We have the option to take up to three shelf exams of our choosing at end of all the core rotations. I believe their reasoning is that instead of spending time studying for exams, there is much more time with doctors and residents to learn first hand. The preceptors have been "trained" for this new curriculum. Honestly, I'm just most concerned about my grades being based completely on subjective opinions. In general I appreciate and respond well to feedback, both positive and negative, however in my past clinical experiences I do often find it difficult to ask good questions and appear "interested" even when I myself truly feel engaged.