Lexuan Zhong, Feng-Chiao Su, Stuart Batterman
Volatile Organic Compounds (VOCs) in Conventional and High Performance School Buildings in the U.S
International journal of environmental research and public health
offset grade inflation many clerkships combine faculty evaluations objective assessments including medical examiners subject examination nbmese objective structured clinical examination osce however standardized methods established following curriculum transition removing faculty clinical evaluations summative grading final clerkship designations fail f pass p passwithdistinction pd determined combined nbmese osce performance overall pd clerkship requiring meeting threshold time 90 students achieved pd internal medicine im osce resulting overall clerkship grades primarily determined nbmese clerkship sought enhance osce provide thorough objective clinical skills assessment offset grade inflation reduce nbmese primary determination final clerkship grade singlestation 43point osce enhanced threestation 75point osce using reporterinterpretermanagereducator rime framework align patient encounters targeted assessments progressive skills competencies related clerkship rotation student performances evaluated pre postosce enhancement student surveys provided feedback clinical realism osce difficulty preintervention osce scores tightly clustered sd 565 around high average performance scores highly negatively skewed postintervention osce scores dispersed sd 688 around lower average scores far less skewed resulting approximately normal distribution lowered total number students achieving pd osce pd clerkship thus reducing relative weight nmbese overall clerkship grade student response positive indicating examination fair reflective clinical experiences structured development osce assessment provide realistic objective measurement clinical performance part summative evaluation students