Table 1

Percentage of Medical Schools Indicating the Use of Student Assessment Strategies For Promotion and Graduation Decisions

Assessment
Modalities

Basic Science Grades

Clinical Skills Grades

Clerkship Grades

Clinical Electives

Honors and AOA

Promotion to Year 3

Graduation

MostA

Top 3B

Most

Top 3

Most

Top 3

Most

Top 3

Most

Top 3

Most

Top 3

Most

Top 3

Multiple Choice Exams

94

98

10

54

30

62

1

15

30

65

12

15

6

15

Oral Examinations

0

5

0

0

0

21

0

4

0

2

0

0

0

0

Essay Examinations

5

45

0

12

2

3

0

1

0

2

0

3

0

0

Laboratory Practical Exams

0

74

0

1

1

0

0

0

0

0

0

3

0

0

Written Records/ Chart Notes

0

0

1

10

0

12

0

24

0

0

0

0

0

0

Faculty/Preceptor Ratings

1

26

67

78

41

83

77

87

18

72

2

12

4

15

OSCE

0

1

0

32

5

15

0

4

0

9

6

15

10

28

SP-Based Assessments (not part of an OSCE)

0

0

1

35

6

13

0

1

0

2

2

3

1

6

Live Observation of Students

0

0

16

39

15

39

19

47

1

17

2

5

0

3

Log Books

0

0

0

3

0

2

0

4

0

0

0

0

0

0

Graded or Rated Case Presentations

0

1

0

10

0

13

0

13

0

0

0

0

0

0

Computer-Based Testing (excluding MCQ)

0

7

0

1

0

0

0

0

0

0

0

0

0

2

USMLE Step Exam

0

5

1

1

0

9

0

1

3

26

73

83

75

88

NBME Subject Exams

0

0

2

0

0

0

0

0

0

0

2

0

0

0

Class Standing

0

0

0

0

0

0

0

0

23

0

3

0

0

0

Other

0

1

1

0

0

14

2

1

25

2

0

2

3

2

A: percentage of schools listing the assessment as most important for the specific promotion/graduation decision
B: percentage of schools listing the assessment as among the three most important data sources for decisions about students