This system we use to determine final grade in the UW Medicine 665 clerkship is called the P/RIME method. The P/RIME method combines the widely used RIME technique for assessing a student’s cognitive and clinical abilities with assessment of professionalism. Both are crucial to the final grade.
| Professionalism | Qualities to assess under professionalism include: Compassion; Respect for patients, peers, and colleagues; Responsibility; Integrity; Altruism; and Scholarship or Educational attitudes. Students who are examples to others of professional behavior are at the Honors level. Students who are neither superlative nor deficient in professionalism can be considered for “High Pass.” Students with minor deficits who are working to correct them are considered passing. Students with major deficits who fail to correct them despite receiving feedback during the clerkship should fail the clerkship. |
| Reporter | Takes excellent history and does an appropriate physical exam. Is able to do concise and excellent presentations and exchanges information very well. This level is the expected competency level (PASS) for a third year medical student. (As expected or Above expected on the grading form) |
| Interpreter | The student takes information and reliably interprets data to come up with diagnoses and appropriate differential diagnoses. The differential diagnoses should be weighed to point out the most likely diagnoses. Students functioning at the Interpreter level 75% or more of the time are at the High Pass level. |
| Manager | The student at the Manager level excels as a Reporter and Interpreter but in addition routinely suggests appropriate patient management issues that shows understanding of the disease process and the underlying pathophysiology. Students functioning at the Manager level 75% or more of the time are at the Honors level. The student with flashes of brilliance who performs at the Manager level up to 75% of the time should not be given a honors grade, but instead, a high pass. |
| Expert/Educator | This level is rarely attained by students. “Expert” level can only be achieved if reporting, interpreting, and management/clinical judgment skills are consistently present. To be an Educator, the student must educate the patient, the care team, and his/her colleagues to the degree that they are considered the authority on the team in an area. Doing reading, research or teaching presentations alone without demonstration of expert judgment is not sufficient for this level of performance. Few students perform at the Expert/Educator level consistently, but those who do should be ranked at the Honors level. |