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- Title
A Retrospective Analysis of Medical Student Performance Evaluations, 2014-2020: Recommend with Reservations.
- Authors
Tisdale, Rebecca L.; Filsoof, Amy R.; Singhal, Surbhi; Cáceres, Wendy; Nallamshetty, Shriram; Rogers, Angela J.; Verghese, Abraham C.; Harrington, Robert A.; Witteles, Ronald M.
- Abstract
<bold>Background: </bold>The Medical Student Performance Evaluations (MSPE) is a cornerstone of residency applications. Little is known regarding adherence to Association of American Medical Colleges (AAMC) MSPE recommendations and longitudinal changes in MSPE content.<bold>Objectives: </bold>Evaluate current MSPE quality and longitudinal changes in MSPE and grading practices.<bold>Design: </bold>Retrospective analysis.<bold>Participants: </bold>Students from all Liaison Committee on Medical Education (LCME)-accredited medical schools from which the Stanford University Internal Medicine residency program received applications between 2014-2015 and 2019-2020.<bold>Main Measures: </bold>Inclusion of key words to describe applicant performance and metrics thereof, including distribution among students and key word assignment explanation; inclusion of clerkship grades, grade distributions, and grade composition; and evidence of grade inflation over time.<bold>Key Results: </bold>MSPE comprehensiveness varied substantially among the 149 schools analyzed. In total, 25% of schools provided complete information consistent with AAMC recommendations regarding key word/categorization of medical students and clerkship grades in 2019-2020. Seventy-seven distinct key word terms appeared across the 139 schools examined in 2019-2020. Grading practices markedly varied, with 2-83% of students receiving the top internal medicine clerkship grade depending on the year and school. Individual schools frequently changed key word and grading practices, with 33% and 18% of schools starting and/or stopping use of key words and grades, respectively. Significant grade inflation occurred over the 6-year study period, with an average 14% relative increase in the proportion of students receiving top clerkship grades.<bold>Conclusions: </bold>A minority of schools complies with AAMC MSPE guidelines, and MSPEs are inconsistent across time and schools. These practices may impair evaluation of students within and between schools.
- Subjects
MEDICAL students; RETROSPECTIVE studies; INTERNSHIP programs; EDUCATIONAL tests &; measurements; MEDICAL schools; MEDICAL education
- Publication
JGIM: Journal of General Internal Medicine, 2022, Vol 37, Issue 9, p2217
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-022-07502-8