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October 22 & 29, 2013 6:00-7:00p CHS 63-105

FEC Student and Faculty Forum Should We Change the Medical Student Grading System? H ow we arrived here… and Where we are going … Revisiting Lauren Wolchok’s Data (c/o 2013). October 22 & 29, 2013 6:00-7:00p CHS 63-105. Current System: Pass/Fail. Pass/Fail System:

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October 22 & 29, 2013 6:00-7:00p CHS 63-105

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  1. FEC Student and Faculty ForumShould We Change the Medical Student Grading System?How we arrived here…and Where we are going…Revisiting Lauren Wolchok’s Data (c/o 2013) October 22 & 29, 2013 6:00-7:00p CHS 63-105

  2. Current System: Pass/Fail Pass/Fail System: “The UCLA SOM has a pure Pass/Fail grading system for all four years.” During the 3rd year… • Each required clerkship has a (1) clinical evaluationand (2) final exam. 1. Clinical: evaluations submitted by the residents/faculty to Course Chair • 5-part criteria 2. Exam: National shelf or exam of the clerkship’s choosing • Have set passing rates you must get above to pass • If a student passes both the clinical and final exam component the first time, the student will receive a “Pass.” • If a student fails the clinical portion of a clerkship and/or the exam, the student will receive a grade of “Fail” and must remediate. DGSOM Website Policies and Forms  Policies General Guidelines on Pass/Fail Grading (modified)http://www.medstudent.ucla.edu/offices/sao/clinical/GradingStudentEvaluations.cfm

  3. Current System: LOD Letter Of Distinction: An opportunity for faculty members to recognize a student who has distinguished himself/herself by demonstrating extraordinary performance… “Only truly remarkable performance will be recognized…” • LODs are cited in the Dean’s Letter accompanying internship and residency applications… • No LOD maximum or minimum per clerkship (i.e., either several letters or none may be awarded) • Exam Score Minimums: While not required, most clerkships have minimum Shelf Scores cut off the be eligible (normally ~80-85%) • Evaluation Score Minimums: While not required, most clerkships have minimum 5-point evaluation scores required to obtain an LOD (i.e. must have more 5s than 4s) DGSOM Website Policies and Forms  Policies General Guidelines on Pass/Fail Grading (modified)http://www.medstudent.ucla.edu/offices/sao/clinical/GradingStudentEvaluations.cfm

  4. Background* The elected representative body of the Faculty of the School of Medicine Key Responsibility: • Oversee the design and conduct of the academic program of courses and curriculum • A standing subcommittee of the FEC • Key Responsibilities: • Formulate and periodically review the mission statement for undergraduate medical education • To evaluate existing courses and clerkships • To review and recommend revisions of the Medical School curricula *http://www.medsch.ucla.edu/public/faculty/fec/fec.htm

  5. Research: LCME Student Survey Survey of the entire student body covering varous aspects of student education and wellbeing that was independently created, distributed and analyzed by the Medical Student Council 92% satisfaction with P/F in preclinical years 68% satisfaction with P/F in clinical years 39% believe P/F helpful in applying to residency 26% think LOD awards are transparent59% do NOT think LOD awards are transparent22% think LOD awards are fair 42% do NOT think LOD awards are fair --> Students are generally displeased with the Fail/Pass/LOD system of the 3rd year http://mscdgsom.weebly.com/lcme-student-surveys.html

  6. Research: LOD Consistency LODs in Pediatrics by Site(20% Overall) 0% !! TEXTReference

  7. Research: LOD Consistency LODs in Internal Medicine by Site (23% Overall) 0% !! TEXTReference

  8. Research: LOD Consistency CONCLUSIONS • LOD distribution varied by Site • Range: 0% to 54% LOD distribution varied by Clerkship Range: 13-25%

  9. Comparison: Top 30 Schools 77% used 4+ tiers for evaluating 3rd and 4th year medical students TEXTReference

  10. Proposed Changes Grading Task Force Recommendations: • Move to 4-point grading system in 3rd & 4th years (Honors, High Pass, Pass, and Fail) • Final clerkship evaluation grade will be comprised of (1) clinicaland (2) exam performance • There should be a clear spell out in the MSPEof clinicaland exam performance separately Note: These changes would only come into affect for the next incoming class of students (starting with c/o 2018). FEC WebsiteMECPageMinuteshttp://www.medsch.ucla.edu/public/faculty/MEC/Minutes.htm#

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