Table 3.
Type of Assessment Contributing to the Final Grade in the Internal Medicine Clerkship
| Pre-pandemic (n=99), no. of responses (%) | Clinical re-entry (n=95), no. of responses (%) | Currently (n=98), no. of responses (%) | p value* | |
|---|---|---|---|---|
| Oral exam | 6 (6.1) | 3 (3.2) | 4 (4.1) | 0.315 |
| Faculty evaluations | 97 (98) | 90 (94.7) | 96 (98) | 0.260 |
| Evaluations from non-physician team members | 4 (4) | 4 (4.2) | 4 (4.1) | 0.999 |
| Evaluations from residents | 77 (77.8) | 73 (76.8) | 76 (77.6) | 0.611 |
| Assessment from patients | 2 (2) | 2 (2.1) | 3 (3.1) | 0.999 |
| In-person OSCE** | 45 (45.5) | 13 (13.7) | 22 (22.5) | <0.001 |
| Virtual OSCE | 1 (1) | 28 (29.5) | 25 (25.5) | <0.001 |
| Other simulation examinations | 8 (8.1) | 5 (5.3) | 8 (8.2) | 0.611 |
| Observed bedside encounters | 45 (45.5) | 38 (40) | 46 (46.9) | 0.162 |
| Telemedicine observation | 0 (--) | 6 (6.3) | 5 (5.1) | 0.039 |
| MCQs other than NBME Shelf exam | 23 (23.2) | 19 (20) | 24 (24.5) | 0.101 |
| NBME Shelf exam | 92 (92.9) | 84 (88.4) | 89 (90.8) | 0.064 |
| Participation in group didactics | 35 (35.4) | 31 (32.6) | 33 (33.7) | 0.225 |
| Online modules | 23 (23.2) | 34 (35.8) | 30 (30.6) | 0.001 |
| Notes/write-ups | 61 (61.6) | 54 (56.8) | 58 (59.2) | 0.152 |
| Graded reflections | 16 (16.2) | 12 (12.6) | 13 (13.3) | 0.135 |
| Other | 15 (15.2) | 17 (17.9) | 16 (16.3) | 0.372 |
*Pearson chi-square (2 degrees of freedom) with Sidak-adjusted p values; tests for goodness-of-fit between all three periods
**Observed Structured Clinical Exam with standardized patients in-person
MCQ, multiple choice question; NBME, National Board of Medical Examiners
n, total number of respondents/phase (i.e., pre-pandemic, clinical re-entry, and currently (in relevance to survey)