Criterion-Referenced Assessment/Objective Assessment Map
Inpatient Medicine Clerkship Objectives
Assessment(s)
Criteria for Pass
Criteria for Honors
Demonstrate knowledge in Internal Medicine in the inpatient setting.
CE: Knowledge base;
NBME subject exam
CE: On average, meets expectations (column 3)
AND
NBME SHELF EXAM ≥5% 1st or 2nd attempt
CE: On average, above expectations (≥ column 4)
AND
NBME ≥ 15th percentile 1st attempt*
Demonstrate proficiency in history taking in the Medicine inpatient setting.
CE: History taking skills;
DO: History-taking in Workplace Setting
CE: On average, meets expectations (column 3)
AND
DO: History-taking in Workplace Setting - Meets Expectations
CE: On average, above expectations (≥ column 4)
AND
DO: History-taking in Workplace Setting - Meets Expectations
Demonstrate proficiency in physical examination in the Medicine inpatient setting.
CE: Physical exam skills;
DO: Physical Exam Score in the Morchand Center;
DO: Physical Exam in Workplace Setting
CE: On average, meets expectations (column 3)
AND
DO: Physical Exam Morchand Center ≥ 70
AND
DO: Physical Exam in Workplace Setting - Meets Expectations
CE: On average, above expectations (≥ column 4)
AND
DO: Physical Exam Morchand Center ≥ 90
AND
DO: Physical Exam in Workplace Setting - Meets Expectations
Demonstrate the minimum proficiency as a reporter on the RIME schema (Reporter-Interpreter-Manager-Educator).
CE: RIME scale
CE: Meets “Reporter” on RIME scale
NA
Formulate an accurate assessment and management plan for patients in the Medicine inpatient setting.
CE: Plans & Follow up
CE: On average, meets expectations (column 3)
CE: On average, above expectations (≥ column 4)
Communicate gathered clinical data effectively through oral and written presentations.
CE: Oral Presentation;
CE: Written Communication;
Case presentation (oral & written presentation given to preceptor)
CE: On average, meets expectations (column 3)
AND
Case presentation (H&P given to preceptor): ≥70%
CE: On average, above expectations (≥ column 4)
AND
Case presentation (H&P given to preceptor): ≥80% and submitted on time
Integrate and interpret data from history, physical exams, and tests to generate a problem list and differential diagnosis.
CE: Differential Dx/Assessment
CE: On average, meets expectations (column 3)
CE: On average, above expectations (≥ column 4)
Interact with patients, families and/or caregivers in a professional and respectful manner.
CE: CIS – patient;
DO: Morchand Center (CIS Items)
CE: On average, meets expectations (column 3)
AND
DO: CIS Items ≥ 10 out of 15 points.
CE: On average, above expectations (≥ column 4)
AND
DO: CIS Items ≥ 14 out of 15 points
Function collaboratively as part of an interprofessional health care team in a professional and respectful manner.
CE: CIS - team;
IDR presentation
CE: On average, meets expectations (column 3)
AND
Complete IDR presentation
CE: On average, meets expectations (≥ column 4)
AND
Complete IDR presentation
Take initiative and demonstrate reliability in completing patient care tasks and communicating clinical data.
CE: Dependability/ Engagement
CE: On average, meets expectations (column 3)
CE: On average, meets expectations (≥ column 4)
Participate in transitions of care including discharge summaries, patient education, discharge counseling, and communicating with primary care providers.
TOC Discharge summary;
SIM Converse Activity;
DO: TOC score
TOC Discharge Summary ≥ 70% on 1st or second attempt
AND
Complete SIM Converse activity
AND
DO: TOC score ≥ 70 on 1st or 2nd attempt
TOC Discharge Summary ≥ 80% on 1st attempt and submitted on time
AND
Complete SIM Converse activity
AND
DO: TOC score ≥ 80 on 1st attempt
N/A
Required Clinical Experiences (RCEs)
Log every RCE in One45 prior to end of clerkship
*To meet this criterion, students may NOT have delayed sitting for the NBME subject exam due to lack of academic readiness. A student MAY delay the exam due to an excused absence (e.g. for illness) and still meet this criterion.
CE = Clinical Evaluation DO = Direct Observation RCE = Required Clinical Experience NBME = National Board of Medical Examiners CIS = Communication and Interpersonal Skills IDR = Interdisciplinary Rounds TOC = Transitions of Care
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