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Information for Elective Assessors

Completing Elective Assessments for MD Students

 

Supporting Learner Development Through Timely Assessment 

Clinical and Demonstrated Professional Behaviours assessments are some of the key assessment modalities of the MD Program's student assessment framework. Learner assessment is intended to support learning, provide actionable feedback, identify learners who may require additional support or are in academic difficulty, and contribute to promotion and progression decisions. 

Elective supervisors play an important role in this process through timely completion of learner evaluations.  

Why Are Assessments Important?

The Value of Elective Assessments 

Assessment data helps: 

  • Support student learning and professional growth.  

  • Provide meaningful, constructive feedback. 

  • Identify learners requiring additional support. 

  • Inform progression and academic decision-making processes.  

  • Strengthen the quality of the MD Program's educational experiences. 

Medical Student Performance Record (MSPR) 

The Medical Student Performance Record (MSPR) is produced for each University of Toronto medical student in support of the Canadian Residency Matching Service (CaRMS) application requirements. Student academic records are the source of information used to produce the MSPR. These records include information contained in transcripts, final clinical assessment forms, and other official academic records maintained by Undergraduate Medical Education. Completed electives are represented on the MSPR as Credit/No Credit when a final clinical assessment form has been submitted by the MSPR deadline. Narrative comments included in the MSPR for completed electives are drawn solely from the "Strengths" section of the student's final clinical assessment form.  

Timely Completion Matters 

To support a "just-in-time" assessment approach, supervisors are asked to complete evaluations promptly following the elective experience. Timely completion ensures feedback remains accurate, reduces recall bias, and allows students to receive meaningful feedback when it is most useful.  

Electives that are in progress or completed but do not have a final clinical assessment form submitted by October 31 will appear on the MSPR but without the final grade or narrative comments. 

What Are Elective Supervisors Expected To Do? 

Assessment Expectations

Elective supervisors are expected to: 

  • Complete all assigned student evaluations (Clinical or Research Assessment and Assessment of Demonstrated Professional Behaviours) for each student elective.   

  • Submit evaluations within 7 days of the elective end date.  

  • Provide feedback based on direct observation wherever possible. 

  • Include comments that are specific, constructive, and actionable.  

  • Communicate significant performance concerns to the Electives Office as early as possible.  

Assessment Timelines

Assessment Activity Timeline
Evaluation notification that assessments are available (sent by MedSIS)  Final week of elective 
Recommended completion Within 7 days 
Automated reminders sent by MedSIS  Every 7 days 
Escalation process begins  14 days overdue

 

Required Assessments 

Fourth-Year Electives (ELV410) 

Elective supervisors are required to complete a: 

for each Year 4 learner supervised during an elective placement. These assessments are available on MedSIS.   

Third-Year Electives 

Elective supervisors are required to complete a: 

for each Year 3 learner supervised during the third year elective blocks. These assessments are available on MedSIS. 

How Do I Complete an Evaluation?

Accessing MedSIS

Elective supervisors will require a MedSIS account and UTORID and password, to complete student assessments. Supervisors can login to MedSIS at https://medsis.utoronto.ca/medsis/.  

If you do not have a MedSIS account, contact the MedSIS team at medsis.ume@utoronto.ca.  

If you require additional login support, review this resource: https://medsis.utoronto.ca/medsis/ > “Do You Need Login Help?”. 

Completing the Clinical Assessment

Elective supervisors can complete the Clinical Assessment form, once available, by completing the following steps: 

Step 1:   Go to http://medsis.utoronto.ca 

Step 2: Click on “Login to MedSIS” 

If you have forgotten your password, click on the "Forgot your password?" link, enter your email address and click “SUBMIT.” You will then receive an e-mail which indicates a PIN and password to login and complete the evaluations in MedSIS.  

Step 3: Once you have logged into MedSIS you can click on Student Evaluations on the left-hand menu. 

