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SOM OP 30.01.A Page 1

March 16, 2015

Texas Tech University Health Sciences Center School of Medicine SOM OP 30.01, Grading Policy Appendix A

Clerkship NBME Grading Tables 2014-2015

Background The methods for assigning final grades in clerkships for MSIII students underwent significant revision for the 2010-2011 academic year. Clerkship NBME grading was altered to set new cutoff levels for qualification for final grades of Honors, High Pass and Fail (unchanged). Specifically, the cutoff points for these three grades were set at the 80th, 70th and 5th percentiles, respectively. Furthermore, due to the existence of period trends in clerkship NBME scores, with students generally performing at a higher level in later periods, it was decided that quarter-specific data would be used to define percentile rankings rather than using annual data.

Methods Percentile data were obtained from annual reports from the NBME for each of the six clerkship subject exams. Due to the delay in obtaining these complete data from the NBME, the last three years of annual data were collected, thus for academic year 2011-2012, the data utilized were from 2007-2008, 2008-2009 and 2009-2010. Percentile data from each quarter for these three years were collected and averaged to obtain the mean percentile score for each quarter within each clerkship. The scores corresponding to the percentile nearest (but above) the 80th, 70th and 5th percentile were identified and tabulated (see tables 1-6). In order to assign percentile scores for all students, complete percentile ranging tables were generated and are shown in tables 7-12. As shown in the tables, data from quarter 1 will be used to assign percentiles in periods 1 and 2, data from quarter 2 will be used for period 3, data from quarter 3 will be used for periods 4 and 5 while data from quarter 4 will be used for period 6. Grading tables were not changed for AYs 2013-2014 (except for Family Medicine due to a change in examination content) or 2014-2015.

Off cycle students The Office of Student Affairs will ensure that percentile rankings for students who are off cycle will be assigned according to the specific period they are completing, rather than the actual period within the annual academic calendar. It should be noted that this system could result in students obtaining the same numerical score on a clerkship NBME during the same period being eligible for different final grades. For example, an off-cycle student who obtains a score of 76 on the Family Medicine NBME during the November-December rotation (i.e. that students second rotation) would be eligible for a grade of honors, while on-cycle students during that period (i.e. period 3 for those students) would be eligible for a grade of high pass.

Remediation Any student who fails a clerkship NBME is expected to retake that NBME as remediation. In the past, successful remediation has required simply achieving a score that ranks at the 5th percentile or above. This expectation will remain the same, except that the scale used for determining this value will be the scale used in period 6, irrespective of when the remediation exam is taken.


March 16, 2015

Tables Updated: October 29, 2014

2014-2015

Table 1: Family Medicine Grade Category Period 1/2 Period 3 Period 4/5 Period 6 Honors 80th %ile 73 75 77 79 High Pass 70th %ile 70 70 74 76 Pass 5th %ile 54 56 58 60

Table 2: Internal Medicine Grade Category Period 1/2 Period 3 Period 4/5 Period 6 Honors 80th %ile 81 83 84 84 High Pass 70th %ile 79 80 81 82 Pass 5th %ile 62 63 64 65

Table 3: Obstetrics & Gynecology Grade Category Period 1/2 Period 3 Period 4/5 Period 6 Honors 80th %ile 79 80 81 82 High Pass 70th %ile 76 77 79 79 Pass 5th %ile 59 60 61 61

Table 4: Pediatrics Grade Category Period 1/2 Period 3 Period 4/5 Period 6 Honors 80th %ile 82 83 85 85 High Pass 70th %ile 79 80 82 82 Pass 5th %ile 61 62 64 64

Table 5: Psychiatry Grade Category Period 1/2 Period 3 Period 4/5 Period 6 Honors 80th %ile 84 85 85 86 High Pass 70th %ile 82 82 83 83 Pass 5th %ile 63 64 65 65

Table 6: Surgery Grade Category Period 1/2 Period 3 Period 4/5 Period 6 Honors 80th %ile 78 80 82 82 High Pass 70th %ile 75 76 79 79 Pass 5th %ile 57 59 61 61


March 16, 2015

Table 7: Family Medicine 2014-2015 Score P1-2 P3 P4-5 P6

93 or above 99 99 99 99 92 99 99 99 98 91 99 99 99 98 90 99 99 98 97 89 99 99 98 96 88 99 98 97 96 87 99 98 96 95 86 98 97 96 94 85 98 96 95 92 84 97 96 94 91 83 96 95 92 89 82 96 94 91 88 81 95 92 89 84 80 94 91 88 84 79 92 89 84 80 78 91 88 84 75 77 89 84 80 75 76 88 84 75 70 75 84 80 75 64 74 84 75 70 62 73 80 75 64 55 72 75 70 62 51 71 75 64 55 45 70 70 62 51 43 69 64 55 45 36 68 62 51 43 31 67 55 45 36 27 66 51 43 31 22 65 45 36 27 19 64 43 31 22 15 63 36 27 19 12 62 31 22 15 11 61 27 19 12 7 60 22 15 11 5 59 19 12 7 4 58 15 11 5 3 57 12 7 4 2 56 11 5 3 2 55 7 4 2 2 54 5 3 2 2 53 4 2 2 2 52 3 2 2 2 51 2 2 2 2

