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Medical Education

Third Year Clerkship

OSCE's (Objective Structured Clinical Examinations)

The students will complete OSCEs to assess their overall clinical reasoning and discrete, focused clinical skills. The final OSCE will be graded.

On Call

Students will be expected to be "on-call" a minimum of six nights during the rotation. Call is to be taken in-house and to begin with evening sign-out rounds and to end after morning sign-out rounds. Students must contact the senior resident covering their service to determine the time and place to report.

Clerkship Grades & Materials

The Surgery Department Clerkship Committee will determine the student's final grade. This committee will review the student's performance on all components of the clerkship. The final grade will reflect the student's overall and cumulative performance including all evaluations of clinical performance, grand rounds presentations, OSCE score, written examination score, the patient contact log, H&P's, participation in didactic sessions, and other required components of the clerkship.

The scale for final course grades is in accordance with the policy of the University of Medicine and Dentistry of New Jersey - Robert Wood Johnson Medical School and consists of five levels: Honors, High Pass, Pass, Conditional Pass and Fail.

A grade of Fail or Conditional Pass for one component may result in a course grade of Conditional Pass. After the student remediates a final course grade of Conditional Pass, the highest remediated course grade that can be awarded is a Pass. Receiving multiple Conditional Pass evaluations or one or more Fail evaluations may result in a final grade of Fail. This grade will become part of the student's official records. Remediation of a final course grade of Fail is possible in accordance with the Academic Rules and Regulations of the UMDNJ and RWJMS. However, once the student remediates a final grade of Fail, the student will receive a grade no higher than Pass for the course.

At a minimum, candidates for a final grade of High Pass will demonstrate above average performance in all aspects of the clerkship, including clinical rotation evaluations, student grand rounds, the final OSCE, and the NBME written examination. For the OSCE and NBME examinations "above average" is defined as "above the mean" and "above the 50th percentile" respectively. Candidates for a final grade of Honors are expected to consistently perform at a superior level in all aspects of the clerkship (clinical rotation evaluations, student grand rounds, the final OSCE, and the NBME written examination). For the OSCE and NBME examinations "superior" is defined as "at or above one standard deviation over the mean" and "at or above the 80th percentile" respectively. In addition to the final grade, the clerkship director will forward 'summative comments' on the student's performance for use in the Dean's letter. These will be based upon the written comments from the faculty. Extenuating circumstances can always occur and will be taken into consideration by the faculty grading committee when appropriate. However, these must be made apparent immediately to the clerkship director or the director of education and will not be considered after the fact.

Recommended Text

Learning Surgery, Stephen F. Lowry Editor, 10th edition, Lange Medical Books.

SURGERY CLERKSHIP COMPETENCIES

The competencies listed below will be derived from the ASE Manual of Objectives which covers 29 frequently encountered signs and symptoms of surgical disease.