Academic Policy and Procedures

 

 

 

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    Academic Policy and Procedures
    Office of Medical Education (with Annotations)

    SECTION 1: ADMINISTRATIVE STRUCTURE AND COMMITTEES

    1.1 Introduction

    The Medical Student Policies and Procedures Manual is the official document on policies, procedures, and regulations for students attending Stony Brook University School of Medicine. Any individual who enrolls in the Stony Brook University School of Medicine voluntarily places herself/himself under the rules and regulations of the University, the School and affiliated hospitals, and agrees to abide by them. Therefore, students, faculty and administrative personnel need to be familiar with these policies and procedures, and they are responsible for remaining familiar with these provisions. The School of Medicine faculty has established these policies and procedures in compliance with the Accreditation Standards of the Liaison Committee on Medical Education.  

    These policies and procedures were endorsed by the School of Medicine faculty to serve as guidelines for actions and decisions regarding academic policies and procedures. The Committee on Academic & Professional Progress (CAPP) is the body the faculty has charged with interpreting and applying the provisions herein. While every effort is made to provide accurate and current information, the School of Medicine reserves the right to change or amend policies, procedures, programs, and other matters without notice when circumstances dictate. Note that some of the items in this manual have a more detailed explanation included as an Annotation 1.

    1.2 Administrative Structure of the School of Medicine

    The Dean of the School of Medicine is the Chief Academic Officer and has overall responsibility for the school’s educational, research and clinical missions. The various functions related to medical education are distributed among members of the Office of the Dean.

    The education mission is the primary focus of the Vice Dean for Undergraduate Medical Education who works in conjunction with the Vice Dean for Graduate Medical Education.  Assistant and Associate Deans handle student affairs, admissions, career counseling, curriculum, evaluation, and faculty development. Services coordinated by these offices have been designed to assist students in achieving their educational goals, and include financial aid counseling and processing; registration and course scheduling; personal, academic, and career counseling; residency application assistance; and other services.

    1.3 Committees of the Faculty Senate

    1.3.1 The Curriculum Committee
    The Curriculum Committee is appointed by the Faculty Senate to develop and to supervise the curriculum for undergraduate medical students. Its functions include specifying the educational mission, goals and objectives of the school, defining the overall content of the curriculum, determining the length and sequence of courses, recommending course directors to the Dean of the School of Medicine, and regularly reviewing and evaluating courses and the curriculum as a whole. Elected student representatives sit as voting members on this committee. The committee meets monthly.

    1.3.2 The Committee on Academic & Professional Progress (CAPP)
    The Committee on Academic & Professional Progress (“CAPP”) is appointed by the Faculty Senate to monitor students' adherence to academic and professional standards. CAPP is charged with making academic standing and professional progress decisions.  Elected student representatives serve as non-voting members of CAPP and participate in all deliberations. The committee meets monthly. If a student meets criteria for review by CAPP, the Vice Dean for Undergraduate Medical Education (UGME) will so notify the student and invite the student to meet with CAPP.  Although the meetings are closed, but for invitees, and the deliberations are confidential, a student may bring a Stony Brook medical student or faculty member as an advocate. Moreover, students may prepare a written statement to distribute to the committee before or during the meeting. Legal representation is not permitted at meetings of CAPP, and the proceedings of the meeting may not in any way be recorded by the student or her/his advocate.

    CAPP will consider the student’s statements and academic record and will decide on appropriate action including, but not limited to, a letter of warning, remediation or dismissal.  CAPP’s decisions shall be transmitted by the Vice Dean for UGME to the student, in writing, within ten (10) days of the committee's review.

    The decisions of CAPP are final except for the following permissible appeals:

    1. Decisions other than those resulting in dismissal, suspension or repeat of a year may be appealed back to CAPP if: (a) pertinent evidence was available at the time of the initial review, but was not brought to the attention of CAPP; or (b) there was an error in the review process.
    2. Decisions that require repeating a year, suspension or dismissal may be appealed to the Dean. Students have 14 days from the date of notification to appeal the CAPP decision.
      If there is no appeal within 14 days, the decision becomes effective as of the 15th day. If there is an appeal, the decision is held in abeyance, pending the outcome of the appeal.

    1.3.2.1 Appeal Process
    The student's written appeal must be submitted to CAPP (if based on subparagraph 1, above) or the Dean (if based on subparagraph 2, above) within fourteen (14) calendar days of being notified of the CAPP decision.  For appeals to CAPP, CAPP will review the appeal and notify the student of its determination within 30 days of receipt of the appeal. This CAPP decision will be final.

    For appeals to the Dean, the Dean will review the file of the student as it existed on the date of the CAPP meeting. The Dean will meet with the Chair of CAPP and/or members of CAPP, the Vice Dean for UGME, and with the student before making a final decision on the appeal. The Dean’s decision is final and is effective as of the date indicated on the Dean’s decision letter. The Dean’s final decision will be communicated to the student within 30 days of the appeal.

     

    SECTION 2: CURRICULUM REQUIREMENTS FOR STUDENTS 

     2.1 Progress Through the Curriculum
    Students in good standing automatically advance to the next unit of instruction, academic year or curriculum phase.

     2.2 Institutional Learning Objectives/Competencies
    The School of Medicine has adopted six Competencies and 20 Institutional Learning Objectives (ILOs).  As students progress through the curriculum, their achievement of ILOs is tracked electronically and is available for viewing by both students and faculty. Students must achieve competence in all ILOs prior to graduation.

     2.3 Requirements for Promotion
    In general, a student will not be promoted to the next academic phase until he or she has completed all of the requirements of the preceding phase, and has met all health requirements.

     2.3.1 Phase 1

    1. Successful completion of all courses (including Transition to Clinical Care);
    2. Passing scores on the end of Phase 1 OSCE [Objective Structured Clinical Examination] and USMLE Step 1;
    3. Successful completion of HIPAA training; and
    4. Signing the confidentiality agreement.

     2.3.2    Phase 2
    Successful completion of mandatory academic activities (core clerkships and translational pillars) including the End of Year CPX exam.

    2.3.3.      Phase 3
    1.  Completion of a minimum of 34 weeks of required coursework; and

    2.  Successful completion of USMLE Step 2 CK and Step 2 CS.

    2.3.4.   MSTP (MD-PhD dual-degree) Students
    MSTP (MD-PhD dual-degree) students receive 10 weeks of elective credit time for completion of PhD work and 4 weeks for completion of Practicum.  A minimum of 20 weeks of study must be completed in the final year to add up to the 34 week requirement

    2.4 Requirements for Graduation
    The M.D. degree will be conferred by Stony Brook University upon persons who have met the following requirements:

    1. Attended four separate years of medical instruction: Satisfactorily completed all  coursework, examinations and mandatory academic exercises, including passing scores on Step 1, Step 2CK and Step 2CS of the US Medical Licensing Examination (USMLE), administered by the National Board of Medical Examiners; Annotation 2
    2. Maintained acceptable academic ethics and professional behavior;
    3. Paid all tuition, fees and fines in full;
    4. For students who have received loans, completed an Exit Interview conducted by the Office of Student Affairs;
    5. Entered PGY1 contact information into CBase; and
    6. The School strongly recommends that students complete the AAMC Graduation Questionnaire as a professional obligation and contribution to future generations of Stony Brook students.

