Table 2 Example of an illustrative passing outcome from MOSLER grade boundaries. The ‘pass mark' for each domain is 21 (minimum pass grades [Grade 3] achieved in five out of the eight stations and potential for three stations at non passing grades [Grade 2]; 15 + 6 = 21). The ‘merit pass' is 29 (minimum pass grades [Grade 3) achieved in three out of the eight stations, and five higher passing grades [Grade 4] in remaining five stations; 9 + 20 = 29). To achieve an overall merit in clinical skills award, a ‘merit pass' must be achieved in three out of the four domains and a distinction award requires a ‘merit pass' in all four domains. This illustrative passing candidate has been able to compensate for a single Grade 2 in information gathering achieved in their OMFSc case and a single Grade 2 in clinical and diagnostic reasoning achieved in their restorative case, with higher grades in other clinical encounters. While they achieved a single merit in the communication domain with a score of 30, the overall grade was a standard pass

From: Development of a dynamic clinical assessment for finals

Candidate A

Communication

Information gathering/giving

Clinical and diagnostic reasoning, applied knowledge, management

Professionalism

Paediatric actor

4

3

3

4

Paediatric case

4

3

3

3

Restorative actor

4

3

3

3

Restorative case

3

4

2

3

OMFSc actor

4

3

4

3

OMFSc case

4

2

3

4

Acute care

3

3

3

4

Communication

4

4

4

4

Total

30

25

25

28

Domain outcome

Merit

Pass

Pass

Pass

Overall outcome

Pass