MED 7740 Phase 4 Preparation
Phase 3, Class of 2025
2022-2023

Assessment Plan
 
The assessment plan sets out the principles and key elements used to assess the learner’s performance in an accurate, consistent, and objective manner for MED 7740 Phase 4 Preparation.
 
MED 7740 Phase 4 Preparation introduces learners to skills and competencies required to enter into the Phase 4 clinical experience. This course consists of a one-week on-site component and a separate virtual component to be completed prior to the start of Phase 4.
 
Attendance is required for the Phase 4 Preparation course. Any absence from live sessions or omission of prerecorded sessions must be requested in writing and approved by the Undergraduate Medical Education (UGME) office.

COURSE SUCCESS CRITERIA
To pass the course, a learner must:

• Pass the on-site and on-line components,
• Attend or complete all sessions as per the course requirements.

Exam and assignment deferrals will only be approved by the Phase Lead under exceptional circumstances, see Exam Deferral Policy.

Promotion regulations:

• Even if a learner has passed all examinations and assignments, a learner may be required to repeat the Phase or withdraw conditionally or unconditionally from the program (see section 10.5.3 in the University calendar) if there are significant concerns about a learner’s performance (as communicated to the learner by the Phase Lead). Examples may include, but are not limited to, late assignments without proper deferral process, lapses in professionalism, recurrent reassessment exams.
• As outlined in Section 10.5.2 of the Regulations for the Degree of Doctor of Medicine in the University calendar, learners with a Fail grade in any course cannot be promoted to the next Phase.
• As outlined in the MD program objectives, the Faculty of Medicine at Memorial University values professionalism as a core competency and a requirement of the MD program. Recognizing that medical learners are developing their professional identity, professionalism lapses will be remediated where possible and appropriate. Unsuccessful remediation will result in failure of the Phase.  Professionalism lapses may render a learner incompatible with continuation in the MD program (as outlined in the Memorial University Calendar Regulation 10.5 Promotion).

COURSE ASSESSMENT
Learner assessment will be both formative and summative throughout the course. Learners confirm completion of the required sessions using the “Confirmation of Completion” page on Brightspace. Learners also need to complete and upload any required forms to Brightspace. Confirmation of completion and upload of required forms are due June 23, 2023.

 
ON-SITE COMPONENT

Formative Assessment
Learners will receive ongoing formative feedback on interactive portions of the on-site course.
 
Summative Assessment
Summative assessment will include learner evaluation of specific milestones identified for competencies taught during workshops.
 
Skills competency will be assessed through observation of task performance (e.g. Intravenous placement) utilizing standardized checklists of key items.
 
Knowledge will be assessed through examination as appropriate (e.g. BCLS certification exam).

ONLINE COMPONENT

Formative Assessment
Learners will receive formative feedback on interactive portions of the on-line course.

Summative Assessment
Learners will be required to complete a series of online modules.

Some modules will contain integrated quizzes of MCQ and /or short answer format and these will have a passing grade of ≥ 70%, unless otherwise specified.


RE-ASSESSMENT
Re-assessment will be required if a learner fails one or more summative assessments.

DETAILS OF ASSESSMENT

ON-SITE COMPONENT

BLS
Formative assessment:
Ongoing instructor feedback on all technical tasks.
Summative assessment:
The learner will be required to accomplish the following:

• Pass the in-session exam
• Complete prescribed technical skills as defined by the standardized course including: Bag mask ventilation, CPR, utilization of AED, Heimlich maneuver

MANDATORY PROCEDURES
Formative assessment:
Ongoing instructor feedback on all technical tasks.
Summative assessment:
The learner will be required to watch demonstrations of the following technical skills and will attempt a selection of the skills with observation and feedback from the instructor:

• Bag-Valve-Mask-Ventilation
• Arterial Blood Gas
• IV Insertion and Phlebotomy
• Perform a 12 lead EKG
• Intramuscular injections
• Nasogastric tube insertion
• Urinary catheter insertion

CARDIAC RESUSCITATION WORKSHOP
Formative assessment:
Ongoing instructor feedback on all team communication and patient handovers.
Summative assessment:
The learner will be required to accomplish the following:

• Participate as a first responder
• Participate as a team member in the mock code event
• Attend crash cart demonstration

PREPARATION FOR WARD WORKSHOP
Formative assessment:
Ongoing instructor feedback on task oriented exercises.
Summative assessment:
The learner will be required to accomplish the following:

• Participate in chart work exercises in small group setting

CRITICAL CLINICAL SITUATIONS WORKSHOP
Formative assessment:
Ongoing instructor feedback on techniques to gather prudent patient information during an acute medical presentation and synthesize the information for appropriate patient handover.
Summative assessment:
The learner will be required to accomplish the following:

• Participate in simulated patient encounters and handovers

RADIOLOGY WORKSHOP
Formative assessment:
Ongoing instructor feedback on appropriateness awareness and techniques for ordering imaging studies
Ongoing instructor feedback on basic image interpretation skills
Summative assessment:
The learner will be required to accomplish the following:

• Participate in image ordering exercises in a small group setting
• Participate in image interpretation exercises in a small group setting

TRAUMA WORKSHOP
Formative assessment:
Ongoing instructor feedback on all technical components and team communication skills.
Summative assessment:
The learner will be required to accomplish the following:

• Participate in mock trauma code and debrief.
• Attend sessions on trauma imaging and trauma skills

SUTURING WORKSHOP
Formative assessment:
Ongoing instructor feedback on technical suturing skills.
Standardized patient feedback on patient communication skills.
Summative assessment:
The learner will be required to accomplish the following:

• Participate in simulated SP session on consent for a procedure.
• Attend introduction to suturing session

MANDATORY LEARNING SESSIONS
Mandatory learning sessions are defined as sessions that require learners to attend in order to achieve the learning objectives. The following sessions have been designated as mandatory learning sessions:

•  Course introduction
• MedCareers (prep for match)
• Time Management
• EPA/Clinic Card/T-res
• EMR Presentation
• Receiving feedback
• CaRMS

ONLINE COMPONENT

EASTERN HEALTH ORIENTATION
Summative assessment:
The learner will be required to complete mandated online modules, some of which will include an online MCQ test.
 
HEALTHe NL ONBOARDING
Assessment TBD
 

Version: April 29, 2022
Reviewed by SAS: May 25, 2022
Approved by UGMS:  June 15, 2022