UNR Med Definitions

Policy Manual

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4-Week Average

  • Refers to a single rotation. Days off may not be averaged over multiple rotations.


Academic Enrichment Coordinator

  • The Academic Enrichment Coordinator oversees, designs, and implements academic support services and enrichment programs for students enrolled in University of Nevada, Reno School of Medicine (UNR Med) degree and certificate programs.

Academic Learning Center

  • The Academic Learning Center provides tutoring and MCAT preparation for students participating in UNR Med's programs. The Center also provides study skills and learning strategies to improve student success.

Accountable (RACI model)

  • The person ultimately accountable for the work or decision being made. For each metric, one person must be identified who is accountable for the implementation.


  • Advance Clinical Skills -The community-based preceptorships or medical students and accompanying clinical experiences are designed to strengthen the history taking, physical examination, and clinical reasoning skills of the students and include Ambulatory Care Experiences.


  • Clinical teaching partners who have current affiliation agreements with UNR Med

Approving agent

  •  Individual, group, or committee holding the authority to approve policy.


Block Requirements

  • Defined in the syllabus, student handbook and other applicable policies.

BS-MD Program

  • The program guarantees a student admission into medical school contingent upon successful completion of the program's requirements. Upon completion of the program's criteria, the program awards a Bachelor's Degree (BS) and Medical Degree (MD) to the student.



  • University learning management system


  • Community seeking to increase the number of bilingual English-Spanish students pursuing paths in science, technology, engineering math (STEM)-healthcare fields such as biomedical, behavioral and clinical careers. CBESS is a collaboration of UNR Med, The College of Education and Raggio Research Center.


  • Required clinical experience within a defined specialty typically completed during the third year of medical school and second year of PA school.

Clerkship Exam

  • NBME subject (aka shelf) exam for a clerkship or other exam as defined in the clerkship syllabus.Community Based Participatory Research
    o A collaborative approach to research that equitably involves all partners in the research process and recognizes he unique strength hat each brings. CBPR begins with a research topic of importance to the community and has the aim of combining knowledge with action and achieving social change to improve health outcomes and eliminate health disparities.

Community Engaged Research

  • A process of inclusive participation that supports mutual respect of values, strategies, and actions for authentic partnership of people affiliated with or self-identified by geographic proximity, special interest, or similar situations to address issues affecting the well-being of the community of focus.

Conference Report

  • Documentation of the meeting regarding professionalism behavior between the student and the administration of the medical school.

Consulted (RACI Model)

  • Individuals with relevant expertise, perspective, or authority who should be consulted with prior to a decision being made and/or the task being completed. For each metric, there can be as many people consulted as needed.

Continuous Quality Improvement

  • A systematic approach to the analysis of performance and efforts to improve performance. In addition, the LCME describes CQI as a process both to monitor compliance with accreditation standards in the interval between full accreditation reviews and to act on the results (Barzanksy et al., 2016).


  • Mental health counseling provided to students by the UNR Counseling Services.
  • Personal counseling provided by Student Affairs, learning specialist, faculty, and peers.
  • Resident counseling offered to the through their private health insurance providers.


Direct Supervision with Supervising Physician Available

  • GME: The supervising physician is on duty and is available to provide direct supervision.
  •  SPA: CAA supervising SPA is in room and or on floor and available to provide supervision.

Disease Prevention Research

  • Research designed to yield results directly applicable to identifying and assessing risk, and to developing interventions for preventions for preventing or ameliorating the occurrence of a diseases or the progression of detectable but asymptomatic disease.


  • A collective mixture of differences (e.g. background, perspectives, experiences, goals, beliefs, characteristics, preferences, and behaviors) and group/social differences (e.g. race/ethnicity, class, gender identity and expression, sexual orientation, or other affiliations) that can be engaged to achieve excellence in teaching, learning, research, scholarship, and administrative and support services.

