Academic & Professional Advancement Policy

Policy

Objective

The purpose of this policy is to promote student academic achievement, maintain academic and professional standards (knowledge, skills, attitudes and behaviors) and achieve fairness and consistency in decisions regarding students with academic or professional deficiencies. It is the policy of the School of Medicine to give every qualified and committed student the opportunity to graduate; however, the School reserves the right, in its sole and absolute discretion, to make judgments about who has or has not demonstrated the necessary qualifications to earn the M.D. degree and to practice medicine competently.

Outline of Policy

All academic deficiencies, patterns of unprofessional behavior and egregious violations of professionalism will be presented to the Academic Standards and Achievement Committee (ASAC) that acts on behalf of the faculty of the School of Medicine. This policy specifies how ASAC will deal with student academic deficiencies in courses, clerkships, electives, the end of clerkship Clinical Performance Examination (CPX) and with failures on the United States Medical Licensing Examination (USMLE) Step 1 and Step 2 examinations, including compliance with the Standards for Academic Standing (see end of this document).

Definition of Academic Failure

The courses in the Phase 1 pre-clerkship, the three-week Intersession course in Phase 2 clerkships, and the courses and electives in the Phase 3 post-clerkship of the Cells to Society Curriculum are graded as pass/fail (P/F); any F constitutes a failure. The Phase 2 clerkships are graded with letter grades (A, B, C or F).  With the exception of the Patient-Student Partnership Course, a score of 70% or higher is required for successful completion of each course and clerkship. A score lower than 70% constitutes an F; each F constitutes a failure and is documented on the official transcript and the Medical Student Performance Evaluation (MSPE). The Patient-Student Partnership Course requires a score of 80% or higher to pass.  Failure to achieve an 80% in this course constitutes a failure and would likewise be documented on the official transcript and the MSPE.

Professionalism

Professional attitudes and behaviors are components of the 12 Competencies Required of the Contemporary Physician that enable the independent performance of the responsibilities of a physician and therefore are a requirement for the successful award of the degree of Doctor of Medicine.  The School of Medicine’s Professionalism Expectations establish general standards applicable to all students in the School of Medicine. However, it is the responsibility of the faculty and the ASAC, as appropriate, to interpret and apply the general Professionalism Expectations to specific situations when concerns are raised about student performance or behaviors.

Evaluation of professional attitudes and behaviors is an integral part of a student’s assessment and generally is accomplished through observation and feedback to students through course/clerkship assessments of student performance. Praise/Concern Cards and written narratives are assessment tools used to describe behaviors in areas of altruism; honesty and integrity; caring, compassion and communication; respect for others; respect for differences; responsibility and accountability; excellence and scholarship; leadership and knowledge and other skills related to professionalism.  These professional attitudes and behaviors are monitored and recorded throughout undergraduate medical education.

Any breach of professionalism resulting in a recorded observation, e.g., Professionalism Concern Card, letter, written report, etc., must be addressed with the student by their college dean and documentation of the discussion must be recorded. If a student receives three or more written observations of concern or is reported for two breaches of the Health Insurance Portability and Accountability Act (HIPAA), or is cited for a single violation of the Digital Learning Environment and Educational Materials Policy or a single egregious breach of professionalism, notice will be sent to ASAC for review. Egregious behaviors, such as but not limited to assault on or threat to a patient, patient’s family member, student, GME trainee or faculty member, conduct that may constitute a felony, etc., regardless of whether criminal prosecutions are initiated or pursued, will be referred immediately to ASAC, irrespective of whether previous observations of concern exist, with the recommendation for dismissal from school. A student identified as having a pattern of unprofessional behavior may be directed to further counseling and /or to supportive remediation and/or placed on academic warning or academic probation (as defined below), or if the professional violations are severe, a student may be dismissed from school even if they have passing grades in all courses. ASAC will assess the severity of the problem, the management and the consequences, including possibly reporting the behaviors in the student’s Medical Student Performance Evaluation (MSPE).

