9.4 Assessment System
A medical school ensures that, throughout its medical education program, there is a centralized system in place that employs a variety of measures (including direct observation) for the assessment of student achievement, including students’ acquisition of the knowledge, core clinical skills (e.g., medical history-taking, physical examination), behaviors, and attitudes specified in medical education program objectives, and that ensures that all medical students achieve the same medical education program objectives.
Supporting Data




Narrative Response
- Describe the centralized system that ensures that each student has received instruction in and been assessed on the necessary clinical skills (i.e., history taking and physical examination) during the pre-clerkship phase of the curriculum to be prepared for the clerkship/clinical phase of the curriculum. Describe the methods of assessment (e.g., OSCE, standardized patient assessment, preceptor observation), the clinical skills assessed, and the locations in the pre-clerkship phase of the curriculum where assessment occurs.
- Describe how the medical school ensures that each student has acquired and can demonstrate the necessary core clinical skills (i.e., history taking and physical examination) during the clerkship/clinical phase of the curriculum to be prepared for the next stage of training. Describe the methods of assessment, the clinical skills assessed and the locations in the clerkship/clinical phase where the assessment occurs.
Supporting Documentation
- Provide data from school-specific sources (e.g., clerkship evaluations and/or the ISA) on student perceptions that they were observed performing required clinical skills. Include the academic year of the data.

Notes
This element should not include OSCEs.