February 2022— Grades and narrative summaries serve to communicate clerkship student level of achievement or competence to internal and external stakeholders. In the majority of medical schools, clinical evaluations, standardized tests, and standardized patient exams remain the foundation of student clerkship assessment, despite evidence of inequity in these assessments and grading. In June 2021, AAIM released a summary of evidence-based recommendations to address inequities in the clerkship grading process provide a framework for clerkship directors to redesign their clerkship grading system using a pro-equity lens.
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