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Evaluation Process

1. National Board of Medical Examiners (NBME) Surgery Subtest Examination. This MCQ type examination is given at the end of the clerkship. We expect that a score of 82 or greater will be consistent with an exceptional level performance and a score of 60 or greater will be consistent with a satisfactory or passing performan. Performance on this examination is used to assess Knowledge and Clinical Reasoning.
   
   
2. Standardized Patient Examination. This is an examination designed to test the skills and knowledge that have been taught as part of the course. An exceptional performance is consistent with a score above the mean and a satisfactory performance is consistent with scoring no lower than two standard deviations below the mean. The mean score has been determined from the accumulation of all test scores for each individual case. In order to pass the clerkship in a satisfactory manner you must pass this exam. If you fail to meet the minimum requirements your case will be brought before the Surgical Educational Performance Group. Remediation for this failure will be determined on an individual basis and could result in repeating the standardized patient exam. Cases for this exam will be chosen from the following common surgical patient presentations: abdominal pain, colorectal disease, breast disease, hepatobiliary disease, hernia, trauma.
   
   
3. Performance evaluations of student professional behaviors and clinical reasoning. These evaluations are distributed to faculty and residents with whom the student works during the course of the clerkship. An average score of 7.3 in the area of clinical performance and an average score of 7.75 in the area of non-cognitive performance is consistent with an exceptional level of performance. An average score < 6.2 in the area of clinical performance or an average score of < 6.5 in the area of professional behavior is consistent with failing those portions of the overall clerkship evaluation. These evaluations are used to assess Clinical Performance and Noncognitive Behaviors. If you fail to meet the minimum requirements your case will be brought before the Surgical Educational Performance Group. Remediation for this failure will be determined on an individual basis and could result in repeating the entire clerkship.
   
   
4. Preparation for core sessions will be evaluated. Faculty will assess your level of participation and preparedness as either a +1 (very well prepared) or a -1 (not prepared). If you receive > 4 negative evaluations you will not be eligible for receiving an Honors rating. In addition, if you have an overall negative score for preparedness your case will be brought before the Surgical Educational Performance Group. Remediation for this failure will be determined on an individual basis and could result in failure and required to repeat the entire clerkship.

Honors is achievable by receiving an exceptional evaluation in all three areas of the medical school official final clerkship evaluation.