Students will be assigned a Satisfactory/Unsatisfactory grade for the radiology clerkship and a formative/summative narrative will also be generated for all students. An “expected level” of performance is based on a reasonable combination of internal Harvard Medical School criteria and a more general level seen at most medical schools.

Criteria for Satisfactory:

A satisfactory grade is given to students who have completed the radiology clerkship and have demonstrated adequate proficiency in the fundamentals of radiology. Appropriate imaging selection, basic anatomy and pathophysiology, oral presentation skills, basic radiologic image analysis, the final written exam, interactions with faculty and staff, and timely attendance at radiology tutorials will all be considered in the student’s final grade. We will make observations of the students in various classroom exercises, and feedback from tutorial leaders and teachers in the reading rooms, when provided, will be given to students.

Criteria for Unsatisfactory:

1. Student has shown significant deficits in any one of the major areas of assessment including:
   1. attendance at the majority of tutorials
   2. obtaining clinical information
   3. choosing the appropriate radiologic study for a clinical problem
   4. describing radiologic findings in a clear logical manner using appropriate radiologic terminology
   5. generating adequate differential diagnoses and plans for further work-up
   6. exhibiting an adequate fund of knowledge of anatomy and pathophysiology of disease
   7. communicating and interacting appropriately with staff and faculty
   8. demonstrating reliability, integrity, collegiality and cultural sensitivity, and
   9. showing motivation to learn and to improve
2. The deficit(s) observed cause serious concern about the student’s ability to deliver appropriate radiologic work-up of patients, provide correct interpretation of key critical radiologic images, and/or to conduct themselves with the professionalism expected of PCE year medical students.
3. And/Or persistent failure to pass the Final Exam or other assessments as determined by the Clerkship Director
4. Or a failing grade on the Oral Radiology presentation as well as on the Final Exam (< 62)

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The student’s final formative assessment will include grading from the written and oral PACS 1 and 2 exercises, case presentations and the Case Review. Additionally the CORE final exam grade will be reported in the formative section. The final summative grading form will include an assessment of the six core competencies: medical knowledge, critical thinking and inquiry, case presentation skills, professionalism, interpersonal and communication skills and organizational/social determinants of care.

1. Gather a history (EPA 1A)
2. Recommend and interpret common diagnostic and screening tests (EPA 3)
3. Provide an oral presentation of a clinical encounter (EPA 6)
4. Form clinical questions and retrieve evidence to advance patient care (EPA 7)
5. Collaborate as a member of an interprofessional team (EPA 9)
6. Recognize a patient requiring urgent or emergent care and initiate evaluation (EPA 10)
7. Identify system failures and contribute to a culture of safety and improvement (EPA 13)

The EPA’s will be assessed on a scale of 1-5 (Pre-Entrustable, Pre-Entrustable-Emerging, Emerging, Emerging-Entrustable, Entrustable). It is our philosophy that students, in general, in the PCE year will not be attaining an “Entrustable” evaluation for any particular skill and that an “Entrustable” evaluation should be reserved for upperclassmen, nearing the knowledge and skills of an incoming first year intern. Most students will fall in the “Emerging” category for the EPA’s.