Section III. Appendix G
Science at the heart of medicine
OFFICE OF STUDENT AFFAIRS
Jack and Pearl Resnick Campus
1300 Morris Park Avenue
Belfer Building, Rm 210
Bronx, NY 10461
718.430.3060 718.430.4123 fax osa@einstein.yu.edu
Medical Student Performance Evaluation
For
Ms. XXX XXX
October 1, 2013
Dear Colleague,
We are pleased to provide this profile of achievements for Ms. XXX XXX who is a student at the Albert Einstein College of Medicine of Yeshiva University, Bronx, New
York.
Ms. XXX is a 2008 summa cum laude graduate of Yeshiva University, Stern College for
Women, where she received her B.A. degree, majoring in Biochemistry. As an undergraduate student, XXX was awarded the American Institute of Chemists Award for
Excellence in Chemistry. Her stellar performance was recognized by consistent inclusion on the Dean’s Honor Roll for Scholastic Achievement with an overall GPA of 3.96.
Throughout her time at Stern College, XXX devoted hours of service for the organization
Tomchei Shabbos, which endeavors to ease the plight of the poor through weekly delivery of food packages. She also volunteered for the Cantor Fitzgerold Relief Fund, established to provide assistance for families of the victims of 9/11. On campus, XXX served as a teaching assistant in the Biology Principles course, and she served as a student ambassador and led tours for prospective students.
Following graduation, XXX was selected to participate in the Yeshiva University
Presidential Fellowship. XXX was selected to work in the Office of the Vice President for University Life. She served as liaison between students, faculty and administration. In addition to being involved in many aspects of University operations, the Fellowship was also a leadership training program that focused on developing skills and perspectives that are essential for all professions. XXX matriculated at Einstein in August 2009 and has an expected graduation date of May 2014. After an excellent academic course, XXX extended her time at Einstein, by entering a customized schedule due personal nonacademic reasons.
In the pre-clerkship years, Einstein uses a Pass/Fail grading system. Students are required to take and pass USMLE Step 1 before starting clerkships, and to pass Step 2 CK, and
Step 2 CS before graduation. We do not maintain a class ranking.

XXX XXX ….2
Section III. Appendix G
In the clerkships, we have used an expanded grading system that includes Honors and both High and Low Pass values, unless otherwise noted. *Effective in the academic year
2013-2014, Einstein has changed the grading scale for the clerkships in the third year.
Originally on a 7 point scale we have moved to a 5 point scale. This new grading system encompasses Honors, High Pass, Pass, Low Pass and Fail values. All clerkships require passage of a standardized exam, the score of which, depending on the clerkship, may carry significant weight in establishing the grade. During the third year, in addition to the clerkships, all Einstein students participate in a required assessment of clinical competence, the goal of which is to provide students with a valuable educational experience while receiving essential feedback on their skills. Only MSTP students are allowed to enroll in electives prior to completing all core clerkships.
During each clinical clerkship and sub-internship rotation, students are rated on the degree of professionalism they exhibit. The following attributes are encompassed in their evaluation: compassion; reliability; willingness to help in the overall clinical effort; ability to bridge potential barriers of race, ethnicity, social class, gender, religious belief, sexual orientation, etc.; acceptance of feedback; and overall interpersonal effectiveness.
The vast majority of our students are rated well in this system, and this fact will simply be noted in this letter. When a student has either impressed her/his preceptors with outstanding professionalism or has been found wanting in one or more of the above attributes, we will elaborate further in this letter.
During their final year, Einstein students take part in a required two-month rigorous subinternship in Internal Medicine, Pediatrics or Family Medicine, during which, the student’s responsibilities are equivalent to that of an intern. Prior to graduation, students are required to complete a Scholarly Project.
Ms. XXX has successfully passed all of her basic science courses and passed Step 1 of the USMLE, with a superior score of 244, and passed Step 2 CK, with a superior score of
241, which was well above the mean. She easily transitioned from the basic science course work to the clinical rotations and continued to excel in the third and fourth years.
Some of the following narratives may have been edited for the purpose of conciseness.
Items removed such as clerkship descriptions of clinical requirements, specific details of case or project presentations, etc. were deemed to be extraneous. The following clerkship evaluations are provided in chronological order to display progress.
FAMILY MEDICINE: (Clerkship) Clinical: As Ms. XXX XXX continues with her clinical rotations she should work on completing presentations – especially developing a practical differential diagnosis. She should also practice delivering patient information in a clear manner. XXX should also work on developing a good fund of knowledge on basic preventive guidelines. Evaluation: Pass… Community Based Project: …XXX and another student provided personal discussions to new mothers about managing stress. The clean and well-organized presentation included a thoughtful discussion of the literature that was directly applied to the formulation of their intervention. They demonstrated very

XXX XXX ….3
Section III. Appendix G good team work and enthusiasm. The community site preceptor commented on XXX’s enthusiasm and flexibility with individual patients. Evaluation Honors.
OVERALL EVALUATION – HIGH PASS 5
GERIATRICS: (Clerkship) Excellent, comprehensive history and physical… XXX is intelligent, dedicated and eager to learn. A great student.
OVERALL EVALUATION – PASS (This clerkship is Pass/Fail only)
RADIOLOGY: (Clerkship) XXX is an exceptionally bright student with an exceptional background fund of information. She has a very good “eye” for picking up radiologic abnormalities when challenged with a radiographic image of a patient with an unknown diagnosis. She attended preceptor sessions with regularity and at the end of the rotation gave an excellent presentation of radiologic aspects involved in reproductive endocrinology and infertility.