Duty Hours

  • Refers to any time spent in the hospital, clinic or other patient care site in patient care, documentation of patient care, attending mandatory clerkship/elective and/or other University of Nevada, Reno School of Medicine activities. Duty hours do not include time spent studying, preparing, and/or reading. Time spent in transportation to and from clinical sites does not count toward duty hours unless it occurs during home call.


Educational activities

  • Instruction, study, and testing.

Essential Functions Requirement for Admission, Promotion, Continuation and Graduation.

  • MD: All accepted candidates to clinical and academic programs are required to sign the Essential Functions Requirement for Admissions, Promotion, Continuation, and Graduation as a contingency of their admission to and continued enrollment at UNR Med. Each student endorses an acknowledgement of said requirement, which becomes a permanent part of the student record.
  • SPA: In order to acquire the knowledge and skills requisite to the practice of speech-language pathology to function in a broad variety of clinical situations, and to render a wide spectrum of patient care, individuals must have skills and attributes in five areas: communication, motor, intellectual-cognitive sensory-observational, and behavioral-social. These skills enable a student to meet graduate and professional requirements as measured by state licensure and national certification.

Exposure-prone procedures

Exempt Meals

  •  Routine meals provided by a clinical teaching site affiliate during assigned work hours are exempt. Industry - supported meals are prohibited. Affiliate events outside of assigned work hours are subject to expedited COI committee review; following submission by individual or program.


Faculty: an individual with a faculty appointment at UNR.

  • Academic Faculty:
    • UNR Bylaws: Instructional, research and library faculty as defined by the Nevada Board of Regents.
    • Title Series: Assistant/ Associate/ Professor of [Department name]
    • Voting rights
  • Adjunct Faculty:
    • UNR Bylaws: professionals who receive an appointment to provide volunteer services to UNR Med.
    • Title Series: Clinical Assistant/ Associate/ Professor of [Specialty]
    • UNR Med Bylaws: eligible for committee membership without voting rights.
  • Administrative Faculty:
    • UNR Bylaws: a professional staff member employed to support the academic missions of UNR Med.
    • Voting rights
  • Clinical Faculty:
    • Community clinicians with appointments at UNR Med as "Clinical (Assistant, Associate) Professor of..." who volunteer time teaching and supervising students and residents.
    • UNR Med Bylaws: eligible for committee membership without voting rights.
  • Clinician Faculty:
    • A licensed clinician who has a faculty appointment.
  • Community Faculty:
    • Community member who has an uncompensated appointment with UNR, is not an employee of the VA or RH and who provides services to UNR Med.
    • UNR Med Bylaws: eligible for committee membership without voting rights.o
  • Core Faculty:
    • All physician faculty members in a specialty graduate training program who have a significant role in the education of resident/fellows and who have documented qualifications to instruct and supervise. Core faculty members devote at least 15 hours per week to resident education and administration. All core faculty members should evaluate the competency domains; work closely with and support the program director; assist in developing and implementing evaluation systems; and teach and advise residents. Definition will be reviewed for an update pending approval of the revised Common Program Requirements.
  • Dual Faculty:
    • A faculty member who is employed by both UNR Med and the Sierra Nevada VA under separate contracts. Dual faculty members are defined as Full Time for UNR Med reporting purposes.
    • Title Series: Assistant/ Associate/ Professor of [Specialty]
  • Emeritus Faculty:
    • A faculty member who received an emeritus appointment at the time of retirement.
  • Full Time Faculty:
    • UNR Benefits: .5 FTE or higher
    • External reporting: 1.0 FTE or Dual Faculty appointment
  • Joint Faculty:
    • A teaching faculty member who is employed by the Sierra Nevada VA or Renown Health and who has an uncompensated appointment with UNR.
    • Title Series: Assistant/ Associate/ Professor of Clinical [Specialty]
  • Letter of Appointment/ Temporary Faculty:
    • A faculty member who has a part-time and/ or temporary appointment for defined academic and administrative duties.
    • LOA: less than .5 FTE
    • LOB:.5 to .8 FTE
    • UNR Med Bylaws: eligible for committee membership without voting rights.
  • Non-tenure-track Faculty:
    • UNR Bylaws: a faculty member who has received an appointment without eligibility for tenure.
  • Part Time Faculty:
    • UNR Benefits: less than .5 FTE
    • External reporting: less than 1.0 FTE
    • .5 and above eligible for voting
  • Probationary Faculty:
    • UNR Bylaws: a tenure track faculty member who is not yet tenured.
  • Teaching Faculty:
    • A professional who is employed, appointed or contracted by UNR Med to provide leadership, instruction, supervision, support and evaluation of learners in order to meet the educational objectives of a UNR Med academic program.
  • Temporary Faculty:
    • A faculty member who is appointed on a temporary (1 year contract).
  • Tenured Faculty :
    • UNR Bylaws: a faculty member who has received/achieved an appointment with tenure.
  • Tenure Track Faculty:
    • UNR Bylaws: a faculty member who has received an appointment with eligibility for tenure but who are not yet tenured (see "probationary").
  • Voting Faculty:
    • A faculty member who is employed by UNR on a non-temporary (LOA) appointment of .5 FTE or above.