Medical Scientist Training Program Students

Decisions regarding academic deficiencies of MSTP students during their MD coursework are governed by the ASAC. Final decisions regarding academic deficiencies of MSTP students during their doctoral coursework are determined by the ASAC, but the decision is weighted heavily upon the recommendation of the BIMS Academic Progress and Achievement Committee (BAPAC), which acts as a subcommittee to the ASAC with respect to MSTP students. The BAPAC serves as an institutional oversight committee with representation from all Biomedical Sciences (BIMS)-affiliated degree-granting programs to ensure that individual programs have followed their processes regarding remediation and dismissal for academic deficiencies, ensuring due process for students. The BAPAC assesses whether the policies have been followed and assures fairness and consistency across the interdisciplinary programs comprising BIMS.   See individual BIMS-affiliated PhD program standards and “BAPAC Operating Procedures” at http://bims.virginia.edu/bims-committee-membership/bims-academic-progress-and-achievement-committee/.

Reports of an MSTP student’s unprofessional, unethical, or illegal activities or behaviors are reviewed and acted upon by the ASAC.

MD/Public Health Sciences Dual Degree Students

Decisions regarding academic deficiencies of PHS graduate students during their MD coursework are governed by the ASAC. Final decisions regarding academic deficiencies of PHS graduate students during their PHS coursework are determined by the ASAC, but the decision is weighted heavily upon the recommendation of the PHS Academic Promotion and Achievement Committee (PHS APAC), which acts as a subcommittee to the ASAC with respect to PHS graduate students. See SOM Bylaws, Section 8, Standing Committees, PHS Academic Promotion and Achievement Committee.

Reports of a MD/PHS graduate student’s unprofessional, unethical, or illegal activities or behaviors are reviewed and acted upon by the ASAC.

Grading during Phase 1 (Pre-clerkship)

The pre-clerkship phase of the Cells to Society Curriculum comprises the first three semesters of the educational program. This phase consists of ten graded courses, each assigned a pass/fail grade at the end of the course:

  1. Integrated Systems I (first semester)
  2. Integrated Systems II (second semester)
  3. Integrated Systems III (third semester)
  4. Foundations of Clinical Medicine 1-A (FCM 1-A)
  5. Foundations of Clinical Medicine 1-B (FCM 1-B)
  6. Foundations of Clinical Medicine 1-C (FCM 1-C)
  7. Patient Student Partnership 1-A (PSP 1-A)
  8. Patient Student Partnership 1-B (PSP 1-B)
  9. Patient Student Partnership 1-C (PSP 1-C)
  10. Social Issues in Medicine (SIM) (either semester one or two during the first year).

Integrated Systems I consists of the following course components or “systems”: Cells to Society, Foundations of Medicine (FoM), Microbes & the Immune System (MIS), and Cells, Blood and Cancer (CBC). Integrated Systems II consists of the following course components: Musculoskeletal Integument System (MSI), Gastrointestinal System (GI) and Mind, Brain and Behavior (MBB). Integrated Systems III consists of the following course components: Cardiovascular System (CV), Pulmonary System (Pulm), Renal System, Endocrine-Reproductive System (Endo-Repro) and Classroom to Clinics (C2C).  In order to receive a passing grade for an integrated system course, a student must have an average score for all systems of 70% or above.

Patient Student Partnership 1 (three courses) runs in tandem with Foundations of Clinical Medicine 1 and introduces students to a longitudinal patient experience. Performance is assessed in at each semester by a P/F grade.  Students must achieve an 80% or greater on the requirements for this course in order to pass.

In order to progress to the third semester of the curriculum, a student must have achieved an average score of 70% or higher on Integrated Systems I and Integrated Systems II and have received a P for FCM-1A and 1B, PSP-1A and 1B, as well as Social Issues in Medicine. Failure to meet any one of these criteria will result in a referral to ASAC for review and action.  Any requirement for remediation must be completed prior to the beginning of the third semester.

Successful completion of the third semester requires an average score of 70% or higher in the Integrated Systems III course, and a grade of P in FCM-1C and PSP-1C. Failure to meet any one of these criteria will result in a referral to the ASAC for review and action.

