OBSTETRICS AND GYNECOLOGY CLERKSHIP REQUIREMENTS AND GRADING CRITERIA
OBSTETRICS AND GYNECOLOGY CLERKSHIP REQUIREMENTS AND GRADING CRITERIA LCE OGR 641, 2018 -19 1
ATTENDANCE 1. Mandatory to all scheduled activities 1. Must be available for clinical experiences (surgeries, deliveries, on call, etc) 1. Clinical duties end when student experience ends or student is dismissed by attending. 4. Any changes to individual schedules must be approved in advance by Clerkship Director and/or Community Clerkship Assistant, failure to comply= Unprofessional Mark 4. Tardiness and unexcused absences= Unprofessional Mark on CPE form 4. Students must be available until 5: 00 pm on Friday of the 4 th week of the clerkship 2
ATTENDANCE 7. 1 Personal Time Off (PTO) full day of excused absence is permitted per LCE Guide specifications. 8. Time away from any scheduled clerkship activities must be requested in advance. Students must complete the CHM Absence Request form. This should be done 30 days in advance when possible. 9. Any time missed during the clerkship other than 1 PTO day will be remediated as assigned by the Community Clerkship Director. 10. Students can only attend conferences if they are presenting and notify the CD and CCA at least 30 days prior to the absence. 3
ROUNDING/CALL POLICY • Specific expectations during call assignments are determined by the Clerkship Director in each community. • Special care has been taken to assure that work-hour duties for students are comparable to students in other campuses. • Students can be scheduled for night float or on-call during the final week of the clerkship. Overnight shift should conclude at least 12 hours prior to the student’s scheduled daytime oral exam. • Students will not be scheduled for call starting the Thursday or Friday of the final week unless they have failed to complete their call requirements prior to that time. 4
ROUNDING/CALL POLICY Tradition On-Call System or Night Float System based on community Traditional On-Call System Required to be on-call four (4) times including: o EITHER one weekend 24 -hour call o OR two weekend day- or night- call shifts with at least one of those two shifts overnight AND o 2 weeknight calls until 10 pm – which are scheduled to occur on the same day as routine daytime clinical activities and do not replace a usual daytime assignment. Following weeknight call, students are expected to report for their normally scheduled clerkship activities the following day. 5
ROUNDING/CALL POLICY Night Float System • A minimum of 3 and no more than 4 consecutive weeknights (Sun-Thurs) calls • Students are expected to be present throughout the shift and participate in patient report activities at the beginning and end of each night-float shift. • In addition: o EITHER one weekend 24 -hour call o OR two weekend day- or night- call shifts with at least one of those two shifts overnight Note: Students may be responsible for participating in their two weekend shifts sequentially in conjunction with their night-float requirement, for a maximum of up to 6 consecutive nights total. 6
ROUNDING/CALL POLICY STUDENT WORK HOURS CHM policy per SDC Student Guidebook and LCE Guide: o o must be limited to 80 hours/week averaged over 4 weeks 1 day off in 7 averaged over 4 weeks maximum 28 hours continuous responsibilities 14 hours off after in-house call lasting 24 or more hours 7
CLERKSHIP GRADING COMPONENTS • Clinical Performance Evaluation- CPE • Professional Behavior • NBME Subject Exam- Written exam • Oral Exam • 2 Case Write-Ups • 13 Online Modules/13 Online Quizzes on D 2 L • LCE Online Module Evaluation on D 2 L continued → 8
CLERKSHIP GRADING COMPONENTS continued • 6 Workplace Based Assessments • Patient Encounter Logs (Diagnoses and Procedures) • Handbook and Policies Acknowledgment Form • Clinical Educator & CHM and Departmental End of Clerkship evaluations 9
PROFESSIONALISM The student should: • Be thoughtful and professional when interacting with patients, their families, clinical staff and faculty. • Maintain a neat and clean appearance, dress in professional attire. • Seek supportive services when appropriate through the faculty or other resources provided by CHM. • Not use offensive language, gestures, remarks with sexual overtones or reflecting cultural disrespect. • Be available during scheduled clerkship time by pager or other means per Community Clerkship Director contact requirements. 10
