So is it grades (A, B, etc like Hopkins) or is it high pass, pass etc?
This is almost making me lean towards HMS....almost
Check the link below out, though it is fairly vague. CBEI is still in flux because there has been a large student and faculty-led dissent against it after it was implemented.
http://med.stanford.edu/md/curriculum/CBEI/index.html
Some notes-
- Your first two pre-clinical years are true P/F without any sort of ranking system. I.e. 71%=99%=Pass. No distinctions are made.
- Clerkship grading is Pass with Distinction/Pass/Fail in three separate areas ONLY for the required core rotations.
- All electives and Sub-internships (basically any non-core rotation) are still graded Pass/Fail
- The three areas of grading are (1) Patient Care (2) Professionalism (3) Shelf Exam
- There are specific objectives that need to be met to obtain distinction status. There is not cut-off for the # or % of students who can achieve this as this is the case at other institutions.
- You are given separate grades in each area. Currently, there is no overall grade assigned to any rotation. (i.e. your Dean letter will read "achieved Pass with Distinction in Patient Care and Professionalism for his Core Neurology Clerkship" for example).
- The main complaint so far has been that the Shelf Exam scores required for Pass with Distinction are way too high (80-90% percentile nationally). Though, this is arguably the most objective way to evaluate students.
- CBEI grading and/or it's use in future Dean's Letters is up in the air, especially as our current Dean of the Medical School's term is over, and he was the main proponent of implementing clinical grades.
- Other complaints are similar to those at other schools: somewhat subjective grading system for Patient Care/Professional even though attempts were made to make it objective, can really depend on what clinical site you get, which attending is on your team (some say= I won't give out any distinctions, others give them out like candy).
The system is certainly not as "care-free" as the old P/F system. To be fair, no other medical school had a P/F system so it was slightly strange that we stuck to it. There was talk that it was hurting Stanford applicants who wanted to go into competitive specialities because they had a harder time distinguishing themselves in clinics. Though, our prior match lists seem to debunk that fear. CBEI implementation was meant to provide better feedback to students about their performance and ways to improve on future rotations. It is not perfect, but still way better than the grading at most other medical institutions.