Essential Information, Tools & Forms

Essential Information, Tools, and Forms

CBES Essentials
Summary of Criteria for Pass and Pass with Distinction

Patient Care

Pass
- Direct observations of clinical skills completed (2 per clerkship)
- RIME Interpreter
  - Solid Reporter skills
  - Emerging Interpreter skills
Pass with Distinction
- Direct observations of clinical skills completed (2 per clerkship)
- RIME Manager
  - Solid Reporter and Interpreter skills
  - Emerging Manager skills

Professionalism & Interpersonal Communication

Pass
- No concerns
- Patient logs, other assignments complete
Pass with Distinction
- No concerns
- Patient logs, other assignments complete
- Multisource feedback requested from one patient, one non-MD staff member, one peer
- Evidence of Exceptional Professionalism and Interpersonal Communication (with both patients and members of the medical team)

Final Exam

	Pass	Pass with Distinction
Ambulatory Medicine	65%	82%
Critical Care	50%	80%
Family Medicine	65%	85%
Internal Medicine*	64	83
Neurology*	63	80
OBGYN*	62	81
Pediatrics*	63	83
Psychiatry*	66	86
Surgery*	61	81

* Clerkship uses NBME Subject Exam. Passing score reflects 5-10th percentile nationally; Pass with Distinction reflects 75th-80th percentile nationally.

Clerkship Evaluation & Narrative Appeal Policy
(See MD Program Handbook for additional details)
Some students will appeal their final clerkship grades and/or the content of their narrative evaluations.
According to the SOM policy on evaluation appeals, the process begins with a discussion between the student and the clerkship director or Advising Dean.
Unresolved disagreements are referred to the Clerkship Evaluations Committee (CEC).

Appeal Process

The CEC will initially contact the appealing student and the clerkship director to discuss the evaluation in question.
- The CEC will then assemble a committee to review the student’s evaluation file to determine whether:
  - The evaluation process was conducted fairly.
  - The final evaluation was based on sufficient information.
  - The final grade and narrative warrant revision.
- For an appeal to be considered, a written request must be made to the Division of Evaluation within eight weeks of the date that the final evaluation was submitted in E*Value.

Appeal Results

Clerkship Educators Guidebook

RIME Stage Descriptions
Adapted from Pangaro & Holmboe, Evaluation Forms and Global Rating Scales, in Holmboe & Hawkins eds., Practical Guide to the Evaluation of Clinical Competence, Mosby 2008 p 40.

Reporter

Focus at this stage: Reliable, accurate, complete data-gathering and presentation of clinical information
Emphasis on the S/O (Subjective/Objective) part of SOAP.
Student is able to answer the “What” questions (What’s the patient’s blood pressure? What medications is he taking? What findings are present on physical exam?)
Students are expected move through the reporter stage during preclinical training, i.e. Practice of Medicine

Interpreter

Focus at this stage: Diagnostic reasoning.
Emphasis on the A (Assessment) part of SOAP.
Student can answer the Why questions: e.g. Why does this patient have chest pain? What does this exam finding mean?
Begins to see how details fit together.
Data-gathering and reporting become more purposeful, more focused on pertinent positive and negative information and exploring diagnostic possibilities.
Students are expected to move into the interpreter stage during their core clinical training

Manager

Focus of this stage: treatment planning - including diagnostic testing and therapy.
Emphasis on the P (Plan) in SOAP.
Student can answer the How or What Next questions: e.g. How do we solve or treat this clinical problem? What do we need to do next for the patient?
Data-gathering and decision-making become more flexible, individualized, patient centered. Student thinks critically about recommendations, takes a more sophisticated approach to using medical literature to support patient care.
Students at this stage take primary responsibility for ensuring patients’ well-being and making sure care plans are carried through. Patients, fellow team members, and staff view the student as patients’ primary provider.
Students are expected to move into the manager stage at the sub-internship level and beyond.

Educator*

Forms

Tools

Find a doctor

Clinics & Services

Research Resources

Professional Training

Education Resources

Essential Information, Tools, and Forms