Grading

Phase I, Phase II and M3 Grading

Phase I Grading and Remediation Policy

General Principles: 

Students will be granted a score of either Pass or Fail for each course during the Foundations of Medicine Phase (Phase I).  Percent scores will be maintained for each student in order to determine scholarships and AOA nominations, and for writing the MSPE letter.  Students will have access to their final grade of Pass or Fail for each course and their percent performance on assessments in order to guide students in their progress and performance compared to their peers.

To determine a student’s percent score, a composite score consisting of all available points for a course will be determined.  The total amount of available points for a course will arise from three assessment components (see below), and each course is expected to incorporate assessment in all three components to arrive at the composite score.

Component

Example

Medical Knowledge Exams (MK)

Multiple-choice, short-answer, and essay examinations and quizzes; written assignments

Application Exams (APP)

OSCE; patient interviewing; physical diagnosis; procedural skills; lab activities

Collaborative & Independent Learning (CIL)

Small-group engagement rubrics, reflection rubric, multiple quizzes as completion (e.g., five 10-point quizzes=5 points total), etc.

 

Guidelines for a grade of Pass:

Grading Committee:

To help determine a final grade for each student for a course, the COM Curriculum Committee will establish a committee of faculty to review preliminary grades based upon the guidelines listed above and adjudicate all grades that do not meet the guaranteed passing score.

This Grading Committee will consist of five COM general faculty members without administrative educational roles and the core/block director (advisory role) and who have requisite understanding of the COM program objectives.  The Chair of the Committee will be a non-voting member and will consist of either a representative from the SEC or the Senior Associate Dean for Academic Affairs.  Faculty will serve for a two-year term.  The Phase I Directors will be non-voting members of the Grading Committee, and individual block directors will participate in Grading Committee meetings related to discussion of their course, but will also not vote as a member of the committee.  Any Grading Committee member who serves in a formal leadership role for the course (e.g. Block Director) must recuse themselves from discussion.

The Grading Committee will recommend a grade of Pass (P) or Fail (F) or a No Report (NR).  For students receiving an NR, the Grading Committee will identify which of the components (MK, APP, CIL) fell below their standards.  See remediation plan for further details.

In the process of determining grades, the Grading Committee will review available assessment data including but not limited to data about the overall performance of the class and the de-identified composite and component data of individual performances of those students that do not meet or exceed the guaranteed passing score.  The Grading Committee may also consider any contextual factors related to a specific course (e.g., standard deviations from mean, extenuating circumstances related to the administration of the course) to help determine the appropriate minimum passing score.  Grades determined by the Grading Committee will be sent to the Senior Associate Dean for Academic Affairs (or designee) for validation.  Only in exceptional circumstances will the grade(s) be modified by the Senior Associate Dean.  After validation, grades will be reported to students by the Office of Medical Education within 7-10 days of the completion of the course.

Approved by the Curriculum Committee: August 10, 2018. 

Remediation:

All students with a No Report or Fail will be contacted by e-mail from the Senior Associate Dean or designee at the time of grades being posted.  Students will need to contact the block director within 1 week of receiving a No Report or Fail to develop a remediation plan.   A written remediation plan will be sent by the block director to the student, Assessment Coordinator and Office of Student Affairs. 

No Report (NR) – the block director determines the remediation plan for a specific component that is listed as NR including the areas to be reassessed and the expectations for a passing performance:

Fail – the block director determines a remediation plan for the entire block.

Students who have a Failure for two blocks in one semester will be referred to the Student Evaluation Committee for action (see SEC guidelines). 

Approved by the Curriculum Committee: August 28, 2018.

Phase II Grading

Overall grades are determined by a combination of the score on NBME subject examinations (medical knowledge), as well as performance on clinically-oriented activities such as OSCE, clinical performance, etc. (application) and other assigned individual/group activities or projects (collaborative and independent learning). The contribution of each item to the final grade and minimum requirements to receive a Pass on the clerkship will be provided to students at orientation for each clerkship. Students who meet the minimum requirements for Pass are guaranteed a grade of Pass or higher. Each clerkship assigns Honors to the top 20%, High Pass to the next 30%, and the remainder are eligible for Pass. If for some reason a student performs poorly on a single component of the overall grading in a rotation (such as the NBME subject examination), they may receive a grade of Marginal. A grade of Fail will be assigned for substandard performance on multiple components.

Approved by the Clerkship Directors: October 9, 2018. Approved by the Curriculum Committee: October 23, 2018

M3 Grading

The minimum requirements to receive a Pass on the clerkship will be provided to students at orientation for each clerkship. Students who meet the minimum requirements for Pass are guaranteed a grade of Pass or higher. Overall grades are determined by a combination of medical knowledge (subject examination), application (OSCE, clinical performance, etc.), and collaborative and independent learning.  Each clerkship assigns Honors to the top 20%, High Pass to the next 20%, and the remainder are eligible for Pass.  If for some reason a student fails a component of the overall grading, they may receive a grade of Marginal.  A grade of Fail will be assigned for substandard performance on multiple components.