    All requirements for the M.D. degree must be met within seven years after the date of first enrollment in the Stony Brook University School of Medicine, or within five years for a student who transfers into the School of Medicine after the first year. Students must complete the first two years of school within 3 years. This time limitation does not apply to students in conjoint degree (e.g., MD/PhD) or other approved programs, e.g., a concurrent or consecutive MPH, MBA, MA degree.  (N.B. Student eligibility for loans carries time limits as well.)

    2.5 Elective Time
    Generally, no more than 20 weeks of elective time can be taken outside of the Stony Brook network. The State of New York requires that a clinical affiliate agreement be in place at away sites where students do elective rotations. A list of sites for which agreements are in place can be accessed from the Course Information for Current Students website.

    2.6 Placing Out of a Course
    In special circumstances, a student may request to “place out” of a course. To determine whether this is possible, the student follows this process:

    1. The student submits to the Registrar a course description of the course they completed along with a transcript;
    2. The Registrar forwards this information to the course director for review and recommendation on the student’s request;
    3. The course director communicates her/his recommendation to the Registrar; then
    4. The Registrar notifies the student of the final decision and enters the decision into the student’s permanent file.

     

    SECTION 3: PROFESSIONAL BEHAVIOR

    3.1 Professional Behavior
    Medical students are preparing for a career that demands the highest standards of honor, ethics, and professional behavior and appearance. All students are required to sign and act in accordance with the principles of the Student Honor Code. All students are required to act in accordance with the Conduct Code and Policies of the University and in accordance with the laws of the State of New York. 

    Stony Brook University School of Medicine promotes a sense of mutual respect among patients, faculty, staff, house staff, and students. Certain behaviors, such as violence, sexual harassment, and discrimination are inherently destructive to the teacher/student, student/patient, student /student relationships. Other behaviors, such as making demeaning or derogatory remarks, or giving destructive criticism, are also inappropriate and interfere with professional development. Unprofessional behavior may be reviewed by the Committee on Academic & Professional Progress (CAPP) and may result in disciplinary action. Student behavior may also be reviewed by the Student Honor Code Committee and recommendations for action forwarded to the Dean. The Dean may refer the matter to CAPP or may act directly on the Honor Code Committee’s recommendation.

    It is an expectation that students will fulfill clinical obligations while exhibiting “the highest level of professionalism and sensitivity to the diverse personal and cultural contexts in which medical care is delivered” (Stony Brook SOM Competencies).

    Students are expected to become familiar with and follow any written rules of conduct and professional behavior at any clinical or research site in which the student trains. Students accorded housing at clinical sites are expected to treat this space and their host institution with respect. Students who damage property, break the law, or act unprofessionally in that space may be subject to eviction and, if the offense is serious enough, expulsion. Typically this housing is assigned to a group of students and all members of the group will be held responsible for any misbehavior or damage that occurs in the space.

    Students participating in “The Body” segment of Phase 1A are expected to treat the donor cadavers with the utmost respect and sensitivity.  Donors and their family members understand that their remains will be used for educational and scientific purposes.  The donors and their families deserve our admiration and deepest gratitude.  To treat a cadaver in any way that does not serve educational or scientific purposes constitutes unprofessional behavior.   This type of behavior includes, but is not limited to, the taking photographs (film or electronic images) that serve no educational or scientific purpose.  Any student known to have taken such a photograph will be referred to the Committee on Academic & Professional Progress as having engaged in unprofessional behavior. Any student who has knowledge of a colleague having taken such a photograph is bound to follow the procedures of the Student Honor Code for dealing with unprofessional behavior in a colleague.

    Students who exhibit behavioral problems may be referred by the Dean’s Office or by the Committee on Academic & Professional Progress to the Behavioral Assessment Committee on the Main Campus of Stony Brook University for further review and recommendations.

    3.2 Social Networking Policy
    Stony Brook School of Medicine has a Social Networking Policy. Click here to read about this Policy.

    3.3 Standards of Conduct for the Teacher-Learner Relationship
    The School of Medicine is committed to maintaining a positive environment for study and training, in which individuals are judged solely on relevant factors such as ability and performance, and can pursue their educational and professional activities in an atmosphere that is humane, respectful and safe. Our core values are ICARE: integrity, compassion, accountability, respect and excellence. Medical student mistreatment violates these fundamental principles and will not be tolerated in the medical school community.

    3.3.1 The Faculty Code of Ethics
    Section 2 Respect for Persons delineates faculty behaviors demonstrating respect for other persons and the prohibition against discrimination and harassment. “All members of the medical school and its students are expected to adhere to this Code of Ethics in their interactions with patients, colleagues, other health professionals, students, other trainees, other staff, and the public.”

    3.4 Student Mistreatment
    The full student mistreatment policy can be found at http://medicine.stonybrookmedicine.edu/ugme/mistreatment_policy.

    Excerpts are given below.

    The School of Medicine has a school wide program entitled WE SMILE which is an acronym for “we can eradicate student mistreatment in the learning environment.” The six components of the WE SMILE program include a) Education, b) Definition, c) Reporting, d) Review and Adjudication, e) Enforcement, and f) Communication/ Closing the Loop. The School has defined mistreatment as verbal or emotional behavior that shows disrespect for medical students and unreasonably interferes with their respective learning process.

    Examples of mistreatment include but are not limited to:

    1. insults or unjustifiably harsh language in speaking to or about a person;
    2. public belittling or humiliation;
    3. requiring performance of personal services (e.g., shopping, babysitting);
    4. intentional neglect or lack of communication (e.g., neglect, in a rotation, of students with interests in a different field of medicine);
    5. disregard for student safety;
    6. denigrating comments about a student's field of choice;
    7. assigning tasks for punishment rather than for objective evaluation of performance;
    8. exclusion of a student from any usual and reasonable expected educational opportunity for any reason other than as a reasonable response to that student's performance or merit;
    9. other behaviors which are contrary to the spirit of learning and/or violate the trust between the teacher and learner.

    3.5 Reporting Mistreatment
    The School of Medicine has created multiple avenues to report mistreatment to encourage reporting as well as to track patterns and frequency of mistreatment in order to target specific prevention initiatives. Students should keep in mind that the range of responses available to the School of Medicine will be contingent not only on the nature of the mistreatment, but also the degree to which a student is willing to identify her/himself. Further, the School of Medicine may decide that a report of mistreatment rises to a level where University policy has been violated and be required to notify the Office of Diversity and Affirmative Action, Labor Relations, and/or University Police.

