Acupuncture and Chinese Medicine Clinical Student Handbook

Clinical Intern Assessment & Grading

Clinical assessment is a multi-tiered process designed to ensure adequate training of ACM clinical interns and mastery of core clinical criteria. The assessment process assists in the development of skills sets and the practical application of diagnostic and treatment principals. Each term, student interns will be required to demonstrate sufficient mastery of clinical criteria in order to successfully complete their clinic internship. Failure to meet specific clinical benchmarks will result in the student participating in a remediation process, outlined in the following chapter.

Assessment Forms:

The clinical competencies of student interns are monitored and assessed each term by using the following ACM forms:

  1. ACM Student Clinical Internship Plan (SCIP)

    Each student intern must complete the SCIP stating their goals for the upcoming trimester for each clinical shift. This plan should be specific to their term of study, their accumulated experience and expectations for the term and Supervisor.

    NOTE: The SCIP is a required assignment for progressing from one trimester to another.

  2. ACM Clinic Assessment, Phase I (or II), Student’s Self-Assessment

    Each student intern must complete a self-evaluation form assessing their own perception of their performance of required skills. These self-evaluation forms are compared with evaluations recorded by clinical supervisors and help students to monitor improvement in achieving stated goals.

    NOTE: The Students’ Self-Assessment is a required assignment for progressing from one Trimester to another.

  3. ACM Clinic Assessment, Phase I (or II), Assessment of Student by Supervisor

    Student interns are evaluated every trimester by each of their clinical supervisors using the Assessment of Student by Supervisor form. Interns are assessed on their skills in TCM interviewing, diagnosis, treatment planning, treatment implementation and goals, patient follow-up, and related clinical skills (such as interpersonal skills and rapport in patient care).

    Mid-Term Guidelines Provided by Supervisors. Student interns receive scores on their clinical performance at Week 7 (midterm review) and at Week 14 (final score).

    If at mid-term Week 7, a student receives a score of 1 or 2 in any one of the clinical competencies, the supervisor is required to create written guidelines (along with input from the student) that will help the student improve over the course of the next seven weeks. These written guidelines are recorded on the ACM Clinical Assessment Phase I (or II), Assessment of Student by Supervisor and will be available, if necessary, to the ACM Clinical Remediation Committee (CRC).

Grading Outcomes

Scoring of Clinical Competencies. Clinical competencies will be evaluated and scored as follows:

1 inadequate performance of clinical competencies

2 less than adequate performance of clinical competencies

3 adequate performance of clinical competencies

4 more than adequate performance of clinical competencies

5 excellent performance of clinical competencies

NOTE: Satisfactory scores (score of 3 or above) are required to continue in clinic internship. A score below 3 will result in a review by the ACM Clinical Remediation committee

Clinic internship is graded as a pass/fail class with the following requirements:

  • Satisfactory scores recorded on the ACM Clinical Assessment – Phase I (or Phase II), Assessment of Student by Supervisor which evaluates clinical competencies
  • Successful completion of any required remediation.

There are three possible grading outcomes at the end of the trimester (Week 14): PASS, REMEDIATION, and FAILURE:

  1. PASS: Assessment scores of 3 or higher

    Any student receiving a score of 3 or higher at Week 14 proceeds to next trimester of clinical internship

  2. REMEDIATION: Assessment scores below 3

    Any student receiving a score below 3 at Week 14 in any one of the clinical competencies listed on the ACM Clinic Assessment – Phase I (or II), Assessment of Student by Supervisor:

    1. May receive an “Incomplete” for that trimester’s clinical internship; and
    2. Meets with the ACM Clinical Remediation Committee (CRC) who prepares a Plan of Remediation.

The CRC is a committee which supports student interns in the successful completion of their clinical competencies.