The clinical grading system used to be a 5 point scale in various categories, of which a mixture of 4’s and 5’s would give you honors. They moved it to a 3 point scale, where you need 3’s in almost every category to get honors, and any 1’s means you fail the rotation. This effectively creates a grading scale where an above average student has no place. For each category you are either a 3, which being the highest score you can get, is reserved for exceptional students, or you are a 2, which is the lowest you can get without failing. Even worse, if you read the descriptions of what type of student will fall in the 2 category (which is again, just above failing) you will see a description such as, “Reported information is accurate, up to date, and pertinent. Reportage is logical and well organized”, which to me does not sound like a student who deserves to be in the just above failing group (I.e. pass).
But what is most frustrating...! As opposed to most medical schools where they assign a percentage to your clinical grade and to your clerkship shelf exam grade, so that both combine to give you your final overall clerkship grade...RWJ decided that our overall grade will be 100% determined by whichever grade is lower. So if let’s say you do really well on a shelf exam and get honors, but you end up with mostly 2’s in your clinical grading, your final grade will be a pass and no residency program will have any clue that you honored the shelf exam. Essentially, the only way to actually honor a rotation is to honor your shelf exam and to get almost all 3’s (I.e. honors) on your clinical grading. If you fail to honor either portion, you will not get honors for you final grade.