This study estimated the interrater reliability of medical student evaluations of clinical teaching. Data consisted of 1,570 ratings evaluating 147 faculty over a 4-year period in a 3rd-year internal medicine clerkship. The number of ratings a typical faculty member receives in a year was also calculated and used to extrapolate the standard error of measurement for data typically available to evaluate faculty at different time intervals. The data available to evaluate a faculty member after 1 year was not adequate, but improved substantially at the 5- to 7-year mark, when a faculty member is typically evaluated for promotion and tenure.

Statistically significant grade inflation exists in Internal Medicine clerkships. Most disturbingly, 43% feel we are unable appropriately to identify incompetent students.

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As a consequence of their participation, the SPs indicated a change in attitudes about their personal health care. They perceived improved understanding and ability to communicate and comfort with their own health care. Participation in SP programs seems to influence SPs by improving perceptions about their own health care interactions.