Criterion-Referenced Assessment/Objective Assessment Map

Objective 

Assessment(s)

Criteria Pass 

Criteria Honors 

Formulate a conceptually informed and clinically targeted differential diagnosis 

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

Interact with peers, supervisors and other members of the healthcare team in a professional and respectful manner 

CE: Dependability/ Engagement ;

CE: CIS – team 

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) 

Perform a neurologic 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

Establish rapport with neurologic patients 

CE: CIS- patient;

DO: PE (CIS items)

CE: On average, meets expectations (column 3) 

AND

DO: Obtain PARTIAL or FULL credit on communication item**

CE: On average, above expectations (>= column 4) 

AND

DO: Obtain PARTIAL or FULL credit on communication item** 

Perform detailed neurologic history taking 

CE: History taking skills 

CE: On average, meets expectations (column 3) 

CE: On average, above expectations (>= column 4) 

Apply a clinical neurologic knowledge base which includes principles of: 

Neurologic sign detection 

Neuroanatomic localization 

Neuropathophysiologic identification 

Neurologic diagnostic test indication 

Basic neurologic therapeutics 

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*

Develop an appropriate diagnostic and management plan for neurological patients, recognizing indications for, and utilization of, neurologic diagnostic investigations as well as urgent neurologic interventions   

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

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 (eg 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. 

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