Setting New Directions for Medical Student Clerkship Evaluations

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PURPOSE:Compare the number of medical student evaluations with mean evaluation scores, shelf exam scores, and final clerkship grades.BACKGROUND:The University of Iowa OBGYN clerkship requires 6 evaluations for each student: 2 assigned and 4 requested by student. Many students request more evaluations than required, contributing to a delay in the grading process.METHODS:Medical student evaluations from 2014 to 2016 were analyzed. 3 groups were created based on the number of evaluations an individual student received. Group 1 received 3-4 evaluations (n=73), Group 2 received 5-6 evaluations (n=240) and Group 3 received 7-16 evaluations (n=222). Paired T-test was used to compare mean evaluation scores and chi-square test was used to compare mean shelf exam scores and percentages of pass, near honors, and honors grades.RESULTS:535 students completed the OBGYN clerkship. While mean evaluation scores were similar (86.8-89.1) for each group, compared to group 1, groups 2 and 3 means were statistically greater (P<.01, and .02, respectively). Shelf grade percentages for honors, near honors, and honors were similar for each group; with no difference in group means (P>.05). Likewise, rates of pass, near honors, and honors grades between groups were similar for each group (P>.05).DISCUSSION:Increased number of requested evaluations did not translate to differences in rates of pass, near honors, and honors grades for medical students on their OBGYN clerkship, indicating that decreasing the mandatory evaluations per student would not be detrimental to student outcomes and would potentially expedite the grading process.

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