    3.5.1      Face to Face Report

    1. The Associate Dean for Student Affairs: Students may report any concerns of mistreatment to the Associate Dean for Student Affairs.
    2. Student Focus Groups and Exit Interviews: Non-teaching personnel in the School of Medicine conduct periodic focus groups and clerkship exit interviews with students. This serves as another safe venue for students to bring up concerns regarding the learning environment confidentially. Such reports will be directed to the Associate Dean for Student Affairs.

    3.5.2      Online Reporting

    1. Professionalism Note: The Professionalism Note on the SOM website (https://cbase.som.sunysb.edu/cbase2/public/comments/index.cfm) allows any student/staff member/trainee/faculty to anonymously report potential concerns regarding the learning environment. Such reports will be reviewed by the Associate Dean for Student Affairs for appropriate further action.
    2. Mistreatment Note:  This note, in CBase (https://cbase.som.sunysb.edu/cbase2), allows students to confidentially or anonymously report any mistreatment they have experienced or witnessed during their education at Stony Brook. Available 24/7, students may report events at the time they occur or any time later, so that they can do so without fear of retribution. These reports are sent to the Associate Dean for Student Affairs for review.  Based on the review of the situation in conjunction with the student, the Associate Dean for Student Affairs may issue a report to the Committee on Student Affairs.
    3. End of Course Evaluation Form in CBase:  This form, completed by all students at the end of each course or clerkship, allows aggregate assessment of the prevalence of mistreatment and learning environment concerns anonymously. It also allows any student to report a mistreatment incident during that course/ clerkship confidentially to the Associate Dean for Student Affairs.

    While all reports of mistreatment are confidential and separate from any academic record, there may be incident reporting of extreme situations where anonymity cannot be guaranteed. Students who are unsure of which route to take in addressing an incident of mistreatment can make use of consultation services of Counseling and Psychological Services at either the East Campus location (3rd floor, near the HSC Library) or West Campus location (2nd floor, Student Health Services Building). Licensed counselors are able to help a student talk through options available in a confidential setting including whether or not a student wants to report mistreatment.  In cases where the student wishes to maintain anonymity, the student may designate a proxy to present the information for review by the Committee on Student Affairs.

    3.6 Examples of Unprofessional Behavior

    3.6.1 Academic Integrity
    The fundamental rules of academic integrity are of prime importance and breaches are taken seriously.

     3.6.2 Cheating
    Dishonesty of any kind with respect to examinations, course assignments, alteration of records, or illegal possession of examinations shall be considered cheating. It is the responsibility of the student not only to abstain from cheating, but also to avoid the appearance of cheating and to guard against facilitating cheating by others. Students who cheat, and students who help others cheat, are equally guilty of wrongdoing. Students must also do everything possible to induce respect for the examining process and for honesty in the performance of assigned tasks, in and out of class.

     3.6.3 Fabrication
    Students and professionals are expected to be honest in their representations of fact and not report as true information they do not know to be true, i.e. they are to report only what they know to have a basis in fact.  Reporting false information in academic, research or patient care settings is forbidden.

     3.6.4 Plagiarism
    Honesty requires full acknowledgement of any words, data, ideas or materials taken from others and used for one’s own written, graphic or oral use. Any student who fails to give credit for words, data, ideas or materials taken from other sources is guilty of plagiarism whether intentional or unintentional. Annotation 3 

     3.6.5 Scientific Misconduct
    Students involved in research are expected to conduct themselves according to the highest standards of scientific integrity. Anyone conducting research involving human subjects is required to undergo training in the ethical conduct of human subjects research and have their research protocol reviewed and approved by the Committee Overseeing Research Involving Human Subjects.

     3.6.6 Appropriate Identification
    It is improper for medical students to present themselves to patients or others as licensed physicians. In the clinical setting, students must wear, in a highly visible location, an official Stony Brook Medicine name badge which shows their name and photo as identification as a medical student. This badge should be worn in conjunction with additional name badges given to students at off-campus clinical training or research sites.

    SECTION 4: GENERAL POLICIES

     4.1 Communications
    Each student is given an official e-mail address and access to CBase, the web-based student academic record. Official communications from the school (deans, course directors, faculty, etc.) occurs via the official e-mail address that each student has been assigned. Students are responsible for accessing and reading their e-mail on a regular basis and, when required, responding appropriately and in a timely manner. The official email address of Stony Brook students is firstname.lastname@stonybrookmedicine.edu.  Students are responsible for maintaining their current personal record in their CBase profile.  If a student withdraws or is terminated, her/his email access is terminated generally within a three month period.

    4.2 HIPAA Training & Confidentiality Agreement
    All faculty, staff, and students at the HSC must be trained in HIPAA Policies and Procedures and must sign a Confidentiality Agreement. Instructions on fulfilling this requirement can be found in CBase or on the Health Sciences Center website: http://stonybrookmedicine.edu/healthsciences.  All students must complete their training and sign the Confidentiality Agreement by the end of their first semester enrolled in the Program.

    4.3 Class Attendance and Work Hours
    Each faculty member has responsibility and authority for matters pertaining to the general attendance and classroom/clinic conduct of students. Faculty members have the responsibility to notify students which class/clinic activities are mandatory.  Except in extraordinary circumstances, these mandatory activities will appear on the official calendar at least six weeks prior to the scheduled activity. The SBU SOM adheres to the ACGME duty hour requirements for workload. Students are encouraged to report any violations of the 80 hour limit and/or duty hour rules. Specifically, students may not be requested to work more than 80 hours per week, averaged over a four week period, inclusive of all in-house call activities. Duty periods must not exceed 16 hours in duration. Specifically, duty hours are defined as all clinical and academic activities related to the program; i.e., patient care (both inpatient and outpatient), administrative duties relative to patient care, the provision for transfer of patient care, time spent in-house during call activities, and scheduled activities, such as conferences. Duty hours do not include reading or preparation time spent away from the duty site. Students must be provided with one day in seven free from all educational and clinical responsibilities, averaged over a four-week period, inclusive of call. Adequate time for rest and personal activities must be provided. Adequate time is defined as a minimum of 10-hour time period provided between all daily duty periods and after in-house call. Click here to see the Graduate Medical Education (GME) policy regarding duty hours.

     4.4 Enrollment
    Students must be registered for a minimum of 12 weeks of coursework per medical school semester to be considered active. Medical school semesters run from July 1st through December 31st, and from January 1st through June 30th.

