1. Grading, Assessment & Expectations for Success Robert Acton, MD Briar Duffy, MD

2. 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

3. 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.

4. Overview to clerkships grading and assessments

7. 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

8. 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

9. 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!!!

10. 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!

11. 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.”

12. 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

13. Transition to Adult Learning ACGME Core Competencies 1.Medical knowledge 2.Patient care (including technical skills) 3.Practice-based learning and improvement 4.Interpersonal and communication skills 5.Systems-based practice 6.Professionalism

14. Transition to Adult Learning Secrets to Success 1.Be excited and willing 2.Pre-round on your patients 3.Insist on presenting your patients 4.Write great notes with even better Plans 5.Prepare for the operating room 6.Take call 7.Have fun

15. Assessment

18. Grading Subjective Course evals Patient write-ups Quality Project Objective Shelf Exam Standard Cases OSATS Participation / Professionalism

19. 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

20. 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

21. Medicine 7500

22. 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

23. Transition to Adult Learning (medicine version) Secrets to Success 1.Be excited and willing 2.Pre-round on your patients 3.Present your patients 4.Write great notes with even better Plans 5.Prepare for the operating room Own your patients’ care 6.Take call (but not overnight on Med I) and help admit new patients 7.Take responsibility for your own learning—you can find something to learn about from every patient 8.Have fun

24. Questions???