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Graded versus pass/fail evaluation for clinical courses.

P J Thompson, J E Lord, J Powell

    Nursing & Health Care : Official Publication of the National League for Nursing
    |November 1, 1991
    PubMed
    Summary
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    This study examines grading versus pass/fail systems in clinical courses. Neither system is definitively favored, but the drawbacks of both grading and pass/fail approaches are highlighted.

    Area of Science:

    • Medical Education
    • Academic Assessment

    Background:

    • The debate between traditional grading and pass/fail systems in clinical education is longstanding.
    • Evaluating student performance in clinical settings presents unique challenges.

    Purpose of the Study:

    • To critically analyze the advantages and disadvantages of both grading and pass/fail systems in clinical courses.
    • To provide clarity on the potential pitfalls associated with each assessment method.

    Main Methods:

    • A comprehensive literature review was conducted.
    • A survey of relevant stakeholders may have been employed (details not specified in abstract).

    Main Results:

    • The literature review did not yield conclusive evidence to strongly support either grading or pass/fail systems.

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  • Both grading and pass/fail systems were found to have inherent limitations and potential negative consequences.

    • Conclusions:

    • No definitive recommendation is made for adopting one system over the other.
    • Educators and institutions must carefully consider the specific context and potential drawbacks when choosing an assessment strategy.