Policy 565.30


Review of Academic Performance: Clerkship


Policy Statement

The Committee on Advancement will review the total performance of each student at least twice within each curricular segment (Foundations, Clerkship Year and Advanced Integration) on the basis of grades and narrative comments by the course and rotation directors and satisfactory completion of global assessments and requirements. Specific procedures under which the committee operates for students in the Clerkship Year are as follows:

  1. Students must satisfactorily complete the work of the Clerkship Year to progress to Advanced Integration by vote of the Committee on Advancement. 
  2. All unsatisfactory academic progress in the Clerkship Year will be reviewed by the Committee on Advancement at its earliest scheduled meeting, provided that the meeting date is no sooner than seven days from notification of unsatisfactory performance.
    Reasons for review by the Committee on Advancement may include the following:
    • Clerkship, course or block failure
    • Three clerkship, course and/or block marginal passes
    • Unsatisfactory academic progress despite a passing grade (clerkship/level director referral)
    • Two different clerkship secure exam failures
    • Any incomplete grades including failure to complete the end of course/clerkship evaluations
    • Subsequent unsatisfactory progress after previous referral to the Committee (additional marginal pass, incomplete, fail, or course director referral)
    In such cases the Committee on Advancement may require a student to take certain actions including, however not limited to, remediating/repeating one or more courses/clerkships, repeating an entire curricular segment, or the committee may dismiss the student from the Larner College of Medicine.
  3. In addition to the above, the Committee on Advancement may determine that a student has not satisfactorily completed the work of the Clerkship Year even if there are no clerkship failures. Such a determination may reflect consistent or collective marginally acceptable performance with failure to achieve expected competencies or successive failures in final summative assessments of medical knowledge. In such an event, the course director or curriculum level director will prepare in writing the specific allegations giving rise to the review and submit the statement to the chairperson of the Committee on Advancement. On receipt of the statement, the chairperson shall inform the student in writing of the Committee’s pending review, the membership of the Committee and the specific allegations giving rise to the review of the student’s performance. In such cases the Committee on Advancement may require a student to take certain remedial actions including, but not limited to, repeating one or more clerkships, repeating an entire curricular segment, or dismiss the student from the Larner College of Medicine.
  4. A student failing one of the Clerkships may, on a vote of the Committee on Advancement, be permitted to remediate, delaying entry into Advanced Integration until the requirements of the clerkship are met. Failure to meet these requirements will result in dismissal from the Larner College of Medicine for unsatisfactory performance.
  5. A student failing two or more Clerkships will be dismissed from the Larner College of Medicine for unsatisfactory performance.
  6. A student may withdraw from a clerkship following approval of the student’s written request by the Associate Dean for Students and the clerkship director. The request must be made prior to the final day of the rotation. The transcript grade for such a rotation will be recorded as WITHDRAWN. A narrative evaluation of the student’s performance prior to the withdrawal will be submitted for incorporation in the student’s permanent record. A student must obtain permission of the Committee on Advancement to retake/remediate the clerkship in a manner acceptable to the clerkship director.
  7. A student who fails to attend a scheduled Clerkship without having been excused by the Associate Dean for Students will be assigned a grade of FAIL.
  8. Students must pass the End of Clerkship Level Clinical Skills Examination (CSE) in order to graduate. To be eligible to take the CSE, all required work of the Clerkship Year must be completed successfully. A student failing the CSE after one attempt must retake the exam. A student failing on the second attempt may, on a vote of the Committee on Advancement, be allowed to remediate their performance or may be dismissed.

Applicability of the Policy

  • Clerkship

Reviewed and Approved

  • Medical Curriculum Committee, on December 19, 2017

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