Principles for Evaluation of Performance on the Neurology Clerkship:
School Evaluation Form is used to assess Competency-Based Learning Objectives
- Medical Knowledge
- Patient Care
- Interpersonal and Communication Skills
- Professionalism Practice-Based Learning and Improvement
Group Grading Session is held twice per month to compile Evaluations
- Allows assessment gaps to be filled if you worked with multiple people
- If you demonstrated a level of achievement with someone other than your resident or attending, this is taken into consideration
- Individual evaluations are adjusted into a composite based upon everyone’s interactions and observations
Professional Growth and Response to Feedback is Considered
- Understand that clinical abilities will vary between first half and second half
- Goal is to improve on a weekly basis
Past Grading Distribution
- Neurology is not graded on a curve
- Past grading distributions are not necessarily indicative of future distributions
TABLE 1. NBME Point Scale Score Translations
| Score | %Tile | Grade | Competency | Notes |
| ≤69 | ≤10% | 1.0 | Fail | |
| 69-73 | 11-19% | 1.5 | ||
| 74-76 | 20-29% | 2.0 | Marginal | |
| 77-79 | 30-43% | 2.5 | ||
| 80-81 | 44-54% | 3.0 | Meets Expectations | National average is 80 |
| 82-83 | 55-65% | 3.5 | ||
| 84-86 | 66-79% | 4.0 | Exceeds Expectations | |
| 87-88 | 80-87% | 4.5 | ||
| 89+ | 90+% | 5.0 | Greatly Exceeds Expectations |
TABLE 2. Composition for Final Summative Letter Grade
| Translating Points into Transcript Grade | Honors: 4.50 – 5.00 High Pass: 3.50 – 4.49 Pass: 2.75 – 3.49 Incomplete: 2.00 – 2.74 Fail: 1.00 — 2.00 |
| Written Shelf | 20% |
| 1st Half Clinical Evaluations | 30% |
| 2nd Half Clinical Evaluations | 50% |
| Professionalism concern | Negates chance for Honors |
| Absolute minimum shelf grade for Pass | 10th %tile |
| Possible sources of information the Clerkship Director can use to elevate a borderline grade. | 1) Strong and meaningful participation in conference. 2) OSCE score of 90+%. 3) Report of outstanding participation in clinics. |
Policy Regarding Grade Changes
- All questions and clarifications regarding your evaluations must be directed to the Clerkship Director.
- We strive for full transparency. Mistakes can happen. If something does not seem correct, please ask!
- A grade appeal form must always be submitted before a grade change may be considered.
- If you are unhappy with an evaluation by an Attending or Resident, do not contact them directly. A professionalism concern form will be submitted if you do. Rather, discuss the situation with the Clerkship Director.