Student Evaluation

Your final grade is derived from two components: the clinical evaluation and the final written examination. The results of the clerkship and faculty evaluations are confidential and not made known to the sites until all student grading has been completed.

Clinical Evaluation

Clinic preceptors, attendings, other faculty, and residents will document their observations of your clinical performance on the standard clinical Clerkship Student Performance Evaluation form (in PDF format in Reference tab of this website).

Included in the clinical evaluation is the assessment of your patient workups. Your written workups should be reviewed in depth by your preceptor on a weekly basis. These workups should be evaluated in terms of their content, completeness, conciseness, clarity, and organization. One of the primary purposes for this evaluation is to provide you with feedback for improvement. A total of three workups are required over the six week period.

Also included in the clinical evaluation is the assessment of your oral presentation. You will prepare and give a 20-minute presentation for faculty and peers at your site on a topic of your choosing. You should define a broad topic and present one aspect of it. Your presentation will be evaluated on the basis of thoroughness, up-to-date and adequate content, clarity, organization, presentation, and use of references. An outline or abstract and bibliography are required. The oral presentation evaluation will be incorporated into the final clinical performance evaluation. Most students will present during Week 5.

Physician preceptors will carefully follow the descriptors as listed in the evaluation form in assigning your final clinical grade. There is a subjective component to this assessment.

Note: a "Fail" on the Clinical Evaluation component of the final grade means an automatic Fail for the course.

Written Examination

The final written examination, consisting of approximately 100 questions over an allotted time of 2 hours and 30 minutes. is a standardized subject test from the National Board of Examiners (NBME). A score of 80 is required for honors, 75 for high pass, and 60 for a pass. The test is designed to have a mean of 70 with a standard deviation of 8. This grading scheme is fixed and non-negotiable.

The NBME determines the time allotted. If you have a learning disability documented by the School of Medicine, please let us know no later than the first week of the clerkship to arrange extra time.

The NBME subject test is developed and reviewed by expert question writers and provides the opportunity for students to experience the types of questions used on NBME board exams. Use of this test also allows us to evaluate our clerkship with others across the nation. Reading the required materials is essential in order to perform well on the examination.

The NBME provides Self-Assesment Services in the Clinical Mastery Series built to the same content specifications as the NBME clinical science subject examinations. The price is $20 and you will receive performance feedback immediately after completing a self-assessment. Please visit for more information.   

Students across the nation have found the APGO test bank a very useful study tool. Please access this by following this link to the APGO site. APGO also has useful teaching tools such as Clinical Skills Curriculum Teaching Modules and Objectives Videos and Teaching Cases.

Breakdown of Questions

General Principles 1-5%
  • Promoting health and health maintenance
  • Understanding mechanisms of disease
  • Establishing a diagnosis
  • Applying principles of management


  • Promoting health and health maintenance
  • Understanding mechanisms of disease
  • Establishing a diagnosis
  • Applying principles of management


The NBME provides sample items designed to the format of the examination. Please click here for a sample 20 question examination (with answers).

How to Prepare for NBME Exam

Recommendations to prepare for the NBME Obstetrics and Gynecology Subject Exam are as follows:

  1. Blue Prints - read through early in rotation
  2. Do uWise and/or q-bank questions
  3. First Aid for Step 2
  4. Complete the uWise 100-point timed test to prepare for real world testing environment and actually time yourself.

Grading Criteria

Grades are computed on the basis of two sources of information:

  1. Clinical Evaluation
    -performance on clinical service
    -workup review
    -oral presentation
  2. Written Examination

The Department of Ob/Gyn utilizes the grades of Honors (5), High Pass (4), Pass (3), Low Pass (2). and Fail (1). The final grade, as required by the School of Medicine and sent to the Dean, is calculated as follows: 

Clinical Evaluation Written Grade Final Grade
Honors Honors or High Pass Honors
Honors Pass High Pass
High Pass Honors or High Pass High Pass
High Pass Pass Pass
Pass Honors, High Pass, or Pass Pass
Low Pass Honors, High Pass, or Pass Pass
Any Passing Grade Fail Pass*
Fail Any Grade Fail

 *A failed exam will result in an overall Pass for the clerkship, regardless of the clinical grade received. Students who fail the exam must retake the exam during an intercession (for AY2015-2016 the intercession consists of elective blocks and/or the end of 3rd year clerkships). An exam score recheck is available upon student request. The fee is $25 and is to be paid by the requesting student.  If the failed exam is retaken and passed, the student will keep their final grade of Pass. If the failed exam is retaken and failed the School of Medicine will decide further steps for remediation.

A failed clinical evaluation my not be retaken and constitutes a final grade of Fail.


Appealing Your Grade 

This information is from the Student Handbook, pages 98-99.

The first step in having a grade and/or evaluation comments reviewed is to meet with Dr. Mendiratta, the Clerkship Director, to discuss the reason(s) for the grade or comment review. For an appeal of the grade, the student should document in writing the reasons he/she believes the grade is inaccurate, and the discussion with the Clerkship Director should include a review of both the criteria established by the department for the assignment of the grade and the actual performance of the student. For an appeal of comments, the student should document in writing the reasons he/she believes the comments are inaccurate, incomplete, or inappropriate, and the discussion with the Clerkship Director should include an assessment of whether the comments described the behavior observed or were inappropriate for a performance evaluation.

As part of the appeal review, the Clerkship Director may need to speak with the attending(s) or resident(s) who completed the original evaluation(s) and others who worked with the student. At the conclusion of this review, the Clerkship Director will make a decision on the grade and/or the appropriateness of the comments and will communicate the results of the review to the student.

If the decision is to uphold the grade and/or comments and the student is not satisfied with the Clerkship Director's explanation, the student has 14 calendar days after his or her discussion with the Clerkship Director to submit a written appeal to the Chair of the Department, with a copy of the appeal also sent to the Clerkship Director.

The Department Chair shall consult with any or all parties (Clerkship Director, attending(s), resident(s), student, etc.) to determine whether the evaluation of the student's performance was fair and reasonable. It is expected that this can be accomplished in 21 calendar days. Once all information deemed relevant is reviewed by the Department Chair, he or she will determine the clerkship grade, and this decision is final with no further appeal.

Repeating Clerkship

If you fail your Obstetrics and Gynecology clerkship you will be required to repeat the clerkship at the UWMC/HMC clerkship site. Retaking the clerkship includes all aspects of the clerkship. You will be required to submit 3 new write-ups and bioethical CEx, re-do the mid-clerkship feedback and mini CEx forms, give a formal presentation (topic must be different than your previous formal presentation), and retake the final exam. There will be no exceptions to this policy.