Principles for Evaluation of Performance on the Neurology Clerkship:

School Evaluation Form is used to assess Competency-Based Learning Objectives

  • Medical Knowledge
  • Patient Care
  • Interpersonal and Communication Skills
  • Professionalism Practice-Based Learning and Improvement

Group Grading Session is held twice per month to compile Evaluations

  • Allows assessment gaps to be filled if you worked with multiple people
  • If you demonstrated a level of achievement with someone other than your resident or attending, this is taken into consideration
  • Individual evaluations are adjusted into a composite based upon everyone’s interactions and observations

Professional Growth and Response to Feedback is Considered

  • Understand that clinical abilities will vary between first half and second half
  • Goal is to improve on a weekly basis

Past Grading Distribution

  • Neurology is not graded on a curve
  • Past grading distributions are not necessarily indicative of future distributions

TABLE 1. NBME Point Scale Score Translations

Score %Tile Grade Competency Notes
≤69 ≤10% 1.0 Fail  
69-73 11-19% 1.5    
74-76 20-29% 2.0 Marginal  
77-79 30-43% 2.5    
80-81 44-54% 3.0 Meets Expectations National average is 80
82-83 55-65% 3.5    
84-86 66-79% 4.0 Exceeds Expectations  
87-88 80-87% 4.5    
89+ 90+% 5.0 Greatly Exceeds Expectations  

TABLE 2. Composition for Final Summative Letter Grade

Translating Points into Transcript Grade Honors: 4.50 – 5.00
High Pass: 3.50 – 4.49
Pass: 2.75 – 3.49
Incomplete: 2.00 – 2.74
Fail: 1.00 -- 2.00
Written Shelf 20%
1st Half Clinical Evaluations 30%
2nd Half Clinical Evaluations 50%
Professionalism concern Negates chance for Honors
Absolute minimum shelf grade for Pass 10th %tile
Possible sources of information the Clerkship Director can use to elevate a borderline grade. 1) Strong and meaningful participation in conference.
2) OSCE score of 90+%.
3) Report of outstanding participation in clinics.

Policy Regarding Grade Changes

  • All questions and clarifications regarding your evaluations must be directed to the Clerkship Director.
  • We strive for full transparency. Mistakes can happen. If something does not seem correct, please ask!
  • A grade appeal form must always be submitted before a grade change may be considered.
  • If you are unhappy with an evaluation by an Attending or Resident, do not contact them directly. A professionalism concern form will be submitted if you do. Rather, discuss the situation with the Clerkship Director.