NBME EXAM ADMINISTRATION DATE: Friday afternoon of the 4 th week of the clerkship GRADING: Honors-Eligible : >84 on first attempt (only) Pass: 65 -83 on first attempt or > 65 on second attempt Conditional Pass (CP): Arrive late to the examination OR score < 65 on second attempt REMEDIATION: ET: <65 on first NBME attempt, while second attempt is pending CP: remediate 2 weeks of the clerkship and take the NBME for the third time CP/P: > 65 on third NBME attempt and successful 2 week remediation of the clerkship CP/N: failure to remediate, e. g. <65 on 3 rd attempt. Repeat the entire clerkship. 11
NBME EXAM continued • NBME remediation exams must be requested in writing and scheduled a minimum of 2 weeks prior to the exam date and at a time convenient for the community, department and student. 12
ORAL EXAM ADMINISTRATION DATE: Thursday anytime and/or Friday AM of the 4 th week of the clerkship • If administered on Thursday, can be given as in-service exam. GRADING: • Pass: Mean composite score of > 3. 5 • Conditional Pass: Mean composite score of < 3. 5 on first attempt • No Pass: Mean composite score of < 3. 5 on 2 nd attempt • Unprofessionalism Mark: Arriving late for the exam REMEDIATION: • CP: take the oral exam a 2 nd time • CP/P: Pass the oral exam (>3. 5) on 2 nd attempt • CP/N: No Pass oral exam (<3. 5) on 2 nd attempt. Repeat entire clerkship. 13
ORAL EXAM • Student is evaluated by 2 faculty preceptors • Exam lasts 30 minutes total during which time the student is questioned regarding 2 clinical cases requiring skills in differential diagnosis, problem-solving, and analysis of patient management. • Cases: 1 LCE topic and 1 NBME review topic • See handbook for full list of oral exam topics 14
CASE WRITE-UP DUE DATE: o Write-up #1 complete and submitted via D 2 L/Turnitin by 3: 00 PM on Thursday of the 2 nd week of the clerkship. o Write-up #2 complete and submitted via D 2 L/Turnitin by 3: 00 PM on Thursday of the 3 rd week of the clerkship. o If a re-writeis necessary, it must be satisfactorily completed (meeting Pass criteria) and submitted by 8: 00 AM on Monday of theth 4 week of the clerkship. GRADING: • • • Pass: Meet all deadlines to satisfactorily complete and submit BOTH write-ups, with a final grade of ‘Pass’ for both obstetric and gynecologic case write-ups. CP: Fail to submit 2 ACCEPTABLE write-ups by final rewrite deadline. Unprofessional mark: missed submission deadline or write-up only partially completed by deadline. 15
CASE WRITE-UP • Students must satisfactorily complete and submit 1 obstetric and 1 gynecologic write-up to pass the clinical portion of the clerkship. • At least 1 write-up must be on an inpatient and include a practice order set. • Write-ups are to be completed on a patient evaluated by student themselves during this clerkship on this campus during this clerkship session. • Turnitin tool is used to help assess originiality of student write - ups. 16
D 2 L MODULES-QUIZZES DUE DATE: by 3: 00 PM on Friday of the 3 rd week of the clerkship. Completed on D 2 L: https: //d 2 l. msu. edu GRADING: • Pass: Complete ALL 13 online modules and all corresponding quizzes with a minimum score of 70% within 5 attempts. • Unprofessionalism Mark: Students who do not complete all by the deadline will receive an unprofessionalism mark. Once all 13 lectures and quizzes have been completed on D 2 L, students must also complete the LCE Online Module Evaluation. 17
WORKPLACE BASED ASSESSMENTS DUE DATE: by 12: 00 noon on Friday of 4 th week of the clerkship Submitted on Just In Time Medicine (JIT) GRADING: Honors-Eligible : Complete and submit 9 (of 12 options) by the deadline. Pass: Complete and submit 6 (of 12 options) by the deadline. Conditional Pass: Fail to complete and submit all 6 required WBA's by the deadline. 18
WORKPLACE BASED ASSESSMENTS A single assessment type will only count one time. If one of the 12 WBA options is completed twice, it will only count once toward the requirement. REMEDIATION : CP/P: Student must complete the WBA (s) not previously completed by 2 nd Friday following the end of the clerkship. CP/N: Repeat entire clerkship. Failure to complete the Workplace Based Assessments will result in a NO PASS grade. 19
