Can somebody better explain to me their grading system? It’s not true pass/faill and none of the students on interview day seemed to know how it really worked either...
Sorry this turned out to be a much longer post than I intended but more importantly I hope it clears any confusion you had.
TLDR: Grading is not complicated once you actually start to get assignments and you will perform well if you simply do the work.
Hey,
I was perusing the page and noticed that no one had provided you with a satisfactory answer to your question, but I will try. I can only speak to the Pre-Clinical (Phase 1) since I am only an M1 but if you would like more information about the latter blocks then I can seek it out for you as well.
So here we go:
The first block of Phase 1 titled Patients, Professionalism, and Public Health (or PPP) is purely Pass / Fail. Passing the block was determined by displaying competence in the 3 core components which were Medical knowledge; Clinical Skills; and Professionalism. Competency in the Medical Knowledge component of the course required scoring >=75% on all the assessments combined. Grading of your Clinical Skills is more complicated and probably beyond the scope of what you should be concerned about at this stage. Lastly Professionalism should be the easiest portion to get full credit for if you turn in all your assignments and show up to required events. This is the shortest block only spanning 4 weeks.
The second block of Phase 1 titled Body in Balance (or BiB) was assessed a little differently which might have been the reason for some of the confusion among my peers on your interview day.
In BiB, and in every other block of Phase 1 barring PPP above, there are 2 different grading systems used.
The first grading sysyem is used to determine Pass / Fail and is conceptually very similar to PPP above except BiB is the longest block of Phase 1 spanning 14 weeks so there are going to be a lot more assignments determining your grade.
The second grading system is used to determine your comparative performance for the block i.e. your class rank. Determination of your class rank will take into consideration the following components:
1- Professionalism points (you start out with the max and can only lose them by not showing up to required events, turning in assignments or other reasons deemed to be unprofessional);
2- Readiness Quizzes (Audience Response) which are mostly during the Anatomy Dissections and Medium Group sessions. Understanding these can be confusing for some. They are considered "No risk, High reward" as getting all of them wrong across the entire block will not harm you but getting all of them right will help you by lowering the weight of your final NBME exam by 5%. Getting 1/2 of them right will lower the weight of your NBME exam by 2.5% at the end of the block and so forth;
3- Weekly quizzes. These are typically opened up at the end of the week and count as their own entity i.e. They are not the same as the readiness quizzes above. Weekly quizzes also do not affect your final NBME exam weighting;
4- Midterms, OSCEs, and Final NBME. These all affect your final grade as well but affect your rank given your relative performance to the rest of the class. For individual mid-terms, a 75% on the exam is an automatic pass. Otherwise scores within 2 Standard Deviations of the mean are also considered a pass on an individual exam. You might wonder what happens if the final class average is a 75%. Well that does not mean that half of the class will fail. What it might mean is that the exam was more difficult than anticipated and the necessary adjustments will be made by the course directors.
A person averaging 76% on their exams and a person averaging 93% on their exams are both passing and provided they are not losing professionalism points could both be proud of their performance, but of course the former would have a lower cumulative comparative performance score than the latter. A few folks will care more about their class rank than most do but this should be expected. Individual goals will be at play here.
I realise that it is a long winded answer and I am sure I could make more concise if I went through it but I am getting hungry now and should probably go eat
Happy Holidays,
Nip12