Criterion-Referenced Assessment/Objective Assessment Map

Objective	Assessment(s)	Criteria Pass	Criteria Honors
Demonstrate knowledge of the clinical manifestations and pathophysiology of common neurologic conditions, including: Identification of neurologic signs Neuroanatomic localization Identification of Neuropathophysiology clinical correlates Recognition of indications for neurologic diagnostic tests Proposal of basic neurologic therapeutics Interpret neuroimaging studies required for clinical decision-making	CE: knowledge base; NBME shelf exam	CE: On average, meets expectations (column 3)  AND NBME shelf ≥ 5th percentile on 1st or 2nd attempt	CE: On average, above expectations (≥ column 4)  AND NBME shelf ≥ 15th percentile on 1st attempt*
Formulate a conceptually informed and clinically targeted differential diagnosis Interpret neuroimaging studies required for clinical decision-making	CE: Differential diagnosis/assessment; Case presentation: written case write-up/analysis	CE: On average, meets expectations (column 3)  AND Case presentation: Write up ≥ 70% on first or second attempt	CE: On average, above expectations (≥ column 4)  AND Case presentation: Write up ≥ 90% on first attempt and submitted on time
Demonstrate honesty, integrity, and respect in interactions with the clinical team.	CE: CIS – team ; CE: Dependability/ Engagement	CE: On average, meets expectations (column 3)	CE: On average, above expectations (≥ column 4)
Provide clear communication of clinical findings and clinical reasoning related to a neurological assessment.	CE: Oral presentations;  CE: Written communication	CE: On average, meets expectations (column 3)	CE: On average, above expectations (≥ column 4)
Conduct a complete and accurate neurological examination.	CE: Physical Examination (PE) skills ; DO - Morchand: Physical Exam; DO – Workplace: Observed exam	CE: On average, meets expectations (column 3)  AND DO:  ≥ 70% on 1st or 2nd attempt  AND DO: Completion of observed exam	CE: On average, above expectations (≥ column 4)  AND DO: ≥ 90% on 1st attempt   AND DO: Completion of observed exam
Conduct a complete, focused history directed towards characterizing a neurological chief complaint.	CE: History taking skills	CE: On average, meets expectations (column 3)	CE: On average, above expectations (≥ column 4)
Outline an appropriate management plan for common neurological disorders.	CE: Plans and follow up; Simulation session	CE: On average, meets expectations (column 3) AND Simulation Session: Meets Competency	CE: On average, above expectations (>= column 4)  AND Simulation Session: Meets Competency
Demonstrate empathic, non-technical communication with neurological patients regarding clinical findings, workup and management plans.	CE: CIS- patient; DO: PE (shows consideration’ and communication with patient items)	CE: On average, meets expectations (column 3)  AND DO: Obtain PARTIAL or FULL credit on communication items 42 & 43 on first or second attempt.	CE: On average, meets expectations (≥ column 4) AND DO: Obtain PARTIAL or FULL credit on communication items 42 & 43 on first attempt
N/A	Required Clinical Experiences  (RCE)	Log every RCE in One45 prior to end of clerkship	Pass/Fail

* To meet this criterion, student 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.  

Note: The clerkship grading committee will review any student who does not achieve Honors and at its discretion may modify scores upward if there is evidence of inaccurate data, bias and/or outliers.

CE = Clinical Evaluation 

DO = Direct Observation 

RCE = Required Clinical Experience  

NBME = National Board of Medical Examiners 

CIS = Communication and Interpersonal Skills 

**Communication and Interpersonal Skills Rubric (Direct Observation: Physical Exam): 

1. Shows consideration for patient comfort during the physical examination 

• Full = Actively inquires about patient’s discomfort. Notices discomfort & adequately addresses it. Warns patient when is about to do PE item that might create physical or emotional discomfort & apologizes if discomfort is considerable. 

• Partial = During the exam, there were times when I expressed considerable pain, and you noticed it but did not apologize for performing the maneuver that way. 

• No = The faculty was hoping you would show consideration for my comfort during the physical exam.