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The "good" dean's letter.

Christopher S Kiefer¹, James E Colletti, M Fernanda Bellolio

¹Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.

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|October 1, 2010

Summary

This summary is machine-generated.

The term "good" in a Medical Student Performance Evaluation (MSPE) often signifies below-average performance, typically placing students in the bottom 50% of their class. This descriptor is inconsistently applied across institutions, leading to potential misinterpretations of student academic standing.

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Area of Science:

Medical Education Research
Academic Assessment

Background:

The Medical Student Performance Evaluation (MSPE) is a critical document for residency applications.
The interpretation of qualitative descriptors within the MSPE, such as "good," can be subjective and vary between institutions.

Purpose of the Study:

To investigate the correlation between the descriptor "good" in the summative section of the MSPE and a student's actual academic performance.
To analyze the consistency of the term "good" in reflecting a student's percentile ranking within their medical school cohort.

Main Methods:

Review of 122 Medical Student Performance Evaluations (MSPEs) from Liaison Committee on Medical Education-accredited medical schools.
Identification of the term "good" in the summary or appendices of MSPEs.
Analysis of percentile rankings for students described as "good," dichotomizing data into below/above the 25th percentile.

Main Results:

The term "good" was used by 34% of institutions surveyed.
In all instances, "good" characterized students within the bottom 50% of their graduating class.
A significant difference was observed in percentile rankings between institutions using "good" for the bottom 25% versus the 25th-50th percentile (median 12.5% vs. 30%, P < .0001).

Conclusions:

The descriptor "good" in the MSPE consistently indicates below-average academic performance.
Students described as "good" are generally in the lower half of their medical school class.
The findings highlight a lack of standardized meaning for qualitative performance descriptors in medical school assessments.