6.5: Chart of Responses to Student Issues

Based on Stanford University School of Medicine academic policies, the following actions will or may be taken by the CP3 in the stated situations. The committee may, however, prescribe another course of action in its discretion, and depending upon the individual student circumstances.

Issue

Policy and/or Steps to Address Issue

Pre-Clerkship: Marginal Pass (M+)

  • One marginal pass in a Practice of Medicine (POM) course; a Science of Medicine (SOM) course; or a course of five or more units
  • An unqualified pass is required to correct a marginal pass. This unqualified pass may be attained through remediation (as determined by the course director).
  • Students must correct the marginal pass within 12 months of receipt and prior to beginning any clinical clerkship.
  • The student may be required to sit for the USMLE Step 1 examination prior to beginning any clinical clerkship.
  • More than one marginal pass in a Practice of Medicine (POM) course; a Science of Medicine (SOM) course; or a course of five or more units

 

  • In addition to remediating a marginal pass as noted above, the student may be given a prescribed and restricted curriculum (including the discontinuation of activities such as extracurricular activities, RA-ships and TA-ships, laboratory research, community service, etc.) for a time period specified by the CP3.
  • Three marginal passes may be considered grounds for dismissal from the Stanford University School of Medicine MD program.
  • Marginal passes in all other pre-clerkship courses
  • If two uncorrected marginal passes accumulate in courses of four or fewer units, the student is required to correct at least one of them within 12 months of receipt of the second marginal pass and prior to beginning any clinical clerkship.
  • No student having more than one marginal pass in courses of four or fewer units may begin (defined as attend, enroll, or participate in) any clinical clerkship.
  • A student may leave a maximum of one marginal pass uncorrected, but only in a pre-clerkship course of four or fewer units. No marginal pass may remain uncorrected in a Practice of Medicine (POM) or Science of Medicine (SOM) course.

    Pre-Clerkship: Failure

  • One failure in a pre- clerkship course
  • An unqualified pass is required to correct a failure in a pre-clerkship course.
  • This unqualified pass may be attained through remediation (as determined by the course director), or by retaking and passing the course when it is next offered.
  • If no remediation occurs prior to the next offering of the course, the student will be required to retake the course.
  • One failure in a Practice of Medicine (POM) course; a Science of Medicine (SOM) course; or a course of five or more units
  • In addition to remediating a failure as noted above, students may be required to take and receive a passing score on the USMLE Step 1 examination before beginning any clerkship.
  • More than one failure in a pre-clerkship course
  • In addition to remediating a failure as noted above, the student may be given a prescribed and restricted curriculum (including the discontinuation of activities such as extracurricular activities, RA-ships and TA-ships, laboratory research, community service, etc.) for a time period specified by the CP3.
  • Four failures in pre-clerkship courses of two or more units may be considered grounds for dismissal from the Stanford University School of Medicine MD program.
  • Three failures in pre-clerkship courses of five or more units may be considered grounds for dismissal from the Stanford University School of Medicine MD program.

Pre-Clerkship: Uncorrected Deficiency

Uncorrected deficiency beyond the prescribed period of remediation time

  • If a deficiency remains uncorrected for more than the prescribed period of time following its receipt, the student may be required to appear before the CP3 and could be considered for dismissal.
  • An administrative hold may be placed until the deficiency has been corrected.
  • Students appearing on the agenda of the CP3 as a result of academic deficiency in one or more pre-clerkship courses may be required to take the USMLE Step 1 examination prior to beginning any clinical clerkship.

Clerkships: Clerkship Scheduling

  • Failure to get written approval from their advisor to drop a clerkship during the four-week period prior to the commencement date of the clerkship
  • This student’s professionalism issue may be reviewed and discussed by the CP3.

Clerkships: N (Continuing) Grade

  • N grade in any clerkship
  • Students with an N grade in any clerkship are required to contact the clerkship director to set a timeline for retaking the final exam and achieving an unqualified passing grade.
  • Students may appear on the CP3 agenda for discussion and may be required to provide a written plan for correcting the N grade.
  • Students with an N (continuing) grade in any clerkship must correct the N grade within 9 months of completing the clerkship. Students who receive an N grade within 9 months of graduation must correct the N grade by May 1st of the graduation year.
  • Students cannot receive a Stanford MD degree with an uncorrected N (continuing) grade in any clerkship.
  • N grade in more than one clerkship
  • A student who has an uncorrected N grade in more than one clerkship at any time will be placed on the CP3 agenda and required to provide a written plan for correcting the non-passing grades.
  • A student with more than one uncorrected N grade may be restricted from enrolling in subsequent clerkships or participating in the residency Match until at least one N grade has been corrected.
  • Uncorrected N grade beyond 9 months
  • A student who fails to correct a non-passing grade (e.g., continuing “N” grade, marginal pass, or failure) in a clerkship will be placed on the CP3 agenda and could be considered for dismissal.
  • An administrative hold will be placed until the deficiency has been corrected.

