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INTRODUCTION

4/6/2021 - Medical Grand Rounds: The Annual Medical Education Debate: Should Third Year Clerkships Move to Pass Fail?

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 1.00

Target Audience:

Faculty, residents, fellows, and community physicians in General Internal Medicine and subspecialties.
Pro:

  • Ryan Augustin, MD, IM Resident, PGY 3
  • Thuy Bui, MD, Associate Professor of Medicine, General Internal Medicine
Con:
  • Andrew Murphy, MD, IM Resident, PGY 3
  • Amar Kohli, MD, Assistant Professor of Medicine, General Internal Medicine
MODERATOR: Melissa McNeil, MD, MPH, Professor of Medicine, Division of General Internal Medicine, Vice-Chair, Education, Department of Medicine

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Describe grading procedures in the MS3 year.
  • Improve ability to name benefits of changing grading structure
  • Discuss how grading equity impacts medical education
  • Recognize bias in clerkship grading
  • Identify strategies to improve fairness in clerkship grading
  • Describe how clerkship grade pressure impacts the learning environment

Suggested Additional Reading & Joint Accreditation Statement - Note: This Accreditation Statement Supersedes All Other Statements:

Suggested additional reading:

  1. Teherani A, et al. How small differences in assessed clinical performance amplify to large differences in grades and awards: A cascade with serious consequences for students underrepresented in medicine. Acad Med 2018; 93(9):1286-1292.
  2. Jordan M, et al. "There is a lot of change afoot": A qualitative study of faculty adaptation to elimination of tiered grades with increased emphasis on feedback in core clerkships. Acad Med 2021; 96:263-270.
  3. Hernandez CA, et al. Determining grades in the internal medicine clerkship: Results of a national survey of clerkship directors. Acad Med 2021; 96(2): 249-255.
  4. https://www.aamc.org/news-insights/healing-broken-clerkship-grading-system
  5. https://www.sciencedirect.com/science/article/pii/S0149794406001164
  6. https://alphaomegaalpha.org/pdfs/PassFailSurvey.pdf
  7. https://www.upstate.edu/ume/pdf/variation_and_imprecision_of_clerkship_grading.pdf


Joint Accreditation Statement

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit[s]™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This educational activity is approved for 1.0 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Authors:
Amar Kohli, MD — Assistant Professor of Medicine, General Internal Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Andrew Murphy, MD — IM Resident, PGY 3, University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Ryan Augustin, MD — IM Resident, PGY 3, University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Thuy Bui, MD — Associate Professor of Medicine, General Internal Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Authors disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above. No other planners, members of the planning committee, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits. Each physician should only claim credit commensurate with the extent of their participation in the activity.

The University of Pittsburgh is an affirmative action, equal opportunity institution.