Interim Assessments:

Interim assessments are any quiz, TBL, or assignment that count for less than or equal to 8% of the overall system or course component. Anything 8% or less of the system or course component total score will not be remediated.

Summative Examinations

A passing score on a summative examination within a course is 70%. Students achieving less than 70% on a summative assessment will be referred to ASAC with the recommendation from the respective system leader for remediation.  If the student is in good standing professionally, has done well formatively, and has no other academic deficiencies, ASAC generally will allow the student to take a reexamination. The reexamination score, will be the average of the two exams, not to exceed 75%. If the summative examination is failed the second time with a score lower than 70%, ASAC will review the student’s performance again and decide either to allow the student to make a third attempt at a reexamination or repeat the course. The final decision regarding reexamination rests with ASAC. Failure to pass a summative on the third attempt constitutes a failure of the system and therefore failure of the course. Any approved summative reexaminations must be taken according to the approved make-up schedule for the current academic year at the next available examination time as determined by ASAC. Students can retake only one Summative exam on a scheduled re-examination day. A student failing 5 total summative examinations in the pre-clerkship phase of the curriculum will be referred to ASAC and will be considered for dismissal. A student who does not take an examination and who does not have an excused absence, will receive a professionalism concern card and a referral to ASAC.

Given extenuating circumstances and with approval by their college dean, a student may delay the taking of a Summative Examination. The exam may not be taken prior to the scheduled date and time and a student forfeits the right to challenge examination items to avoid delaying the post exam review process.

With regard to anatomy practical examinations, a score of 70% or higher is passing. Individual anatomy practical exam scores factor into the respective organ system grades, e.g., an anatomy practical examination score in MSI factors into the MSI grade and an MBB anatomy practical exam score factors into the MBB grade. Anatomy practical examinations also are graded as a thread across the Integrated System in which they occur, i.e., Integrated Systems II or III. A cumulative score of 70% or higher across the anatomy thread in Integrated Systems II and III is required to progress to the clerkship phase of the curriculum.  Students achieving a cumulative anatomy score of less than 70% for Integrated Systems II (consisting of anatomy practical examinations from MSI, GI and MBB) or Integrated System III (consisting of anatomy practical examinations from CV, Pulmonary, Renal and Endo-Repro) will be referred to ASAC and require remediation. Any remediation required by ASAC will include all anatomy from the semester failed, and the format for reexamination will be at the discretion of the anatomy director.  Reexamination must occur by the end of the semester break immediately following the course in which the failure occurred.  With approval of the Anatomy Director, remediation may occur during spring break, early summer break or fall break.

One component of assessment in FCM-1 is OSCEs.  Students must achieve a passing grade on the OSCEs in FCM to pass the FCM course. A passing grade on the FCM-1B OSCE is required to pass FCM-1B and to progress to the third semester. A passing grade on the FCM-1C OSCE is required to pass FCM-1C and begin Phase 2. A failure on the FCM 1 B or 1C OSCE is referred to ASAC for review and action.  Typically, ASAC allows a student in good standing to remediate and retest. A second failure of the FCM OSCEs results in an F in the corresponding course and the student will be referred to ASAC for review and action. The FCM-1B OSCE must be passed prior to starting the third semester and the FCM-1C OSCE must be passed prior to starting Phase 2. Students who have failed an OSCE examination are required to participate in OSCE remediation sessions as a condition of their reexamination.

Promotion to Phase 2 (Clerkships)

Students who achieve a passing grade in Integrated Systems I, Integrated Systems II, Integrated Systems III, FCM-1A-B-C, PSP-1A-B-C, SIM, and have achieved a passing grade in the Transitions Course may progress to Phase 2.