    4.5 Absences

    Students may be excused from mandatory coursework in extraordinary circumstances with the approval of the Assistant Dean for UGME. Students enter their request for an excused absence in CBase (under Document/Excused Absence).  Criteria for being excused include:

    1. Medical reason with a doctor's note
    2. Death in the family or significant other
    3. Act of God, disaster or nature occurrence
    4. Once in a lifetime educational experience
    5. Religious observance 

    In general, students may not accumulate more than 10 excused absences per year. Students who accumulate more than 15 absences per year may be invited to CAPP.

    Course requirements - including attendance requirements - are determined by course directors within the guidelines for managing courses found in the Course Directors' Handbook. Hence it is the course director who has the authority to determine the nature of any make-up work. When a student is excused from required course activities, the Dean's office will notify the course director and it is the student's responsibility to arrange for and complete the remedial work.

    Students requesting to attend conferences must be in good standing at the time of the conference. No student shall attend more than three conferences in a year.

    In the case of inclement weather, students should call 631-444-SNOW or 631-632-SNOW, and read their emails to learn whether to report for exams or other mandatory activities. The West Campus Emergency Alert Website posts university information regarding university closings at: http://www.stonybrook.edu/commcms/emergency/alerts.shtml.

     4.6 Vacations and Religious Holidays
    The School of Medicine academic calendar specifies the days on which there are no mandatory academic activities. Students who wish to be excused from mandatory academic activities for religious reasons should seek an excused absence at least two weeks before the holiday using the standard form on CBase.

    4.7 Leaves of Absence
    A leave of absence may be granted to enable a student to resolve personal, health, or academic problems or to further her/his education away from the School of Medicine. Except for leaves granted pursuant to degree granting or other approved programs, the maximum cumulative leave of absence for personal or health problems or for supplemental education may not exceed a total of eighteen (18) months. All leaves of absence must be requested in writing and approved by the Vice Dean for UGME. The Vice Dean for UGME may specify conditions that must be met for the student to be permitted to return after the leave of absence.

    4.7.1 Leave of absence to resolve personal or health problems
    Granted after a student has submitted a written request to the Vice Dean for UGME containing supporting documentation and recommendation from the student's physician or other health care provider. All submitted materials will be kept in strict confidence.

    4.7.2 Leave of absence for academic remediation
    Students may request a leave of absence for academic remediation for completion or make up of academic work if their performance indicates a pattern of chronic marginality. Such requests should be made in writing to the Vice Dean for UGME explaining the reason for the request and the time period requested with a recommendation from the learning specialist of the medical school. A student will not be granted a leave of absence solely to avoid completing course requirements in a timely manner.

    4.7.3 Leave of absence to participate in an educational program or research
    Requires submission of a written petition specifying the goals, scope and duration of study, and written verification from the supervisor of such activity.

    4.7.4 Returning from a Leave of Absence
    A student wishing to return from a leave of absence should request, in writing, authorization to do so from the Vice Dean for UGME. The petition should include the anticipated date of return and document that the condition(s) for the leave have been met.

    4.8 Withdrawal from the School of Medicine
    Students may withdraw from the School of Medicine by notifying the Vice Dean for UGME in writing. Once approved, the decision is final and the student is no longer enrolled in the School of Medicine.

    4.9 Evaluation of Faculty and the Curriculum by Students
    The Office of UGME provides mechanisms for student input regarding their educational experiences at Stony Brook. These include student surveys, focus groups, exit interviews, and end of course evaluations. Such feedback will be used by the Curriculum Committee to improve the structure and content of the educational program. End of course evaluations in CBase are required to be completed before students can view their grades.

    4.10 Student Records
    The School of Medicine Registrar’s Office maintains a record for each student that includes an academic file. The file contains registration material, evaluation forms, academic summaries, and other relevant correspondence. The file contains information deemed necessary for the proper documentation of the student's progress through the program. Student grades and evaluations are electronically posted in CBase, and students are encouraged to review them regularly. This electronic posting constitutes official notification of grades.

    The maintenance and utilization of the student file are guided by national standards. The School defines the official student record as stated by the AAMC Handbook for Student Records Administrators. A student has the right to inspect her/his academic file. Before the file is open to the student's inspection, it is checked for material not covered by the Family Educational Rights and Privacy Act of 1974 (Buckley Amendment). A student wishing to review her/his official record must submit a written request to the Registrar and then make an appointment for review. Any School of Medicine faculty member who has a legitimate need to know may review a student's academic file.

    4.11 Students and FERPA Guidelines
    Please review the following link for the details regarding student rights and FERPA: http://www.nacada.ksu.edu/Resources/Clearinghouse/View-Articles/FERPA-ov....

    FERPA gives students the following rights regarding educational records:

    1. The right to access educational records kept by the school; The right to demand educational records be disclosed only with student consent;
    2. The right to amend educational records;
    3. The right to file complaints against the school for disclosing educational records in violation of FERPA.

    Directory information including name, address, phone number, email address, date of attendance, degree awarded, enrollment status, and major field of study will be disclosed to third parties upon such request without student permission  (unless limited explicitly by the student).

    However non-directory information, such as SSN, identification number, race, gender, transcripts and grade reports require student consent for release. Students may give consent for the release of records by going into CBase and checking off the release box under the Documents/Release Information tab to enable smooth processing of such requests.


    Transcripts are sent out by the Registrar’s Office. Transcript requests must be made in writing by the student. Except when legally permitted to do so, transcripts will not be released unless the student gives permission to release in CBase. 

    SECTION 5: GRADES, FAILURES AND ACADEMIC STANDING 

    Grades are recorded in each student's record in CBase and reported in the Medical Student Performance Evaluation sent to residency programs. The assignment and distribution of grades in a course are determined by the director of that course and are described in the syllabus of each course.

     5.1 Grading and Evaluative Comments
    The School of Medicine uses a three tier system of grading for Phase 1 and a five tier system for Phases 2 and 3. For detailed grading information, see the Assessment Guidelines approved by the Curriculum Committee.

    5.1.1 Phase 1 – Honors, Pass, Fail

    5.1.2 Phase 2 & 3 – Honors, High Pass, Pass, Low Pass, Fail

    5.1.3 Pass/Fail Courses

    1. Transition To Medical School (TTMS)
    2. Transition to Clinical Care (TTCC)
    3. Transition to Residency (TTR)
    4. Advanced Clinical Experience (ACE)
    5. Introduction to Clinical Medicine (ICM)
    6. Themes in Medical Education (TIME)
    7. Translational Pillars
    8. Radiology-mini-clerkship
    9. Emergency Medicine mini-clerkship
    10. Anesthesiology mini-clerkship

     

    5.2 Grade Definitions

    1. Honors signifies exceptionally superior performance. 
    2. High Pass signifies above average performance. 
    3. Pass signifies satisfactory performance. 
    4. Low Pass signifies less than satisfactory performance but not failing. 
    5. Fail signifies that the student has not performed satisfactorily.

