Relationship between subjective grade and examination score in obstetrics and gynecology clerkships at community and university sites

T D Myles, R Galvez-Myles
Journal of Reproductive Medicine 2001, 46 (8): 729-34

OBJECTIVE: To determine if there were differences in a medical student's subjective grade and obstetric-gynecologic (OB/GYN) test scores based upon the student's site of rotation, hospital type or presence of OB/GYN residents.

STUDY DESIGN: We evaluated 521 students taking their third-year OB/GYN clerkship. The OB/GYN clerkship was eight weeks in length. The six sites (five community and one university) divided the OB/GYN rotations similarly. Five sites had OB/GYN residents; three had University of Illinois (UIC) residents. Comparisons were made between each student's subjective grade and OB/GYN final examination test score with respect to site, presence/absence of OB/GYN residents, community vs. university hospital and presence of UIC residents. Using the chi 2 test of association and regression models, we evaluated for relationships between the subjective grades, final examination scores and final grades. Significance was set at P < .05 for all evaluations.

RESULTS: Examination scores lowered final grades for 9.4% of students trained at the university hospital as opposed to 11.5% of nonuniversity hospitals. Final examination scores were lower than subjective assessments more often than in the nonuniversity hospitals (27.6% vs. 16.2%, P < .001). Hospitals with OB/GYN residents had less of a reduction in grades than did those without residents (8.9% vs. 24.6%, P < .0001) as well as lower final examination scores (with respect to subjective grade) (21.5% vs. 40.3%, P < .0001). The presence of UIC residents further reduced the incidence of examination scores lower than subjective assessment (19.7% vs. 34.0%, P < .0001). A linear correlation was noted between subjective grade and final examination score (r = .243, P < .001); this was strongest at the university hospital.

CONCLUSION: Students trained at a university hospital were less likely to have test scores lower than their subjective grades. Subjective assessments made in the presence of OB/GYN residents reduced the likelihood of a final grade reduction.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"