Assessment

Mid-Clerkship Performance Feedback:

Approximately halfway through the rotation, the clerkship director will formally meet with each student for approximately 15 minutes to discuss his/her progress. Written and verbal material from any faculty or resident will be discussed with the student with suggestions on improvement or staying the course. The student, in turn, will also have the opportunity to discuss any concerns about the clerkship with the clerkship director.

Summative Evaluation and Grading:

Evaluation of student performance encompasses the following categories and interactions:

  1. Fund of general knowledge

    • General medical knowledge
    • Gynecology knowledge based on clinical interactions, background reading, and patient presentations
  2. Clinical skills

    • Ability to obtain a pertinent gynecologic history and perform a physical examination
    • Ability to determine necessary laboratory and diagnostic studies
    • Ability to infer conclusions from history, physical examination, laboratory and diagnostic studies and make an assessment and management plan
  3. Professional standards

    • Punctuality
    • Appropriate dress
    • Attention to administrative detail
    • Personal integrity and honesty
  4. Rapport and interactions with patients, residents, faculty, and ancillary staff

    • Ability to participate as a team player
    • Ability to receive constructive criticism and guidance

Assessment of student performance in these areas is comprised of 3 components:

  1. Clinical Evaluation: A clinical evaluation will be performed by all residents and attendings who interacted with the student often enough to render a valid opinion. This evaluation will be based on observations of student activities while engaged in direct patient care and participation in the didactic curriculum. The evaluation includes an assessment of the student's knowledge base, responsibility to clinical duties, clinical and surgical skills, ability to act as a team player, written and verbal communication on rounds and conferences, attitude, compassion for patients' well-being, and aggressiveness in self-directed learning.
  2. Objective Structured Clinical Evaluation: This exam tests the ability of the student to assimilate clinical and/or laboratory data to generate a differential diagnosis list, identify a correct diagnosis, and to institute a reasonable management plan. The goal of this examination is to evaluate reasoning and problem solving skills. There will be 5 stations, each with 15 minutes for interaction. Two stations will be written clinical vignettes with interpretation of various tests, 2 stations will be face to face encounters with faculty, and 1 station will be a face to face encounter with a simulated patient.
  3. National Board of Medical Examiners (NBME) Shelf Exam in Obstetrics & Gynecology: The NBME exams are used as standardized assessments of medical knowledge in all clinical rotations. The exam is administered on the final day of the rotation block.

The raw NBME Shelf exam score is adjusted to the USC score using the following conversion scale:

A composite score is calculated as a weighted average of each of the above components according to the following scale:

Clinical Evaluation: 50%

OSCE: 20%

NBME Exam: 30%

Once a composite score is calculated, this score is converted into a final letter grade using the following scale:

The final grade cannot be raised more than one letter grade from that obtained on the shelf examination. Each component of the composite evaluation must be a passing grade; otherwise the student must repeat that portion that he/she failed. Failure of passing the clinical evaluation requires repeating the 8 week clerkship. Final Clerkship grades will be submitted to the USC registrar within one month of completion of the clerkship.