    5.3 Other Grades
         5.3.1 I

    An Incomplete signifies that extenuating circumstances, usually out of the student's control, have prevented the student from completing the course requirements. A grade of incomplete will  be replaced by the final grade when the student completes the requirement.

     5.3.2 Z
     A Z may be given in a clinical course to a student who has passed other elements of a course, but failed the initial attempt of the NBME subject exam for that course. A second failure converts  the Z to a Z/F. If the student passes the make-up subject exam, the Z is converted to the Z plus the grade earned in accord with the course syllabus, for example, Z/P.

     5.3.3 W
     Withdrawal signifies that the student withdrew before completing course objectives.

     5.3.4 PO
     Placed-Out signifies that the student was given credit for a course by (a) having previously taken the same or a similar course and/or (b) by passing an exam deemed appropriate and  sufficient by the course director. With the consent of the instructor and the Vice Dean for UGME, a student may substitute an alternative educational experience for any course if consistent with  the learning objectives of that course. 

    5.4 Grade/Comment Reconsideration

    At the completion of each course and clinical rotation, it is the responsibility of course directors to make grades and evaluation reports available on CBase as soon as possible. All clinical course grades must be submitted within four to six weeks and non-clinical course grades within two weeks of course completion. Students will be notified by e-mail when grades are entered into or changed in CBase. Students are responsible for checking their own grades and completing the course evaluations necessary to gain access to them.

    A student who disagrees with a course grade or evaluation should request reconsideration by the course director or use the appeal process, if any, described in the course syllabus. Annotation 4 If the problem remains unresolved after review by the course director, the student may appeal in writing to the Chair of the Student Grade Appeals Committee. (The Appeals Committee is comprised of selected course directors in the SOM.) The Appeals Committee may refer appeals to the respective chair, if applicable. If the course director who conducted the initial review of the appeal is a member of the Appeals Committee, s/he will recuse her/himself from the proceedings and deliberations on that specific case to avoid any conflict of interest. The Appeals Committee makes a recommendation on the appeal to the Vice Dean for UGME who will make the final determination.

     

    5.5 Failing an Academic Year

    5.5.1 Phase I
    Failure of three Phase 1 courses constitutes a failure of Phase 1.  Failure of 2 of the Integrated Pathophysiology courses will also constitute a failure of Phase 1. A student who fails a course but who has not failed Phase 1, will be given an opportunity to take a make-up exam or complete other remediation by the course director. Annotation 5 details the process for taking a make-up exam.

    CAPP may decide that a student who fails Phase 1 be dismissed or invited to repeat the Phase. At the Committee’s discretion, any student who repeats Phase 1 may be exempted from re-taking courses in which s/he scored at or above the class mean.   CAPP may also require a student who displays a pattern of marginal academic performance (Annotation 6) to repeat a Phase or CAPP may dismiss the student from the educational program.

    5.5.2 Phase 2 & 3
    The criteria for passing or failing a clinical course are included in each course syllabus, but generally student achievement is measured by clinical performance, and performance on written, oral or practical exams. Most mandatory clerkships require passage of an NBME subject exam at the 7th percentile level, at minimum, as determined by the latest academic year norms from the NBME for examinee performance.

    Students with a Step I exam failure and three NBME subject exam failures, regardless of the total number of marginality points s/he has gained or remediation completed, will be referred to CAPP and may be at risk for dismissal from the school.

    Progress through Phases 2 & 3 will be interrupted if a student is put on probation or is suspended, i.e. one may begin no new clerkship or elective clinical course. A student may start a new clinical course after having received a Z in a single clerkship. Failure of the mandatory CPX at the end of the third year requires remediation by December 31st of that year.

    5.6 Academic Status While Repeating a Phase
    Students who are given the opportunity to repeat a Phase will do so on probation, and they are expected to demonstrate improved performance as reflected in accumulating no more than 4 additional marginality points (Annotation 6). While on probation, the student will come before CAPP if they receive an "F" as their final grade in a course, or if they accumulate more than 4 additional marginality points during a Phase. If the student is successful in demonstrating an improved performance, he/she will be taken off probation. Accumulation of new failures or marginality points while on probation may be grounds for dismissal. 

    5.7 Remediation of Failures

    5.7.1 Phase 1
    In the Foundational Phase, each of the four components of the Biomedical Building Blocks (B3) course must be passed independently to achieve a final passing grade for the course. Failure to pass any component will be indicated as a Z subgrade within the B3 course. Failure to pass after three attempts will be referred to CAPP.  The Z grade will persist unless the component is successfully remediated as determined by the course director. If a final score of 68 is not obtained for the B3 course, a grade of F is placed on the transcript. There will be one more chance for remediation of the B3 course failure. The remediation plan will be determined by the Phase 1A committee in consultation with the UGME Dean’s office. Failure of the make-up examination for B3 will be referred to CAPP. If the student passes the make-up exam for the B3 course, the grade on the transcript will be F/P.

    For each of the four Integrated Pathophysiology courses in the Foundational Phase, a final score of 68 is considered a pass. Failure to achieve a passing score in each of these four courses will be indicated as an F on the transcript. There will be two chances to remediate a failing score. The remediation plan will be determined by the Phase 1B committee in consultation with the UGME Dean’s office. If the student successfully remediates the failure, the grade will be changed to F/P on the transcript.

    5.7.2 Phase 2 & 3
    Failure of a clinical course can occur in three ways:

    1. Not meeting expectations of clinical performance and/or academic course work,

    2. Lack of professionalism, and/or

    3. Two NBME exam failures (Z+Z=F)

     

    5.7.3 NBME Subject Exam
    Students who only fail an NBME subject exam, will receive a "Z" in their clinical course. If the student passes the retake exam, the course grade earned will be added to the "Z" in the student’s record, e.g. Z/P or Z/HP. A student who either accumulates two Z's during the clinical years, or fails a clerkship will be stopped and reviewed by CAPP.  Once the two Z’s are remediated, clinical rotations can resume. In the case of a clerkship failure, remediation must include a minimum of two weeks of additional clinical work, any additional remediation determined by the course director, and a passing grade on the NBME subject exam.   The student's transcript will reflect the failed course and a second entry will show the grade earned in the remediation.

     

    5.7.4 OSCE and CPX
    At the end of Phase 1 and Phase 2, students take required OSCEs (a "CPX" at the end of Phase 2). Students may retake an OSCE if they fail it. If the student fails the retake, they have 6 months to pass a second retake. However, if the student fails the second retake, they will be reviewed by CAPP.

    Students are discouraged from taking any make-up exam in one area while they are participating in an unrelated course/clerkship. Students who plan to take an exam in one course during class time in another course need the written permission of the course director of the latter. Students who choose to take an NBME subject exam at a time when a regularly scheduled NBME exam is not being offered will bear the cost of the exam and the proctor.

