?
?
Assessment
5
Pitt Students have Spoken
• <20% of classes of ’12 & ’13 wouldn’t
support the change
• Expect more:
– Collaboration
– Research participation
– Investment in Ethics, Medical Decision Making
and Behavioral Medicine coursework
• Don’t feel that H/P/F makes us better
residency candidates (includes CO ’10)
6
The Groundwork has been Laid:
UVA
• Grading didn’t suffer
• USMLE scores didn’t suffer
“The graded class had a mean of 222 (20), and the
pass/fail class had a mean of 226 (21)”
7
Bloodgood RA, Short JG, Jackson JM, Martindale JR. A change to pass/fail grading in the first two years at one medical
school results in improved psychological well-being. Acad Med. May 2009;84(5):655-662.
The Groundwork has been Laid:
Mayo
• Stress was Less
8
Rohe DE, Barrier PA, Clark MM, Cook DA, Vickers KS, Decker PA. The benefits of pass-fail grading on stress, mood, and
group cohesion in medical students. Mayo Clin Proc. Nov 2006;81(11):1443-1448.
Residency Directors Prioritize 11
Factors Over Preclinical Grades
9
Green M, Jones P, Thomas JX, Jr. Selection criteria for residency: results of a national program directors survey. Acad
Med. Mar 2009;84(3):362-367.
Plan
10
Readying for a Change
• Collect baseline data from Classes of ‘13
(MS2s) & ’14 (MS1s)
• Inform prospective ‘15 students that their
preclinical grading system will be P/F
• Assess CO ‘14 acceptance of switch to P/F
for their MS2
11
Implementing the Change
• All preclinical courses become P/F for
2011-2012
– Assumes ‘14 students accept the change
• Each course director sets a “passing” score
– Not norm based
• Academic performance will be tracked and
counseling will be provided
• AOA will be based on clinical performance
12
Monitoring the Change
• Each incoming and second year classes will
be surveyed 1+ time/semester
– Attitudes
– Wellness
• Step 1 and Residency Match data will be
tracked, at least through 2015
13