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I recently failed a visiting clerkship elective. I'm a new clerk, and was completely caught off guard with the grade as no preceptor indicated that I was on my way to a "deficiency." I thought I had a good rapport with the preceptors and patients, although they did point out that they expected me to have more knowledge in the sub specialty. Honestly, much of what they wanted me to know felt out of scope of my clinical education but I was fine with the somewhat unfair pimping. Otherwise, I thought the elective went fine; I was always early, read around patients, offered to stay late and help -