Wednesday, May 17, 2017

To Grade or Not to Grade?

By Deanna Bauerlein, PGY-1 Pharmacy Practice Resident, VA Maryland Health Care System

In traditional education, students are evaluated using number or letter grading systems. Grading in various forms have been used since the 1600s1. The first letter grading system used was in 1984 by Mount Holyoke College in Massachusetts1. Their grading system originally used letters A through E, but in 1898 they switched E to F to signify failure1. As the number of schools grew there became a need to have uniform grading across universities2, creating the grading culture we know today. However, there is much debate on whether this system is beneficial to the learner. There are numerous thoughts that make one question the use of grading systems. First, do grades motivate or punish students? Second, how well do grades translate to a level of understanding of the material? Such questions allow one to explore that pros and cons of grading systems.

The first question is whether grading helps or harms the learner. Grades can motivate the learner to do well in hopes of getting a good grade. This positive reinforcement however, may encourage the student to only study for a test to get a good grade, rather than to understand the material. Students may become competitive against one another to get the best grades. This can be good as it pushes and challenges students, however some personality types can take this to an extreme and obsess unhealthily over grades. For students who obsess and/or have a family culture that highly values grades, grades may act as negative reinforcement if students fear bad grades which can cause stress, anxiety, and shame1. This can lead to a negative feedback loop, that for some students, can be hard to break. Additionally, do low grades motivate students who are doing poorly to work harder - or to give up2? This likely differs from person to person as everyone has varying levels of resilience. All things considered, grades may do more harm than good for students where psychological benefits are concerned.

The next thing to consider about grading systems is the actual value grades have. Tests can either be free-response or multiple choice. Free response questions are great because the teacher can really get a sense of the understanding of the student. However, grading of these types of questions is very subjective; different teachers may grade the same answer differently, and one teacher might grade the same answer differently from one day to the next. Multiple-choice questions are more objective however, they limit the student’s ability to think critically and can underestimate how much a student truly understands if they just happened to guess correctly. 

Furthermore, the use of curves when a class does poorly should be considered. It is assumed that a class is a sample of the population, and thus grades should be normally distributed1. When the grades do not come out as such, teachers can adjust the grades to represent a bell-shaped curve. This causes two problems. First, grades become based on the test taking abilities of each specific class. If the class average is below what the population average should be, those students are rewarded with an improved grade because the class was not a true sample of the population. In addition, if a class as a whole does poorly, it may not be entirely the fault of the students. Perhaps the test was too challenging or poorly written, or the teacher did not prepare the class well - or a combination of such factors. The second problem curving creates is that classes from one year to the next cannot be compared to each other, as some grades may have been inflated with curving. Therefore, it goes back to the issue of whether grades can be translatable to different students and classes. This was shown in a study done by Rojstaczer, et al. (2012) that showed grading standards have lowered and that A was the most common grade given in 135 colleges across America3

The bottom line is there is no perfect way to grade, and with that grades need to be taken with a grain of salt. Even if one can get past how we grade, the specific student needs to be accounted for. There are many bright people who are poor test takers and there are many people who test well, but may not be able to retain or apply the knowledge. Therefore, grades do no correlate to future success. Yet grades are so highly valued, and sometimes students are not even considered for a job or residency because their GPA is too low. Meanwhile, maybe a student’s GPA is low because they were very active in extra-curriculars or had a full-time job. Thus, it is not fair to define the value of an employee based on one number. However, I do not see this changing because it is easy to use this objective information to compare students and to weed out job applicants. If I am ever in the position to hire employees I will not be using GPA as my sole criteria on evaluating candidates. If I did, I would be doing my institution a disservice by potentially missing out on excellent candidates. Especially in health care, subjective information is more important because to me it does not matter if you can take care of a paper patient on a test. I want to know how you take care of real patients in real life settings that are not as black as white as tests. Meeting candidates and asking them about certain situations and how they handled them, in addition to references from previous preceptors and supervisors would be more useful information. Although this may be true in some cases, I do not think a pharmacist who did poorly in school would make a bad pharmacist. I personally feel I have learned and retained more on APPE rotations and residency than I learned in school. So even if a student genuinely did not understand certain topics in school does not mean they will never understand. Maybe they just needed to be exposed to the topic a few more times or have it explained in a different way. Although it is great when someone has a high GPA, it should not be the only thing that matters as this number tells so little about the specific student.

As one can see, there are many flaws with grading systems. However, they are used by most schools since there is no better method for tracking a student’s progress and making a determination if the student understands the material enough to progress. This does not mean that modifications are not needed. One way to take the pressure off both students and teachers would be to have some assignments assessed just for effort and participation alone1. This can encourage students to try their best for the sake of learning rather than just to achieve a good grade. Another method would be to have students correct their own assignment or have peer reviews. These grades do not have to be recorded, but giving the student a chance to recognize his/her own mistakes has additional learning benefits. Peer reviews allow for students to learn from each other and not from the teacher alone.  Two other strategies for grading is to use rubrics to limit subjectivity of grading and to avoid curving test grades. If a class does poorly on a test, extra credit can be assigned such as students correcting their tests. This allows students to earn an improved grade and encourages the student to rectify what they misunderstood before1. In conclusion, grading systems will always be used as a way to evaluate students, but it is up to the teacher to use a grading system that motivates students and measures understanding as accurately as possible.

References
1.   Schinske J, Tanner K. Teaching more by grading less (or differently). Life Sciences Education [Internet]. 2014 [cited 2017 May 7];13(2):159-66. Available from: https://www.researchgate.net/publication/274836095_Teaching_More_by_Grading_Less_or_Differently
2.   Grant D, Green WB. Grades as incentives. Emprical Econom [Internet]. 2013 [cited 2017 May 7];44(21):1563-92. Available from: http://www.shsu.edu/dpg006/gincentives2.pdf

3.   Rojstaczer S, Healy C. Where A is ordinary: The evolution of American college and university grading. Teachers College Rec [Internet]. 2012 [cited 2017 May 7];114(7);1-23. Available from: http://www.gradeinflation.com/tcr2012grading.pdf

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