Thomas Lia A, Milburn Nathaniel, Kay Abigail, Hatch Erica
VA North Texas Health Care System, Dallas, TX, USA.
UT Southwestern Medical Center, Dallas, TX, USA.
Acad Psychiatry. 2018 Jun;42(3):354-356. doi: 10.1007/s40596-017-0764-7. Epub 2017 Aug 3.
In an effort to provide medical students with opportunities for accurate grading, some psychiatry clerkship directors allow for grade appeals. The authors examined the appeals process from the clerkship directors' perspective.
A 23-item survey, consisting of multiple choice and narrative questions, was sent to allopathic and osteopathic accredited schools in North America. Questions included information about the medical school, the clerkship director, and the grade appeal processes. StatPlus sorted and analyzed the data, and grade challenge rates were compared between schools. The narrative responses were independently sorted by the authors.
Sixty-one responses were received (35% of programs). A grade challenge rate was calculated for each response, using the number of appeals/students per year, allowing for further comparison of grade challenges. Clerkships with an honors/pass/fail grading schema had a higher grade challenge rate (p = 0.002) when compared to all other reported grading schemas. Clerkships where the grade appeal could result in a lower grade had a smaller grade challenge rate (p = 0.026) as compared to programs where a grade appeal could not result in a lower grade. The authors observed three common pathways for the processing of grade appeals and four common themes among clerkship directors as contributors to grade appeals.
A grade appeal is often the final step in the grading process for medical students. By identifying factors that contribute to grade appeals, areas for targeted interventions in the evaluation process are potentially identified. Future study of grade appeals, including from the medical students' perspective, is warranted.
为给医学生提供准确评分的机会，一些精神病学实习主任允许成绩申诉。作者从实习主任的角度审视了申诉过程。
向北美所有经认可的全科医学和骨科医学学校发送了一份包含23个项目的调查问卷，其中包括多项选择题和叙述性问题。问题涵盖了医学院校、实习主任以及成绩申诉流程等信息。StatPlus软件对数据进行了分类和分析，并比较了各学校的成绩质疑率。作者对叙述性回答进行了独立分类。
共收到61份回复（占项目总数的35%）。通过计算每年的申诉数量/学生数量得出每个回复的成绩质疑率，以便进一步比较成绩质疑情况。与其他所有报告的评分模式相比，采用荣誉/通过/不及格评分模式的实习课程成绩质疑率更高（p = 0.002）。与成绩申诉不会导致成绩降低的项目相比，成绩申诉可能导致成绩降低的实习课程成绩质疑率更低（p = 0.026）。作者观察到成绩申诉处理的三种常见途径以及实习主任中导致成绩申诉的四个共同主题。
成绩申诉通常是医学生评分过程的最后一步。通过识别导致成绩申诉的因素，有可能确定评估过程中需要有针对性干预的领域。未来有必要对成绩申诉进行研究，包括从医学生的角度进行研究。
