Abstract
The traditional system for determining grades in dental school clinic courses has been counts of productivity and daily marks for degree of technical excellence. One dental school with a competency-based educational model has redesigned its evaluation system to include assessment of understanding as well as performance of procedures, diagnosis and judgment, and patient management. Competency tests were instituted in all disciplines to replace the required volume of work. A quarterly rating system was developed to replace daily grading. Results from one of the first administrations of the ratings are presented. They show excellent face validity and rater consistency in some cases. Gradients of generalizability are reported, demonstrating that the ratings satisfy the school's standard for grade defensibility.
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