Evidence map›Paper›PMID 38025027›Full record

ArticleJournal of medical education and curricular development

The Effect of Pass/Fail Exam Grading on Exam Performance in a Pediatric Clerkship.

Madison E Kahle, Kayla M Hamann, Aliya A Sakher, Spencer R Goble, Katherine Murray, Yeng M Miller-Chang, Andrew Pj Olson

Abstract read
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Article in Journal of medical education and curricular development. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Madison E KahleDepartment of Pediatrics, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.
Kayla M HamannDepartment of Pediatrics, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.
Aliya A SakherDepartment of Pediatrics, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.
Spencer R GobleDepartment of Medicine, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-2076-2670
Katherine MurrayDepartment of Pediatrics, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.
Yeng M Miller-ChangMedical Education Outcomes Center, Office of Medical Education, University of Minnesota Twin Cities School of Medicine, Minneapolis, MN, USA.ORCID https://orcid.org/0000-0001-9860-3560
Andrew Pj OlsonDepartment of Pediatrics, University of Minnesota Medical School Twin Cities Campus, Minneapolis, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveClerkship grades are a component of determining a residency candidate's competitiveness. In 2017, the University of Minnesota Medical School's pediatric clerkship transitioned its standardized multiple-choice exam, the Aquifer Pediatrics Examination, to pass/fail with eligibility for honors being determined by clinical performance, not exam performance. We assessed the effect this change had on Aquifer exam performance and evaluated for correlation between Aquifer exam performance and clinical evaluation scores in order to gather insight into the validity of each type of assessment with respect to one another.

methodsWe analyzed de-identified data from 750 medical students between the academic years of 2016 to 2017 and 2019 to 2020. Individual Aquifer exam scores were compared to individual clinical performance scores. Differences in exam performance before and after the transition to pass/fail were investigated with a two-sample

resultsNo correlation was found between Aquifer exam scores and clinical performance scores. The mean Aquifer exam score prior to the transition to pass/fail was 80.02 ± 7.51 while the mean after the exam was made pass/fail was 77.8 ± 7.42. This difference was statistically significant (

conclusionsA lack of correlation between the Aquifer exam scores and clinical performance scores was found. There was a small yet statistically significant decrease in Aquifer exam scores after the change to pass/fail; it is not clear if this represents a meaningful decrease in learning by students.

Indexed as

clerkshipgradingMedical educationpass/fail

Identifiers

PMID38025027
PMCPMC10666693

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.