Clerkship Completion Rules - Year 3 - Appendix 7
Clerkship Completion Rules in Year 3
We have seven courses, CBE, and 2 Selectives which comprise the year 3 curriculum. Neurology is silently integrated within IM.
- Any student who has failed their first attempt at the USMLE-1 examination may not enter the 3rd year clinical rotations without first demonstrating a passing USMLE-1 score.
- Students who have elected to take a “gap” year away from medical school may be required to take and pass a comprehensive OSCE exam and complete course-specific modules and readings for the pending rotations, as assigned by the Director of Clinical Education.
- Three-week delayed entry into the clinical semester eliminates the possibility of receiving a grade of “Honors” in courses affected by the delay (IM, Peds, Surgery, FM, Psych, OB).
- Students who attain a score below the 6th% nationally on their shelf exam will perform a mandatory individualized Selective, called an Advanced Clinical Elective (ACE). They will receive a grade of “IP” until the results of the second shelf exam are known.
- Students who attain a score below the 6th% nationally on their shelf exam will not be eligible for honors, regardless of the outcome of their second shelf examination.
- The “ACE” and hours of individualized training for students who attain a score below the 6th% nationally on the shelf exam will be assigned by the Associate Dean of Clinical Medical Education (ADCME) or Clerkship Director.
- No student may enter the 4th year clinical electives with two failing core course grades.
Course Grading Decision:
- Year 3 has two 3-week selective periods (at times 22-24 weeks) available only to students in good standing. A grade of Honors is possible during “Selectives.”
- Students NOT in good standing (course evaluations identifying deficits, OSCE < 70%, or Shelf < 6th percentile) in any course will do ACE (advanced clinical elective) at week 22-24 in lieu of “Selectives.” No grade of Honors is available to a student performing an ACE.
- Community-Based Education (CBE) is 2 weeks in total length, performed in either weeks 7or 14 of both 3rd-yr semesters. Passing in good standing is required. Failures will require an ACE.
- Week 21 of the first block of the 3rd year will contain a multi-stage OSCE + Shelf Exams. The scores from these two endeavors plus the Faculty Evaluations compilation will determine the student’s final grade.
- The end-of-year week-24 OSCE will contain a multi-station OSCE worth 30% of the course grades for Internal Medicine, Surgery, Pediatrics, and OB/Gyn. For Family Medicine and Emergency Medicine it is worth 3/8ths of the final grade. The Psychiatry station will represent the 30% “OSCE-portion” of the Psychiatry grade as well as retain its fractional proportion of the grade of the other 6 core courses.
- Emergency Medicine and Family medicine have no associated Shelf Exam. Grading will be 5/8 evaluations, and 3/8 OSCE performance.
- No grade of Honors will be allowed for any specific core course if the specific course shelf exams is below the 6th percentile. If any single shelf exam is failed (<6th %) in any subject in either semester, the student is not eligible for a grade of Honors in either Family Medicine or Emergency Medicine.
- Grades will be released no later than four weeks after the end of week 21.
- A passing grade on the shelf exam is >= 6th% for each of the subjects. Passing OSCE = 70%.
- Grades greater than Pass require a minimum number of evaluations to be received by the clerkship team. The student may elect to remove the lowest scoring evaluations after attaining a threshold number of evaluations. This varies by course. When evaluations are removed, they become “formative,” rather than summative.