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Grading, Assessment & Expectations for Success. Robert Acton, MD Briar Duffy, MD. Goals of this hour…. Overview to clerkships grading and assessments Some specific thoughts on expectations of students on clerkships, and grading/assessment examples from Surgery and Medicine Questions.
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Grading, Assessment & Expectations for Success Robert Acton, MD Briar Duffy, MD
Goals of this hour… • Overview to clerkships grading and assessments • Some specific thoughts on expectations of students on clerkships, and grading/assessment examples from Surgery and Medicine • Questions
Overview to clerkships grading and assessments • Policies: • Clinical Course Grades, years 1-4 • Required Clerkship Grade Standardization, years 3 and 4 • Attendance Requirements for Courses, Clerkships and Exams • Excused Absences, years 3 and 4 • If you’re doing an elective away rotation, please provide your preceptor with a form for evaluation from the U with the expectation/reminder they will need to give it to you before your depart or within 2 weeks of your completion of the rotation.
Expectations • Work hard—arrive early, stay late… • Positive attitude, professional behavior • Learn how to do an specialty specific presentation • Each shift/day set expectations with your staff/resident • Be open to feedback/ask for feedback • Be resourceful
Expectations • Be confident yet aware of your limitations • Communication is key! • During down time, ask if anyone needs a hand • Follow up/through…keep focus on your patients • Don’t go too crazy!!! • Keep an open mind about your future specialty choice • Apply these lessons to all of your rotations
Expectations • If you doubt why you’re becoming a physician in year three of Medical School, ask for help from a favorite preceptor, your advisor or the Medical School support staff. We are here to help you! • Have fun!!!
Clerkship Websites • Have ESSENTIAL information! • Contact information for sites • Schedules for labs + lectures, study questions, reading references • Skills lab materials • Session Pre-Tests and Course Post-Test • Links to library resources and med school policies • Most are on Moodle – changing to LCMS+ • You are responsible for website content!
What is General Surgery? “A discipline having a central core of knowledge embracing anatomy, physiology, metabolism, immunology, nutrition, pathology, wound healing, shock and resuscitation, intensive care and neoplasia within the essential content areas.”
Expectations Study hard Conduct thorough history and physicals Formulate plans for patients Execute procedures at bedside and in OR Support + learn from others Know when to refer, call for help Practice professionalism Show up on time Dress professionally Recognize, diagnose, and begin care for your patients Function as junior member of an inter-disciplinary health care team
Transition to Adult Learning ACGME Core Competencies • Medical knowledge • Patient care (including technical skills) • Practice-based learning and improvement • Interpersonal and communication skills • Systems-based practice • Professionalism
Transition to Adult Learning Secrets to Success • Be excited and willing • Pre-round on your patients • Insist on presenting your patients • Write great notes with even better Plans • Prepare for the operating room • Take call • Have fun
Grading • Subjective • Course evals • Patient write-ups • Quality Project • Objective • Shelf Exam • Standard Cases • OSATS • Participation / Professionalism
Questions? • Transition to adult learning • Skills labs • Your hospital site • Day-to-day responsibilities • 80-hour work week • Work life balance • Assessment, grades • Your evaluation of us • What happens next HAVE FUN
Internal Medicine • Internists — physician specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness – American College of Physicians • Internal Medicine Clerkships: • Med I • Med II will become sub-internship. You’ll hear more about this at a later date
Clinical success on medicine clerkships • Enthusiasm • Adds to team • Ownership of patients • Read about their problems • Update them throughout the day • Communicate with other teams (nursing, consultants, social work) • Professionalism • Communication skills • Presentations • Notes • Synthesis of data • Explain clinical reasoning • Progression of skills • Willingness to accept feedback
Transition to Adult Learning(medicine version) Secrets to Success • Be excited and willing • Pre-round on your patients • Present your patients • Write great notes with even better Plans • Prepare for the operating room Own your patients’ care • Take call (but not overnight on Med I) and help admit new patients • Take responsibility for your own learning—you can find something to learn about from every patient • Have fun