In all Clerkships (Core Clinical Rotations), students are:
- Specifically assigned to participation and supervision by an individual attending physician or a team headed by an attending physician. That faculty member has a responsibility to monitor and assess student performance and progress during that clinical rotation.
- Whenever possible, attending physicians are asked to directly observe student-patient interactions. This activity is monitored through end of rotation student surveys.
- Provided with regular direct feedback on their performance and progress by an attending physician
In addition, Clinical Assessment System (CAS) log data document faculty or resident oversight of the activities specifically detailed in that patient log.
Example of a student log:
My Role:
- History Taking: Performed Alone, Performed with Faculty, Performed with Housestaff
- Physical examination: Performed Alone, Performed with Faculty, Performed with Housestaff
- Patient education: Performed Alone, Performed with Faculty, Performed with Housestaff
- Differential Diagnosis: Developed by Student, Reviewed/discussed with Faculty
- Diagnostic Plan: Developed by Student, Reviewed/discussed with Faculty
- Treatment Plan: Developed by Student, Reviewed/discussed with Faculty
- Discharge Planning: Developed by Student, Reviewed/discussed with Faculty
- Oral Presentation to: Faculty, Housestaff
- Written Presentation reviewed/ discussed with: Faculty
NBME Subject Exam
The NBME provides subject examinations in the basic and clinical sciences for the purpose of assessing the educational achievement of individuals in specific subject areas. These examinations are provided to medical schools and other institutions with a legitimate interest in the education of physicians or other health professionals.
The subject exams are used at virtually all LCME-accredited medical schools in the United States and Canada, many osteopathic medical schools, and approximately 25 international schools in the Caribbean, Mexico, Europe, the Middle East and Asia.
Subject examinations are primarily designed for use as final examinations after courses, clerkships, or other units of instruction. Scores achieved on NBME subject examinations cannot be used by examinees for credit toward the examination requirements for medical licensure in the United States.
Citing website: NBME www.nbme.org/students/subject-exams/subexams.html