Review of Academic Performance:
Advanced Integration Level

Policy 565.40

Policy Statement

The Advancement Committee will review the total performance of each student at least twice within each curricular segment (Foundations, Clerkship and Advanced Integration Levels) 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 Advanced Integration Level students are as follows:

  1. The degree of Doctor of Medicine is granted by the Board of Trustees of the University of Vermont to candidates only upon recommendation of the Advancement Committee, the faculty of the Larner College of Medicine and the University Senate. The Advancement Committee will initiate these recommendations for all students who satisfactorily complete Advanced Integration Level and satisfy all graduation requirements.
  2. All unsatisfactory academic performances in the Advanced Integration Level will be reviewed by the Advancement Committee 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 Advancement Committee may include the following:
    1. Course or block failure
    2. Three course and/or block grades of Marginal Pass
    3. Unsatisfactory academic progress despite a passing grade (course/level director referral)
    4. Two different clerkship secure exam failures
    5. Any grades of Incomplete
    6. Subsequent unsatisfactory progress after previous referral to the Committee (additional grades of Marginal Pass, Incomplete, Fail, or course director referral)
    In such cases the Advancement Committee may require a student to take certain actions including, however not limited to, remediating/repeating one or more courses, 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 Advancement Committee may determine that a student has not satisfactorily completed the work of Advanced Integration Level even if there are no failures in individual rotations. Such a determination may reflect consistent or collective marginally acceptable performance with failure to achieve expected competencies. 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 Advancement Committee . 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 Advancement Committee may require a student to take certain remedial actions including, but not limited to repeating one or more rotations, repeating an entire curricular segment, or dismiss the student from the Larner College of Medicine.
  4. A student failing any Advanced Integration Level rotation may, on vote of the Advancement Committee, be permitted to make up the failure in a manner to be determined by the course director.  In addition, the Advancement Committee may require modifications in the student’s subsequent plan of study for the Advanced Integration Level.
  5. A student failing two or more Advanced Integration Level rotations will be dismissed from the Larner College of Medicine for unsatisfactory performance, even if the first of the two failures has already been made up.
  6. A student may withdraw from a course following approval of the student’s written request by the Associate/Assistant Dean for Students and the course director.  The request must be made prior to the onset of the final day of the rotation. The transcript grade of Withdrawn will be recorded for such a course. 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 who withdraws from the course may, upon petition of the Advancement Committee, make up the rotation in a manner acceptable to course director. Required rotations must be made up, while elective rotations need not be. The Advancement Committee will have the final authority to decide whether the student has met the requirements for graduation.
  7. A student who fails to attend a scheduled Advanced Integration Level rotation, whether required or elective, and whether intramural or extramural, without having completed the appropriate withdrawal procedures and without having been excused by the Associate/Assistant Dean for Students (with the knowledge of the student’s advisor) will be assigned a grade of Fail for that rotation.

Applicability of the Policy

Advanced Integration Level Students

Related Larner College of Medicine Policies

Related University of Vermont Policies

Not Applicable

Related Liaison Committee on Medical Education (LCME) Standard(s)

  • 8.6 Monitoring Completion of Required Clinical Experiences
  • 9.4 Assessment System
  • 9.6 Setting Standards of Achievement
  • 9.9 Student Advancement and Appeal Process


  • 4/15/2014 Policy Adopted/Affirmed [Medical Curriculum Committee]
  • 8/18/2015 Policy Revised [Medical Curriculum Committee]
  • 5/24/2016 Policy Revised [Medical Curriculum Committee]
  • 8/10/2017 Policy Revised [Medical Curriculum Committee]
  • 12/20/2017 Policy Revised [Medical Curriculum Committee]
  • 7/9/2018 Policy Revised [Medical Curriculum Committee]
  • 3/17/2020 Reformatted [Medical Curriculum Committee]
  • 8/18/2020 Policy Revised [Medical Curriculum Committee]
  • 2/16/2021 Policy Edited [Medical Curriculum Committee]

Policy Oversight

Senior Associate Dean for Medical Education

Previous | Next