Medical Student Performance Record (MSPR)

November 2017

Dear Program Director:

Re: First Name Middle Name Last Name, Degree

The following is an analysis of the academic performance and accomplishments of First Name Last Name who has successfully completed three years of a four-year medical program and is expected to graduate in May 2018.

Professionalism is evaluated in all components of the MD Program and a student can be dismissed on this basis, regardless of their academic standing.

Please note that Year 3 consists of 51 weeks of core clinical training.  Consequently, there is no opportunity to undertake clerkship electives until the fourth year.

Pre-Clerkship Program

Performance in the first two years of the Program is evaluated in written examinations and in Case Based Learning Tutorials (CBL).    A pass in a Unit is defined as satisfactory CBL sessions and obtaining a mark on the written exam ³ 60%.  The performance rating is based on a pass/fail system only.

Year 1 & Year 2

Unit Name

Weeks

Performance Rating

Introduction to the Profession Unit

2

Pass

Foundations Unit

13

Pass

Unit I

19

Pass

Unit II

15

Pass

Unit III

10

Pass

Integration Unit

9

Pass

Rural Week

1

Pass

Mandatory Clinical Week

1

Pass

Physician Skills Development

2 years

Pass

Portfolio on Core Competencies Part 1 & 2

2 years of  4 years

Continuing

CBL Tutor Summary

CBL tutors in years 1 and 2 consistently describe First Name as someone who:

 

Clerkship Program

Unit Name

Weeks

Performance Rating

Portfolio on Core Competencies Part 3 & 4

2 years of  4 years

Continuing

Year 3

Clinical rotations are preceded by a 3-week Link Period for which students must pass a clinical evaluation. Clerkship rotations are 6 weeks in duration. To achieve a pass, a student must pass the clinical performance evaluation and the written examination.  Students have 2 opportunities to pass the written examination before failing a rotation. A student may be distinguished only by being nominated for or winning an outstanding clinical performance award (Award in Education Clinician Competency).

To graduate, students must pass a comprehensive clerkship OSCE.

Rotations are listed in the order taken by the student.

Rotation

Rotation Head/Preceptor Summary

Surgery

Nominated for the Outstanding Clinical Performance Award

First name:

  •  
  •  

Obstetrics and Gynecology

First name:

  •  
  •  

Psychiatry

First name:

  •  
  •  

Family Medicine

First name:

  •  
  •  

Pediatrics

First name:

  •  
  •  

 

Mandatory Selective

First name:

  •  
  •  

 

Acute Care Medicine

First name:

Emergency Medicine

  •  
  •  

Anesthesia

  •  
  •  

Internal Medicine

First name:

  •  
  •  

Pre-Clerkship Electives

Academic/Clinical/Interprofessional

Title

Hospital Name, City, Province

Total hours

 

 

 

Mandatory/Community Service Learning (CSL)

Name of Placement

# of hours

 

 

Volunteer/Community Service

Role

Name (description of the committee)

# of years

 

 

 

Special Interest Groups

Role

Name (description of the committee)

# of years

 

 

 

Professional Development

Title & Role

City, Province

Academic Year

 

 

 

Clerkship Electives

Title

Hospital Name, City, Province

Weeks

 

 

 

Awards Received

Note:  See the Ottawa Disclosure Form for a description of Awards.

Contributions To The Faculty Of Medicine

Leadership Experience

Additional Certifications

Social Accountability

Research

Reprimands/Probations On Permanent Record

Special Circumstances/Comments

I certify that every effort has been made to ensure the accuracy of the information presented in this report and I accept responsibility for this document.

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