50 and below 2 2 2 2


March 16, 2015

Table 8: Internal Medicine 2014-2015 Score P1-2 P3 P4-5 P6

93 or above 98 98 97 96 92 98 97 96 95 91 97 96 95 94 90 97 95 94 94 89 96 94 93 92 88 95 93 92 90 87 94 91 90 88 86 92 89 88 86 85 90 87 86 83 84 88 84 83 80 83 86 82 79 76 82 83 79 76 72 81 80 76 72 68 80 76 72 69 64 79 73 69 65 60 78 69 65 61 56 77 63 58 54 49 76 58 54 49 45 75 53 48 44 41 74 50 45 41 37 73 43 39 35 30 72 38 33 30 27 71 35 30 26 23 70 29 25 21 18 69 25 20 17 15 68 21 18 14 13 67 17 14 11 10 66 14 11 9 7 65 11 8 6 5 64 9 7 5 4 63 7 5 4 2 62 5 4 3 2 61 4 3 2 1 60 3 2 2 1 59 2 1 1 0 58 1 1 1 0 57 1 1 0 0 56 1 0 0 0 55 1 0 0 0



March 16, 2015

Table 9: Obstetrics & Gynecology 2014-2015 Score P1-2 P3 P4-5 P6

93 or above 99 99 98 98 92 99 99 98 97 91 98 98 97 96 90 98 98 97 96 89 98 97 95 95 88 97 96 94 94 87 96 95 93 92 86 95 94 91 90 85 94 92 90 89 84 93 91 88 87 83 92 89 86 84 82 89 86 82 81 81 87 84 80 78 80 85 81 77 76 79 82 78 73 72 78 78 74 69 68 77 76 71 66 64 76 71 67 60 60 75 67 63 56 54 74 63 58 51 49 73 57 52 46 44 72 53 47 42 39 71 48 43 37 34 70 42 38 32 29 69 38 33 28 26 68 33 29 23 22 67 28 25 20 18 66 24 20 16 14 65 21 17 13 12 64 16 14 11 10 63 14 11 9 8 62 11 9 7 6 61 8 7 5 4 60 7 5 4 4 59 5 4 3 3 58 4 3 2 2 57 3 2 2 1 56 2 2 1 1 55 1 1 1 1



March 16, 2015

Table 10: Pediatrics 2014-2015 Score P1-2 P3 P4-5 P6

93 or above 98 98 96 95 92 98 97 95 94 91 97 96 94 93 90 97 95 93 93 89 95 94 91 90 88 94 93 89 88 87 93 92 87 86 86 91 89 85 84 85 89 87 82 81 84 88 86 79 78 83 85 83 77 75 82 82 79 73 71 81 79 76 69 67 80 76 73 66 64 79 73 69 62 60 78 69 65 57 55 77 64 60 52 50 76 60 56 48 46 75 54 51 43 41 74 50 47 39 36 73 46 41 34 31 72 41 36 29 27 71 35 31 25 23 70 31 28 21 19 69 27 24 18 16 68 23 20 14 14 67 19 16 11 10 66 15 12 9 8 65 13 10 7 6 64 11 8 6 5 63 8 6 4 4 62 6 5 3 3 61 5 3 2 2 60 3 2 2 1 59 3 2 1 1 58 2 1 1 1 57 1 1 1 0 56 1 1 0 0 55 1 1 0 0



March 16, 2015

Table 11: Psychiatry 2014-2015 Score P1-2 P3 P4-5 P6

93 or above 96 95 95 94 92 94 94 93 92 91 94 94 93 92 90 92 92 91 89 89 91 91 89 87 88 89 89 88 86 87 87 87 84 83 86 84 83 81 80 85 82 82 80 78 84 80 79 76 74 83 75 75 72 70 82 72 72 68 66 81 68 68 64 61 80 63 63 60 57 79 59 59 56 53 78 55 54 51 48 77 51 50 46 44 76 46 45 41 39 75 42 41 36 35 74 37 36 32 30 73 33 31 27 26 72 29 28 24 22 71 24 23 20 18 70 21 20 17 16 69 17 17 14 13 68 14 13 11 10 67 12 11 9 8 66 10 9 7 6 65 8 7 6 5 64 6 5 4 4 63 5 4 3 3 62 4 3 3 2 61 3 2 2 2 60 2 2 2 1 59 2 1 1 1 58 1 1 1 1 57 1 1 0 0 56 1 1 0 0 55 0 0 0 0



March 16, 2015

Table 12: Surgery 2014-2015 Score P1-2 P3 P4-5 P6

93 or above 99 99 98 98 92 99 98 97 97 91 99 98 96 96 90 99 98 96 96 89 98 97 95 95 88 97 96 94 93 87 97 95 93 93 86 97 94 91 91 85 95 92 89 89 84 94 90 86 86 83 92 88 84 83 82 91 87 82 81 81 89 85 79 78 80 87 82 76 76 79 85 79 72 72 78 82 76 69 69 77 79 73 64 64 76 76 70 60 60 75 72 65 56 55 74 67 58 50 49 73 63 54 46 44 72 58 50 42 40 71 54 46 38 36 70 50 42 34 31 69 45 38 29 27 68 41 33 25 24 67 35 28 21 20 66 31 24 18 16 65 27 20 14 13 64 23 17 12 11 63 19 14 9 9 62 16 12 8 7 61 13 9 6 5 60 10 8 4 4 59 8 6 3 3 58 6 4 2 2 57 5 3 2 2 56 3 2 1 1 55 3 2 1 1


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