Receipt of Does Not Meet Expectations on this assessment may lower the final course grade. Receipt of Meets Expectations with Recommendations and/or Does Not Meet Expectations on this assessment in multiple courses may result in a notation in the Medical Student Performance Evaluation (MSPE).

Final Grade: Honors, High Pass, or Pass

A final grade of Honors, High Pass, or Pass is determined by standards pre-specified by the standard setting committee for students who receive a final grade on or before April 3, 2020.

Final Grade: Pass

A final grade of Pass is determined by standards pre-specified by the standard setting committee for students who receive a final grade after April 3, 2020.

Temporary Designation: Conditional Pass (only applicable in first attempt of a course)

If a student earns a grade of Fail on one or more grading element(s) in the course but the student does not meet criteria to fail the course, as set by the standard setting committee, the student will earn a temporary designation of Conditional Pass and will be required to reassess the grading elements that did not meet the passing standard to be eligible for advancement or graduation. For more information on reassessment requirements and procedures, please refer to the Policy on Reassessment.

Final Grade: Fail

In the first attempt of a course, if a student earns a grade of Fail on one or more grading element(s) in the course and the student meets criteria to fail the course, the student will earn a final course grade of Fail and will be required to remediate (repeat and pass) the course to advance to the next year of training. The opportunity to remediate will be subject to the decision of the Student Advancement Committee. In the second attempt of a course, if a student earns a grade of Fail on one or more grading elements, the student will earn a final course grade of Fail and the school’s expectation is that the student will be dismissed from the MD program, pending the Student Advancement Committee’s recommendation.

If a student earns a final grade of Fail for two core clerkships in the same trimester, the student will be considered for dismissal by the Student Advancement Committee.

References to Regulations and/or Other Related Policies:

Policy on Academic Advancement and Graduation for the Class of 2020
Policy on Academic Status
Policy on the Composition and Authority of the Student Advancement Committee
Policy on Reassessment
Transcript Guidelines
 

Last Updated: April 2020

Following the Reflection, Integration, and Assessment (RIA) week, students earn a final grade of Honors, High Pass, Pass or Fail or a temporary designation of Conditional Pass in each of the six core clerkships (“courses”) (Psychiatry, Neurology, Obstetrics and Gynecology, Pediatrics, Medicine, and Surgery) of the Advanced Clinical Experience (ACE). There are six grading elements in each course, as described below.

Grading Elements:

With the exception of the Professionalism Assessment, students earn a grade of Honors, High Pass, Pass, or Fail for each grading element according to pre-set standards.

  1. ACE Rounds* 
  2. Clinical Reasoning Assessment (Admission Notes/Write-ups/Written Exam)*
  3. Clinical Assessment of Student
  4. NBME Clinical Subject "Shelf" Exam
  5. Clinical Skills Exam (CSE), when feasible, or Alternate Assessment of Clinical Skills
  6. Professionalism Assessment

*Please note: The ACE Rounds and Admission Note/Write-up grading elements may be combined to result in an overall Facilitator Feedback grading element.

Final Grade: Honors, High Pass, or Pass

A final grade of Honors, High Pass, or Pass is determined by standards pre-specified by the standard setting committee.

Temporary Designation: Conditional Pass (only applicable in first attempt of a course)

If a student earns a grade of Fail on one or more grading element(s) in the course but the student does not meet criteria to fail the course, as set by the standard setting committee, the student will earn a temporary designation of Conditional Pass and will be required to reassess the grading elements that did not meet the passing standard to be eligible for advancement or graduation. For more information on reassessment requirements and procedures, please refer to the Policy on Reassessment.

If a student earns a temporary designation of Conditional Pass in more than two clerkships, the student may be reviewed by the Student Advancement Committee for required remediation of those clerkships. 

Final Grade: Fail

In the first attempt of a course, if a student earns a grade of Fail on one or more grading element(s) in the course and the student meets criteria to fail the course, the student will earn a final course grade of Fail and will be required to remediate (repeat and pass) the course to advance to the next year of training. The opportunity to remediate will be subject to the decision of the Student Advancement Committee. In the second attempt of a course, if a student earns a grade of Fail on one or more grading elements, the student will earn a final course grade of Fail and the school's expectation is that the student will be dismissed from the MD program, pending the Student Advancement Committee's recommendation.

If a student earns a final grade of Fail for two core clerkships in the same trimester, the student will be considered for dismissal by the Student Advancement Committee.

If a student earns a final grade of Fail or a temporary designation of Conditional Pass on more than two clerkships, the student may be reviewed by the Student Advancement Committee for required remediation of those clerkships and may be considered for dismissal from the MD program. 

Professionalism Assessment

The Professionalism Assessment includes:

  1. Punctuality and attendance
  2. Timely completion of assignments, logs, and evaluations
  3. Professional etiquette in all forms of communication

Grading of the Professionalism Assessment is assigned a designation of Meets Expectations, Meets Expectations with Recommendations, or Does Not Meet Expectations. Receipt of Does Not Meet Expectations on this assessment may lower the final course grade.

If a student earns Meets Expectations with Recommendations or Does Not Meet Expectations on the Professionalism Assessment in more than one course, it can affect a student's eligibility for conference funding, the AOA/Gold Honor Societies, and/or result in a notation in the Medical Student Performance Evaluation (MSPE).

References to Regulations and/or Other Related Policies:

Policy on Academic Advancement and Graduation
Policy on Academic Status
Policy on the Composition and Authority of the Student Advancement Committee
Policy on Reassessment
Transcript Guidelines

Last Updated: May 2020


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