student evaluations and grading
- Every student will be evaluated for their clinical competencies (Medical Knowledge, Communication Skills, Professionalism, Patient Care, Practice Based & Lifelong Learning, and Social & Community Context of Healthcare) by their Ward Service Attending, Consult Service Attending and Outpatient Clinic Attending. Neurology residents also on the service may assist in the evaluation, but face-to-face feedback is given by the Attending to the student. The Ward or Consult Service student evaluation given after the second week of the clerkship month counts toward the student’s grade, and is not informal feedback. Any suggestions from this second week evaluation, however, may guide student performance for the remainder of the clerkship. The other Ward or Consult Service evaluation is given after the fourth week, as is the Outpatient Clinic evaluation. Any student not having their directly observed neurological exam verified by their Outpatient Clinic Attending on this form needs to see the Clerkship Director to arrange remediation. If a student works with two different Ward Service Attendings during the same two week period (NeuroICU and Ward Service), an evaluation form should be given to each Attending. It is the responsibility of the student to approach their assigned Attending, give them the evaluation form, and arrange a mutual meeting time to discuss it.
- Attendings will “check off” the description that best describes the student’s demonstrated ability for each competency on the evaluation form. If two or more attendings rate the same competency as “does not meet expectations,” (numerical weight of 1), it will be reported as such in the student’s on-line competency profile. All other ratings are reported as “meets expectations” in the student’s on-line competency profile. For clerkship grading purposes, a student “meets expectations” with descriptive ratings numerically weighted as 2, 3, 4 or 5, going from left to right on the evaluation form. Each evaluation form will be scored as the percentage of points achieved out of the maximum number of points.
Regarding the Medical Knowledge competency, a student scoring less than 65% on the final 100 question exam “does not meet expectations,” and the student receives an “incomplete” grade for the clerkship. This grade is changed to P (pass), if the student successfully retakes and passes another version of the 100 question exam four weeks later. Failure (less than 65%) on the retest leads to repeating the entire clerkship for a month.
Each attending is also asked to write summative comments on the student evaluation form, or specific comments for any rating of “does not meet expectations.” These comments may be used in the Dean’s letter of recommendation.
If a student fails to enter their Student Neuro Log patient data on-line (from yellow pocket cards), they will receive a “does not meet expectations” rating for the Professionalism competency. Also, 5 points will be deducted from their final grade.
- If the time for hospital ward or consult rounds becomes limited, patient cases may be only discussed orally. Any student desiring more feedback on their written H&Ps or consultations should E mail the clerkship director with the date of that report and the patient’s medical record number (not name).
- On the last day of the clerkship, students will take two on-line examinations: (1) a 100 multiple-choice question test, and (2) a patient case vignette videotape examination. Before beginning the final examination, students must turn all evaluation forms in to the proctor with their name clearly written on each. The 100 question examination consists of written patient cases or scenarios, in National Step Exam (Boards) format, some accompanied by CT or MRI images, patient graphics or EEG recordings. Three hours is given for this test, which emphasizes medical knowledge of neurology. The topic(s) on questions missed by the student will be provided as on-line feedback after the test. The patient case vignette videotape exam consists of 25 on-line, multiple choice questions pertaining to 12 videotaped patients from the Practical Neurology DVD Review, accessible on-line (Neurology LUMEN website). One hour is given for this test, which constitutes a standardized clinical skills exercise.
- Student feedback of this clerkship is important to us. Please provide it on-line to receive your final grade from the Loyola-Stritch Registrar.
- Students from medical schools other than Loyola-Stritch, taking this Neurology Clerkship as an extramural rotation, must also complete the forms described above and take the final examinations.
- The final Neurology Clerkship grade is calculated as follows:
50% of grade = 100 multiple-choice question exam score
50% of grade = clinical score comprised of:
| 25% of grade = |
patient case vignette video exam score |
| 25% of grade = |
Neurology attending clinical evaluations from Ward Service, Consult Service and Outpatient Clinic
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Final grades of 90-100 points are Honors (H), 80-89 points are High Pass (HP) and 65-79 points are Pass (P).
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