Please familiarize yourself with the Required Clerkship Exam Schedule Guidelines. Your final grade is derived from two components: the clinical GPA and the final written examination. The results of the clerkship and faculty evaluations are confidential and not made known to the sites until all student grading has been completed.

The 2021-2022 clerkship grading scale is:

Exam Grade Adjustment Adjusted GPA Final Grade
86% and above +0.15 to clinical GPA 4.5 - 5.0 Honors
66% - 85% No adjustment 4.0 - 4.49 High Pass
55% - 65% -0.15 to clinical GPA 3.0 - 3.9 Pass
Less than 55%
Exam Fail
-0.50 to clinical GPA
Less than 3.0 Fail


* Adjusted GPA is the Sum of Clinical GPA and Adjustment from Exam Grade

** Beginning Academic year 2021-22, students must score 79% or above to be eligible for Honors.  

Students who score below 55 on the exam but pass clinically after the 0.5 deduction (adjusted GPA is 3.0 or higher) will earn an overall course Pass.    Students must take a repeat OB/GYN exam prior to the end of Patient Care phase and receive a Pass.  If a student fails the repeat exam, the student will need to repeat the entire OB/GYN clerkship. 


Refer to UW SOM Clerkship Grading Policy here.

Clinical "GPA"

Clinic preceptors, attendings, other faculty, and residents will document their observations of your clinical performance on the standard clinical Clerkship Student Performance Evaluation form (in PDF format in Reference tab of this website).

Clinical GPAs will be determined based off of the following calculation from the evaluation form(s) submitted from clerkship sites (evaluation form can be found here):

Questions 1-7 Average = 75% of Clinical GPA

Questions 8-12 Average = 25% of Clinical GPA

  1. Knowledge of Subject
  2. Data-Gathering Skills
  3. Clinical Reporting Skills
  4. Procedural Skills
  5. Integration Skills
  6. Management Skills
  7. Patient Centered Care
  8. Communication Skills with Patients, Families, Colleagues and Staff
  9. Relationships with Patients and Families
  10. Professional Relationships
  11. Educational Attitudes
  12. Dependability & Responsibility

All clinical GPAs will be calculated by the Clerkship Administrator and sites will no longer be assigning clinical grades for students, although they will be asked for a recommended grade for each student. Dr. Mendiratta will review all recommended grades that significantly vary from the calculated clinical GPA.

Written Examination

The final written examination, consisting of approximately 110 (100 scored, 10 are being tested by the NBME) questions over an allotted time of 2 hours and 45 minutes. is a standardized subject test from the National Board of Examiners (NBME). A score of 79 is required for honors and 55 for a pass. The test is designed to have a mean of 70 with a standard deviation of 8. The exam grading cutoffs are fixed and non-negotiable.

The NBME determines the time allotted. If you have a learning disability documented by the School of Medicine, please let us know no later than the first week of the clerkship to arrange extra time.

The NBME subject test is developed and reviewed by expert question writers and provides the opportunity for students to experience the types of questions used on NBME board exams. Use of this test also allows us to evaluate our clerkship with others across the nation. Reading the required materials is essential in order to perform well on the examination.

Breakdown of Questions

General Principles 1-5%
Gynecology: Promoting health and health maintenance 15-20%
Gynecology: Understanding mechanisms of disease 15-20%
Gynecology: Establishing a diagnosis 15-20%
Gynecology: Applying principles of management 5-10%
Obstetrics: Promoting health and health maintenance 15-20%
Obstetrics: Understanding mechanisms of disease 15-20%
Obstetrics: Establishing a diagnosis 15-20%
Obstetrics: Applying principles of management 5-10%


The NBME provides sample items designed to the format of the examination. Please click here for a sample 20 question examination (with answers). 

The NBME Exam is scheduled by a central office in the UW SOM. Please visit their website for more information regarding locations, exam scheduling, etc. 

How to Prepare for NBME Exam

Recommendations to prepare for the NBME Obstetrics and Gynecology Subject Exam are as follows (taken from a student who scored a 99 on the exam):

  1. Blue Prints - read through early in rotation
  2. Do uWise and/or q-bank questions
  3. First Aid for Step 2
  4. Complete the uWise 100-point timed test to prepare for real world testing environment and actually time yourself
  5. On-Line cases and videos from APGO: Objectives, Videos and Teaching Cases
  6. The NBME also provides a comprehensive self-assessment service for a fee, please click here for more information.

If you have any other general questions about exam logistics, please visit NBME Subject Exams.

Appealing Your Grade 

Please refer to the UW Clinical Grade Review, Challenge, and Appeal Process here. 

If you have any questions, please contact (, Clerkship Administrator for more information.

Repeating Clerkship

If you fail your Obstetrics and Gynecology clerkship you will be required to repeat the clerkship at the UWMC/HMC clerkship site. Retaking the clerkship includes all aspects of the clerkship. You will be required to submit 2 new write-ups and CEx, re-do the mid-clerkship feedback and mini CEx forms, give a formal presentation (topic must be different than your previous formal presentation), and retake the final exam. Additionally, students who retake the clerkship will only be eligible for a PASS on the rotation. If students perform at a higher level their comments will reflect this. There will be no exceptions to this policy.