OVERALL EVALUATION – PASS (This clerkship is Pass/Fail only)
PSYCHIATRY: (Clerkship) Child Inpatient Program (first 3 weeks): A pleasure to work with; motivated to learn every aspect of psychiatry including pharmacotherapy, diagnosis, and environmental influences on psychopathology. Grade = High Pass. Adult
Inpatient Program (second 3 weeks): Showed a good fund of knowledge and asked good questions; adaptable and calm under pressure; showed a lot of common sense. Grade =
Honors. Observed Clinical Encounter: Inquisitive and fearless; did not avoid difficult questions and maintained an air of confidence that put the patient at ease. Grade =
Honors…
OVERALL EVALUATION – HIGH PASS 6
PEDIATRICS: (Clerkship) …We very much enjoyed having XXX with us … for her pediatrics clerkship. Inpatient faculty described XXX as "an excellent student who was eager to learn pediatrics. She was current on all of her patients' clinical updates, differential diagnoses, and management plans. XXX taught the team about Acute Chest
Syndrome; instead of a simple review, she discussed the most up to date information regarding pathophysiology and treatment. She is impressive! Great job!" House staff enjoyed working with XXX, and were "very impressed with XXX’s work on our team," noting that "she essentially functioned at the intern level." XXX "took charge of the patients she was following and took the time to know and examine the other patients on our team. I was very impressed by her exam and assessment skills especially for our respiratory patients, and I barely had any corrections to make on her progress notes. Very professional, very hard-working, got along great with everyone, and was a huge blessing to have on our team during one of our busiest months." Senior residents highlighted that
XXX "was knowledgeable and extremely helpful during her pediatric rotation. She asked intelligent questions and gave thorough presentations that were succinct and to the point.
Her self-directed learning was remarkable." XXX similarly excelled in the outpatient setting, where supervising faculty highlighted that she "was very organized, complete, hard working. She did an excellent job of interacting with both children and their parents-
-she was able to put parents at ease, even those initially skeptical about working with a student. Honors performance." XXX came well prepared to the small group learning

XXX XXX ….4
Section III. Appendix G sessions, and effectively taught her peers. As one faculty member noted, XXX "would make a wonderful pediatrician."
OVERALL EVALUATION – HONORS 7
SURGERY: (Clerkship) XXX was a very good student who did very well on her surgery rotation. She developed a good understanding of surgery over the course of her rotation.
She participated in the operating room, and was able to present cases to attendings and write good H&P's. She earned excellent clinical scores, getting reports that she was interested, sincere and hard working. The residents enjoyed working with her. She earned a high pass on the oral exam, and did even better on the shelf, scoring an honors. Overall this led to a final score of High Pass.
OVERALL EVALUATION – HIGH PASS 6
OBSTETRICS/GYNECOLOGY: (Clerkship) XXX XXX was an excellent medical student. She was well prepared for her clinical and didactic sessions. Her oral presentations were excellent. XXX was a great team member. Her knowledge base was above average. She displayed a warm, professional demeanor and was a pleasure to work with. Her patient log was thorough, organized and complete, meeting all of the clerkship objectives. XXX received a grade of honors for her clinical performance. Her score on the written examination was a 92, 98 th
percentile, a clerkship equivalent grade of honors.
XXX received a grade of High Pass on the oral examination. Overall, XXX earned a grade of honors for the Obstetrics and Gynecology and Women’s Health clerkship. This is noteworthy, as it is the university site and is considered to be quite rigorous. We are confident that XXX XXX will be a great resident.
OVERALL EVALUATION – HONORS 7
PATIENTS, DOCTORS AND COMMUNITIES: (Course) …XXX XXX attended and participated in the PDC sessions. Her written work and oral comments were thoughtful and insightful. She was an active participant in class. XXX showed a lot of maturation as the year went on and appeared to develop a growing sense of the values and principles taught in PDC…
OVERALL EVALUATION – PASS (This course is Pass/Fail only)
MEDICINE: (Clerkship) XXX XXX was an intelligent, enthusiastic, dedicated student who did an excellent job on her Medicine Clerkship… XXX’s knowledge base is appropriate for a MS3. Her case-based and topic presentations continued to improve over the course of the rotation. Her write-ups were well organized and well thought out. She was an active member of the team and presented her patients and medical topics well.
XXX did extremely well when discussing cases during precepting sessions. She impressed her evaluators in her proactive approach to patient management, at times,
“functioning like a sub-I.” She developed good rapport with her patients and advocated on their behalf. XXX XXX is a hardworking, professional student who passed the
NBME shelf exam…, and was awarded a grade of High Pass for her overall clerkship performance. OVERALL EVALUATION – HIGH PASS 6

XXX XXX ….5
Section III. Appendix G
EMERGENCY MEDICINE: (Elective) XXX was noted to be a hardworking, intelligent and conscientious student. Her performance is best summarized by ED attendings’ comments: “Smart, worked independently, calm and even mannered, able to multi-task – a pleasure to work with.” “Excellent presentations, excellent patient and staff interactions, was an asset during the very busy flu season, did a great job of teasing out histories from difficult patients.” “Thorough, conscientious, works independently but knows when to ask for guidance, follows through with management plans.” “Excellent student…”
OVERALL EVALUATION – HONORS 7
OB/GYN REI: (Elective) XXX did an outstanding job on her rotation. She was enthusiastic, paid great attention to detail, was a team player and was well liked by the entire team. She gave a well researched and thought out powerpoint presentation to the entire REI division that was well received and at the level of a house officer. XXX was a pleasure to have on our team and I am sure she will be a superb house officer.
