Table 3 Example of an illustrative failing 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).While this illustrative failing candidate was able to compensate for non-passing grades in the domains of clinical and diagnostic reasoning and professionalism by achieving higher grades in other clinical encounters, they were unable to achieve compensation in information gathering and giving. The pattern of failing grades in this domain would identify that the level of supervision was repeatedly below what would be expected and the illustrative candidate was not ready to pass finals

From: Development of a dynamic clinical assessment for finals