Step 4: The Clinical Assessment form you are required to complete for each elective student you supervised will be seen there.  

Step 5: Fill out the Clinical Assessment Form and click “SUBMIT.”  

If you did not supervise a placement for the student identified or should you experience technical difficulties while accessing the forms, please contact the MD Program Electives Office for assistance.

Completing the Demonstrated Professional Behaviours Assessment

Elective supervisors can complete the Demonstrated Professional Behaviours Assessment form, once available, by completing the following steps: 

Step 1:   Go to http://medsis.utoronto.ca 

Step 2: Click on “Login to MedSIS” 

If you have forgotten your password, click on the "Forgot your password?" link, enter your email address and click “SUBMIT.” You will then receive an e-mail which indicates a PIN and password to login and complete the evaluations in MedSIS.  

Step 3: Once you have logged into MedSIS you can click on Student Evaluations on the left-hand menu. 

Step 4: The Demonstrated Professional Behaviours Assessment form you are required to complete for each elective student you supervised will be seen there.  

Step 5: Fill out the Demonstrated Professional Behaviours Assessment Form and click “SUBMIT.”  

If you did not supervise a placement for the student identified or should you experience technical difficulties while accessing the forms, please contact the MD Program Electives Office for assistance.  

Submitting Your Evaluation

Once an assessment form has been submitted, it requires assistance from the MD Program Electives Office to be “unlocked” for further editing. Please contact the MD Program Electives Office for assistance. 

Providing Effective Feedback

Feedback That Supports Learning 

Effective feedback supports learning by helping students understand what they are doing well, identify specific areas for growth, and develop strategies to improve their clinical performance. Timely, clear, and constructive feedback encourages reflection, reinforces strengths, and guides learners toward achieving the competencies expected during clinical training. In the elective setting, where students are exploring specialties and demonstrating readiness for future residency training, high-quality feedback creates meaningful learning opportunities, supports career development, and enables students to make informed adjustments throughout their placement rather than waiting until the final assessment.  

Narrative feedback is one of the most important components of clinical teaching and learning. Effective narrative feedback reinforces good performance, corrects poor performance and helps the learner reflect and identify how to improve. It is a crucial part of student assessment data on which academic decisions are made. To learn more about how to improve narrative feedback, we highly recommend reviewing this resource: OFD – How to Improve Narrative Feedback.  

Tip: Specific, objective, and behavior-based comments help provide meaningful feedback to learners and ensure accurate representation of their performance in official academic records. 

Examples of Effective Narrative Comments

Less effective: “Excellent student.” 

More effective: “Your differential diagnosis was appropriate and informed by the pertinent positives and negatives you presented. Nicely done!” 

What If I Have Concerns About a Student?

Academic Performance Concerns 

If you have concerns about a learner's academic performance, such as clinical skills, you should address the concern with the learner as early as possible and provide specific, constructive feedback to support improvement during the elective. Early feedback gives learners an opportunity to reflect on and address concerns before the end of the placement. 

If the concern is significant or persists despite feedback, please contact the the Electives Course DirectorKimberley.kitto@utoronto.ca or MD Program Electives Office for guidance as soon as possible rather than waiting until the final clinical assessment. Early communication allows the MD Program to provide support to both the learner and supervisor and to determine whether additional follow-up is required.

Demonstrated Professional Behaviour Concerns 

If you have concerns about a learner's professional performance, such as communication or attendance, you should address the concern with the learner as early as possible and provide specific, constructive feedback to support improvement during the elective. Early feedback gives learners an opportunity to reflect on and address concerns before the end of the placement. 

If the concern is significant or persists despite feedback, please contact the the Electives Course DirectorKimberley.kitto@utoronto.ca or MD Program Electives Office for guidance as soon as possible rather than waiting until the final clinical assessment. Early communication allows the MD Program to provide support to both the learner and supervisor and to determine whether additional follow-up is required.

