Your final grade is derived from two components: the clinical GPA 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. The clerkship grading scale is:
Students who pass clinically but score below 60 on the exam will pass the clerkship with exam remediation. Students will need to schedule an exam retake with the Clerkship Administrator and will need to enroll in the exam remediation course (OB GYN 598). The Clerkship Administrator will help students register for this course, if needed.
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).
Clinical GPAs will be determined based off of the following calculation from the evaluation form(s) submitted from clerkship sites (evaluation form can be found here):
All clinical GPAs will be calculated by the Clerkship Administrator and sites will no longer be assigning clinical grades for students, although they will be asked for a recommended grade for each student. Dr. Mendiratta will review all recommended grades that significantly vary from the calculated clinical GPA.
The final written examination, consisting of approximately 110 (100 scored, 10 are being tested by the NBME) questions over an allotted time of 2 hours and 45 minutes. is a standardized subject test from the National Board of Examiners (NBME). A score of 80 is required for honors and 60 for a pass. The test is designed to have a mean of 70 with a standard deviation of 8. The exam grading cutoffs are 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.
Breakdown of Questions
The NBME provides sample items designed to the format of the examination. Please click here for a sample 20 question examination (with answers).
The NBME Exam is scheduled by a central office in the UW SOM. Please visit their website for more information regarding locations, exam scheduling, etc.
How to Prepare for NBME Exam
Recommendations to prepare for the NBME Obstetrics and Gynecology Subject Exam are as follows (taken from a student who scored a 99 on the exam):
- Blue Prints - read through early in rotation
- Do uWise and/or q-bank questions
- First Aid for Step 2
- Complete the uWise 100-point timed test to prepare for real world testing environment and actually time yourself
Appealing Your Grade
*This information is taken from pages 98-99 of the 2013 UW SOM Student Handbook*
A request for grade review must be made within 12 weeks following the end of the clerkship. To request a grade review, students should contact Dr. Mendiratta, the Clerkship Director, and document in writing the reason(s) for the grade or comment review. For an appeal of the grade, the student should document in writing the reasons s/he 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 s/he 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) and/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 Directo'rs 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 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.
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. Additionally, students who retake the clerkship will only be eligible for a PASS on the rotation. If students perform at a higher level their comments will reflect this. There will be no exceptions to this policy.