Remediation of Academic Deficiencies in Phase 2 (Clerkships)

A passing cumulative numerical score of 70% must be achieved in order to pass a clerkship. The score achieved correlates to an assigned letter grade of A+, A, A-, B+, B, B-, C+, C or C-. Earning a cumulative score of less than 70% constitutes a failure and automatic referral to ASAC, and also requires repeating the clerkship and all its requirements.  Even if a student numerically achieves a passing score of 70%, the Clerkship Director may decline to pass a student based upon poor clinical performance and/or concerning issues of professionalism. In this circumstance, the clerkship director will make a recommendation to ASAC regarding their concerns with appropriate documentation. If failure is upheld by ASAC, remediation likely will include repeating the clerkship.  When a clerkship requires repeating it will be noted in the MSPE, and the student’s transcript will show two enrollments in the same course with two separately determined and reported grades.

Intersession

Intersession is a required three-week course graded as P/F at the completion of the final week of the course. Students must achieve a 70% on assignments to pass the course. Earning a cumulative score of less than 70% constitutes a failure and an automatic referral to ASAC. Remediation of a failure in this course is required and would be arranged with the course directors and occur after completion of the Phase 2 curriculum.

USMLE Subject Examinations in Phase 2 (Clerkships)

A passing score on each subject (shelf) examination will be set by the annual recommended passing score determined by the National Board of Medical Examiners. Not achieving this score constitutes a failure of the examination and therefore a deficiency for the clerkship. The student will be assigned an Incomplete on their transcript until the deficiency is removed when the examination is passed. Students who do not achieve a passing score on a shelf examination will be referred to ASAC with the recommendation from the clerkship director for appropriate remediation. Generally, if the student performed well clinically and is in good standing professionally, the student would be able to take a reexamination unless the score on the subject examination is so low that removing the deficiency still will result in a failure of the clerkship. The reexamination grade, if passing, will remove the deficiency from the course; however, the initial score is the only one that will be factored into the final clerkship grade. The final grade then will replace the Incomplete on the transcript. A second failure of the shelf exam will be referred to ASAC for review and action. Should ASAC permit the student to take the shelf examination a third time and the student passes, the clerkship deficiency will be satisfied; however, the first score is still the only one calculated into the clerkship grade. Failure to pass a shelf examination on the third attempt constitutes a failure of the clerkship and will be referred to ASAC for review and action. If approved, shelf reexaminations will occur at the completion of the student’s third year.  By special arrangement with the clerkship director, a shelf re-examination may be scheduled during breaks between clerkship blocks or at the Thanksgiving break.  Upon the timing of the clerkship with the deficiency, a student with an outstanding deficiency in a single clerkship may be allowed to continue into the Phase 3 portion of the curriculum but will not be allowed to take an elective in the discipline of the clerkship deficiency until the deficiency has been remediated. If a student fails shelf examinations in three different clerkships, the student will be referred to ASAC for review and, unless there are mitigating circumstances, will be considered for dismissal from school.

Numerical or Narrative Grading Challenge in Phase 2 (Clerkships)

If a student wishes to challenge the numerical calculation of their grade or the contents of the summary narrative written about them in a course or a clerkship, the request must be made to the course director or clerkship director within 4 weeks of the assignment of that grade. The student will need to meet to discuss their concerns with the course or clerkship director. If this does not resolve the issue, the student has the right to appeal in writing to the Associate Dean for Curriculum. The decision of the Associate Dean for Curriculum will be final.

Foundations of Clinical Medicine-2

Foundations of Clinical Medicine-2 is an extension of the FCM curriculum. It runs in tandem with the Phase 2 and is a Pass or Fail course. A requirement of this course is successful passing of the Clinical Performance Examination (CPX) exam to be taken at the end of the clerkship year. Students failing the CPX are referred to ASAC and should review their performance and address their deficiencies prior to retaking the examination. Students who have failed the CPX examination are required to participate in CPX remediation sessions as a condition of their reexamination.

