**New Policies

New College of Medicine Policies

  

 

 

Evaluation Policy

Exam Review Policy

Grading Policy

Patient Encounter Log Policy

 

 

 

 

 

Evaluation Policy

Evaluation Completion Requirements by Students

The purpose of this policy is to establish uniform procedures for the collection and use of student evaluations of courses and instructors at the University of Nebraska, College of Medicine. It is imperative that standardized and accurate procedures are employed to ensure reliable and valid data collection. This is a requirement outlined by the Liaison Committee on Medical Education; University of Nebraska, Board of Regents; and the University of Nebraska, College of Medicine.  Further, it is essential that the procedures employed protect the rights of both the instructors and the students.
 
Receiving substantive, representative feedback from students about our required medical school curriculum and instructors is crucial in helping the College of Medicine to understand program strengths and weaknesses and identify opportunities to improve the educational experience for future generations of students. In addition, learning to give and receive feedback is an integral part of developing professional skills students will need as future physicians.

The policy will clarify professionalism (medical citizenship) and evaluation expectations and establish processes for addressing lapses.

Requirements for Completing Evaluations

  • Students must complete all evaluations assigned. “Evaluation period” is used to describe any time evaluations are assigned to students.  This may be for lecturers, course evaluations, and/or small groups.
  • Evaluations must be completed within 5 days of being assigned. (Due dates are included in the initial evaluation notice.)
  • Required M1 and M2 evaluations include:
    • Evaluations of all required courses
    • Individual evaluations of faculty lecturers identified by the core director
    • Small group evaluations 
  • Required M3 and M4 evaluations include:
    • Evaluations of all required M3 and M4 courses
    • Evaluations of all M4 elective courses
    • Individual evaluations of faculty and house officers

Noncompliance Process

  1. Completion rates on evaluations will be reviewed after each evaluation due-date has passed. If a student has not completed at least 90% of the evaluations assigned during the evaluation period, s/he will receive a notification from the Curriculum & Educational Research Office (CERO) with a reminder of the policy and professional expectations of completion.
  2.  Evaluations completion rates will continue to be checked for each subsequent evaluation period. If a student completes less than 90% of the evaluations assigned during a subsequent evaluation period, their Academic Advisors will be alerted that there has been a second lapse in professionalism with regard to evaluations. The student will also be reported non-compliant with item #2 (Completes assignments and/or documentation in a timely manner) on the Medical Student Citizenship Form.  The student may receive additional feedback regarding professionalism expectations and a warning that continued lapses may result in a referral to the Associate Dean of Admissions and Student Affairs.
  3. If a student completes less than 90% of evaluations for a subsequent evaluation period, the student will be referred to Student Evaluation Committee for further review and action.

Use of Professional Language in Evaluations

  • Comments provided in evaluations should be constructive, respectful and framed using language that the evaluator would want to hear used if he or she was being evaluated.
  • Written comments provided in student evaluations are anonymous, (i.e. faculty cannot access information about the identity of an individual student who provides comments in an evaluation form).


Revised August 5, 2014 by Student Evaluation Committee.

 

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Examination Review Policy

In order to maintain a pool of quality test items, it is imperative that the College of Medicine secure its test item bank.   Therefore, the College of Medicine has instituted the following policies, which maintain the integrity of the question pool while providing a sound educational experience for students.

All test questions are to be maintained as secure; therefore, test questions will not be returned to the students. Any evidence that the security of the examination items has been broken, including unauthorized distributing or receiving of test questions, will result in disciplinary action of the individual(s) involved and may result in the loss of this privilege for all students.  Any attempt to access the test or the exam review outside of the scheduled administration period is considered cheating. Individual students who violate this policy will be dealt with through the standard UNMC policy for cheating and may be terminated.

The College reserves the right to discontinue the right to review sessions for individuals who violate policies related to it and/or the entire class should large-scale attempts to subvert exam security be identified.

The following policies and procedures apply for all review sessions:

  1. Only students who sign the statement of agreement regarding exam review sessions will be permitted to attend review sessions.
  2. Students must bring their UNMC ID card to each review session.  Entry to the review session will not be permitted without it.
  3. Seats will be assigned.  Students must sit at the computer station assigned to him or her at the appointed time.
  4. Students will be given access to Blackboard for 20-30 minutes, depending on the length of the examination, in order to review the test questions, the correct responses, and the given responses.  During that time, students may not discuss with one another specific test items or concepts related to the examination.  The room shall be silent during exam review sessions.
  5. Students may not attempt to duplicate or distribute test items.  The following materials are prohibited from the exam review session.  Any other items identified by the CERO as having the potential to undermine exam security will be seized, or the student will be instructed to secure the item in another location.
    • mechanical or electronic devices, such as personal digital assistants (PDAs), calculators, digital watches, watches with computer communication and/or memory capability, electronic paging devices, recording or filming devices, radios, cellular telephones;
    • coats, jackets and headwear;
    • book bags, backpacks, briefcases, purses;
    • books, notes, or study materials.
  6. Inquiries about examination questions will not be permitted.  A faculty member will not be present to address content questions.  Concerns about poorly-worded or ill-constructed items should be raised using the proper mechanism on the scratch paper during the examination.  If a student requires further discussion or review with a content expert, he or she should work with the Core Director to identify a meeting time.
  7. Students are not permitted to take a break from the exam review session and return at a later time.  A student who leaves the room will not be permitted re-entry.

Comprehensive Feedback Reports will be provided to students at the end of each core and again at the end of the second year.  Detailed Examination Feedback Reports are available by request.  Please send an email to cero@unmc.edu to request a detailed feedback report.  Identify the specific examination reports you’d like (ie, Intro Exam 1, Cellular Processes Final Exam).  Allow 3-4 business days for processing.