Patient Safety Concerns

If you have concerns about a student’s impact on patient safety, it is important to contact the Electives Course Director as soon as possible: Kimberley.kitto@utoronto.ca

Wellness Concerns 

If you have concerns about a student’s personal wellness, it is important to contact the Electives Course Director as soon as possible: Kimberley.kitto@utoronto.ca

If Assessment Requirements Are Not Met 

Assessment Reminder & Escalation Process

Elective assessment reminder process timeline from Day 0 to Day 28.

Frequently Asked Questions

How long does an evaluation take? 

Most elective assessments can be completed in 5 to 10 minutes, particularly when supervisors have provided feedback to the learner throughout the placement and can readily summarize the learner's strengths and performance. Taking a few moments to provide specific, constructive comments helps ensure students receive meaningful feedback and supports accurate documentation of their achievement and progression.

Who can view my assessment? 

The completed assessment becomes part of the student's academic record and may be accessed by individuals who have authorized responsibility for student assessment (i.e. Elective or Clerkship Directors), records management, and academic progression within the MD Program. Information from final clinical assessment forms may also be used in the production of the student's Medical Student Performance Record (MSPR).

What if I miss the deadline? 

If an elective assessment is not completed by the requested deadline, the preceptor will receive automated reminder emails every seven days until the evaluation is submitted. The number of reminders varies by learner year, with up to four reminders for Year 4 electives and up to three reminders for Year 3 electives

If an evaluation remains outstanding 14 days after the elective end date, the MD Program may notify appropriate department contacts, such as the: 

  • Department UGME/Electives Lead 

  • Department Chief 

  • Medical Education Office Contact 

This escalation process helps ensure assessments are completed in a timely manner to support learner feedback, academic records, MSPR preparation, and progression decisions.  

The deadline for students to submit their MSPR is October 31. Narrative comments will no longer appear on the MSPR after that deadline.  

Tip: If you anticipate a delay, submitting the evaluation as soon as possible is appreciated, as students rely on timely assessments for feedback and documentation of their performance.

What should I do if I have concerns about a learner? 

If you have concerns about a learner's performance, professionalism, attendance, communication, or clinical skills, you should address the concern with the learner as early as possible and provide specific, constructive feedback to support improvement during the elective. Early feedback gives learners an opportunity to reflect on and address concerns before the end of the placement. 

If the concern is significant, such as patient safety incidents or student wellness, or if a concern persists despite feedback, please contact the the Electives Course DirectorKimberley.kitto@utoronto.ca or MD Program Electives Office for guidance as soon as possible rather than waiting until the final evaluation. Early communication allows the MD Program to provide support to both the learner and supervisor and to determine whether additional follow-up is required. 

 

How are assessments used in the MD Program? 

Elective assessments are an important component of a student's academic record. They provide learners with feedback on their clinical performance, professionalism, and areas for continued development, while also helping the MD Program monitor student progress and achievement of program expectations. 

Assessment information is used to: 

  • Support learner growth through formative and summative feedback.  

  • Document academic performance and successful completion of elective placements.  

  • Inform academic progression decisions within the MD Program.  

  • Contribute to the Medical Student Performance Record (MSPR), which is provided to residency programs through the Canadian Residency Matching Service (CaRMS).  

Who should I contact for MedSIS support?

If you require assistance with MedSIS access, login issues, assessment forms, or technical difficulties, please contact the MD Program Electives Office or MedSIS support for assistance. 

Additional Assessment Resources 

Office of Assessment and Evaluation 

The Office of Assessment and Evaluation supports the MD Program through expertise in student assessment, data management, evaluation systems, psychometrics, and program evaluation.  

Related Resources 

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Contact Us

For questions related to: 

  • Elective assessments 

  • Learner performance concerns 

  • MedSIS access 

  • Assessment expectations 

Electives Office 
electives.uoft@utoronto.ca 

Office of Assessment & Evaluation 
md.oae@utoronto.ca