Remediation of Academic Deficiencies in Required Courses of Phase 3 (Post-clerkship):

Beginning in January 2022 there will be 6 required courses in the Phase 3 Curriculum: Bedside to Community (B2C); an Advanced Clinical Elective (ACE); the Emergency Medicine Course (EM), an Intensive Care Medicine Course (ICM), the Internship Readiness Course and Foundations of Clinical Medicine-3 (FCM-3). The ACE, the EM Course, and the ICM Course are 4-week required experiences that are graded Pass/Fail. B2C and the Internship Readiness Course are required 2- week courses of the post-clerkship year that are graded Pass/Fail. FCM-3 runs throughout Phase 3 and is a Pass/Fail course.  Students must achieve a passing grade in all 6 of these courses to receive credit. Remediation of a deficiency in these courses is required.

Remediation of a deficiency in an elective is not required, however the student will not receive credit toward the MD degree for that elective.  A student must meet the elective credit requirements in order to fulfill graduation requirements. Failures in the Phase 3 curriculum will be referred to ASAC to determine the plan for remediation.

Entrustable Professional Activities (EPAs)

The UVA Entrustable Professional Activity (EPA) Program is a longitudinal, integrated component of the curriculum in which learners are assessed through direct observation during authentic patient encounters. EPAs are clinical tasks outlined by the Core Entrustable Professional Activities for Entering Residency (https://www.aamc.org/media/20211/download).  Additional information about the program can be found at Longitudinal Curriculum (https://med.virginia.edu/ume-curriculum/ume-md-curriculum/longitudinal-curriculum/) or in the VMED system under EPA Program Resources in the Quick Links Section). Although the data from EPA assessments do not contribute to course/clerkship/elective grades, EPA assessments are required components of the curriculum. The specific requirements (number of EPA assessments) for each course/clerkship/elective is reviewed and approved by the Curriculum Committee. If a student fails to complete the required assessments, the EPA Leadership team will review the issue to consider submission of a Professionalism Concern card. The Entrustment Committee aggregates data from EPA assessments to make a summative decision about students’ readiness to perform EPA tasks with specified levels of supervision at each of these stages. If at any stage the Entrustment Committee has concerns about a student’s abilities to meet clinical performance expectations, they can refer the student to the Clinical Skills Enrichment Program for additional small group or individualized coaching. If at the end of the clerkship phase, the Entrustment Committee has concerns about a student’s readiness to perform EPA tasks with indirect supervision, the Committee will make a recommendation to the Academic Standards and Achievement Committee (ASAC) that the student should engage in an enrichment elective, the Clinical Mastery Elective, prior to enrolling in an Advanced Clinical Elective. ASAC determines if a student is required to complete the elective.

Incompletes and University Withdrawals

An Incomplete may be assigned for a course or clerkship on a student’s transcript should an emergent situation, e.g., death of immediate family member, illness or accident, etc., arise after the student successfully has completed the majority of the requirements. An Incomplete cannot be assigned as a grade when the student is failing the course or clerkship. When the requirements have been completed, the Incomplete will be removed and replaced by the course or clerkship grade. An Incomplete grade will become an F one year after it is issued if not remediated. Grades that become an F after one year will not be changed after remediation.

Should a student need extended time off from medical school, interrupting a course or clerkship, the student must request a leave of absence or withdrawal per School of Medicine Leave of Absence, Withdrawal, Readmission Policy.  Any course or clerkship in progress will be graded as W.  If and when the student is readmitted from a withdrawal, ASAC will determine how much, if any, of the course or clerkship will need to be repeated. The grade of W will remain on the student’s transcript.

Graduation

In order to receive the recommendation from ASAC for graduation and conferral of the MD degree, a student must satisfy all academic and professionalism requirements with no outstanding deficiencies. In addition, completion of EPA requirements, passing scores on the CPX, USMLE Step 1 and USMLE Step 2 Clinical Knowledge are required for graduation.

Steps 1 and 2 CK of United States Medical Licensing Examination (USMLE):

Passing USMLE Step 1 and USMLE Step 2 CK is required for graduation. Students are allowed a total of three attempts to pass Step 1 and a total of three attempts to pass Step 2 CK. Failure to pass either exam on the third attempt will result in the student’s dismissal from the School of Medicine, without recourse to the appeals process. For May graduation, passing both exams must be documented by May 1.

