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Medical Education
Medical Student Education

Completion of clinical core experiences

Purpose

To outline the requirements for core clinical experiences and midpoint feedback in required core clerkships.

Overview

The program of assessment at UCSF emphasizes assessment for learning. During and after learning experiences, students receive feedback that informs the next steps in their learning, and they participate in summative assessments of their learning.

Completion of the clinical core experiences for a clerkship is a joint obligation between the student, the student’s clinical instructors, and the site director. In turn, logging and reviewing the completed experiences in Case Logs helps the site and clerkship directors see when students are meeting these goals. The process of reviewing the experiences periodically may also provide students and supervisors convenient opportunities to give and receive feedback about the rotation. Core clinical experience logging is intended to help students meet the educational goals of the clerkship.

LCME Related Standards:

9.7 Formative Assessment and Feedback

8.6 Completion of Core Experiences

Principles

  1. Core learning experiences are essential to clerkship education.
  2. Students benefit from timely feedback on their performance.
  3. Students need the opportunity to practice and receive feedback before summative assessments.
  4. Procedures for midpoint feedback can identify students who need extra support and are not on track to meet expectations at the end of the course.

Policy

  1. Clerkships will establish and publish a list of required clinical experiences that students must complete to meet clerkship requirements.
  2. Students are responsible for maintaining an electronic log of clinical experiences in an ongoing manner for each required clerkship, in accordance with that clerkship’s requirements.
  3. Students must receive feedback from supervising faculty and/or clerkship site directors midway through the rotation. This feedback must include review of the electronic log of clinical experiences as well as an assessment of the student’s performance in comparison to clerkship objectives and School of Medicine performance milestones. Students will log receipt of the feedback.
  4. The clerkship director and coordinator will track completion of midpoint feedback. The student assessment manager will report aggregate data on midpoint feedback twice yearly to the F2 operations committee.
  5. Each clerkship must have a system in place to check with students for outstanding clinical experiences prior to the completion of the rotation as well as a set of alternate strategies for completing required clinical experiences in the event that the student cannot complete them with continued participation on the clerkship.
  6. Failure of a student to maintain a log of required experiences and/or complete all required experiences or their equivalent by the end of the educational experiences will result in a grade of “I.”
  7. A grade of “I” will be converted to pass once all required experiences or their equivalent are completed by a specified deadline. Failure to meet the deadline will result in a conversion of the “I” grade to a provisional non-passing grade of “E.”
  8. The Associate Dean for Competency Assessment and Professional Standards has the authority to ensure that clerkships comply with required oversight of the feedback and clinical experience tracking systems.

Updated Oct. 29, 2017

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