Pass in IM clerkship because of standardized patient encounter

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jdp207

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How does everyone else's school calculate your clerkship grades?

Ours seems to have relatively recently stopped using the weighted average approach and instead has put cut offs that need to be met for 1. clerkship evals, 2. shelf, and 3. standardized patient encounter. You only qualify for Honors or high pass unless you reach the threshold for each. As in even if you demolished the shelf and get fantastic evals from but your single 20 minute standardized patient encounter doesn't go as smooth as you'd like, you still just get a pass. As in, this is exactly what has happened to me.

The standardized patient encounter didn't even go that poorly, it was literally just 1 point below the high pass threshold (and also only 4 points below honors). While it is what it is and I'll move on, I just can't wrap my head around why 1 actors impression of me literally outweighs the sum of every resident, attending and the shelf exam. What's worse is that all through MS2 I did really well on the standardized patient exams, its just that it had literally been 5 months so we'd had one and perhaps was a bit rusty. It's as though all that extra effort I put in and the success I had was for nothing. I feel really demoralized about it but am obviously just going to move on with life and just remember to say "that sounds really hard" every every 3rd sentence during future SPEs instead of focusing too much on their crushing chest pain...

Do other people's schools do this or is this unique to mine?
 
I'm so sorry. OSCEs are actually the worst and half of my SPs during m3 would forget / mix-up symptoms that they were supposed to have. It sounds like you may have been trying to get more details about the patient's fake MI? But the patient was instead waiting for you to worship them and show them some love.

My trick to OSCEs is to have a standard set of questions I'm going to ask every pt -> CC, OLDCARTS, ROS, Med hx, Fam hx, etc -> so I don't really have to think about what to ask (that's automatic), I just more focus on building my differential as I get responses from the patient and also slip in a few consoling words to make the patient feel all gushy.

Again sorry to hear and hang in there
 
My school did the cut offs for the evals and shelf. The SP encounter was really a completion thing
 
OSCEs are ridiculous. A person who isn’t a trained medical professional is grading you, and it’s not like you can be Meryl Streep conveying empathy in a fake situation.
 
My school has them too but it's basically just a pass/fail type of thing, doesn't affect the grade for the clerkship. Clerkships are 50-50 between shelf and evals. Sorry to hear about that tho does suck
 
My school had something like that for every clerkship - an OSCE, a case report, a presentation, a paper, etc. There was always at least one person each time who missed the next tier up grade wise due to the subjective nature of the grading for those kind of assignments. For me it happened in the field I ended up matching into. Just do your best, know that just about everyone will go through the frustrations of subjective grading during third year, and try to think of the OSCEs as practice (if nothing else) for CS or PE for now.
 
OSCEs are ridiculous. A person who isn’t a trained medical professional is grading you, and it’s not like you can be Meryl Streep conveying empathy in a fake situation.

Depends on the school. The SP evals mean basically nothing here. We’re graded by an attending who is observing from a camera.
 
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