Overall Time Limits

All requirements for graduation, including passing USMLE Step 1 and Step 2 CK, must be completed within six years from the date the student matriculated in the School of Medicine. For students in the MD/PhD dual degree program, graduation requirements must be completed within nine years; students in the MD/JD program must complete graduation requirements within eight years; for students in other dual degree programs graduation requirements must be completed within seven years. Exceptions to this policy are rare and must be approved by ASAC.

Testing Accommodations

When testing accommodations have been granted to a student by the SOM, a student must share their desire to invoke that accommodation with the respective course or clerkship director at least two weeks prior to a formative/summative assessment in the pre-clerkship phase and at the time of orientation for clerkships.

Procedure for Handling a Deficiency or Failure

  • The Course, System or Clerkship Director notifies both the student and the School of Medicine Registrar/college dean of deficiency or failure.
  • The student is withdrawn from clinical responsibilities (if applicable).
  • The student is required to meet with their college dean. At this meeting, the Policy on Academic and Professional Advancement is discussed and the student is notified of the next ASAC meeting. The ASAC meetings usually occur monthly. In the pre-clerkship phase of the curriculum, a student who scores less than 70% on a summative assessment shall meet with the system leader and/or the Director of Academic Enhancement to discuss learning strategies to improve performance.
  • The student shall be reviewed by ASAC.
  • Students may submit a written statement, results of a drug test, results of a Counseling and Psychological Services (CAPS) screening or any other relevant data to ASAC and/or request to meet in person with ASAC.
  • All students subject to dismissal or who may be required to repeat an academic period will be offered the opportunity to meet with ASAC. An academic period is defined as any course or clerkship for which a student receives an independent grade.
  • ASAC reviews each student’s academic record, considers any other relevant information or data and recommendations from a Course or Clerkship Director, and determines remediation or other action based upon the Policy on Academic and Professional Advancement.
  • The Chair of ASAC notifies the student in writing of the Committee’s decision.
  • If applicable and approved, the Office of Student Affairs schedules the remediation required by ASAC in collaboration with Course or Clerkship Directors considering the make-up schedule for that academic year.
  • In the cases where a student is asked to repeat a year, phase, or segment of the curriculum that will result in a delay in graduation from the School of Medicine, they can appeal the decision of ASAC following the Appeals Process described below.
  • ASAC decisions regarding promotion or graduation due to failure to pass USMLE Steps 1 or 2 CK or dismissal resulting from three failures cannot be appealed.
  • The SOM registrar shall communicate with student, college dean and ASAC to confirm when deficiencies or examination failures have been remediated.

Academic Appeals Process

  • If ASAC requires a dismissal from the School of Medicine or repetition of an academic period, the notification to the student will provide the option of an appeal and a description of the appeals process. This option will not be granted to those students failing to pass Steps 1 or Step 2 CK of the USMLE within three attempts for each exam. The student may formally request that the Associate Dean for Student Affairs appoint an ad hoc Appeals Committee to review the decision of ASAC. The student must file their appeal no later than 14 days from receipt of notification or lose the right to appeal.
  • The three-person ad hoc Appeals Committee is drawn from a pool of 10 faculty members named by the Associate Dean for Student Affairs, none of whom are current members of ASAC. The student selects one member, the Senior Associate Dean for Education selects one member, and the Dean selects the third member (who chairs the ad hoc Appeals Committee). The Assistant Dean for Medical Education serves as staff liaison, ex officio, without vote.
  • The student is permitted to inspect their entire medical school file, including any material upon which the decision of ASAC was based.
  • The student is permitted to have counsel, to submit affidavits and exhibits and to summon witnesses at the Appeals Committee hearing. Legal counsel may be present to provide advice, but legal counsel will not be permitted to participate actively in the presentation of testimony, examination/cross examination of witnesses or oral arguments.
  • The Appeals Committee is to conduct a hearing as soon as possible (ordinarily within 14 days). The Appeals Committee will provide the student with all the evidence against him or her, including the academic grades and written evaluations, and will base its decision upon the evidence presented at the hearing.  In its deliberations, the Appeals Committee must accord deference to the decision of ASAC. The Appeals Committee’s review shall be limited to: (a) compliance with the Policy on Academic and Professional Advancement and other applicable UME policies and procedures, and (b) whether there is sufficient evidence to support the decision of ASAC. The Appeals Committee may uphold or reject the adverse action. However, before rejecting the adverse action, the Appeals Committee must conclude that: (a) there was a failure to follow the Policy on Academic and Professional Advancement and/or other applicable UME policies and procedures and that failure negatively affected ASAC’s decision, and/or (b) that there is not substantial evidence to support the decision.
  • The Appeals Committee’s decision must be submitted to the student, the chair of ASAC, and to the Dean and/or the Dean’s designated chief academic officer within ten (10) calendar days of the close of the hearing and copied to the Office of Educational Affairs and the registrar. A written record of the proceedings will be sent to the Dean and/or the Dean’s designated chief academic officer.
  • The decision of the Appeals Committee will be final.

