Transcript Achieving Excellence - University of Minnesota

Grading, Assessment &
Expectations for Success
Robert Acton, MD
Briar Duffy, MD
Goals of this hour…
• Overview to clerkships grading and
assessments
• Some specific thoughts on expectations of
students on clerkships, and
grading/assessment examples from Surgery
and Medicine
• Questions
Overview to clerkships grading and assessments
• Policies:
– Clinical Course Grades, years 1-4
– Required Clerkship Grade Standardization, years 3 and 4
– Attendance Requirements for Courses, Clerkships and
Exams
– Excused Absences, years 3 and 4
 If you’re doing an elective away rotation, please
provide your preceptor with a form for evaluation
from the U with the expectation/reminder they will
need to give it to you before your depart or within 2
weeks of your completion of the rotation.
Overview to clerkships grading and assessments
Overview to clerkships grading and assessments
Expectations
• Work hard—arrive early, stay late…
• Positive attitude, professional behavior
• Learn how to do an specialty specific
presentation
• Each shift/day set expectations with your
staff/resident
• Be open to feedback/ask for feedback
• Be resourceful
Expectations
•
•
•
•
•
•
Be confident yet aware of your limitations
Communication is key!
During down time, ask if anyone needs a hand
Follow up/through…keep focus on your patients
Don’t go too crazy!!!
Keep an open mind about your future specialty
choice
• Apply these lessons to all of your rotations
Expectations
• If you doubt why you’re becoming a physician
in year three of Medical School, ask for help
from a favorite preceptor, your advisor or the
Medical School support staff. We are here to
help you!
• Have fun!!!
Clerkship Websites
• Have ESSENTIAL information!
– Contact information for sites
– Schedules for labs + lectures, study questions, reading
references
– Skills lab materials
– Session Pre-Tests and Course Post-Test
– Links to library resources and med school policies
• Most are on Moodle – changing to LCMS+
• You are responsible for website content!
S e arc h
What is General Surgery?
“A discipline having a central
core of knowledge embracing
anatomy, physiology,
metabolism, immunology,
nutrition, pathology, wound
healing, shock and
resuscitation, intensive care
and neoplasia within the
essential content areas.”
Expectations
Recognize, diagnose, and
begin care for your patients
Function as junior member of an
inter-disciplinary health care team
• Study hard
• Conduct thorough
history and physicals
• Formulate plans for
patients
• Execute procedures at
bedside and in OR
• Support + learn from
others
• Know when to refer, call
for help
• Practice professionalism
• Show up on time
• Dress professionally
Transition to Adult Learning
ACGME Core Competencies
1. Medical knowledge
2. Patient care (including technical skills)
3. Practice-based learning and improvement
4. Interpersonal and communication skills
5. Systems-based practice
6. Professionalism
Transition to Adult Learning
Secrets to Success
1. Be excited and willing
2. Pre-round on your patients
3. Insist on presenting your patients
4. Write great notes with even better Plans
5. Prepare for the operating room
6. Take call
7. Have fun
University of Minnesota
*School of Medicine
Assessment
Trainee Evaluation
Evaluator:
Subject:
Activity:
Site:
Evaluation Type:
Completion
Date:
Medical
Request Date:
Dates of
Activity:
Period:
Subject Participation Dates:
Overall Clinical Competence
(Question 1 of 19 - Mandatory )
Below Expectations Meets Expectations
1
Performance Level
2
Above Expectation
Far Exceeds
Expectations
3
4
(Question 2 of 19 - Mandatory )
Indicate the level at which the student is currently performing
Observer
*A student who is “shadowing”/passive
*This does not meet criteria for passing a 3rd year student
Reporter
*Accurately gathers and clearly communicates clinical facts
*Performs a good history and physical examination, reliably distinguishing normal from abnormal.
*Demonstrates day-to-day reliability (on time, follows-up on test results).
*Demonstrates responsibility and consistency in “bedside” skills and dealing with patients.
Interpreter
*Able to prioritize patient problems
*Appropriate differential dx (3 reasonable possibilities)
*Interprets data as test results come back.
*Demonstrates skill in selecting the findings which support diagnoses
*Should be an active participant in patient care.
Assessment
Assessment
Grading
• Subjective
• Course evals
• Patient write-ups
• Quality Project
• Objective
• Shelf Exam
• Standard Cases
• OSATS
• Participation / Professionalism
Questions?
Transition to adult
learning
Skills labs
Your hospital site
Day-to-day
responsibilities
80-hour work week
Work life balance
Assessment, grades
Your evaluation of us
What happens next
• HAVE FUN
Internal Medicine
• Internists — physician specialists who apply scientific
knowledge and clinical expertise to the diagnosis,
treatment, and compassionate care of adults across
the spectrum from health to complex illness
– American College of Physicians
• Internal Medicine Clerkships:
– Med I
– Med II  will become sub-internship. You’ll hear more
about this at a later date
Medicine 7500
Grade breakdown
Clinical evaluations
Shelf exam
EKG exam
Lecture participation,
assignments
Clinical success on medicine clerkships
• Enthusiasm
• Adds to team
• Ownership of patients
– Read about their
problems
– Update them throughout
the day
– Communicate with other
teams (nursing,
consultants, social work)
• Professionalism
• Communication skills
– Presentations
– Notes
•
•
•
•
Synthesis of data
Explain clinical reasoning
Progression of skills
Willingness to accept
feedback
Transition to Adult Learning
(medicine version)
Secrets to Success
1. Be excited and willing
2. Pre-round on your patients
3. Present your patients
4. Write great notes with even better Plans
5. Prepare for the operating room
Own your patients’ care
6. Take call (but not overnight on Med I) and help admit
new patients
7. Take responsibility for your own learning—you can find
something to learn about from every patient
8. Have fun
Questions???