    If a student fails to take a scheduled NBME exam without an excused absence, he or she will be charged for any costs associated with the missed or unused exam, and may have a professionalism note placed in their student record.

     

    5.8 In Good Standing
    A student in good standing:

    1. Has passing grades in all courses, clerkships, electives, standardized patient exams and other mandatory exercises; and
    2. Has passed appropriate USMLE exams in the recommended time period during medical school; and
    3. Is not on academic probation; and
    4. Behaves in accordance with high standards of professional and academic ethics.

    The CAPP may review the record of any student who loses good standing. Absent an exception granted by CAPP, only students in good standing will be permitted to begin a new Phase. Loss of good standing ends a student's eligibility for some special programs or activities, e.g. the Scholarly Concentrations Program, approval for conference travel, and permission to take clinical electives at other institutions. Loss of good standing results in loss of eligibility for educational loans. For purposes of international electives, due to travel arrangements involved, academic good standing will be assessed based on the student's record one semester before travel. However, students with concerns of chronic marginality may not be eligible for international electives or research scholarships. In such situations, the Vice Dean for UGME will make the final decision regarding such eligibility.

    A student who has lost good standing will return to good standing upon completion of the required remediation and the required probation period.

    5.9 Academic Probation

    5.9.1 Placement on Academic Probation

    Students are placed on academic probation by CAPP as a warning that they are in danger of suspension or dismissal. CAPP may put a student on academic probation if the student:

    1. Fails any course, clerkship, elective, or mandatory exercise;
    2. Has been cited for lack of acceptable academic ethics or professional behavior;
    3. Does not pass USMLE Step I of the Boards in a timely manner;
    4. Has two or more Incompletes and /or "Z" 's; Annotation 7
    5. Has a pattern of marginal academic performance.  Annotation 6

     5.9.2 Ending Probation
    The CAPP may remove a student from academic probation after the student has, to the satisfaction of the committee, remedied the problem giving rise to probation. All assignments to probationary status will appear in the student's MSPE letter.

     

    5.10 Suspension
    A student will be automatically suspended, i.e. precluded from participation in academic activities, when the student:

    1. Has been cited for lack of acceptable academic ethics or professional behavior as determined by the Vice Dean for UGME;
    2. Poses an imminent risk of danger to self, others or the institution as determined by the Vice Dean for UGME.
    3. The student has fourteen days from notification of suspension to appeal the decision to the Dean of the School of Medicine. The suspension for students who pose a threat to the community begins immediately. The Vice Dean will refer all such students to CAPP and/ or the Behavior Assessment Committee. The student is removed from the class list and from any remaining courses during the suspension period.

     

    5.11 Leave of Absence

    5.11.1 Academic Remediation
    See section 4.7.2.

    5.11.2 Mandatory Leave of Absence for Academic Remediation
    A student will be automatically referred to CAPP and considered for a  leave of absence for academic remediation and cessation of  current academic activities if the student:         

    1. Fails Phase 1 by accumulating 12 marginality points;
    2. Fails a clerkship;
    3. Has two or more Incompletes and/or "Z"'s in clinical coursework Annotation 7;
    4. Is unable to pass USMLE Step I of the Boards in a timely manner or fails it twice.

    SECTION 6GUIDELINES FOR ACCOMMODATION FOR STUDENTS WITH DISABILITIES

     6.1 Procedure for Determination of Disabilities and Accommodations* Effective July 1, 2008

    The School of Medicine has some "non-academic requirements" for matriculants that are delineated as Technical Standards that medical students are expected to meet. All students who attend Stony Brook School of Medicine sign the Technical Standards document affirming either that they meet the standards or by specifying how they may not.

    6.1.1 Federal Law and University Policy

    Federal law and University policy assure that "no otherwise qualified handicapped individual … shall solely by reason of his/her handicap be … be denied the benefit of … any program or activity receiving federal financial assistance."  In other words, a student with a physical, psychological, medical or learning disability that may impact her/his coursework, may have a right to "reasonable accommodations,” e.g. extra time on written exams, special support facilities, special transportation or parking facilities, etc.

    6.1.2 Seeking Appropriate Accommodations
    Students are responsible for seeking accommodations, though the School of Medicine is ready and willing to help.  Disability Support Services (DSS) is the Stony Brook office that works with a student to assure every request for accommodations is handled appropriately. Any student seeking assistance from the DSS office must self-disclose the believed presence of a specific disability. In order to receive services, appropriate documentation, complete with a diagnosis and stated specific limitations, must be provided to DSS.  All information and documentation is confidential.

    If necessary and if the student requests, the School of Medicine will help him or her to get tested for a disability and also facilitate DSS review to determine what accommodations are necessary and appropriate. A student who already has a documented disability may contact DSS directly (see #1 below). A student who wishes to determine whether or not he or she has a disability qualifying for special accommodations in the School of Medicine should notify the Associate Dean for Student Affairs of his/her desire. At that point three avenues are available:

    1. The School of Medicine will cover the reasonable costs of testing if the student consents to have the results shared, in confidence, with the UGME Dean's Office. The student always receives a copy of the report.
    2. For psycho-educational testing the student will usually be referred to Counseling and Psychological Services on West Campus (632-7830).
    3. A student who needs other than psycho-educational testing will, with the assistance of the UGME Dean's office, be referred for the necessary testing to an appropriate specialist or facility.

    A student may choose to pay out-of-pocket for testing from a private specialist or facility. Sharing the results with the UGME Dean's Office will, if accommodations are granted, better enable the school to tailor the accommodations to the student's needs.

    When a student has documentation of a disability, he or she should contact Disability Support Services to arrange an appointment (632-6748) in order to determine eligibility for accommodations. DSS reviews the available information and determines for what, if any, accommodations the student qualifies. This determination is confidential and the student determines who is notified. If the accommodation is being sought in the School of Medicine, the confidential notification must be sent to the attention of the school's learning specialist (444-2085). A copy of this notification as well as the testing report (if available) will be securely placed by the registrar in the confidential portion of the student record. DSS, the student and the UGME Dean's Office will come to an accord regarding what constitutes an accommodation that is "reasonable" in a school of medicine. The School of Medicine’s internal decisions about disability and accommodations do not govern the National Board licensing exams.

    The policies of the School of Medicine require that, if a student wishes to take advantage of DSS and School approved accommodations, the student has the responsibility to notify directors of courses in which the accommodations are sought. The notification must be made before the beginning of the course. DSS or the Dean's Office will notify course directors only when specifically asked to do so by a student.

    In situations where a decision regarding accommodations has to be made urgently and testing has been requested but the results are pending, the Associate Dean in consultation with the other Deans may make a temporary determination.

