6.3: Promotion

The CP3 will conduct a systematic review at three intervals of all students’ progress towards completion of the MD degree. Those reviews will encompass all areas of academic performance, professionalism, and technical standards. Students whom CP3 determines have met these standards will be eligible for formal promotion as follows:

A. Promotion to Clinical Medical Student

Upon completion of pre-clerkship courses and other requirements, students will be reviewed for formal promotion. Criteria for promotion are:

  1.  Satisfactory completion of all required pre-clerkship courses with a passing grade by May 15 of the academic year (NOTE: A maximum of one grade of “marginal pass” in a pre-clerkship course will be permitted, but only in a course of four or fewer units. No marginal pass may remain uncorrected in a Practice of Medicine (POM) or Science of Medicine (SOM) course). MD/PhD students may be required to take an additional preparatory clinical course prior to entering clerkships.
  2. Satisfactory performance (passing score) on the Mini-Clinical Performance Examination.
  3. Satisfactory fulfillment of the standards for professionalism of the Stanford University School of Medicine MD program.
  4. Satisfactory fulfillment of the technical standards of the Stanford University School of Medicine MD program.
  5. Satisfactory progress in a Scholarly Concentration.
  6. Students must take Step 1 of the USMLE within 12 months of the start of their first clinical clerkship. Students may petition the Committee on Performance, Professionalism, and Promotion (CP3) should they need additional time beyond the 12 months to sit for the exam. Students appearing on the agenda of the CP3 as a result of academic deficiencies in pre-clerkship courses may be required to sit for the Step 1 examination prior to beginning clerkships. Students receiving an overall failing grade on their first attempt at the Step 1 examination will have their provisional promotion rescinded and will be withdrawn from clerkships at the end of the current clerkship period, and may not begin any further clerkship (except Pathology) until the Step 1 examination is retaken and satisfactorily passed. The CP3 may determine, in its discretion, the circumstances under which Step 1 may be retaken.

Students who are determined by the CP3 as not fulfilling the standards for Promotion to Clinical Medical Student, or who do not satisfy the remediation measures required by the CP3, may be dismissed by the CP3 from the MD or MD/PhD program. Students who do not achieve successful promotion to Clinical Medical Student cannot continue as MD candidates in the Stanford University School of Medicine.

B. Promotion to Candidate for Residency

In January of the anticipated year of graduation, the CP3 will review students’ progress to certify formally those students who are eligible for the residency match. Criteria for promotion include:

  1. Satisfactory completion of all required clinical clerkships, or acceptable documentation to the committee that the remaining required clerkships will be successfully completed by June of the graduation year.
  2. Continued satisfactory fulfillment of the standards for professionalism of the Stanford University School of Medicine MD program.
  3. Continued satisfactory fulfillment of the technical standards of the Stanford University School of Medicine MD program.
  4. Completion of (or documented satisfactory progress in) a Scholarly Concentration, as certified by a student’s Scholarly Concentration Director.
  5. Documentation that USMLE Step 2 CK will be taken by April 1 of the graduation year.

C. Promotion to Eligible for MD Degree

In May of the anticipated year of graduation, the CP3 will review students’ progress to determine their eligibility for promotion to “eligible for MD degree.” If promoted, a student will be included on the list to be transmitted to the Dean and Registrar of the University for Conferral of the MD degree. Criteria for promotion are:

  1. Satisfactory completion of all degree requirements, including passing scores on the CPX exam and the USMLE Step 2 CK exam (or an institutionally-administered equivalency exam), and documentation of having taken the USMLE Step 2 CS (or be scheduled to take it) prior to June 1 of the graduation year.
  2. Continued satisfactory fulfillment of the standards for professionalism of the Stanford University School of Medicine MD program.
  3. Continued satisfactory fulfillment of the technical standards of the Stanford University School of Medicine MD program.
  4. Completion of a Scholarly Concentration.
  5. No unresolved concerns regarding academic performance, professionalism or fulfillment of the technical standards.

D. Promotion to Eligible for MD Degree

In May of the anticipated year of graduation, the CP3 will review students’ progress to determine their eligibility for promotion to “eligible for MD degree.” If promoted, a student will be included on the list to be transmitted to the Dean and Registrar of the University for Conferral of the MD degree. Criteria for promotion are:

  1. Satisfactory completion of all degree requirements, including passing scores on the CPX exam and the USMLE Step 2 CK exam (or an institutionally-administered equivalency exam), and documentation of having taken the USMLE Step 2 CS (or be scheduled to take it) prior to June 1 of the graduation year.
  2. Continued satisfactory fulfillment of the standards for professionalism of the Stanford University School of Medicine MD program.
  3. Continued satisfactory fulfillment of the technical standards of the Stanford University School of Medicine MD program.
  4. Completion of a Scholarly Concentration.
  5. No unresolved concerns regarding academic performance, professionalism or fulfillment of the technical standards.

updated August 2020