Assessment in the PCHC
The PCHC is a pass/fail course that also offers competency-based assessment across several activities.
Pass/Fail Grading Components
To pass the course you must achieve a 75% from the following possible points (each detailed below)
Attendance at all required Activities (50%)
9/20/24 Reflective Assignment Write Up Completion (10%)
9/25/24 Multidisciplinary Rounds: Inter-Professional Education Simulation Exercise (10%)
9/27/24 Presentation Day (20%)
9/30/24 - Completion of the ILMS (10%)
Points calculated as follows:
Attendance at all required Activities: 50% =
All small group activities - 20
Zoom didactics – 10
MDR session - 10
Presentation day attendance -10
9/20/24 Reflective Assignment Write Up: 10%
9/25/24 Multidisciplinary Rounds: Inter-Professional Education Simulation Exercise: 10% =
Score at least 80% on the Readiness Quiz (5%)
Attend promptly and participate actively with camera on in small groups (scored above under attendance)
Complete evaluation at the end (5%)
9/27 Presentation Day: 20% =
Attend the full session for which you are assigned (scored above under attendance)
Participation in preparation and/or delivery of the presentation (10%)
Review two other teams’ presentations (10%)
9/27/24 - Completion of the ILMS and Post-test: 10%
Milestone-Based Assessment
In addition to the Pass/Fail designation explained above, twelve relevant milestones are assessed during the PCHC through a variety of means. As you know, milestone-based assessments are reported in aggregate within your portfolio and this course will contribute to your portfolio physician competencies. Small group team leaders are asked to complete two evaluations that utilize milestones – the Reflection Evaluation after Week 1 and the Learner Engagement Evaluation after Week 2. The ILM questions and the peer reviews are also linked with milestones. Learners in the middle of their third year would be expected to achieve an average of 3.5 on a four-point scale as shown in the example below..
Reflection Milestone Evaluation
These are evaluated using a rubric of five milestones. The rubric is linked here and also available on the website under Reflection on the Assignment page.
Milestone Adv1E. Understands the determinants of health of individual patients and vulnerable populations, recognizing the impact on healthcare access, wellness and disease and uses knowledge to improve patient care.
Milestone Adv2E. Applies the skills needed to advocate for improving the health of individual patients and populations in need.
Milestone Nav1E. Understands the dual roles of quality improvement and patient safety in healthcare, participating in the identification of, and response to, performance gaps in existing processes.
Milestone Nav4E. Applies knowledge of population health and health equity to how health outcomes vary within and across populations.
Milestone Per3E. Develops self-awareness and self-assessment skills to identify personal (emotional/behavioral), professional, and educational development areas.
For example:
In response to Prompt 1: How has your understanding of social determinants of health, especially the impact of healthcare access, wellness and disease on vulnerable populations changed during this course?
We look for evidence of Milestone Adv1E. Understands the determinants of health of individual patients and vulnerable populations, recognizing the impact on healthcare access, wellness and disease and uses knowledge to improve patient care.
Not Applicable
2.0: Student is not yet meeting early clerkship level performance.
2.5: Student discusses mitigation for social determinants of health that impact care of an individual patient.
3.0: Student proposes changes and discusses mitigation for social determinants of health that impact care of an individual patient, including healthcare access with a focus on the community of interest.
3.5: Student describes detailed effort to improve the care of individuals from vulnerable populations by improving their access to healthcare or social services and addresses social determinants of health for individuals.
4.0: Student describes detailed effort on the population level (systems level) to improve the care of vulnerable populations, their access to healthcare and to address social determinants of health. (Ready for Residency)
You can see the full scale of the rubric for all prompts here.
Learner Engagement Milestone Evaluation
The learner engagement evaluation is completed by team leaders at the end of Week2. Non-faculty share their thoughts with the academic faculty member who completes the evaluation. Attendance and participation in small group activities are included in this consideration.
See the rubric used to evaluate these milestones:
Pro1E. Demonstrates professionalism (i.e., honesty, integrity, altruism, compassion, boundaries, and respect) through behavior and language as a clinical decision-maker.
Per4E. Develops fulfilling relationships by fostering a sense of inclusion, cooperation, and well-being with colleagues, team members, and patients (or community members).
Team leaders are also given open text space to respond to the prompts:
What is one thing that impressed you about the student?
What is one suggestion you might give to the student going forward?
Peer Review of Presentations Milestone Evaluation
Are scored by Dr. Haley at the conclusion of the clerkship then de-identified and shared with members of the team who gave the presentation and their team leaders. These responses will also contribute to evaluation of milestones:
Pro1E. Demonstrates professionalism (i.e., honesty, integrity, altruism, compassion, boundaries, and respect) through behavior and language as a clinical decision-maker.
Per4E. Develops fulfilling relationships by fostering a sense of inclusion, cooperation, and well-being with colleagues, team members, and patients (or community members).
Independent learning modules 1&2 Milestone Evaluation
Two learning modules are followed by a multiple-choice ILM post-test, which contains three items measuring achievement of each of the following five milestones.
Adv1E. Understands the determinants of health of individual patients and vulnerable populations, recognizing the impact on healthcare access, wellness and disease and uses knowledge to improve patient care.
Adv3E. Understands the physician’s obligation of contributing to the common good and designs projects or activities that enhance the well-being of others.
Pro2E. Recognizes and performs in a manner consistent with fundamental ethical principles (i.e., patient confidentiality, respecting patient autonomy and boundaries, using electronic communications appropriately, and the reporting of medical errors, ethical concerns, and unethical behaviors).
Per2E. Demonstrates open-mindedness toward others by accepting others’ perceptions and feedback as a clinical decision maker.
Per5E. Utilizes appropriate resources for personal (emotional/behavioral) and professional (skills/well-being) support as needed.