Failure of Exam

  • Generally defined as performance below a specified level, based on criteria defined within a syllabus or policy.

Fellow and Resident

  • A physician in a graduate medical education program approved and accredited by the ACGME. Such individuals are eligible candidates for general board certification, certification of added or certification of special qualifications upon successfully completing the residency.

Fitness for Duty Evaluation

  • Evaluation used to determine the individual's ability to perform their duties responsibly and safely. The Fitness for Duty evaluation is not a confidential clinical encounter between the individual and evaluator.

Formal Remediation Plan (FRP)

  • A written plan of study and assessment developed to guide remediation of deficiencies. Procedures for completion of an FRP are available through the UNR Med Learning Specialist.


Global Professionalism Assessment (GPA)


  • All gifts regardless of value. "Gifts" do not include attendance or admission to events sponsored by hospitals with an affiliation agreement with UNR Med and/or UNR Med clinical teaching site affiliates.


Health Care Services

  • Medical Student - Medical and psychiatric care provided by UNR Student Health Services.
  • Resident - Medical and psychiatric care offered to through their private insurance provider.

Health Equity Research

  • Research that examines strategies, programs, or circumstances that tend to reduce health disparities and achieve optimal health for all.

Health Disparity Research

  • Includes basic, clinical, and social sciences studies that focus on identifying, understanding, preventing, diagnosing, and treating health conditions such as diseases, disorders, and other conditions that are unique to, more serious, or more prevalent in subpopulations in socioeconomically disadvantaged (i.e. ow education level, live in poverty) and medically underserved, rural, and urban communities.

Health Promotion Research

  • o Research that promotes the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior, towards a wide range of social, and environmental interventions.

Holistic Review

  1. A flexible, individualized way of assessing an applicant's capabilities, by which balanced consideration is given to experiences, attributes and academic metrics (EAM) and, when considered in combination, how the individual may contribute value as a medical student and future physician



  • Conditions that may affect an individual's academic or behavioral performance includes, but is not limited to: medical, behavioral, or substance abuse issues.


  • The act of actively involving every person's ideas, knowledge, perspectives, approaches, and styles to maximize success, ensure equal access to opportunities and resources, and create the sense for the person that they are part of the fundamental fabric of the school or organization.


  • Biomedical, pharmaceutical, and medical commercial entities that make, market, or distribute supplies, devices, equipment, products, or services that are used in research, in the treatment of patients or the provision of medical care. "Industry" does not include hospitals or federally qualified health centers with an affiliation agreement with UNR Med and/or UNR Med clinical teaching site affiliates (7). "Industry" does not include insurers, managed care organizations or other similar entities licensed under Title 57 of the Nevada Revised Statures (also known as the Nevada Insurance Code).

