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Reason for Policy
Last Updated: 07/23/2019
Responsible University Office:
Medical Student Education
Responsible University Administrator
Phase 1 Dean
|RESPONSIBLE||Phase 1 assistant dean|
|ACCOUNTABLE||Senior Associate Dean of Medical Student Education|
|SUPPORT||Curriculum Council Steering Committee|
|CONSULT||Assistant dean for academic records and promotions|
|INFORM||Students; phase 1 course management teams; competency directors; course instructors|
9.5 Narrative assessment
9.8 Fair and Timely Summative Assessment
Students enrolled in phase 1 of the Indiana University School of Medicine undergraduate medical curriculum; faculty members; and other personnel working with phase 1 students.
All students will be evaluated using the institutional learning objectives as defined by the Curriculum Council Steering Committee. Based on course assessments, students will receive a grade in accordance with the pass-fail grade scale. (see definitions) and narrative feedback at the conclusion of each course.
Reason for Policy
The purpose of this policy is to define the grading system used by IUSM to evaluate students in phase 1 of the competency-based curriculum (as defined by the CCSC) and to ensure consistency and fairness of grades.
Approved by the Curriculum Council Steering Committee 08/14/2018.
Grade and evaluation reports are made available to each student after the completion of each phase 1 course. The period between the end of course and availability of the course grade should not exceed 30 days (see Timeliness of Grades policy).
A faculty member who is a relative of, is in a relationship with, or has had a prior relationship with a student that could be perceived as a conflict of interest cannot be responsible for evaluating that student.
If a student receives a failing grade in a course or demonstrates deficiency in at least one competency, the Student Promotions Committee will recommend an action to address the concern (see the Student Promotions Committee policy).
Final grades are reported to the Registrar’s Office, where they become a part of the student’s permanent academic record. The assistant dean for academic records and promotions reports grades to the Student Promotions Committee. After the end of each course, a summary of grades awarded that year will be reviewed by the Curriculum Council Steering Committee.
All Phase 1 courses will use the Pass, Fail, Incomplete or Withdrawal grade options in assigning a final course grade, and course grades will be assigned as follows:
- Pass: It is expected that the passing rate will range from 95 percent to 100 percent of students in phase 1 courses. A passing grade is assigned to all students who meet course requirements. A passing grade is assured if a student meets the following criteria below:
- Scores within or above 2 standard deviations of the statewide class mean based on the total of all assessments given in the course
- Scores within or above 2 standard deviations of the statewide class mean on the customized NBME exam
- Meets all the course competency requirements
- Completes all required assignments (e.g., essays, papers, history and physicals, etc.) by the end of the course.
- Fail: It is expected that the failure rate will range from 0 to 5 percent in phase 1 courses. A failing grade is assigned to a student who meets any ONE of the following criteria:
- Does not meet the above passing criteria and falls below the passing line as determined by the CMT
- Has failed to complete all required assignments (e.g., essays, papers, history and physicals, etc.) by the end of the course.
- Has failed to remediate a competency in which he/she received an Isolated Deficiency.
- Has received Isolated Deficiencies in two or more competencies.
The following designations may be used as placeholders for grades, but will not appear on the official final transcript once the final grade has been determined:
Signifies that extenuating circumstances have prevented the student from completing the course requirements and has been approved to take an incomplete designation with the CMT. The Incomplete must be removed before the student may proceed into the next year of study.
An Isolated Deficiency will be assigned to students who would receive an overall passing grade except for failing one of the competencies taught and assessed in the course. The Isolated Deficiency designation is not a final grade and will not appear on the final transcript. Instead, the ID serves as a designation while the remediation process is carried out and will transition to a pass or a fail based on the remediation process.
The ID must be remediated for the student to pass the course.
Two or more IDs in the same course result in course failure.
Failure of the main competency taught and assessed in a course (Medical Knowledge for foundational science courses excluding Transitions 1; Patient Care for Foundations of Clinical Practice) results in course failure; thus, no ID can be assigned for that competency. For Transitions 1, failure of the exam retake will result in an ID in Medical Knowledge that must be remediated.
Area of Concern Notifications
An Area of Concern identifies at-risk students with “low-level” problems that may escalate if not addressed early in a course, clerkship or elective.
The AOC designation is not a final grade and will not appear on transcripts; rather, AOC marks an opportunity for intervention/improvement by a student when low-level concerns are raised in any competency that, if not addressed, could escalate to the student receiving an Isolated Deficiency or a “Fail” grade (see AOC policy for details).
The Indiana University School of Medicine evaluation system is built on competency- based learning as defined by the Curriculum Council Steering Committee. The IUSM uses the following grade markers for the official transcript:
- Pass (P): Signifies performance that is satisfactory or above.
- Withdrawal (W): Signifies that the student withdrew before completing course objectives
- Fail (F): Signifies that the student has not performed satisfactorily.
- Remediated Failure (F/P): Signifies that the student has successfully remediated a failing course grade.
The IUSM uses the following placeholders for grades which will not appear on the official transcript until the final grade is determined:
- Incomplete (I): Signifies that extenuating circumstances have prevented the student from completing the course requirements. The Incomplete must be removed before the student may proceed into the next year of study.
- Isolated Deficiency (ID): Signifies that a student has performed adequately, except for a particular area of weakness in one of the six competencies. The student must complete remedial work in the designated competency to pass the educational experience.
The grade of Isolated Deficiency will be assigned to students who have an isolated deficit in a competency. The six IUSM competencies are:
- Patient Care (PC).
- Interpersonal Communication Skills (ICS).
- Medical Knowledge (MK).
- Professionalism (P).
- Practice-Based Learning and Improvement (PBLI).
- Systems-Based Practice (SBP).
- Area of Concern (AOC) identifies at-risk students with “low-level” problems that may escalate if not addressed early in a course. AOC is not a final grade and will not appear on transcripts; rather, AOC marks an opportunity for intervention/improvement by a student when low-level concerns are raised in any competency that, if not addressed, could escalate to a student receiving an ID or grade of Fail (see AOC policy for details).
If a student fails to pass a course or demonstrates deficiency in a competency domain, the Student Promotions Committee will recommend an action to address the problem.
|Student Records Specialist, Medical Student Education||Kim Sandrickemail@example.com|
- CCSC Charter
- Area of Concern
- Mid Rotation Feedback Policy
- Timeliness of Grades Policy
- Academic Requirements Policy
- Guidelines for Promotion, Suspension, Dismissal, and Withdrawal.
- Non-Involvement of Health Care Providers Policy.
- Grade Policy for Phase 2 and Phase 3 Courses, Clerkships, and Electives
Approved by the Curriculum Council Steering Committee 8/2016.
Revised and approved by Curriculum Council Steering Committee 12/1/2016.
Changed the passing and failing criteria to reflect the criteria listed in Phase 1 Grading Policy 7/10/17.
Concept approved by the Curriculum Council Steering Committee 7/17/2018.
Additional clarification of ID process related to Transitions 1 provided 08/07/2018.
Formally approved by the Curriculum Council Steering Committee 08/14/2018 effective with the start of the AY2018-2019 for Phase 1.
Updated Definitions to include remediated failure definition on 5/8/2019.
Approved by CCSC 05/14/2019.
ASC recommendation clarification of Pass and Fail criteria in Procedures section on 7/19/2019.
Approved by CCSC on 7/23/2019.