    STUDENT CONSENT FOR RELEASE OF CONFIDENTIAL INFORMATION

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    SECTION 7 – STUDENT HEALTH POLICIES

    Refer to the complete Student Health Policy. The remarks below are only meant as general guidelines.

    7.1 Health Requirements and Immunizations
    All entering medical students must meet the following health requirements before matriculation:

    1. A comprehensive physical exam within 12 months prior to  matriculation
    2. Documentation of  immunization for:  rubella, tetanus, polio, rubeola, diphtheria, varicella, tuberculosis, and Hepatitis B. (Students who choose not to complete the Hepatitis B series must contact the Office of Student Affairs to sign a declination and to be informed of their rights waived in case of infection.)
    3. Lab reports showing quantitative values of titers for Measles, Mumps Rubella, Varicella and Hepatitis B prior.
    4. Results of TB testing within 12 months prior to matriculation.  Students with positive PPD readings must submit a copy of a chest x-ray report dated within the last 2 years.
    5. Annual immunization with influenza vaccine is strongly recommended.

    Pertinent health information (date of annual physical, PPD reading, titers) is included in the CBase record for each student.  Students must have updated physical exams and PPD readings every 12 months.  The dates of these updates are noted in CBase, and students will receive email reminders beginning 30 days prior to their expiration.  Health updates should be submitted to the Office of Student Affairs, or can be uploaded directly into CBase.

    Payment for these immunizations is the student's responsibility. Health requirements are determined through University Hospital Rules and Regulations and are consistent with the NYS Department of Health requirements. Changes that might occur from year to year are reflected in the Student Health Services Health Form. The university is required to distribute information about meningococcal disease and vaccination to all enrolled students. This information includes availability and cost of meningococcal meningitis vaccine. All students are required to respond to receipt of this information through the SOLAR system. Additionally, students must provide a record of meningococcal meningitis immunization within the past ten years OR a signed acknowledgement of meningococcal disease risks and refusal of meningococcal meningitis immunization. This acknowledgement can also be submitted through the SOLAR system.

    7.2 HIV
    Stony Brook University School of Medicine has established guidelines for the management of Human Immunodeficiency Virus (HIV) seropositivity, and Acquired Immunodeficiency Syndrome (AIDS) in students of the School. An individual whose behavior significantly deviates from guidelines at the practice site, thereby placing patients, staff, or colleagues at risk of exposure to HIV infection, may be suspended from participation at the practice site pending the prompt review by the Dean of the School of Medicine. Students who wish to know their HIV antibody status may be tested, at the student's expense, at the locations listed in the Student Handbook. Testing will be done confidentially and reported only to the individual tested and to any agency required by state and local health codes.

    7.3 Student Health Insurance
    All students are required to have, and provide documentation of, adequate health insurance coverage for inpatient and outpatient care. Stony Brook offers all full-time domestic students a health insurance plan that fulfills this requirement. The plan pays for most medically necessary bills, such as doctor visits, mental health counseling, prescriptions, emergency room visits, lab testing, diagnostic testing, surgery, hospitalization, etc.

    All full time students at Stony Brook are automatically billed for the University Health Insurance plan at the beginning of each semester. The cost of the plan is $2335 per year for medical students, who require a higher level of coverage for clinical practice.

    Waivers for this plan and fee are given only if the student has health insurance through a job, a parent, a spouse, another related individual, Medicaid, or "Healthy New York." To file a waiver, students must go to the SOLAR system and follow the instructions under "Student Requirements" on the menu. In order for the waiver process to be complete, documentation of other insurance coverage must be provided to the Office of Student Affairs.

     

     

    SECTION 8 - REGISTRATION AND FEES

    8.1 Registration
    The Office of Student Affairs registers all medical students with Stony Brook University for each term of enrollment. Enrollment in courses outside those prescribed in the medical curriculum is permitted only when the student is participating in an approved combined degree program, or secures the approval of the Vice Dean for Undergraduate Medical Education. Registration is not complete and enrollment may not occur until the student has paid all fees and complied with all immunization and health insurance requirements. These are resolved in the SOLAR system by the student prior to the start of a new semester. Medical students who have not complied with the above will not be permitted to attend classes or clinical experiences. In addition, the Registrar may facilitate registration for clerkships and other clinical rotations. Inquiries regarding registration should be directed to the Office for Undergraduate Medical Education, Level 4, Room 150, (631) 444-8189 (caroline.lazzaruolo@stonybrookmedicine.edu).

    8.2 Academic Fees
    Students are expected to pay the annual rate charged for the academic year regardless of the beginning and ending dates. School of Medicine fees, as approved by the Stony Brook University Board of Trustees, will be billed by the Stony Brook Office of the Bursar and payment will be due on the following schedule (approximate):

    8.2.1 First and Second Year Students:
    Fall semester (August)
    Spring semester (January)

    8.2.2 Third and Fourth Year Students:
    Fall semester (July)
    Spring semester (January)

    8.3 Other Fees
    The University and the School of Medicine assess other, non-academic fees. Unless waived, fee bills for both fall and spring registrations will include an assessment for one-half the required health insurance annual premium.

    Students are required to own and use computers. To support the use of technology in the curriculum, a computer technology fee is assessed by the University. Additional semester fees assessed by the University include the University Comprehensive Fee and the School of Medicine Student Activity Fee. First year students are assessed anatomy and laboratory fees. Second year students are assessed a laboratory fee.

    These fees are subject to change based on University administrative action. Enclosures with fee bills for each billing period provide details of the specific arrangements concerning the time, location, and dates for the payment process. For exact academic year rates, contact the Office of the Bursar at (631) 632-9316. Current tuition and fee rates may be viewed at: http://ws.cc.sunysb.edu/bursar.

    8.4 Other Educational Expenses
    Educational expenses not billed to each student include: room and board; books and supplies; transportation expenses; health care expenses; board exam fees and personal expenses. Only required educational expenses may be considered in determining financial aid eligibility.

    8.5 Refund Policy

    8.5.1 Financial Aid Policy and Procedure in Case of Student Withdrawal, Dismissal or Leave of Absence During the Academic Semester
    Federal regulations determine the amount of federal Title IV financial aid students are entitled to keep once they withdraw from classes or are placed on leave prior to the end of a semester.  This amount is determined by the date when a student last attended classes.  Title IV funds available to medical students are the Unsubsidized Stafford and the Grad PLUS loan programs.

    1. Students are eligible to retain all of their federal aid only if withdrawing or placed on leave after the 60% point of the start date of the term has passed. The start date of the term and the 60% point are determined by the SOM Registrar.
    2. If a student withdraws or is placed on leave prior to the 60% point, a Return to Title IV calculation will be performed by the West Campus Office of Financial Aid. 
    3. This calculation will determine the amount of aid the student is eligible to keep and the amount that the University needs to refund to the federal government. Factored into this calculation is the start date of the term AND the last date of attendance for the student. 
    4. The last date of attendance is the last day on which the student attended classes or took exams. The last date is not the date on which the student’s leave of absence or withdrawal is approved if s/he stopped attending classes/took exams prior to that date.
    5. Students are strongly advised to consult with the Assistant Dean for Student Affairs for further clarification of this policy.

