Document Detail

Setting standards to determine core clerkship grades in pediatrics.
MedLine Citation:
PMID:  24767782     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: One of the greatest challenges for clerkship directors is assigning a final grade and determining the precise point at which a student either passes or fails a clinical clerkship. The process of incorporating both subjective and objective assessment data to provide a final summative grade can be challenging. We describe our experience conducting a standard-setting exercise to set defensible cut points in a 4-tiered grading system in our pediatric clerkship.
METHODS: Using the Hofstee standard-setting approach, 8 faculty members participated in an exercise to establish grade cut points. These faculty members were subsequently surveyed to assess their attitudes toward the standard-setting process as well as their reactions to these newly proposed standards. We applied the new cut points to a historic cohort of 116 Johns Hopkins University School of Medicine students from the academic year 2012-2013 to assess the potential impact on grade distributions.
RESULTS: The resultant grading schema would lead to a significant increase in the number of students receiving a failing grade and a decrease in the number of students receiving a grade of honors in a historical cohort. Faculty reported that the Hofstee method was easy to understand and fair. All faculty members thought that grade inflation presently exists within the pediatric clerkship.
CONCLUSIONS: This study demonstrates that practical standards using the Hofstee method can be set for medical students in a pediatric clerkship in which multiple performance measures are used.
Robert A Dudas; Michael A Barone
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic pediatrics     Volume:  14     ISSN:  1876-2867     ISO Abbreviation:  Acad Pediatr     Publication Date:    2014 May-Jun
Date Detail:
Created Date:  2014-04-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101499145     Medline TA:  Acad Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  294-300     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
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