Why tiered clerkship grading fails medical students today

Medical students are often told that third-year clerkships are their place to shine because they will be evaluated as future physicians. Unfortunately, the evaluation systems themselves frequently undermine that goal. During an internal medicine rotation, I was told that my performance was “excellent,” to merit top marks, but awarding the highest grade would be inappropriate because it was my first rotation. In another clerkship, evaluations seemed driven less by clinical …

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Why tiered clerkship grading fails medical students today