| Grading | | | | | | | | Grading | | | | | Your final grade for the clerkship will be computed as follows: 50% from your primary Attending’s assessment of your clinical performance, 10% from your ancillary/outpatient Attending’s assessment, 30% from your performance on a National Board shelf exam, and 10% from your Objective Standardized Clinical Exam (OSCE). | | | | Clinical Evaluation | a. | Students must receive a passing clinical evaluation to pass the clerkship. | b. | Students must also receive a passing score on the OSCE to pass the clerkship. | c. | Fifty percent (50%) of your final grade will be based upon your Attending’s evaluation of your clinical competence and personal characteristics. The College of Medicine Clinical Performance Evaluation (CPE) is used to compute this grade. | d. | Ten percent (10%) of your final grade will be based upon your ancillary Attending’s evaluation of your clinical performance. The College of Medicine Clinical Performance Evaluation (CPE) is used to compute this grade. | e. | Input from the multidisciplinary team (including the resident) will be solicited to help your attending evaluate your clinical performance. | f. | The Clinical Performance Evaluation (CPE) consists of a total of eleven (11) items, each of which is rated on a Likert-Scale with a descriptor provided for each rating. We suggest that you review the Clinical Performance Evaluation Form early in the rotation so that you are aware of the skills that your attendings will be assessing. Your clinical evaluation will be computed by calculating a simple average of the 11 items marked on the Clinical Evaluation Form, with each item being rated on a scale of 1.0 to 7.0. |
| | | | The National Board Psychiatry Shelf Exam | The National Board Psychiatry Shelf Exam constitutes 30% of your grade. This examination will be administered on the last day of the clerkship. Your raw score on the exam is converted to a score on the four-point scale by using a conversion table that will be established at the beginning of the 2008-2009 academic year. This conversion table is developed by placing MUSC students’ scores on the National Board Shelf Exam for the past 3 years into a single data set and computing a T-score distribution of these scores. This conversion table is set at the beginning of each academic year and consequently, students in each rotation group are not “competing” with one another with regard to the score that they will receive on the National Board Shelf Exam. If you receive a satisfactory clinical evaluation but fail the written examination, you are given a grade of “Incomplete” (IC) and must seek permission from the Progress Committee to retake the examination. An IC must be removed by the end of the first semester of your senior year or a failing grade of zero will be recorded If you pass the retake of the shelf examination, your grade for the exam is derived by: 1) first calculating your exam grade (on the 4.0 scale) in the same manner it is calculated for first-time takers of the exam, and then 2) subtracting .05 from that figure. The resulting lowered exam grade (on the 4.0 scale) is then used to calculate your final grade in the manner used to calculate all grades. This policy is set by the Clerkship Committee of the College of Medicine Curriculum Committee. If you fail a retake of the examination, you will receive a failing grade for the clerkship and must repeat the entire clerkship. | | | | Objective Standardized Clinical Evaluation (OSCE) |
Each student will be administered an OSCE on the last day of the rotation. You will be assigned a specific time to report to the Clinical Evaluation Center on the 4th Floor of the Harper Student Center for the exam. During the OSCE, you will be given twenty minutes to interview a simulated patient, during which you should perform a psychiatric “work-up” (see Clerkship Syllabus page 4), including a mental status exam as appropriate. You need not perform a review of systems. Following the interview, you will be given 30 minutes to “write-up” the patient, including the chief complaint, history of present illness, prior medical history, family history, social history, prior psychiatric history, family psychiatric history, mental status exam, assessment, differential diagnosis on Axis I, multiaxial diagnosis, and brief treatment plan. After you have turned in your write-up, you will have 20 minutes to review your videotaped interview and write a critique of your performance. This critique should include information about the adequacy of your interviewing techniques, and the topics covered in the interview and the mental status exam. You may consult a textbook when writing your self-critique. The quality of your performance on the self-critique will be assessed as an important part of your performance on the OSCE. Faculty members will evaluate your OSCE performance, including your use of good interviewing techniques. Your written assessment of the patient will also be evaluated for its completeness, organization, legibility and accuracy. | Your OSCE performance will be evaluated using 5 categories: 1) | Interview Technique and Interpersonal Skills demonstrated with the patient | | 2) | History Taking (as demonstrated by the content of the interview and the write-up) | | 3) | Write-Up Content and Form | | 4) | Write-Up Assessment, Differential Diagnoses (including the multiaxial diagnosis), & Treatment Plan (to include appropriate psychopharmacologic and psychosocial interventions) | | 5) | Self Critique |
| | Each of these 5 categories will be assessed on a scale of Failure (0), Marginal (1.0), Low Pass (2.0), Pass (3.0), Honors (4.0). Your final numerical grade on the OSCE will count as 10% of your final grade. | Honors Designation
At the end of the clerkship year, students whose final grade is equal to or greater than 3.8 will receive the designation of Honors for the Clerkship, and will receive a letter of commendation for placement in their files in the Dean’s Office. Outstanding Student
At the end of each rotation, a student may be nominated by his/her attending to be the Outstanding Student in your Psychiatry clerkship rotation. This award is based on your GPA and consideration of clinical skills, interpersonal skills, and the potential of becoming an excellent psychiatrist. The recipient of the award will be determined by the department’s Medical Student Education Committee. | |
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