Subject Examinations in Required Clerkships

Standards for performance on final written examinations apply in the following required clerkships:

  • Ambulatory Medicine
  • Critical Care
  • Family Medicine
  • Internal Medicine
  • Obstetrics and Gynecology
  • Pediatrics
  • Psychiatry
  • Neurology
  • Surgery
    • Written exam requirements are set by the clerkship director.
    • Clerkships may use either the NBME Subject Exam or an alternative departmental exam. Clerkships using the NBME Subject Exam are marked with an asterisk above.
    • Written examinations must be passed with a minimum score as established by the clerkship.
    • Students who do not pass the written exam receive an “N” (continuing) grade for the clerkship and must retake either the NBME Subject Exam or the departmental exam.
    • Students who do not pass the written exam on the second attempt must take an oral exam or a suitable alternative, to be determined by the clerkship director.
    • After the third attempt at satisfying the exam requirement, the “N” grade converts to either “pass” or “fail.”
    • “N” grades must be corrected within 12 months of the end of the clerkship. Uncorrected “N” grades will convert to “fail” after 12 months.

Students needing to retake two or more NBME subject exams may contact their Advising Deans or the Assistant Dean of Student Affairs to request exam accommodations outside the regular exam schedule.

Professional standards require that students attend all scheduled educational activities, including examinations. In the case of unavoidable schedule conflicts, students must obtain advance permission from the clerkship director to miss and reschedule the final exam. Except in case of emergency, failure to attend the final exam session without prior permission from the clerkship director will result in referral to the Committee on Performance, Professionalism and Promotion (CP3) for unprofessional behavior.

Students with documented disabilities may require special examination accommodations. The Office of Accessible Education determines what, if any, accommodations to recommend. The MD Advising Office receives the recommendation and conveys the request to the Clerkship Director prior to the examination. It is the responsibility of the student to notify the Advising Office at least one week in advance of his/her scheduled examination.

updated August 2012


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