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Medical students are evaluated by the attending physicians and residents half-way through the rotation and at the end of the rotation. Half of the write-ups should be finished at the time of the mid-term evaluation. Each attending (six or seven) and each resident (six or seven) evaluate each student using the standard College of Community Health Sciences form. A numerical grade and a letter grade are included.
Attending grades, averaged 60%
Resident grades, averaged 20%
Mini-Board grade* 20%
* Expressed in terms obtained with the formula adopted by the
University of Alabama School of Medicine.
The faculty believes that the most accurate evaluation of medical student performance in Internal Medicine derives from frequent observation in the context of PBL, morning report, rounds, in-patient and out-patient workups, patient presentations, and evidence of reading (about patients, and in advance of lectures/conferences).
Evaluations, therefore, are based (80%) on the opinions of residents and attending physicians who are in daily contact with the medical students. They include estimation of factual knowledge, techniques, case workups and presentation, interpersonal relationships, interest, reliability, poise, etc. Generally speaking, there has been reasonably close agreement of the grades, although they are arrived at independently.
The National Board examination given at the end of the course allows the medical student to evaluate his/her position in the local and national scale; and gives the faculty one independent national measure of what may have been accomplished in the Internal Medicine course. Because it is an imperfect instrument, only 20% of the grade rests on performance of the exam.
The faculty reserves the prerogative to require the medical student may be required to take a remedial program in unusual cases of inadequate performances.
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