Academic Progress and Promotion Policy

Policy Manual

  • Effective Date: 05/22/2019
  • Last Revised: 07/13/2021

TO WHOM THIS POLICY APPLIES 

Medical students  

WHO NEEDS TO KNOW THIS POLICY

Medical Students, Faculty, Staff

PURPOSE/BACKGROUND

Students at the University of Nevada, Reno School of Medicine undergo a rigorous undergraduate medical education program. The school places significant emphasis on student performance in both academics and professionalism. This policy describes the processes for monitoring medical student performance and to outline the procedures involved if standards are not met. This policy serves as a companion to three additional policies related to student promotion: the "Code of Student Professionalism," the "United States Medical Licensing Exam (USMLE) Policy," and the "Medical Student Clerkship Exam Failure Policy." 

POLICY

Students must meet all academic and professionalism requirements established for each course, as described in each syllabus and noted in the Code of Student Professionalism policy in order to pass each required course/block/clerkship/elective. The adequacy of student performance in the Foundations Curriculum is determined by the Performance Review Committee (PRC). The adequacy of student performance in the clerkship and elective curriculum is determined by the clerkship or elective director.

Academic Monitoring and Probation

Academic Monitoring and Academic Probation are each a defined status to designate concerns and deficiencies in student academic progress. 

Academic Monitoring: Students are placed on Academic Monitoring when they are required to remediate a required course or clerkship. Students on Academic Monitoring remain in good standing and are considered to be making satisfactory academic progress. Students will maintain on this status for at least the remainder of the academic year at the discretion of the Student Promotion and Conduct Committee (SPCC). 

Academic Probation: Students are placed on Academic Probation when they fail to successfully remediate a course within the time frame established by the SPCC, when they fail a second course in the same academic year, or when they fail a required clerkship or elective. Students with a status of Academic Probation will no longer be in good academic standing and will be considered as not making satisfactory academic progress. All instances of Academic Probation will be noted on the Medical Student Performance Evaluation (MSPE). All students on Academic Probation will be required to appear before the SPCC unless specifically granted an exception by the Chair of the SPCC. Students on Academic Probation will maintain this status until completion of all requirements for graduation unless, after a minimum of one full academic year on Academic Probation, they submit a written request to the SPCC and are granted approval to transition back to a status of Academic Monitoring. Upon completion of all requirements for graduation, students on Academic Probation will automatically return to Academic Monitoring. 

If a student is placed on Academic Monitoring three or more times during their enrollment at UNR Med, they will no longer be considered to be in good standing or making satisfactory academic progress and will be placed on Academic Probation. These students are not eligible to request a transition back to Academic Monitoring. When they have completed all requirements for graduation, they will return to Academic Monitoring.

Students will not be permitted to exceed the six-year maximum time allotment for the completion of the M.D. degree as a result of failed courses, remediation and repeated years.

Student academic progress and professional development are continuously monitored by the Offices of Medical Education and Admissions and Student Affairs, in conjunction with the SPCC and reported to the Curriculum Committees. Students must complete all requirements of their current year curriculum to be promoted to the following year. 

Remediation of Foundations Courses (Blocks 1-11)

Students who, at the end of a course, fail to meet the requirements established for the course, including, but not limited to inadequate academic and/or clinical performance in the course overall, or inadequate performance in specific content areas or in professionalism, will receive a grade of "In Progress," will be placed on Academic Monitoring and required to remediate the course under the supervision of the course faculty and Learning and Wellness Resource Center (LWRC) staff or their designee. The LWRC staff will communicate remediation plans and progress to the SPCC. After a student demonstrates successful remediation, the student's grade will be changed to a final course grade.

Remediation of Clinical Skills Courses (POM, ACS, CRIM)

Students who, at the end of a clinical skills course, fail to meet the requirements established for the course, including, but not limited to inadequate academic and/or clinical performance in the course overall, or inadequate performance in specific content areas or in professionalism, will be given a grade of "In Progress," will be placed on Academic Monitoring, and will be required to remediate the course under the supervision of the course director(s). Required remediation may include additional skills training or practice, followed by a reassessment to determine competency. After a student demonstrates successful remediation, the students grade will be changed to a final course grade.