OVERALL EVALUATION – HONORS 7
MEDICINE: (Ambulatory Care) XXX did a good job on the amb care rotation. She gave a good effort and was responsive to feedback. She improved a lot over the 4 weeks, in class she was an active participant. She was humorous and respectful. Her presentation
…was well-done. OVERALL EVALUATION – HIGH PASS 5
PEDIATRICS: (Subinternship) XXX did a great job as a pediatric subintern. She was diligent, knowledgeable and truly dedicated to her patients. XXX showed initiative and confidence as she willingly accepted her patient care responsibilities. She supplemented her hands-on experience by reviewing the clinical entities she was managing and participated actively in attending rounds. Great job!
OVERALL EVALUATION - HONORS 7
ANTEPARTUM FETAL SURVEILLANCE: (Extramural Elective) XXX XXX performed excellently during her elective MFM rotation at our institution. She is an excellent candidate for residency in Ob/Gyn.
OVERALL EVALUATION – HIGH PASS 6
SUBINTERNSHIP IN OBSTETRICS: (Elective) XXX performed at the level of
Honors for her Subinternship in Obstetrics on Labor and Delivery. XXX showed a fund of knowledge well above her level of training and showed initiative researching studies and papers related to her patients. XXX offered plans of care for patients that would be at the resident level, and saw patients independently, under appropriate supervision. XXX could present patients well and was an active team member. XXX was enthusiastic about participating in deliveries and integrated her knowledge into clinical practice. XXX demonstrated professional demeanor always, and she shoed compassion for her patients.
XXX was always respectful on the team and she was a pleasure to have on service. XXX will make a very capable house officer.
OVERALL EVALUATION - HONORS 7

XXX XXX ….6
Section III. Appendix G
AMBULATORY HIGH RISK OBSTETRICS : (Elective) XXX is a great asset to any team. She is devoted to team wash, to patient care, and functions independently (as a great house staff officer should). She has a clear interest in obstetrics and gynecology, and was very comfortable taking her knowledge to the next level.
OVERALL EVALUATION - HONORS 7
UNIQUE ACTIVITIES AND INTERESTS:
Beyond her academic achievements, XXX has also managed to make time to serve her local Einstein community. She was selected by the administration to be a peer tutor for many of the first and second year courses and is highly sought after for her skills in teaching medical information as well as helping new medical students create effective study plans and habits. She was also selected to serve as a student facilitator for orientation events for the class of 2016 where she led sessions on how to form effective study groups and avoid study distractions. Based on her exceptional academic performance, she was chosen to serve on various panels for the first and second year classes giving advice on how to excel during the clinical rotation years of medical school as well as how to most effectively prepare for the USMLE exams. XXX has demonstrated her outstanding abilities to excel in the various challenges and stressors of medical school while helping other students learn how to balance their schedules to accomplish success as well. XXX’s commitment to the success of her fellow students was so apparent that she was chosen to serve on the Student Mistreatment Ombuds Panel, whose goal is to create a safe environment where students feel comfortable reporting any mistreatment they may have suffered so that appropriate action can be taken to rectify the situation.
XXX not only focused on helping other medical students achieve success, but also participated in a “Big Sister” program where she served as a mentor for undergraduate students interested in pursuing a career in medicine. She forged deep connections with her “little sisters” as she provided guidance on how to achieve success in the MCATs and during the application process, as well as insight into the life of a medical student and how to best overcome the challenges that arise.
XXX also served the greater Bronx community around her. She was involved in a postpartum education program where she created an interactive presentation on Shaken Baby
Syndrome, giving practical tips and advice on how to best handle the stress of a new baby. She synthesized the information in such a way that every patient, regardless of her level of education, was able to comprehend and internalize the skills that XXX was teaching. This demonstrated XXX’s excellent communication skills and ability to break down complicated medical concepts into simple ideas that any layman can understand.
Along a similar vein, XXX was featured on a video that was shown at the Davidoff
Education Day for Einstein Faculty and Administration where she spoke about the importance of the “physician as a role model” in the context of a discussion on
Competency-Based Education. This once again shows her commitment to serving the general population on a deeper level.

XXX XXX ….7
Section III. Appendix G
XXX XXX’s MSPE advisor, Cynthia Chazotte, M.D., Professor and Vice Chair,
Department of Obstetrics & Gynecology and Women’s Health, Chief, Obstetrical &
Perinatal Service and Co-Director, Division of Maternal Fetal Medicine at
Montefiore Medical Center
, wrote the following comments, “In addition to her outstanding academic achievements, XXX has been a good citizen of the Einstein community. XXX has been selected as a peer tutor for first and second year medical students and a student facilitator for orientation. Currently she was serves on the Student
Mistreatment Ombuds Panel. This group’s goal is to create a safe environment where students feel comfortable reporting any mistreatment. Through a “Big Sister” program,
XXX has also served as a mentor to undergraduate students interested in a career in medicine.
“When XXX developed an unanticipated medical condition that required multiple procedures, she did not want it to detract from her medical education. She wisely chose
[Type a quote from the document or the summary of an interesting point. You can position the text box anywhere in the document. Use the Drawing Tools tab to change the formatting of the pull quote text box.] to extend medical school to 5 years. With her condition resolved and behind her, she made the most of her extended time at Einstein. She soars academically. She has given of herself in both research and service to the medical school.
