The P/RIME evaluation system

This system we use to determine final grade in the UW Medicine 665 clerkship is called the P/RIME method. The P/RIME method combines the widely used RIME technique for assessing a student’s cognitive and clinical abilities with assessment of professionalism. Both are crucial to the final grade. The following table provides some guidelines for students and faculty in assigning a grade based on these criteria:

Professionalism	Qualities to assess under professionalism include: Compassion Respect for patients, peers, and colleagues Responsibility Integrity Altruism Scholarship or Educational attitudes Students who are examples to others of professional behavior are at the Honors level. Students who are neither superlative nor deficient in professionalism can be considered for “High Pass.” Students with minor deficits who are working to correct them are considered passing. Students with major deficits who fail to correct them despite receiving feedback during the clerkship should fail the clerkship.
Reporter	Takes excellent history and does an appropriate physical exam. Is able to do concise and excellent presentations and exchanges information very well. This level is the expected competency level (PASS) for a third year medical student. (As expected or Above expected on the grading form)
Interpreter	The student takes information and reliably interprets data to come up with diagnoses and appropriate differential diagnoses. The differential diagnoses should be weighed to point out the most likely diagnoses. Students functioning at the Interpreter level 75% or more of the time are at the High Pass level.
Manager	The student at the Manager level excels as a Reporter and Interpreter but in addition routinely suggests appropriate patient management issues that shows understanding of the disease process and the underlying pathophysiology. Students functioning at the Manager level 75% or more of the time are at the Honors level. The student with flashes of brilliance who performs at the Manager level up to 75% of the time should not be given a honors grade, but instead, a high pass.
Enhanced communication skills	This level recognizes that the skilled clinician posesses not only excellent interpretation and management skills, but is also skillful at communicating with patients and colleagues. Students with enhanced communication skills frequently: Explain diagnoses, prognoses, and plans to patients in language they can understand Answer patients' questions, and find the answers to questions when they don't know Interact with patients and families after the clinic visit or hospitalization Communicate efficiently and respectfully with colleagues, including excellent oral presentation skills and concise, thorough write-ups Demonstrate comprehension by tailoring the amount of information given to the clinical situation and asking appropriate questions of their teachers and peers This is not an all-inclusive list, and we encourage students and faculty to continue to explore these skills. We value these skills in all students. Students at the Honors level should demonstrate enhanced communication skills more than 50% of the time, as well as performing at the Manager level above.