The final grade is break down into three components: 1. Clinical Core Competencies, 2. Portfolio Compilation, and 3. Medical Knowledge Examination.
45% Clinical Core Competencies
While rotating on neurology, you will be assessed by faculty, fellows, and/or residents. These assessments are based on the five ACGME Core Competencies, Professionalism, Patient Care, Practice-Based Learning, Interpersonal & Communication Skills, and System-Based Practice.
You are required to submit at least 2 Neurology Clerkship Feedback and Clinical Evaluation Forms at the end of the clerkship. These evaluations comprise 45% of your total clerkship grade. The evaluations can be obtained from faculty, fellows, and/or residents.
30% Portfolio Compilation
The intent of the portfolio is to ensure a well-rounded education experience as well as evaluate your medical writing abilities. The following required items are intended to assist in the development of your medical skills and medical writing by providing opportunities to practice newly acquired skills and attain feedback on your progress.
- Patient History & Physical (H&P) Write-Up: You are required to write-up one new patient H&P. You will make arrangements to meet with the neurologist who worked on this patient with you to have the neurologist grade your H&P and provide feedback to you on your medical documentation abilities. You will turn into the clerkship coordinator your H&P with the H&P Evaluation Feedback Form for your portfolio. While due at the end of the rotation, it is recommended that this be completed by the middle of the clerkship.
- Practice Based Learning (PBL): You are required to choose a second patient that will serve for the topic presentation to the group and for your PBL evaluation. You should develop a question about neurology from the case and which would make a difference in patient care. We don’t expect you to cover everything, pick only one aspect of the disease you would like to present (e.g. disease modifying therapies in Guillain-Barré). This must be presented during the last week of the clerkship. Start by briefly describing the case and then focus on your topic discussion. The presentation should be limited to 10 minutes in PPT format. Please email your PPT presentation to the clerkship director by the end of the clerkship.
- Course Evaluations: You are required to complete 5 evaluations on StudyCore by the end of the clerkship. These evaluations include an aggregate of 4 faculty/fellow/resident evaluations and the program and clerkship director evaluations. All your comments and suggestions will help us build the best Neurology Clerkship!
25% Medical Knowledge Examination
Your efforts on the NBME shelf exam comprise 25% of your total Neurology Clerkship score. Students who fail this exam receive an “Incomplete” as their final grade and will be required to re-take the exam until a passing score (≥ 56%) is achieved. All shelf scores will then be averaged to calculate the final score in the summative clerkship evaluation.
The NBME exam is usually scheduled on Wednesday or Thursday of clerkship’s last week. We will notify you the final date at the beginning of the clerkship.
Time: 8:30 am to11:30 am
Location: Testing center CG-23
Pease arrive between 8:00 am and 8:15 am as requested by the testing center.
Final Grade Determination
The final grade of the Neurology Clerkship Program is determined by the outcomes of these three sections:
Total Grade (100%) = Core Competency Evaluations (45%) + Portfolio Compilation (30%) + Medical Knowledge Examination (25%).
Students must satisfactorily complete all required components of each clerkship. Students who do not do so will receive an incomplete grade (H) for the clerkship until all components are satisfactorily completed. Students with an unsatisfactory performance in any area should discuss the process and timing of remediation with the clerkship director. In general, failure on an exam is remediated by retaking the exam and achieving a passing score. Failure to satisfy a clinical or professionalism component is remediated by the satisfactory completion of an individualized plan of remediation. This remediation is proposed by the clerkship director and approved by the Academic Status Committee.