6-11
Ongoing Review Form for Clinical Clerkships
The UCSD SOM Electives Committee (EC) requests that you complete all items on this form, so the SOM can meet
Liaison Committee on Medical Education (LCME) standards for accreditation. Please provide your responses to the
EC c/o Catherine Doran, cdoran@ucsd.edu, UCSD mail code 0729.
The Office of Educational Development and Evaluation (OEDE) will provide both you and the EC with the last
three years of student course and faculty feedback on your course. This evaluation data is an important component
of the review process. It will not be disseminated beyond the EC. Please be sure you are in regular contact with the
OEDE office to ensure accurate evaluation of your course and faculty. The OEDE contact information can be found at
the following URL: http://meded.ucsd.edu/ugme/oede/contact_us/.
*You may respond directly on this form and use additional pages as needed.*
1. Syllabus
Provide a copy of the course syllabus that is given to students (see syllabus template provided).
2. Teaching Methods to Promote Active Learning
 Identify and describe teaching methods in the clerkship. (check all that apply)
___one-on-one observation
___patient simulations (computer or
___demonstrations
standardized patients)
___seeking information from medical
___case-based seminars
literature and other sources
___role plays
___computer-based instruction
___*other (please describe)
*Other:

How will teaching methods and evaluation used in courses provide students with the necessary skills to
support life long learning? (For example: Self-assessment of learning needs; Independent identification,
analysis and synthesis of relevant information ; Assessment of the credibility of information; Self-reflection
exercises)

Please indicate if there have been significant changes in the teaching methods since the previous review of
the clerkship (approximately three year ago) and how the effectiveness of changes has been evaluated.
3. Key Faculty/Instructors
All course instructors must be familiar with the educational objectives of the clerkship and be prepared for their roles
in teaching and evaluation. All instructors must receive a written copy of the clerkship’s objectives and receive clear
guidance from the clerkship director about their roles in teaching.


Is the list of key faculty and/or course instructors in your syllabus up to date? yes ___ no ___
(If no, please send along a list of current key faculty and how/why this list has changed since the prior review)
Are non-faculty involved? yes* ___ no ___
o *If yes, please check which type of non-faculty instructors assist with teaching:
Fellows ___ Residents/Interns ___ Graduate Students ___Community clinicians ____Other ___
o
*Describe roles of non-faculty instructors.
o
*Is guidance about their role in teaching given by the clerkship director? yes ___ no ___

Is instruction by faculty and non-faculty instructors directly observed? yes ___ no ___

Please list any other methods of monitoring instruction (if applicable).

Is there a department program in place to teach faculty and non-faculty (fellows/residents/interns) teaching
and evaluation skills? yes ___ no ___ If so, please briefly describe the program.

Are there any plans to change key faculty/instructors in the foreseeable future? yes ___ no ___
4. Student Supervision and Clinical Observation
In all clinical courses, students must be observed performing a relevant history and physical examination (H&P).
 Describe how this is accomplished.

Identify who supervises students in patient care settings.

Identify any non-faculty instructor who supervises students in patient care settings.

Explain provisions for ensuring that cases seen by students are reviewed.
o
Are submitted H&P’s reviewed? yes ___ no ___
5. Mid-clerkship feedback
Each student should be evaluated early enough during the clerkship to allow time for remediation. It is expected that
clerkships provide students with formal feedback during the experience so they can understand and remediate
deficiencies.
 Describe how this is accomplished in your clerkship. The mid-clerkship evaluation procedures should also be
included in the syllabus.
6. Types of Patients/Clinical Conditions/Required Patient Encounters
A system should be established to specify the types of patients or clinical conditions that students must encounter,
and to remedy any identified gaps in education. If a student does not encounter patients with a particular clinical
condition (e.g., because it is seasonal), the student should be able to remedy the gap by a simulated experience (such
as standardized patient experiences, online cases, etc.)
 Describe the type(s) of patients and clinical conditions the student is expected to see, and the patient volume
(per day, per week).

Describe how the clerkship leadership determines and monitors types of patients and clinical conditions that
students must encounter.
7. Grading (Please clearly specify grading criteria in the syllabus – see attached template)
 Pass Grade: What percentage of students passed the course in the past three years?
2

Honors Grade: What percentage of students received Honors in the past three years? If this is >50%, please
indicate why such a high percentage of students receive Honors.

Narrative Evaluations: Please provide anonymous samples of written evaluations of students (completed by
the course faculty). Please delete students’ names to maintain confidentiality. The EC requests written
samples that reflect a range of grades (Pass, Honors) that are awarded to students in the clerkship (3-4
samples are sufficient, if available).
8. Formal Assessment of Course and Faculty
The Office of Educational Development and Evaluation conducts online evaluations of all courses and faculty
(including fellows/residents/interns) using standardized assessment tools. You may view the standard evaluation
tools at http://meded.ucsd.edu/ugme/oede/evaluation_mission/ and click on the link on the left-hand side for the
type of course you offer.
 Describe any other procedures used to assess the faculty’s performance in the course.

Describe how you respond to student feedback regarding the clerkship experience.

Describe how you respond to student feedback regarding faculty and fellows/residents/interns’
performance.

How is remediation addressed if instructor’s performance is inadequate?
9. Student Mistreatment
The School of Medicine looks at issues related to possible student mistreatment with great concern. Although rare, in
some instances students have indicated that they were subjected to treatment that falls into the broad category
defined as “general mistreatment.” Types of mistreatment include (but are not limited to): 1) public humiliation or
belittlement 2) threats or physical harm (e.g., hit/ slapped/ kicked) or 3) being personally subjected to offensive or
inappropriate remarks or 4) being asked to perform personal tasks (e.g., shopping, baby-sitting).
 Have there been any reports of student mistreatment in your clerkship? yes* ___ no____
 *If yes, describe the nature of such reports and how they were addressed.
10. Policy on Medical Student Work Hours
[Policy summary: Not more than 30 continuous hrs; on-site duty, including in-house call, not to exceed 24 consecutive
hrs (may remain on duty up to 6 add’l hrs for didactics, pt. transfer care, outpt clinic and to maintain continuity of
med/surg care); 1 day in 7 free from all educational and clinical responsibility average over 4-wk period; 10-hr rest
period between shifts.]
 Is this course compliant with the above policy on medical student work hours? yes ___ no ___
11. Course Self-Review
Provide a critical assessment of the clerkship's strengths and weaknesses. Identify problems and difficulties
encountered in implementing the clerkship. For each problem, please identify your anticipated solution, a method
for assessing the results, and a timeline for implementation.
3