PATIENT ENCOUNTER LOG DUE DATE: by 12: 00 noon on Friday of 4 th week of the clerkship GRADING: • Pass: Log all the required procedures and diagnoses by the deadline. • CP: Fail to log ALL the required procedures and diagnoses by the deadline. • Unprofessionalism Mark: Procedures and diagnoses not logged within 5 days of encounter. 20
PATIENT ENCOUNTER LOG • • Students are responsible for logging every single patient encounter in the system by the end of every day. The Department has the right to not accept any procedures/diagnoses logged after 5 days. Frequent non-compliance to log will be noted at the Mid. Clerskhip Evaluation meeting with your Clerkship Director and can result in an Unprofessional mark. REMEDIATION: CP/P: Student must complete remediation log requirement(s) within 2 weeks following the last day of the clerkship. Requirement will be determined by Clerkship Director, with approval by Lead Clerkship Director. CP/N: Repeat entire clerkship • Failure to complete the Patient Encounter Log will result in a NO PASS grade. 21
CLERKSHIP EVALUATIONS Evaluations by students of preceptors and required End of Clerkship (EOC) evaluations for College and Department. DUE DATE: 11: 59 PM on Monday the week following the last day of the clerkship. GRADING: • Pass: Complete ALL of the assigned evaluations by the deadline. • Unprofessionalism Mark: Students who do not complete by the deadline will receive an Unprofessional Mark. 22
CLERKSHIP EVALUATIONS Evaluations of students by preceptors and Clerkship Directors. • Mid-Clerkship Evaluation • Standardized evaluation submitted by CD to give students formative feedback on their performance at mid-point in the clerkship. Can be based on input of multiple preceptors, including residents. Meeting occurs by Friday of 2 nd week of the clerkship. • Evaluation submitted by Wednesday of 3 rd week of the clerkship. • 23
CLERKSHIP EVALUATIONS • Clinical Performance Evaluation • • • Honors-Eligible : 100% “Met Expectations” and “Exceeded Expectations” categories, no unprofessional marks Pass: 80% or greater in the “Met Expectations” and “Exceeded Expectations” categories, with no more than 1 unprofessional marks from all evaluators. Conditional Pass: Greater than 20% but no more than 40% in the “Below Expectations” category OR 2 -3 Unprofessional marks. No Pass: Any one of the following 3 conditions: 1. Greater than 20% but no more than 40% in “Below Expectations” AND 2 -3 Unprofessional marks. 2. Greater than 40% in “Below Expectations”. 3. 4 or more Unprofessional marks. A No Pass grade on the CPE will result in a No Pass (N) grade in the clerkship and require that the student retake the entire clerkship. 24
CLERKSHIP EVALUATIONS • Professional Behavior on FCE includes Clinical (from CPE) and Non-Clinical Unprofessionalism Marks : • Honors: No Unprofessional marks. • Pass: No more than 1 Unprofessional marks for all clerkship components combined. • Conditional Pass : 2 -3 Unprofessional marks • No Pass: 4 or more Unprofessional marks • A No Pass grade for Professional Behavior = No Pass (N) grade in the clerkship = student will retake the entire clerkship. 25
FINAL GRADE OVERVIEW PASS WITH HONORS PASS ALL of the following: • CPE: > 80% in Met and/or Exceeded, • CPE: 100% Met Expectations and/or no more than 1 unprofessional mark Exceed, No Unprofessional marks AND • WBA: Complete 9 (of 12) AND • WBA: Complete 6 (of 12) AND • NBME: > 84 on 1 st attempt AND • NBME: > 65 on 1 st or 2 nd attempt AND • ORAL Exam: Pass > 3. 5 on 1 st attempt AND • Professional Behavior: 0 marks AND • Professional Behavior: No more than 1 • Other assignments: ALL Pass, unprofessional marks AND completed by deadline • Other Assignments: ALL Pass, completed by deadline CONDITIONAL PASS NO PASS ANY of the following: • CPE: >20% but no more than 40% in the • CPE: > 40% in Below Expectations OR 2 -3 Unprofessional > 4 Unprofessional marks OR 20 -40% Below AND 2 -3 Unprof marks • WBA: <6 completed OR • NBME: < 65 on 3 rd attempt OR nd • NBME: < 65 on 2 attempt OR • ORAL Exam: < 3. 5 on 2 nd attempt OR st • ORAL Exam: <3. 5 on 1 attempt OR • Professional Behavior: >4 • Professional Behavior: 2 -3 Unprofessional marks OR 17 26 • Other Assignments: failure to complete 1 or • Received CP grade in any 2 or more clerkship components more by deadline
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