Approved by Curriculum Committee, July 2014

 

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Grading Policy

 

The minimum percentage score required to earn a grade of Pass will be based on an average of the minimum score for Pass for the preceding five years in that core. This score will be provided to students prior to the beginning of each core. Students who earn a percentage score greater than or equal to the published minimum score for Pass are guaranteed a grade of Pass or higher. Students who earn a percentage score below this cut point are at risk for receiving a grade of Marginal or Fail but may receive a grade of Pass. A Grading Committee will review the de-identified class performance for that core to determine which (if any) students will be assigned grades of Marginal or Fail and verify the assignment of Honors and High Pass grades. As in past years, the top 10% of the class will receive a grade of Honors (H) while the next 20% of the class will receive a grade of High Pass (HP). 

 

To determine final grade assignments for each core, a Grading Committee consisting of the Core Director (or a representative) and two members appointed by the COM Curriculum Committee will be established. To maintain a Grading Committee made up of an odd number of individuals, a third member will sit on the Grading Committee for cores that are directed by more than one individual. Members of the COM Scholastic Evaluation Committee are not eligible to serve on this committee unless they are doing so as the Core Director. The Grading Committee will review the de-identified class performance for the core in addition to historical performance data and other contextual factors to assign all final grades for the core. The Senior Associate Dean for Academic Affairs will have final approval of the committee’s decisions and can request reconsideration by the committee for decisions that are not congruent with policy or the mission of the COM.

 

Approved July 29th, 2014 by the Curriculum Committee

 

 

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Patient Encounter Log Policy

 
Rationale

During the clinical clerkships, students begin developing the clinical competencies required for graduation and post-graduate training.  These competencies are evaluated in many different ways: by faculty observation during rotations, by oral examinations, by NBME Subject Examinations, and by the USMLE Step 2 Examinations.  In order to develop many of these competencies and meet the objectives required for graduation, the school needs to ensure that each student sees an appropriate mix of patients during their clerkships to achieve the learning objectives. For these reasons, as well as others discussed below and to meet accreditation standards, the school has developed this patient encounter log policy.

 

One of the medical student learning objectives is that students must achieve during their training involves documentation.  Documentation is an essential and important feature of patient care and learning how and what to document is an important part of medical education.  Keeping this log becomes a student training exercise in documentation. The seriousness and accuracy with which students maintain and update their patient log will be part of their evaluation during the clerkships.

 

Process of Patient Encounter Log Review:

  • Mid-Clerkship/End of Clerkship Review:  The Clerkship Directors and/or Clerkship Administrators are monitoring the data on an ongoing basis to insure that you are meeting clerkship objectives.  See Appendix A for a clerkship-specific list.  They will also be reviewing your logs at mid-clerkship evaluation times.  Individual meetings and/or email communications will be sent to address your progress at the mid-point of the clerkship.  At the end of the clerkship the logs will be reviewed to ensure they are completed.
  • Annual Reviews:  Annually, a report will be prepared by the Curriculum & Educational Research Office.  The report will be reviewed by the Clerkship Directors Committee to determine if the specified patient encounters need to be revised in any way.  This is then reported to the Curriculum Committee to insure that the clinical experiences are meeting the objectives of the clerkship and to assess the comparability of experiences at various sites.
     
    Clerkship Administration Responsibility
  • Review students patient encounters regularly, at a minimum for mid rotation and end or rotation (If, for example, the Pediatrics Clerkship Administration notices that you are not experiencing patients with rhinorrhea, steps can be taken early in the clerkship to remedy the situation).
  • The Clerkship Director is responsible for reviewing the progress of student logs mid-clerkship.
  • Discuss encounters with the students
    • Identify if students are meeting course objectives
    • Identify areas needing supplementation

Student Responsibility

  • Document appropriate history and physical examinations that are directly observed by a physician as determined by the specific clerkship.  Students are encouraged to log live patient encounters before using simulated encounters.
  • Document all required patient encounters (and procedures if applicable).
  • Document information in a timely manner.  You should develop a habit of logging patient encounters daily. Evidence of logging is required prior to the mid-clerkship meetings.  Completion of the encounter log for each clerkship is due the last day of the clerkship.  Failure to complete logs will result in a failing grade for this portion of your clerkship and will be documented on the Medical Citizenship form.
  • If an excused circumstance presents wherein the student is unable to complete the log during a specific clerkship, the student will be responsible to participate in a clinical elective wherein the remaining items on the checklist may be completed.

Patient Encounter Log Items

The following items are required for the clerkship-specific patient encounters/procedures.  Failure to complete these will be considered incomplete.  You will have to complete all items in order to receive credit for the encounter.

  • Date of encounter
  • Location:  Hospital, Clinic, Emergency Room, Non-patient care activity (simulation, case discussion, etc.), or Other (skilled nursing facility, home visit, etc.)
  • Type:  Acute, Chronic, or Wellness Visit
  • Gender:Male or Female
  • Age Range:  Pediatric (0-11 yrs), Adolescent (12-18 yrs), Adult (19-65 yrs), or Geriatric (>65 yrs)
  • Student Role*:
    • Full (H&P + DDx &/or Tx: Student performs a H&P, e.g., new ambulatory patient, inpatient admission/consult)
    • Moderate (H &/or P: Student performs either problem-focused or complete Hx &/or PE; e.g., clinic visit, daily rounding on patients)
    • Limited/Observation:  Student role with patient is primarily observation; e.g., following team on rounds, shadowing in clinic, asked to observe interesting case
  • *Preceptor Name(Required for Observed H&P-Full or Moderate):


Approved May 13, 2014 by the Clerkship Directors

 

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