M.D. Student Progress and Performance

The University of Nevada, Reno, School of Medicine (UNR Med) requires performance consistent with the high standards expected of members in the profession of medicine. Progress throughout medical school is assessed with a variety of measures that define a student's performance in both cognitive (knowledge-based) and behavioral (personal and professional qualities, values, characteristics, attitudes and interpersonal skills) domains that are necessary to the development of a physician. This reflects the importance of both sets of attributes (knowledge and professionalism) to the practice of medicine.

The assessment system is designed to identify strengths and deficiencies at an early stage and to propose constructive remedial strategies, when needed, to assist the student in meeting required standards. Satisfactory student performance requires satisfactory completion of all blocks, clerkships and electives, and other curriculum experiences. Assessment of student performance occurs continuously throughout the curriculum. Students failing to demonstrate or adhere to academic standards, including professionalism and student responsibility, will be referred to the SPCC. The SPCC may recommend action up to and including dismissal from medical school and a student's performance may at any time be discussed by the SPCC.

Clerkship Examinations

The National Board of Medical Examiners (NBME) Subject Examinations will be utilized to assess objective knowledge. The exam grading guidelines are based on each student's national percentile and are housed in each clerkship’s syllabus.

If the Shelf exam results are below 5th percentile, the student is required to retake the Shelf. If the final grade on the composite of the Clinical Performance Evaluation is Fail, the student will be required to repeat the clerkship according to UNR Med policy. Details regarding clerkship exams can be found in the policy: Academic Progress & Promotion Policy.

USMLE

Passage of the United States Licensing Examination (USMLE) Step 1 and  Step 2 Clinical Knowledge (CK) are required for graduation as described in the Academic Progress & Promotion Policy. Current registration and fee information are available through the National Board of Medical Examiners (NBME) office.

Scores are reported to students via the NBME Insights portal approximately four to six weeks after the examination is taken. Delay in taking or failure of any part of the USMLE may prevent a student's graduation. Students are responsible for meeting the required curriculum standards.

Other Assessment Information

Review syllabi for detailed information on assessments scheduled to take place in your block/clerkship/elective.