“XXX is well rounded and willing to take on new challenges. She is personable and energetic with a strong commitment to women’s health. She will do well in the field of obstetrics & gynecology. XXX has the potential to make an excellent house officer.”
In summary, XXX XXX is an intelligent, hard-working and caring student who stands out as much for her maturity and interpersonal skills as she does for her overall academic achievement. She is poised and organized. She handles stressful situations with grace, always paying attention to detail and never skipping a beat. It is without reservation that we recommend XXX as a superior candidate for training in Obstetrics and Gynecology.
She will be an asset to any residency program, and she will surely make a difference to her patients, peers and attendings.
Sincerely,
Stephen G. Baum, M.D. Allison B. Ludwig, M.D. Joshua D. Nosanchuk, M.D.
Senior Associate Dean for Student Affairs Assistant Dean for Students Assistant Dean for Students
MSPE Advisor:
Cynthia Chazotte, M.D.
Professor and Vice Chair
Department of Obstetrics & Gynecology and Women’s Health
Chief, Obstetrical & Perinatal Service

XXX XXX ….8
Section III. Appendix G
Co-Director, Division of Maternal Fetal Medicine
Montefiore Medical Center
Required Clerkship Grade Distribution for 2012-2013 (Comparative Performance)
TABLE: Recent Grade Frequency by Discipline in Required Clerkships
Int Med Gen Surgery Pediatrics Family Med Ob/Gyn Psychiatry
Honors (7)
High Pass (6)
High Pass (5)
32%
57%
11%
37%
33%
26%
39%
45%
5%
Pass (3-4) 0% 4% 10%
Missing percentages in table represent grades of Low Pass or Fail
26%
42%
25%
7%
33%
33%
18%
15%
41%
43%
12%
3%
*Required Clerkship Grade Distribution for 2013-2014 (Comparative Performance)
TABLE: Recent Grade Frequency by Discipline in Required Clerkships
Int Med Gen Surgery Pediatrics Family Med Ob/Gyn Psychiatry
Honors
High Pass
Pass
53%
43%
0%
35%
38%
16%
15%
80%
4%
32%
32%
28%
29%
57%
4%
Missing percentages in table represent grades of Low Pass, Fail or Incomplete
*Effective in the academic year 2013-2014, Einstein changed from a 7 point grading scale to a 5 point grading scale.
Each student meets with a faculty member (not necessarily in their intended discipline) who assists with the drafting of the MSPE, which is edited and completed in the Dean’s
Office.
Final authority for composing the MSPE rests with:
Stephen G. Baum, M.D.
Senior Associate Dean for Students
Professor of Medicine, Microbiology & Immunology
Allison B. Ludwig, M.D.
Assistant Dean for Student Academic Affairs
Assistant Professor of Medicine
Joshua D. Nosanchuk, M.D.
Assistant Dean for Students
Professor of Medicine, Microbiology & Immunology

XXX XXX ….9
Section III. Appendix G
Student Review of MSPE:
Students review their MSPE with one of the Deans for Students.
are semi-traditional “basic science” courses that include small group and case-based seminars, as well as the inclusion of “live” patient conferences. Our
Introduction to Clinical Medicine (formerly “Introduction to the Patient”) course meets twice weekly throughout the Year I and II. In this mentored small group format students learn interviewing skills, history-taking, physical examination, and the foundation elements of the doctor-patient relationship. All students have substantial, supervised contact with patients in clinical settings.
consists of required clerkships in Internal Medicine (11 weeks), General
Surgery (8 weeks), Pediatrics (7 weeks), Obstetrics & Gynecology and Women’s Health
(6 weeks), Psychiatry (6 weeks), Family Medicine (4 weeks), and Radiology (2 weeks).
Selective clinical rotations are available for two weeks during the clerkship cycle. A two-week Geriatrics clerkship occurs either in Year III or IV. Comparative grade information is found in Appendix A.
consists of a demanding two month required Sub-internship in Internal
Medicine, Pediatrics, or Family Medicine. We further require a one-month Ambulatory
Care rotation in one of these same departments, and a one month clerkship in Neurology.
The remaining months are available for clinical or research electives. Many of our senior students participate in our Global Health program. All are required to submit a scholarly paper as a graduation requirement.
The College supports an MD-PhD (MSTP) program and supports students who seek
MPH degrees at outside institutions. The MSPE for our MD-PhD program is cocomposed with the Director of our Medical Scientist Training Program. Many of our students are encouraged to engage in more than four years of undergraduate medical education to enrich their experience.
USMLE Requirements:
Passing scores on Step 1, Step 2 CK, and Step 2 CS of the USMLE are required in order to receive the MD degree at the Albert Einstein College of Medicine. The College permits no more than three attempts on each of these exams.
Observed Clinical Encounter:
Our major required clerkships have implemented an “Observed Clinical Encounter”
(OCE) wherein a senior clinical supervisor directly observes each medical student evaluating an actual patient. OCE grades and reports are captured within the narrative evaluations of each major clerkship.