General Operational Procedures

ASAC will schedule monthly meetings and will also meet on an as-needed basis (within 10 days of a report, e.g., egregious behavior) to address immediate issues. ASAC may be superseded by University policy or legal action.

Definitions of Academic Status

A student may be placed on academic warning by ASAC during a specified period in which the student’s academic and/or professional deficiencies must be remediated or they will risk progression to academic probation. An academic warning is not reflected on the MSPE.

A student may be placed on academic probation by ASAC during a specified period in which the student’s academic progress and/or professional behaviors are monitored closely with periodic required reviews by ASAC. The student remains enrolled during this time. The committee may appoint specific faculty to implement remediation and evaluate the student’s progress. If deficiencies or failures are not rectified according to the remediation plan set by ASAC within the specified period of time, the student is subject to dismissal from the University. Academic probation is reflected on the MSPE.

Definitions of Academic Standing

A student is in good academic standing if the student makes satisfactory progress, defined as progressing at a pace of completion allowing the student to meet academic requirements to achieve the Doctor of Medicine degree within a six-year limit (150% of the program length) set from matriculation.

A student is not in good academic standing if making inadequate academic progress that threatens their ability to achieve the Doctor of Medicine degree within a six-year limit set from matriculation as determined by the Academic Standards and Achievement Committee.


The following are standards for each phase of the curriculum to determine whether or not students are maintaining Satisfactory Academic Progress (SAP).

Phase 1, Pre-clerkship

A student is declared not in good academic standing if they have failures in any course or system that are not successfully remediated at the time of the first day of class, third semester.

A student is declared not in good academic standing if they have greater than 2 course Incompletes and/or Withdrawals and if the Incompletes or Withdrawals are not remedied at the time of the first day of class, third semester.

A student is declared not in good academic standing if they have failures in any course that are not successfully remediated at the time of the first day of period one of the clerkships.

A student is declared not in good academic standing if they have greater than 2 course Incompletes and/or Withdrawals and if the Incompletes or Withdrawals are not remedied at the time of the first day of period one of the clerkships.

Phase 2, Clerkships

A student is declared not in good academic standing if they have greater than 2 failures, incompletes, and or withdrawals in any clerkships or the intersession course which have not been remediated prior to the beginning of the Phase 3 Curriculum.

Phase 3, Post-Clerkship

The student is declared not in good academic standing if not making adequate progress to achieve the Doctor of Medicine degree within the time limit set from matriculation.

The student is declared not in good academic standing if they fail two or more elective rotations or required Phase 3 courses.

Oversight

The Curriculum Committee has oversight and approval for this policy.

Related Policies

History

  • Administrative Update October 2021
  • Revised June 2021
  • Revised July 2020
  • Revised June 2019
  • Revised July 2018
  • Revised June 2017
  • Revised July 2016
  • Revised November 2015
  • Revised July 2015
  • Revised August 2014
  • Revised August 2013
  • Original effective date April 1, 2012