Informed (RACI Model)

  • Individuals who must be informed when a decision is made or work is completed, and who must receive the results of the monitoring. For each metric, there can be as many people informed as needed.


  • In the years one and two curriculum, this refers to the Block/Course Directors. For the third and fourth year, this refers to the clerkship/elective director.
  • Academic Rank- rank reflects an academic faculty member's level of experience and accomplishment, in ascending order: Assistant Professor, Associate Professor and Professor. Academic rank is assigned at the time of hire with advancement awarded through a formal promotion process defined by University and School bylaws.


Learning Wellness Resource Center (LWRC)

  • The LWRC provides universal academic, behavioral support, and wellness activities for all student learners at UNR Med. Educational research opportunities are available for students through the LWRC's programming.



  • Medical student 1st year orientation program.


  • Computer-based patient cases for Clerkship level.

Medical student

  • A student currently enrolled in a medical school.

Mission Based Diversity Group (MBDG)

  • o Faculty
    • Black/African American
    • Latino/Hispanic
    • Educationally Underserved (Rural, First Generation, and Low-Income)
    • Women
  • o Senior Administrative Staff
    • Black/African American
    • Latino/Hispanic
    • Educationally Underserved (Rural, First Generation, and Low-Income)
  • o Staff
    • Black/African American
    • Latino/Hispanic
    • Rural
    • First Generation
    • Veteran
  • Students (MD)
    • Black/African American
    • Latino/Hispanic
    • Rural
    • First Generation
    • Low-Income
  • Residents
    • Black/African American
    • Latino/Hispanic
    • Educationally Underserved (Rural, First Generation, and Low-Income)

Multi-Tiered System Support (MTSS)

  • Utilizing the concept of universal design, MTSS focuses on working with all UNR Med students independent of level of need. The system is integrated by supporting academic growth and achievement, but also includes behavior, social and emotional needs.


  • University's online portal for applicants, students, faculty and staff.


  • Any and all written or email communication.



  • Curriculum and evaluation database.

Outcome Metric

  • Quantitative metrics that measure the impact of a process or a person.


  • Any activity, event, presentation or educational program engaged in by UNR Med to build awareness about UNR Med's programs and mission and inspire individuals to consider a career in medicine.



  • An objective, comprehensive self-assessment tool for students and curricular evaluation.

Patient-care activities

  • The activities that have a direct influence on the care of a patient.


  • UNR program for student registration, course listing, grades and transcripts.

Performance Improvement Plan (PIP)

  • A plan of remediation designed to improve a resident's proficiency in one or more ACGME Core Competencies. A PIP is not Corrective Action or formal disciplinary action, but rather an educational tool to correct areas of unsatisfactory academic or professional performance by a resident.

Physician Assistant Student

  • A student current enrolled in PA School.


  • A term used to denote the general flow of individuals on the pathway to a career in health care.

Pipeline Development

  • The development of methods and strategies to create and support diverse and well-prepared population of prospective medical students.

Pipeline Programs

  • Any institutionalized program that supports or encourages individuals in preparing for admission and matriculation into medical school.


  • Defined course of action that guides decision.

Process Metric

  • Metrics that are specific steps in a process.

Professionalism Standards

  • Deviations from UNR Med professionalism standards that lapse.

Program Coordinator

  • The UNR Med staff member responsible for specific programs. Program Coordinator title can differ from department to department (e.g. BS-MD Program Coordinator, Pipeline Program Coordinator).


RACI Model

  • A tool used for identifying roles and responsibilities for an organizational change process. A RACI chart is a matrix of all the activities or decision-making authorities undertaken in an organization matched with all the people or roles.


  • Any event, program, or presentation designed to expose prospective students, faculty, staff, or residents to the benefits and advantages of attending, working at, or being part of the UNR Med community. Also includes building awareness among employers about the benefits of hiring UNR Med residents or graduates.