Science at the heart of medicine
OFFICE OF STUDENT AFFAIRS
Jack and Pearl Resnick Campus
1300 Morris Park Avenue
Belfer Building, Rm 210
Bronx, NY 10461
718.430.3060 718.430.4123 fax osa@einstein.yu.edu
Medical Student Performance Evaluation
For
Mr. XXX XXX
October 1, 2013
Dear Colleague,
We are pleased to provide this profile of achievements for Mr. XXX XXX who is a student at the Albert Einstein College of Medicine of Yeshiva University, Bronx, New
York.
Mr. XXX is a 2006 cum laude graduate of San Jose State University, where he received his B.S. degree, majoring in Nursing. As an undergraduate student, XXX was a recipient of the Deloras Jones RN Scholarship. Following graduation from San Jose State
University, XXX was an Emergency Room Charge Nurse at Kaiser Permanente Santa
Clara Hospital. He was voted for the 2009 nurse of the year award. Upon matriculation at
Einstein, XXX was awarded the Dr. Marsha Goldstein Basson Scholarship, in recognition of his superlative skills and achievements as well as his unique path to medical school.
XXX matriculated at Einstein in August 2010 and has an expected graduation date of
May 2014.
In the pre-clerkship years, Einstein uses a Pass/Fail grading system. Students are required to take and pass USMLE Step 1 before starting clerkships, and to pass Step 2 CK and
Step 2 CS before graduation. We do not maintain a class ranking.
In the clerkships, we have used an expanded grading system that includes Honors and both High and Low Pass values, unless otherwise noted. *Effective in the academic year
2013-2014, Einstein has changed the grading scale for the clerkships in the third year.
Originally on a 7 point scale we have moved to a 5 point scale. This new grading system encompasses Honors, High Pass, Pass, Low Pass and Fail values. All clerkships require passage of a standardized exam, the score of which, depending on the clerkship, may carry significant weight in establishing the grade. During the third year, in addition to the clerkships, all Einstein students participate in a required assessment of clinical competence, the goal of which is to provide students with a valuable educational experience while receiving essential feedback on their skills. Only MSTP students are allowed to enroll in electives prior to completing all core clerkships.
2

During each clinical clerkship and sub-internship rotation, students are rated on the degree of professionalism they exhibit. The following attributes are encompassed in their evaluation: compassion; reliability; willingness to help in the overall clinical effort; ability to bridge potential barriers of race, ethnicity, social class, gender, religious belief, sexual orientation, etc.; acceptance of feedback; and overall interpersonal effectiveness.
The vast majority of our students are rated well in this system, and this fact will simply be noted in this letter. When a student has either impressed her/his preceptors with outstanding professionalism or has been found wanting in one or more of the above attributes, we will elaborate further in this letter.
During their final year, Einstein students take part in a required two-month rigorous subinternship in Internal Medicine, Pediatrics or Family Medicine, during which, the student’s responsibilities are equivalent to that of an intern. Prior to graduation, students are required to complete a Scholarly Project.
Mr. XXX has successfully passed all of his basic science courses and passed Step 1 of the
USMLE with a superior score of 258, which was above the mean. He easily transitioned from the basic science course work to the clinical rotations and continued to excel in the third and fourth years. Some of the following narratives may have been edited for the purpose of conciseness. Items removed, such as clerkship descriptions of clinical requirements, specific details of case or project presentations, etc., were deemed to be extraneous. The following clerkship evaluations are provided in chronological order to display progress.
MEDICINE: (Clerkship) XXX’s clinical performance during the clerkship was outstanding. His evaluations show that he excelled in all areas of evaluation. His house staff evaluations highlighted his medical knowledge as well as his communication skills.
One evaluator wrote, "XXX is an excellent student with a great knowledge base, enthusiasm for learning, takes initiative and is a true team player. He has great communication skills and interacts very well with patients and staff.” Another commented, "XXX was such an amazing medical student in so many ways. Not only was he knowledgeable, he was also wonderful with the patients. His patient presentations were fantastic and it was clear that he constantly reads and studies at every opportunity.”
Others lauded his teamwork skills, "He is always interested in helping, both his teammates and his patients. Nothing is below or beyond his capabilities. He is both skilled at many procedures and was even willing to help change a patient's bed or help them to a bedpan. He does all this with a calm, humble sensitivity that will continue to give him an excellent bedside manner.” His attending evaluations were exemplary and routinely recognized his medical knowledge, compassion, and intelligence. One attending summarized, "XXX is one of the best students I have been around. He is knowledgeable beyond his time. He has a great maturity and tremendous way of dealing with patients.
His compassion and empathy is something we can all learn from.” XXX had two preceptors during the rotation. Both preceptors commented on the thoroughness of his write-ups. One stated, "XXX was one of the most impressive medical students that I have had the pleasure to encounter. His medical knowledge was far in excess of what would be expected from a third-year clerk, and he was able to apply that knowledge clinically. His
3

interviewing skills were mature, and he was able to gather information and present it in a structured concise manner.” XXX passed the NBME Shelf exam with a score of 96 (97th total yearly national percentile). He was awarded a grade of honors for his overall outstanding clerkship performance . OVERALL EVALUATION - HONORS 7
OBSTETRICS/GYNECOLOGY: (Clerkship) During the faculty-observed clinical encounter in the ambulatory setting, Mr. XXX demonstrated his ability to competently perform the required skills. He elicited a history appropriate for his level of training and was thorough and professional during the interaction... Overall, Mr. Leong's performance during the observed clinical encounter was Above Expected Level for a third-year medical student. Mr. XXX was an outstanding student during his rotation. His fund of knowledge was appropriate for his level of training and he actively read to be prepared for activities on both the obstetric and gynecologic services. He related well to patients and staff. Mr. XXX was considered to be one of the best medical students who have rotated through our hospital in the last few years. He completed all assigned tasks and was an active member of the teams. Many of the attending and residents stated that he performs at the level of an intern. His technical skills were above his level of training and multiple seasoned nurses would ask him to place IV lines. His Obstetrics case presentation on HIV and Pregnancy was graded High Pass. His Gyn case presentation on
Urinary Incontinence was graded Honors. Mr. XXX scored a 99 on the written shelf examination placing him in the 98th percentile for a clerkship equivalent grade of
Honors. He also received Honors on the oral examination. His patient log demonstrated a comprehensive exposure to the field of Obstetrics and Gynecology and all core competency requirements were met. Mr. Leong's clinical grade was Honors. Mr. XXX is a mature and intelligent student who was born to be a doctor. He shows dedication and respect for the craft of medicine. He earned a final grade of Honors during his clerkship in Obstetrics & Gynecology and Women's Health. Mr. XXX has an interest in anesthesia.
