Elaine K Fielder,Baylor College of Medicine, Texas Children's Hospital,Houston,TX; Pia C. Hughes,Baylor College of Medicine, Texas Children's Hospital,,


Clerkships are required to create a narrative assessment of every student's performance for the Medical Student Performance Evaluation (MSPE), or "Dean's Letter." In 2017, the AAMC released Recommendations for Revising the Medical Student Performance Evaluation, which includes suggestions for developing the narrative assessment.  Though these recommendations were informative, a universally-accepted narrative template has not been published.  Using suggestions from the AAMC report, the Pediatric Clerkship at Baylor College of Medicine (BCM) developed and implemented a standardized narrative template incorporating the 6 ACGME competencies.  This template has since been adopted by all clerkships at our medical school.  The purpose of this workshop is for course directors and coordinators to gain experience creating narratives using the BCM template and consider implementing a similar standard at their home institutions.


At the conclusion of this workshop, participants will be able to:

1. Create student narratives using a standardized template based on AAMC recommendations

2. Provide an objective and cohesive summary of a student's performance using multiple preceptor evaluation comments

3. Integrate professionalism comments into student narratives

Methods and Content:

We will utilize multiple educational strategies to actively engage participants in writing concise narrative summaries for clerkship students.  Techniques include:

  • Interactive didactics
  • Facilitated brainstorming sessions
  • Small group collaboration
  • Peer feedback

Participants will be given several examples of student assessment comments and practice matching comments to each of the ACGME competencies: Professionalism, Medical Knowledge, Patient Care, Practice Based Learning and Improvement, Interpersonal Communication Skills, and Systems-Based Practice.  A special discussion will focus on incorporating professionalism into the narrative. After each assignment, participants will share their summaries in small groups and participate in the peer feedback process.



5min: Reflection exercise

10min: Intro/background to the student narrative, 2017 AAMC recommendations, ACGME competencies, and BCM template

15min: Assignment 1 - In small groups, participants will match ACGME competencies with available student comments and record their findings

10min: Share out

10min: Professionalism - Difficulty incorporating into narrative; tips for success; summarizing lapses

15min: Assignment 2 - In small groups, participants should identify professionalism comments and develop a summary

10min: Share out

10min: Creating a cohesive narrative: putting it all together

15min: Assignment 3 - Participants will use their new skills to individually develop a complete narrative summary, followed by peer feedback

10min: share out

10min: Q&A