If it has been determined by the course director(s) that the student requires formal remediation as described in the course syllabus, the student will receive a grade of "Incomplete," and the remediation will be noted on the MSPE. After a student demonstrates successful remediation, the student's grade will be changed to a final course grade.

If the student has not demonstrated competency within a time frame determined by the course director(s), the student will receive a course grade of "Fail." A passing grade in each clinical skills course is required for graduation. 

Remediation in Clerkships and Electives

Students who, at the end of a clerkship, fail to meet the requirements established for the clerkship or elective including, but not limited to, inadequate academic and/or clinical performance or inadequate performance in professionalism, will be given a grade of "In Progress," and are required to either repeat or remediate the clerkship under the supervison of the Clerkship Director(s). Students who are remediating or repeating a clerkship will be placed on Academic Monitoring and will maintain this status for at least the remainder of the academic year. All clerkship and elective remediation will be under the supervision of the course director and noted on the MSPE.

If a student fails to remediate or is required to repeat a clerkship or required elective, the student will be placed on Academic Probation until completion of all requirements for graduation. If a student fails to meet the requirements of a second clerkship in the same academic year, the student will be placed on Academic Probation and will be subject to dismissal from the medical school pursuant to the applicable UNR Med policies.

Repeated Years

Students permitted to repeat a full academic year will be placed on Academic Probation. During the repeated year, they must pass each course on the first attempt. Students are not eligible to remediate any courses during a repeated academic year. Students may only repeat one academic year during their enrollment at UNR Med. Failure of any course during a repeated year will result in dismissal from the medical school pursuant to the applicable UNR Med policies. Upon successful completion of the repeated year, students may submit a written request to the SPCC for approval to transition back to a status of Academic Monitoring. Upon approval by the SPCC, the students will maintain the status of Academic Monitoring for the duration of their enrollment at UNR Med.

Definitions

  • ACS: Advanced Clinical Skills Course
  • CIT: Clinical Integration Team
  • CRDM: Clinical Reasoning and Decision Making
  • CRIM: Clinical Reasoning in Medicine Course
  • Course: a defined academic component of the M.D. Program, including courses, blocks, clerkships and electives.
  • Course Requirements: Student performance requirements, as defined in the syllabus, student handbook, other applicable policies.
  • Clerkship: Required core clinical experience wtihin a defined specialty, typically completed during the third year of medical school.
  • Clerkship Exam: NBME subject (aka shelf) exam for a clerkship or other exam as defined in the clerkship syllabus.
  • Director: Faculty responsible for a defined course/block/clerkship/elective.
  • Failure of Clerkship Exam: Performance below the minimum as defined by the clerkship syllabus.
  • Final Year of Enrollment: The period of time from when all clerkships are complete until graduation requirements are met. Note this may be longer than a calendar or academic year.
  • LWRC: Learning and Wellness Resource Center
  • MSPE: Medical Student Performance Evaluation
  • POM: Practice of Medicine Course
  • PRC: Performance Review Committee: The PRC is convened by the Associate Dean of Medical Education or their designee. The membership may be changed based on need, as determined by the PRC and approved by the Associate Dean of Medical Education.
  • SPCC: Student Promotion and Conduct Committee

Responsibilities & Procedures

  • The PRC will assign final grades to students in the Foundations Curriculum, excluding the clinical skills courses, and determine if students have met the requirements established for the course. It is the responsibility of the PRC to determine if a student meets criteria for remediation.
  • The Course and Clerkship Directors will notify the student as well as the Offices of Medical Education and Admissions and Student Affairs of any students who fail to meet the requirements established for the course/clerkship.
  • The Associate Dean for Admissions and Student Affairs will communicate student-specific decisions from the SPCC and the Dean of the School of Medicine to the student.