It was a pleasure to teach him and I know that he will be an outstanding house officer in any field of medicine. OVERALL EVALUATION - HONORS 7
PSYCHIATRY: (Clerkship) Mr. XXX XXX put in an outstanding performance on the
Psychiatry clerkship. He is highly professional, with a strong interest in learning, and showed "significant empathy" in his work ... Mr. XXX did his inpatient rotation on the
Residency Training Ward, where he worked with a difficult patient ... According to his supervisor, he was able to "quickly and effortlessly incorporate other team members' advice about useful ways to approach the patient, while at the same time bringing aspects of his own style and approach." ... Mr. XXX went beyond the expectations of the clerkship and, along with another medical student, ran group activities for the patients.
He demonstrated broad knowledge; ... Mr. Leong's Honors write-up contains a thorough summary of the patient's medical and psychiatric problems ... His treatment plan is outstanding and well beyond the level of a student ... Mr. XXX received honors for his work on the Consultation-Liaison Psychiatry rotation. According to the attending, "the student has the ability to abstract data" and he knows psychiatric dynamics. His interviews revealed his empathic skills and "his timing is excellent for a student." In his presentations for the reading seminar, Mr. XXX exceeded the requirements of the clerkship. Mr. XXX would be an outstanding psychiatrist, should he choose this
4

specialty. Final Observed Clinical Encounter Mr. XXX XXX received honors on the
O.C.E. ... the student is able to talk with patients "in an engaged, empathic relatedness.
His timing is excellent." He is highly intelligent and attained Honors on all components of the clerkship, including all three components of the final exam. Mr. XXX received
Honors for his work on both Inpatient and Consultation-Liaison Psychiatry. His case write-up and clinically relevant EBM paper... received Honors. His final exam grades are: honors on the multiple-choice exam (98 - 93rd percentile), Honors on the essay, and
Honors on the observed clinical encounter (oral examination). His overall clerkship grade is Honors. OVERALL EVALUATION - HONORS 7
SURGERY: (Clerkship) XXX is a very bright student who did very well on his Surgery rotation. He developed a very good understanding of surgery over the course of his rotation. He showed interest in the operating room, and scrubbed on a wide variety of cases. He performed well in lectures and wrote good H&Ps. He earned very good clinical scores, getting reports that he had a good knowledge base and was hardworking. He did extremely well on his oral and written exams, scoring honors on both. On the oral he honored every question, and on the shelf he scored in the 97th percentile. Overall, this led to a well-deserved Honors grade for the rotation.
OVERALL EVALUATION - HONORS 7
FAMILY MEDICINE: (Clerkship) XXX is a quiet, intelligent, goal-directed student who demonstrated excellent clinical skills during his rotation. XXX has a broad base of basic science and clinical knowledge to draw from. He is able to incorporate the clinical history and physical exam with relevant, evidence-based medical knowledge. He formulates a logical and comprehensive patient management plan, and emphasizes preventive health care. His oral and written presentations are clear, comprehensive, and accurate. XXX is comfortable in the clinical setting and will make an excellent family practice specialist if he chooses to go into the field. He shows a competence above and beyond what is expected at this level of training. XXX XXX achieved an overall clinical grade of Honors. Community Project: XXX and his partner ... provided members with information on local resources such as smoking cessation programs. They demonstrated commitment ... Mr. XXX XXX achieved an overall community project grade of Honors .
OVERALL EVALUATION - HONORS 7
GERIATRICS: (Clerkship) Excellent presentations. Engaged, very involved in patient care. OVERALL EVALUATION - PASS (This course is Pass/Fail only.)
RADIOLOGY: (Clerkship) XXX is an exceptionally bright student with a very good background fund of information. He learned the principles presented at preceptor sessions and together with a "good eye" for finding abnormalities on radiologic images he was able to effectively diagnose pathology. At the end of the clerkship, he made an excellent presentation to the group.
OVERALL EVALUATION - PASS (This clerkship is Pass/Fail only.)