  • Scholarship activities that also include all of the following characteristics:
    • Systematic approach to answering a question
    • Systematic analysis of data
    • Dissemination (or planned submission) outside of UNR Med through peer review process


  • An individual enrolled in an ACGME-accredited residency program.

Residency program

  • A structured educational activity comprising a series of clinical and/or other learning experiences in graduate medical education, designed to prepare physicians to enter the unsupervised practice of medicine in a primary specialty. There are two types of residency programs: (a) residency programs available for physician admission immediately upon graduation from medical school as described in the Institutional Requirements; and (b) residency programs available for physician admission after completion of prerequisite clinical training as described in the relevant specialty-specific Program Requirements.

Responsible (RACI Model)

  • The person who is responsible for performing the work. For each metric, at least one person must be identified who is responsible for the implementation.

Restricted Content

  • This indicates that industry may not direct or restrict the content or the speaker for CME activities

Role Statement (aka Academic Activities Plan)

  • Includes required major duties and responsibilities of the position, specific tasks associated with the position including physical, mental, and environmental demands of the position.


Scholarship - as it relates to academic faculty appointments

  • Direct participation in activities that include all of the following characteristics:
    • Synthesis of existing knowledge
    • Peer or academic review
    • Advances the field
    • Contributes to a body of knowledge
    • Available to peers to review applying criteria
    • Presented or published at UNR/ UNR Med (e.g. conference, publication, recordings)

Scholarly Activity

  • Activities related to research and scholarship to include submission of grant proposal or manuscripts.

Shelf Exam

  • Standardized subject examination given at end of a course or clerkship.


  • The Student Promotion and Conduct Committee is charged with overseeing the personal and professional development of medical students at UNR Med. The SPCC is also UNR Med's disciplinary committee.

Special Programs:

  • Dual degree programs such as the MD-PhD, MD-MPH, and MD-MBA
  • The UNR Med Scholarly Concentration (SC). The SC programs require a minimum of 320 hours of discipline-specific work and additional program requirements approved by the medical Education Steering Committee.


  • Individuals and groups who will be directly or indirectly affected.

Strategic Initiative (a.k.a. Strategic Priority)

  • A compelling statement conveying the area of focus where an organization intends to change in the long term. Strategic initiatives consist of multiple objectives with designated resources, activities, responsibility, and outcome metrics.

Strategic Plan

  • An activity involving stakeholders, patterns of decision making, and action to position the organization for success, as defined by the organization's vision and mission.


  • Medical student- A student currently enrolled in a M.D or D.O program.
  • PA- A student current enrolled in a PA School.
  • Undergrad
  • Grad


  • Direct Supervision With Supervising Physician Present: The supervising physician is physically present with the medical student and the patient and is prepared to take over the provision of patient care if/as needed.
  • Med Education
  • Grad Med Education
  • Supervising Clinician- A clinician with faculty appointment with UNR Med; a community/rural attending physician with a clinical faculty appointment at the School of Medicine; a resident or fellow in a UNR Med graduate medical education program.



  • Pipeline program whose mission is to assist low-income, first generation students to overcome the cultural, academic, class, and social barriers to success in higher education.


  • All students (undergraduate and graduate students, medical students, residents and fellows) on all UNR Med campuses, research settings, and off campus teaching sites.


Universal Precautions

UNR Med Academic Learning Center

  • The Academic Learning Center provides tutoring and MCAT preparation for students participating in UNR Med's programs. The Center also provides study skills and learning strategies to improve student success.

UNR Med Bylaws

  • The UNR Med Bylaws provide for the organizational and administrative structures and procedures of UNR Med. They shall, at all times, be subordinate to, and consistent with the UNR Bylaws, the NSHE Code, and the laws of both the State of Nevada and the United States.

UNR Med Transmissible Disease Expert Panel

  • An expert panel made up of various individuals appointed by the UNR Med Dean to provide oversight of issues related to transmissible disease.



  • UNR based online course management program.