Grading Policy & Evaluation Procedures
The following is an overview of the various evaluation methods and procedures.

CSAD observed functions (“Blue card”)
8 written H&P’s
Daily progress notes
Written admission orders
Written discharge instructions
Topic presentations
EKG and CXR interpretation
Observed H&P – Requires attending observation
Venous blood draw
Senior mentor fall risk assignment
Observed endoscopic procedure
Central venous line placement under ultrasound-guidance
Participation in a “code”
Nutrition assignment

Subjective assessment using specific measurement scale- 50%*

Appropriate personal and professional conduct- Unprofessional conduct can
result in an “incomplete” with need for remediation of all or some portion of the
clerkship

Objective Structured Clinical Evaluation (OSCE)- 20%*

National Board of Medical Examiners Subject Exam (shelf test)-30%*

Multiple choice midterm examination

Each student is given the opportunity to evaluate the case presentation series,
his or her attending physicians, and the residents with whom he/she worked with.
A clerkship evaluation is completed by each student.
*These items comprise the numerical grade. Other items must be completed for
successful completion of the course.
The department policy regarding successful completion of this clerkship is that a student
must receive a passing grade on all components of evaluation in order to pass the
clerkship itself. Failure of the clinical portion of the OSCE will require remediation as
Department determined by the Clerkship Directors. Likewise, the time frame in which
this remediation occurs will be determined by the course directors and/or Education
Committee. As to failure of the shelf exam, retesting will occur in December for periods
1 and 2 and in June for periods 3, 4, and 5. Those failing in period 6 must take the
retest in August. If the second attempt at the shelf exam is successful, the final shelf
exam score will be an average of the two scores. A second failure of the shelf exam will
necessitate repeating the entire clerkship. Until such time that all three components are
successfully completed, the student will receive an “Incomplete” for the clerkship but will
be permitted to continue on the other clerkships. Likewise, failure to submit CSAD,
Patient Encounter Information, and/or the online clerkship evaluation will result in an
“Incomplete.”
In order to complete the rotation, you must turn in the following items:
 Completed Observed H&P form
 Completed Senior mentor fall risk assessment
 Completed CSAD (“blue”) card
 Completed PEC data – to be entered into New Innovations
You may receive an “Incomplete” if these items are not completed in a timely fashion.
PEC Data
You should enter data on your medical patients into New Innovations. In addition, you
should keep a record of the types of medical conditions to which you are exposed and
have the opportunity from which to learn. A table has been provided on the back of your
CSAD card for collecting this data for review by the clerkship directors. This information
is used to ensure that you are seeing the variety of patients and medical conditions
needed for an optimal Internal Medicine clerkship learning experience.
Formal Feedback
Over the course of the rotation, you should receive formal feedback from each intern,
resident, and attending with whom you work closely. On average, you should receive
formal feedback every 2 weeks. You should also be aware that most teachers consider
any constructive criticism feedback and will offer suggestions, criticisms, and advice
throughout the day as part of feedback on your performance. But don’t be shy about
asking for formal feedback. Formal feedback from clerkship directors will be provided on
the day of the midterm (or during weeks 4-5) and during week 8 if needed or requested.