clerkship handbook - University of Hawaii – Department of Medicine

Credit
a. To earn Credit for the Third-Year Clerkship in Internal Medicine (MED 531 for 6B students;
MED 532 for 6L students), students must demonstrate Clerkship Level Competency in all three
domains, as reflected by their Clinical Performance (inpatient and ambulatory), CSE and NBME
Exam.
For Clinical Performance (inpatient and ambulatory rotations), students need to receive ratings of
Competent or higher.
On the CSE, students need to score 55 or higher.
On the NBME Exam, students need to score 60 or higher.
Students who do not demonstrate Clerkship Level Competency in all three domains by the end of
the clerkship may be required to repeat part or all of the clerkship and/or retake the CSE and/or
NBME Exam.
b. To earn Credit for Advanced Medicine (MED 541), which is a JABSOM graduation requirement,
students must also demonstrate Graduation Level Competency on their CSE and NBME Exam
by December 31 of the fourth year.
On the CSE, students need to score 60 or higher.
On the NBME Exam, students need to score 67 or higher.
Students who do not demonstrate Graduation Level Competency on their CSE and/or NBME
Exam by the end of the clerkship will be required to retake the respective exam. They may also
be required to complete a designated fourth-year Medicine elective before retaking the exam.
Retaking Exams
CSE
Students who score 55-59 on their CSE must retake the CSE and score 60 (Graduation Level
Competency) or higher by December 31 of their fourth year. Students will have up to two (2)
opportunities to achieve this.
NBME Exam
Students who score 60 - 66 on their NBME Exam must retake the NBME Exam and score 67
(Graduation Level Competency) or higher by December 31 of their fourth year. Students will have up
to two (2) opportunities to achieve this.
Honors
The Department of Medicine gives all students the opportunity to earn an "Honors" grade for exceptional
performance in the Third-Year Clerkship in Internal Medicine.
To earn Honors for the Third-Year Clerkship in Internal Medicine (MED 531 for 6B students; MED
532 for 6L students), students must demonstrate mostly Exceptional performance in all three domains,
as reflected by their Clinical Performance (inpatient and ambulatory), CSE and NBME Exam by the end
of the clerkship.
10