Use of Rime Scale as Part of Course Grade and Clinical Year Progression

Download as PDF

The RIME schema is used to assess competencies in the 4th-year curriculum.  It describes four cognitive levels that reflect common stages in the development of medical skills. The RIME mnemonic aids in the retention of information for the clinical preceptor and student with the letters corresponding to: R – Reporter (Beginner), I – Interpreter (Advanced Beginner), M – Manager (Competent for stage of training), and E - Educator (Proficient) (see course syllabi for more information on the RIME schema). As the student progresses through the Clinical Year, the student will gain knowledge and experience.  It is therefore expected and required that their RIME scale scores mirror that progression.

In the first four (4) rotations (first third of the clinical year) the student participates in: Students shall achieve “I” level or greater in at least 50% of their measured areas by the end of the fourth rotation. Failure to meet this benchmark shall result in the following a phone conversation (documented) with the ADCRO and Dean.  The conversation will set the expectation for the student’s performance to improve.  An assessment of the student’s needs (academic, counseling resources, etc.) will also be made during this conversation.

In the second four (4) rotations (second third of the clinical year) the student participates in: Students should no longer receive any score below an “I” (No “R”) rating.  They shall also achieve “M” or higher in at least 50% of their measured areas by the end of their eighth rotation.    Failure to meet this benchmark shall result in the following:

  1. The student will come before the SPC (virtually or in-person)
  2. The SPC may elect to have the student do one of the following:
    1. Repeat one of the last three clinical rotations: 1) repeat the rotation they did most poorly on or 2) repeat the rotation at a different site.
    2. Complete a two-week “rotation” focused on a competency that was demonstrably deficient.
    3. Elect no ramifications based on extenuating circumstances.
  3. The student must achieve an average of “M” or greater on all the measured competencies on the repeated rotation.

By the end of the 12th and final rotation, the average for all competencies across the entirety of the clinical year should be at a minimum of “M” level or greater.   Failure to meet this benchmark shall result in the following:

  1. The student will come before the SPC (virtually or in-person)
  2. The SPC may elect to have the student do one of the following:
    1. Repeat one of the clinical rotations: 1) repeat the rotation they did most poorly on or 2) repeat the rotation at a different site.
    2. Complete a two-week “rotation” focused on a competency that was demonstrably deficient.
    3. Elect no ramifications based on extenuating circumstances.
    4. Recess to repeat the clinical year.
    5. Dismissal from the program.
  3. The student must achieve an average of “M” or greater on all the measured competencies on the repeated rotation.