Clerkships: Marginal Pass

  • One marginal pass in any clerkship
  • Students with a marginal pass in any clerkship are required to meet with the clerkship director to set timely requirements for achieving an unqualified passing grade.
  • Students will appear on the CP3 agenda for discussion and possible setting of a remedial curriculum.
  • Students cannot receive a Stanford MD degree with an uncorrected marginal pass in a clerkship.
  • Two marginal passes in any clerkship.
  • If a student receives marginal passes in any two clerkships, students will appear on the CP3 agenda for discussion and possible setting of a remedial curriculum.
  • Students cannot receive a Stanford MD degree with an uncorrected marginal pass in a clerkship.
  • Three marginal passes in any clerkship.
  • Three marginal passes in any combination of clerkships may be considered grounds for dismissal.

Clerkships: Failure

  • One failure in any clerkship
  • If a student fails a required clerkship, remediation requirements will be set by the clerkship director.
  • Students will appear on the CP3 agenda for discussion and possible setting of a remedial curriculum.
  • Students cannot receive a Stanford MD degree with an uncorrected failure in a clerkship.
  • Two failures in any clerkships
  • Two failures in any clerkships – either failing one clerkship twice or failing two different clerkships – ordinarily will be considered grounds for dismissal from Stanford University School of Medicine MD program.

Clerkships: Uncorrected N, M+ or F

  • Failure to correct a non- passing grade within 9 months of completing the clerkship                    
  • A student who fails to correct a non-passing grade (e.g., continuing “N” grade, marginal pass, or failure) in a clerkship will be placed on the CP3 agenda and may be considered for dismissal.
  • An administrative hold will be placed until the deficiency has been corrected.

Examinations: CPX, USMLE Step1, USMLE Step2

  • Failure to participate in or demonstrate minimum competency in the Clinical Performance Examination (CPX) Series
  • Students that do not pass the Mini-CPX or CPX will be required to remediate their performance as determined by CPX series administration. A remediation may include, but is not limited to, participation in the Student Guidance Program and a reassessment of clinical skills.
  • Remediation must be completed prior to being certified for graduation and appear on the CP3 agenda for discussion and possible setting of a remedial curriculum.
  • An overall failure on Step 1 of the United States Medical Licensing Examinations (USMLE)
  • Students receiving an overall failing grade on their first attempt at the Step 1 examination ordinarily 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.
  • Students who receive an overall failure on their first attempt on the Step 1 examination will be discussed by the CP3. Students may be required to take and satisfactorily pass the Step 2 CK examination no later than the first week of January prior to June of the expected graduation year.
  • Failing the Step 1 examination twice may be considered grounds for dismissal from Stanford University School of Medicine MD program.
  • Failing the Step 1 examination three times ordinarily will be considered grounds for dismissal from Stanford University School of Medicine MD program.
  • An overall failure on Step 2 CK (Clinical Knowledge) of the United States Medical Licensing Examinations (USMLE)
  • Students who receive an overall failing grade on their first attempt at Step 2 CK (Clinical Knowledge) must retake and receive an overall pass no later than the first week of May of the expected graduation year.
  •  If a student fails Step 2 CK in the quarter prior to expected graduation, he or she may have the option of taking, but must pass, an internal equivalency examination in order to graduate.
  • Students may not graduate and may be placed on administrative hold for a set period of time, after which they may be dismissed from Stanford University School of Medicine MD program if they:
    • fail Step 2 CK (Clinical Knowledge) twice and fail the internal examination; or
    • fail Step 2 CK (Clinical Knowledge) three times.

 

Scholarly Concentrations

  • Failure to declare a Scholarly Concentration by the stated deadline
  • Student may be reviewed and discussed by the CP3.
  • Failure to make annual satisfactory progress as determined by the SC director
  • Student may be reviewed and discussed by the CP3.
  • Failure to satisfactorily complete the Scholarly Concentration commitment
  • Students who do not receive preliminary approval of completion from their Scholarly Concentration director at least six months prior to expected graduation may appear on the agenda of the CP3. In such cases, the Concentration director will define a plan, tailored to the student’s deficiencies, which must be completed in the six months between the CP3 review and expected graduation.
  • An administrative hold may be placed until the deficiency has been corrected.
  • The MD degree will not be conferred without satisfactory completion of the Scholarly Concentration as certified by the Concentration director.

updated August 2020