     

    SECTION 9 – ANNOTATIONS

    9.1
    Selecting will show the additional information. 

    9.2
    Class of 2018

    Every medical student at Stony Brook School of Medicine is expected to take the Step I exam promptly after the end of Phase I and before the beginning of clinical rotations. Under extenuating circumstances with approval from the UGME Dean’s Office, a student may delay taking the Step I exam if requested by December 1. In all situations, students are REQUIRED to take the Step I examination within six months of completion of Phase I of the curriculum. In the event a student fails the first attempt of the Step I examination, the repeat examination has to be taken within six months of the first attempt date.

    A student who fails the first take of the USMLE Step 1 exam may complete the clerkship s/he is on when the failing grade is reported. The student must then retake Step 1 before continuing with any other coursework. After retaking Step 1 and while awaiting the results, the student may restart clinical rotations by taking a short (2 or 4 week) elective. If the student passes the second take of Step 1, he or she may resume the core clerkships. A student who receives a second failing score will immediately stop clinical rotations and will not be permitted to begin further coursework until Step 1 is passed.

    Class of 2015, 2016, 2017 and 2018
    It is the responsibility of the student to register for the USMLE with the National Board of Medical   Examiners. All students must take Step I before entering the third year of the medical school curriculum and must pass it to continue in the year. Students not passing Step I within three attempts will be subject to dismissal after a review by the Committee on Academic Standing.

    All 4th year students must take Step 2CK by the end of February of their senior year for May graduation and by the end of August for December graduation.  They must take Step 2CS by December 15th for May graduation and by August 15th for December graduation. Students must pass Step 2CK and CS to graduate. Students not passing Step 2 within three attempts will be subject to dismissal after a review by the Committee on Academic Standing. Under extenuating circumstances, a student may request a delay in these deadlines by submitting a written petition signed by the student's advisor to the Vice Dean of Undergraduate Medical Education.

    9.3
    The language or ideas taken from others may range from isolated formulas, sentences, or paragraphs to entire sections of books, periodical articles, speeches, or the writings of others. Plagiarism also includes offering someone else's work as one's own or submitting, without acknowledgment, materials assembled or collected by others in the form of projects or collections. Additional information about Plagiarism is available to students in CBase and at various orientation programs.

    9.4
    The request must be presented within 5 days of the date of the posting of the grade. The request must be in writing and specify the reasons for the reconsideration. The course director must respond in writing within one week of receipt of the request.

    9.5 Make-Up Exam Policy
    What to do when you fail a course exam in first or second year:

    1. Student selects a make-up date by looking at the official school calendar for posted make-up dates
    2. For in-house “ExamSoft” exams, student emails Neill Clenaghan and lets him know the choice of date at least 2 weeks prior to the exam date
    3. Neill emails the Registrar to see if the student is eligible to take an exam
    4. The Registrar  responds to Neill and cc's the course director so that they know when the student is taking the exam
    5. Neill emails the details to the student (when the exam will be available for them to take)
    6. Neill emails the results to the course director so a final grade can be calculated, and to Mary Jean Allen for tracking purposes
    7. If the make-up is an NBME or customized NBME, the student should see Mary Jean Allen at least 2 weeks prior to the test date with choice of date so exam can be ordered on time.
    8. It is recommended that students in Phase I of the curriculum take make-ups close to the end of the course instead of leaving it for the end of Phase I when they will be studying for Step 1.

    9.6 The School tracks academic marginality using marginality points.

    Class of 2018
    The initial grade of a course is what is used to determine marginality points. A student who accumulates a total of 10 marginality points in Phase I or 14 cumulative points at any time in the curriculum, is considered to have chronic academic marginality irrespective of other grades, will be referred to CAPP and may be at risk for dismissal. Marginality points are calculated as follows:

    1. For all the pass-fail courses in the curriculum (Transition Courses, Advanced Clinical Experience, Medicine in Contemporary Society, Introduction to Clinical Medicine, TiME) an F counts as two marginality points.
    2. Marginal Performance for Phase 1 is an F grade or a score 68-72.
    3. B3 course failure or marginal score will receive 8 points. Failure or marginal score for each component of the B3 course (The Body, Molecules Foundations, Basic Mechanisms of Disease, and Pathogens and Host Defense) will be two points adding to a total of 8 points.
    4. Integrated Pathophysiology: PCR course: 4 points, GI/Nutrition: 2, Mind Brain Behavior: 3, Repro/Endo: 2 points
    5. Step I, II CK and CS failure and End of Year three CPX failure counts as three points each.
    6. In Phase II and III, each NBME exam failure or an F or LP in a clerkship is two points, failure of a two week mini clerkship is one point.
    7. Additionally, a student with a Step I exam failure and three failures of NBME subject exams, regardless of the total number of marginality points or remediation, will be automatically referred to CAPP  and may be at risk for dismissal from the school.

    Class of 2015, 2016 and 2017
    The School tracks academic marginality using marginality points.  A student who accumulates a total of 10 points in the first two years of medical school or 12 points during the first three years of medical school will be considered to have chronic academic marginality, irrespective of other grades.  Said student will be automatically referred to the Committee on Academic Standing and may be at risk for dismissal from the school. This is how we calculate the marginality points:

    1. “Marginal performance” for year 1 is 65 to <70
    2. For year 2 it is 68 to <72
    3. For years 3 and 4 it is Low Pass.

    An F or marginal performance in the following courses will constitute 2 points each:

    1. The Body
    2. Molecular Foundations of Medicine
      1. Neuroscience I
      2. Physiology
      3. Pathology
      4. Foundations of Medical Practice
      5. Pharmacology and
      6. MCS2
      7. Pathophysiology I, II, IV, V
      8. In the clinical years, a failure of any NBME exam or an F or LP grade

    An F or marginal performance in the following will constitute 3 marginality points:

    1. Pathophysiology III: Pulmonary/Cardiology/Renal
    2. Failure of USMLE Step I examination

    Additionally, a student with a Step I exam failure and three failures of NBME subject exams, regardless of the total number of marginality points or remediation, will be automatically referred to the Committee on Academic Standing and may be at risk for dismissal from the school.

    9.7

    A student who receives two incompletes and/or "Z's" cumulatively must stop rotations immediately and retake failed exams and complete other unmet requirements before starting other coursework. The student may start an elective rotation while waiting for score reports from retaken exams. If a failing exam is reported during the ensuing rotation, the student must stop the rotation and remediate the failed course.