What question did this study set out to answer?

Investigate how medical students navigate the conflicting demands of competency development versus grade-based residency selection during clinical clerkships.

November 25, 2024Perspectives on Medical EducationOpen Access

A Rollercoaster of Grades Versus Growth in the Clerkship Year: A Phenomenological Study of Medical Student Experience with Competency Development

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Authors

MKMatthew KelleherUniversity of Cincinnati Medical Center BKBenjamin KinnearCincinnati Children's Hospital Medical Center DWDanielle WeberCincinnati Children's Hospital Medical Center

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Implication

Qualitative phenomenological study reveals tension between grade competition and skill acquisition in clerkship medical students, suggesting traditional grading conflicts with competency-based...

Key Points

Investigate how medical students navigate the conflicting demands of competency development versus grade-based residency selection during clinical clerkships.
Conducted a phenomenological qualitative study of medical students (N=15) undergoing foundational clinical clerkships.
Implemented a competency-based education pilot incorporating longitudinal coaching, an entrustment committee, real-time assessment dashboards, and a community of practice.
Students identified substantial difficulty in learning from mistakes and tolerating imperfect performance due to high-stakes pressure to earn competitive grades.
Grading pressures drove students to allocate extensive effort toward impression management rather than developmental growth while clarifying roles and interpreting feedback.

Cite This Study

Kelleher et al. (2024) studied this question.

synapsesocial.com/papers/6a1d216b750575be8d2f3569 https://doi.org/10.5334/pme.1564

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Implication

Qualitative phenomenological study reveals tension between grade competition and skill acquisition in clerkship medical students, suggesting traditional grading conflicts with competency-based...

A Rollercoaster of Grades Versus Growth in the Clerkship Year: A Phenomenological Study of Medical Student Experience with Competency Development

Discussion

Member takes

Implication

Key Points

Cite This Study

A Rollercoaster of Grades Versus Growth in the Clerkship Year: A Phenomenological Study of Medical Student Experience with Competency Development

Discussion

Member takes

Implication

Key Points

Cite This Study

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