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Clerkship grades are primarily determined by your clinical evaluations and final exam score. However, your entire performance, including the evaluator’s comments, acceptable completion of all clerkship requirements, participation during didactics and completion of e-learning activities, are reviewed and can contribute. Issues with attendance and inadequate completion of clerkship requirements can impact your final grade.Clinical Grade
Your clinical grade is reported on a 1-5 point scale (1 = Fail, 2 = Marginal, 3 = Pass, 4 = High pass and 5 = Honors) and determined using a weighted average of the “Recommended Overall Level of Evaluation” on the UWSoM ESPCC (Evaluation of Student Performance in Clinical Curriculum) from each of your evaluators. Faculty, resident and other staff evaluations all contribute equally, however, these scores are weighted by the amount of time the evaluators spent with you insuring that evaluations from people who worked with you more will count more towards you grade. Average values of the 12 evaluative areas on the ESPCC will be determined and reported to you but will not be directly used in grade calculations.Exam Grade
We use the NBME clinical science exam in psychiatry as our final exam. If you score > 80th percentile nationally you will have 0.1 points added to your Clinical Grade. If you score < 20th percentile nationally on the NBME you will have 0.1 points subtracted from the Clinical Grade. Exam scores between the 20th and 80th percentile nationally will not adjust you clinical grade.Calculating the Final Grade
As described, your Exam Grade adjusts your Clinical Grade to determine a Final Grade as outlined below:
*Important Note: This grading scheme is new for the academic year 2016-2017. The exact point cutoffs for Final Grades are subject to modification such that final grades are approximately equally distributed between Honors, High Pass and Pass throughout the year.Minimum Exam Grade for a Final Grade of Honors
To receive a Final Grade of Honors you must score 20th %ile or higher on the NBME. If you score below the 20th %ile nationally then the highest Final Grade you can receive is a High Pass, regardless of how high your Clinical Grade.Failing the Final Exam
If you score below the 5th percentile nationally on the NBME exam you will have to complete a remediation course. Remediation requires enrollment in the UWSOM Remediation Course for the clerkship, re-testing, and successfully passing the exam. If you successfully pass the exam upon re-testing, remediation is considered successful; and your Final Grade for the clerkship is recorded. In this circumstance, the highest Final Grade you can receive is a High Pass, regardless of how high your Clinical Grade. If you fail the exam upon re-testing your Final Grade for the clerkship is recorded as Fail.
Clerkship Absentee, Weather and Holiday Policy
The Patient Care Phase Committee, which is composed of clerkship directors, students, and members of the Dean's Office, developed the following policy related to absences from clinical coursework. These guidelines are also on the Web, will be provided to you as part of the Clerkship Track Scheduling material in the fall of the second year, and are included as part of each clerkship's syllabus.
General Absentee Policy
1. Personal Events
Personal events include weddings, graduations, presenting papers at conferences and receiving awards. If more than two days off are needed during a four to twelve-week clerkship, the clerkship should be rescheduled.
There are no vacation days during clerkships except for Match Day and possibly holidays, as discussed below. Please schedule vacation days during school breaks or time off.
3. National or Religious Holidays
As a member of a health care team during clerkships, there is no guaranteed time off for University of Washington holidays, traditional observances, or major days of religious significance, just as there won't be when you are a practicing physician. Students are expected to follow the holiday practice of the clinic/hospital/site at which they are rotating. Meaning, if it is a holiday at your site, you may get the day off. If it is a working day for your site, you must show up. Clinical responsibilities such as night call and rounding take precedence over holiday schedules. To plan ahead for national holidays, you may wish to call the practice site in advance and inquire.
The UW SOM clerkship committee encourages faculty and students to work together to accommodate students' scheduling constraints in observing their central religious and cultural practices. Similar to when you are in practice, you must take responsibility and plan ahead. If you have religious holidays that require you to miss or modify work, consult with the clerkship director well in advance to see what accommodations can and can't be made.
4. Residency Interviews
Students should schedule time off for residency interviews. If interviews are offered when students are already scheduled for clerkships in the fourth year, students should work directly with the Clerkship Director right away regarding absences for residency interviews.
5. Match Day
All graduating students will be allowed to attend the Match Day celebration with no clerkship responsibility starting at 8AM on Match Day until the next morning (variable start time depending on the clerkship). For students doing WWAMI clerkships, additional travel time the day prior to the celebration may also be needed.
If your next Clerkship site requires travel you can take the last day of the clerkship as a travel day. Please discuss this with the clerkship director or the main preceptor at your site.
1. Unanticipated Illness or Personal Emergency
Students missing ANY number of days must speak with the site director as well as the attending or resident in charge prior to the start of the shift. It is not acceptable to leave only a phone or email message or to contact only administrative staff. Students should receive confirmation (direct conversation, return email or phone call) from the site director and/or the attending/resident in charge indicating that the team is aware of the student's absence. The specific person and his/her contact information are available on the individual clerkship websites.
Students missing THREE OR MORE days must also contact the Clerkship Director who will determine if make-up time is needed for unanticipated absences or if the entire clerkship needs to be rescheduled. Grades may be delayed until the time is made up.
If a clerkship exam must be postponed, the student should contact the Clerkship Director to determine if the exam should be rescheduled as soon as possible or delayed until the next time the exam is given. Progress in other clerkships may be interrupted until the examination is taken depending on the situation surrounding the delay.
2. Inclement Weather
The inclement weather policy for clerkships matches the policy for holidays. If your team is working in the hospital or the clinic is open, you are expected to show up. If you are unable to access the hospital/clinic due to hazardous travel, you must notify your team as described above.
Revised and Approved by Required Clerkship Committee: April 2013
If you have any call requests they must be received at least 3 weeks before the start of your rotation. The final call schedule will be posted 2 weeks before the start of the rotation. If you need to make changes after the deadline you will have to wait until the rotation starts and find a classmate to trade call with.
Call is from 5:00 to 11:00pm. There is no overnight call. On the weekends call is from 8:00AM to 4:00PM or from 4:00PM to 11:00PM. The frequency of call is approximately once per week. We do not assign call to students the first night of the rotation or the night before the exam.
Sites other than Seattle
The call requirements vary from site to site. Regardless of your site there is no call your first night of the rotation or the night before your exam. If there is call at your site it would be no more frequent than approximately once per week.
Work Hours Policy
Clerkships WITH call
Clerkships WITHOUT call
Hours will not be specifically logged unless you feel it is necessary because of a potential violation. If you are working close to the 80-hour limit, please document your hours for the week in question and present these to your Site Director as soon as possible; your work schedule will be modified as appropriate. Also document any violation of the 30-hour policy for overnight call. Further concerns should be brought to the attention of the Clerkship Director. You will never be discriminated against for following the work hours policy
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Electronic Health Record Use
Medical Student Electronic Health Records (EHR) during clerkshipsEffective Academic Year 2015
AAMC recent advisory on Electronic Health Records (EHRs) in Academic Health Centers states:
If a training site recognizes potential challenges with any element of this policy, site directors should contact clerkship directors to address issues and assure the appropriate educational experiences
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