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This study aims to identify which student evaluation components best predict clinical honors recommendations across core clerkships.

July 21, 2020Academic MedicineOpen Access

Are We Measuring What Matters? How Student and Clerkship Characteristics Influence Clinical Grading

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Randomized trial examines which evaluation components predict clinical honors in medical clerkships, suggesting areas for improvement in assessments.

This study aims to identify which student evaluation components best predict clinical honors recommendations across core clerkships.
Collected evaluation data from 3,947 completed assessments during 2015-2017 in internal medicine, pediatrics, and surgery clerkships.
Utilized factor analysis on 12 evaluation components and multilevel logistic regression to assess their correlation with clinical honors recommendations.
Analyzed the impact of time spent with evaluators and the type of evaluator (residents vs. faculty).
38% of evaluations recommended clinical honors (1,508 of 3,947 evaluations).
Top predictors for clinical honors included clinical reasoning for IM (OR 2.8), presentation skills for surgery (OR 2.6), and knowledge application for pediatrics (OR 4.8), all with P < .001.
Four evaluation components—clinical reasoning, knowledge application, record keeping, and presentation skills—formed a single predictive factor across all clerkships.

Ingram et al. (2020) studied this question.

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Randomized trial examines which evaluation components predict clinical honors in medical clerkships, suggesting areas for improvement in assessments.