PEDIATRICS: (Clerkship) We very much enjoyed having XXX with us ... for his
Pediatrics clerkship. Inpatient faculty described XXX as "One of the best medical
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students I have ever worked with. Knowledge base, professionalism, and work ethic are far superior to his colleagues. Despite this, XXX remains modest with an excellent sense of humor. A joy to work with. I would give him a 10 out of 7 if I could." Housestaff similarly enjoyed working with him, and appreciated that "XXX was enthusiastic, helpful, and really just a delight. He is amazing at procedures, always came on time, is respectful and got along with everyone." Senior residents described XXX as "a very strong medical student. I had the opportunity to observe him perform an H & P and he did a great job, asking good questions including the correct pertinent positives and negatives. His write-up was excellent, and he did a great job presenting the admission during resident rounds the following day. XXX also exhibits a great attitude and fit in very well with the entire team." XXX excelled as well in the outpatient setting, where evaluators described him as "very pleasant, attentive and compassionate with the patients"; he was "actively involved with patients and was able to transition from case to case with ease, and had clearly prepared in advance for his time in specialty clinic." XXX also spent a significant amount of time rotating in our pediatric ED, where faculty were similarly highly impressed with his performance: "XXX was a stellar medical student. He is efficient, while still able to obtain the pertinent details of a history and physical. He was easy to work with and uniformly enjoyed by the ED staff." In addition, "XXX is one of the best if not the best medical student that I have worked with. He is very energetic, wants to learn, and eager to do anything he can to help. He even put an IV in during a trauma in the ED." XXX came well prepared to the small-group sessions and effectively taught his peers. As one of our faculty members commented, XXX "will be a great asset to any residency program…" OVERALL EVALUATION - HONORS 7
PATIENTS, DOCTORS & COMMUNITIES: (Course) XXX XXX has successfully completed Patients, Doctors and Communities (PDC) in May 2013. PDC is a 12-month interdisciplinary course with a major focus on professional development and core
"doctoring" skills less emphasized in the formal clerkship curriculum. PDC consists of multiple small-group seminars with a consistent pair of group leaders. Thus, faculty has had more than 24 hours of direct contact with the students. XXX brought a different set of experiences to our PDC group. His career as an ICU nurse informed and shaped him in a manner that the "average" student does not get. He was a vocal and generous participant in our group discussions and provided many perspectives for the group to work through. OVERALL EVALUATION - PASS (This course is Pass/Fail only.)
SUBRESIDENCY IN ANESTHESIOLOGY: (Elective) XXX performed well while on our service. He was very enthusiastic and was always eager to be involved with patient care. XXX had excellent technical skills and was very comfortable with IV placement.
His knowledge base was above average and improved during the rotation. He was very pleasant to work with and was well liked by faculty.
OVERALL EVALUATION - HONORS 7
FAER MEDICAL STUDENT ANESTHESIA RESEARCH: (Elective) XXX worked in my lab for this rotation. Although he had no prior lab experience, he was able to learn new procedures and protocols quickly, to perform them accurately, and to obtain reliable results. He learned how to perform immunoblots, and he learned a lot of molecular
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biology. He successfully made a new gene construct which he then used to assess whether a specific gene, reelin, which is involved in brain development, was a direct target of the microRNA200c. He was able to demonstrate that microRNA200c could reduce expression of a luciferase gene if the 3’ UTR from reelin was added to the luciferase gene. This is a new observation that will be incorporated in a manuscript in the future, on which XXX will be a coauthor. XXX is highly motivated, and worked independently to learn about the work he was doing. He also gave an excellent and clear presentation of his results to our lab group at the end of his rotation. He will also be presenting his work as a poster at the upcoming American Society of Anesthesiologists meeting. This is a high level of productivity for someone new to bench research. XXX functioned at the level of a beginning basic science graduate student, particularly noteworthy for someone with his background of having completed undergraduate work some time ago. In addition, it was a pleasure to have XXX in the lab, he got along well with others, and was able to interact productively, learning new techniques and sharing responsibilities in the lab. He has excellent interpersonal skills which enabled him to join the group and learn a great deal in a short time. Overall he did an outstanding job on this research rotation. OVERALL EVALUATION - HONORS 7
UNIQUE ACTIVITIES AND INTERESTS:
XXX has shown a strong interest in the teaching and mentoring of his peers throughout his time at Einstein. As a charge nurse, XXX assumed the role of preceptor to new graduate nurses in the emergency department and at Einstein XXX continued to develop his teaching skills by tutoring in the basic science courses as well as serving as an anatomy peer assistant for first year medical students.
Besides teaching, XXX has also gained a wide variety of research experiences while balancing time for his studies during his time here at medical school. During his first year summer he did research in critical care medical education. During his second year he did research in the ICU looking at markers for acute kidney injury. He changed gears during his third year and looked at different perspectives of minorities in regard to academic medicine. And in his fourth year he visited a basic science lab at Stanford university studying microRNAs. XXX has gained valuable research experience here at
Einstein, all of which will be an asset to him as he continues to pursue his research endeavors.
In recognition of exceptional academic achievement, XXX XXX has been elected to
Alpha Omega Alpha at the Albert Einstein College of Medicine. This recognition is awarded after a great deal of consideration, and we consider this election to represent a lifelong honor.
XXX XXX has been selected to be a member of the Gold Humanism Honor Society at the Albert Einstein College of Medicine. Members are selected “as exemplars of empathy, compassion, altruism, integrity and service in relationships with patients and others in the field of medicine.” We consider this membership to represent a lifelong honor.
