Who Should Get Honors?

Evaluation: This large survey study of medicine and pediatric inpatient clerkship faculty had a respectable 62% response rate.  Attendings were asked to describe their impressions of the evaluation/honors system and rank a total of 24 student characteristics in terms of their importance to giving an honors grade.  Even though 81% reported receiving no training on which students should receive honors, 86% felt that they could readily identify the high-performing student.  Eighty-three percent thought that fewer than 25% of their students should receive an honors designation.  Of the 24 student characteristics, 21 fell into three domains: professional behaviors (Factor 1), teamwork and communication skills (Factor 2), and systems-based behaviors such as evidence-based medicine practice and patient safety skills (Factor 3).  The five top-rated student characteristics were taking ownership of patients, clinical reasoning, curiosity, dependability, and high ethical standards.  All of these except clinical reasoning fell into Factor 1, the professional behavior domain.    Students who want honors, be aware that these are the characteristics your attendings are looking for! — Laura Willett, MD

Herrera LN, Khodadadi R, Schmit E, Willig J, Hoellein A, Knudson C, Law K, Mingioni N, Walsh K, Estrada C, Williams W. Which Student Characteristics Are Most Important in Determining Clinical Honors in Clerkships? A Teaching Ward Attending Perspective. Acad Med. 2019

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