Objective: To evaluate strengths and weaknesses of 6th year medical students in the long case examination.
Materials and Methods: The authors retrospectively reviewed a checklist of all 6th year medical students who undewent the long case examination during the internal medicine rotation in 2013. The numbers of students who received “improvement required” matrix in each domain were tabulated with the category status by the total score. This association was calculated among groups and between those who were in the “passed” vs the “good” category.
Results: In 2013, 227 medical students completed the examination. The average score of all of the students was 75.4 (S.D. 10.6). There were 11 students (4.8%) who failed the long-case examination. The top three domains with “improvement required” matrices were clinical reasoning (40 students or 28.0%), decision making (39 students or 27.3%), and physical examination (27 students or 18.9%). Four domains differed significantly in the “passed” and “good” categories: history taking, physical examination, data gathering, and clinical reasoning.
Conclusion: To improve scores, student should work to improve in the following four clinical domains: history taking,
physical examination, data gathering, and clinical reasoning.

Keywords: assessment; medical students; internal medicine; clinical reasoning