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XXX XXX’s MSPE advisor,
Ellise Delphin, M.D., MPH, Francis F. Foldes Professor and Chair, Department of Anesthesiology, at Montefiore Medical Center , wrote the following comments, “Mr. XXX has had an outstanding academic record at Einstein, having received Honors evaluations in his Medicine, Obstetrics/Gynecology, Psychiatry,
Surgery, Family Medicine, and Pediatrics clerkships. His shelf examination scores between the 93 rd and the 98 th percentile and his superior score on USMLE part 1 of 258 reflect his outstanding fund of medical knowledge. In support of his Honors grades, detailed comments praise his outstanding knowledge and communication skills and laud his dedication, hard work, professionalism and ‘humble sensitivity.’ Most notable is the consistent praise he receives for his engaged, empathetic and compassionate relationships with patients.
“Mr. XXX has had the opportunity to participate in research studies at Stanford
University and at Einstein. As a research assistant at Stanford he evaluated the educational needs of residents during rotations in intensive care units and created educational modules targeting interactions of residents and patients. The work was awarded First Place prize for a poster at the Society for Education in Anesthesia and Best
Educational Abstract at the Stanford University Research Awards Dinner.
“Mr. XXX will be an outstanding house officer. He has been an exceptional medical student at all levels who will continue to perform at the highest levels of intellect, diligence and professionalism.”
Simply put, XXX XXX is a star. He represents the very best of what Einstein has to offer, having been elected both to AOA and to The Gold Humanism Society. He has the intellect, compassion, communication skills and collaborative approach that will make him a leader in the field of Anesthesiology. He will be a credit to your institution as he has been to ours.
Sincerely,
Stephen G. Baum, M.D. Allison B. Ludwig, M.D. Joshua D. Nosanchuk, M.D.
Senior Associate Dean for Student Affairs Assistant Dean for Students Assistant Dean for Students
MSPE Advisor:
Ellise Delphin, M.D., MPH
Francis F. Foldes Professor and Chair
Department of Anesthesiology
Montefiore Medical Center
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Required Clerkship Grade Distribution for 2012-2013 (Comparative Performance)
TABLE: Recent Grade Frequency by Discipline in Required Clerkships
Int Med Gen Surgery Pediatrics Family Med Ob/Gyn Psychiatry
Honors (7)
High Pass (6)
High Pass (5)
32%
57%
11%
37%
33%
26%
39%
45%
5%
Pass (3-4) 0% 4% 10%
Missing percentages in table represent grades of Low Pass or Fail
26%
42%
25%
7%
33%
33%
18%
15%
41%
43%
12%
3%
*Required Clerkship Grade Distribution for 2013-2014 (Comparative Performance)
TABLE: Recent Grade Frequency by Discipline in Required Clerkships
Int Med Gen Surgery Pediatrics Family Med Ob/Gyn Psychiatry
Honors
High Pass
Pass
53%
43%
0%
35%
38%
16%
15%
80%
4%
32%
32%
28%
29%
57%
4%
Missing percentages in table represent grades of Low Pass, Fail or Incomplete
*Effective in the academic year 2013-2014, Einstein changed from a 7 point grading scale to a 5 point grading scale.
Each student meets with a faculty member (not necessarily in their intended discipline) who assists with the drafting of the MSPE, which is edited and completed in the Dean’s
Office.
Final authority for composing the MSPE rests with:
Stephen G. Baum, M.D.
Senior Associate Dean for Students
Professor of Medicine, Microbiology & Immunology
Allison B. Ludwig, M.D.
Assistant Dean for Student Academic Affairs
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Assistant Professor of Medicine
Joshua D. Nosanchuk, M.D.
Assistant Dean for Students
Professor of Medicine, Microbiology & Immunology
Student Review of MSPE:
Students review their MSPE with one of the Deans for Students.
are semi-traditional “basic science” courses that include small group and case-based seminars, as well as the inclusion of “live” patient conferences. Our
Introduction to Clinical Medicine (formerly “Introduction to the Patient”) course meets twice weekly throughout the Year I and II. In this mentored small group format students learn interviewing skills, history-taking, physical examination, and the foundation elements of the doctor-patient relationship. All students have substantial, supervised contact with patients in clinical settings.
consists of required clerkships in Internal Medicine (11 weeks), General
Surgery (8 weeks), Pediatrics (7 weeks), Obstetrics & Gynecology and Women’s Health
(6 weeks), Psychiatry (6 weeks), Family Medicine (4 weeks), and Radiology (2 weeks).
Selective clinical rotations are available for two weeks during the clerkship cycle. A two-week Geriatrics clerkship occurs either in Year III or IV. Comparative grade information is found in Appendix A.
consists of a demanding two month required Sub-internship in Internal
Medicine, Pediatrics, or Family Medicine. We further require a one-month Ambulatory
Care rotation in one of these same departments, and a one month clerkship in Neurology.
The remaining months are available for clinical or research electives. Many of our senior students participate in our Global Health program. All are required to submit a scholarly paper as a graduation requirement.
The College supports an MD-PhD (MSTP) program and supports students who seek
MPH degrees at outside institutions. The MSPE for our MD-PhD program is cocomposed with the Director of our Medical Scientist Training Program. Many of our students are encouraged to engage in more than four years of undergraduate medical education to enrich their experience.
USMLE Requirements:
Passing scores on Step 1, Step 2 CK, and Step 2 CS of the USMLE are required in order to receive the MD degree at the Albert Einstein College of Medicine. The College permits no more than three attempts on each of these exams.
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Observed Clinical Encounter:
Our major required clerkships have implemented an “Observed Clinical Encounter”
(OCE) wherein a senior clinical supervisor directly observes each medical student evaluating an actual patient. OCE grades and reports are captured within the narrative evaluations of each major clerkship.
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