Clinical Education

The focus of the clinical experience in years 3 and 4 is patient care and interaction. One hundred percent attendance is, therefore, required to be sure that continuity of care is maintained. It is understood that certain situations may arise that will result in an absence from required daily participation. In such instances, the following policies will be observed:   

  • Absences for any reason must be approved by both by both the Preceptor and the Department of Clinical Education leadership (e.g. Clerkship Director, Regional Director, Clinical Dean).
  • Preplanned absences - Submit the Clinical Education Excused Absence Request form in iNet for preplanned absence as soon as event dates and details are known.  
  • Emergency absences - Submit the Clinical Education Excused Absence Request form in iNet the same day as any emergency absence  

Didactics and Simulations  

  • Attendance is required unless approved by the Clerkship Director.  
  • Absences or partial attendance must be directly related to rotation requirements, illness or accident, or another emergency to be approved by the Clerkship Director.  
  • Requests for absences or partial attendance should be submitted before the didactic/simulation session or as soon as possible after the session when prior notification is not practicable.   

Core and Elective Clerkship Grading  

Grades for the six core clinical clerkships are determined from the Faculty Evaluation of Medical Student Performance and the student’s score on the corresponding NBME Subject Examination (shelf exam). Additional details and grading components are provided in the course syllabi.  

Elective clerkship grades are determined from the Faculty Evaluation of Medical Student Performance and additional grading components as outlined in the course syllabi.  

Incomplete Coursework  

A course grade of "Incomplete" will only be granted when approved by the Associate Dean of Student Affairs or the appropriate Director of Preclinical Education. Incomplete grades must be completed within the designated time frame or they will result in a course failure.  Incomplete coursework must be completed before progressing to the next academic year.   

Poor attendance, repeated tardiness, unapproved absence(s), or absences in excess of 3 days may result in a grade of incomplete, and the student may be required to repeat the entire Clinical Education Clerkship.  

Quality Points  

Quality points are the cumulative points used to calculate grade point average and class rank. Only courses with numeric final scores contribute to quality points.   

For courses where a numeric score is assigned, the value is used to calculate the quality points. For example, a final grade of 85.2 earned in a 2-credit course will award 170.4 quality points (85.2 x 2 = 170.4).  

Class Rank  

Class rank for each student will be reported by quintile and be based on student performance in OMS I, OMS II, and OMS III years. Each year will contribute one-third to the final ranking. For the preclinical years (OMS I and II) quality points will be used to determine ranking. For OMS III, ranking will be determined from student performance within core clerkship courses. Ranking will be reported on official MCOM transcripts at the end of OMS I, OMS II, and OMS III and on the MSPE that is made available through ERAS. All rankings will be reported by quintile, unless specifically required by residency programs, military requirements, scholarships, or otherwise.  

Academic Grievances Policy (Grade Appeal)  

Matters regarding grading disputes of assessments within a specific course or other requirement shall include all concerns related to specific grades received or the processes by which grades are determined.  

Except under unusual circumstances, all grades (including the final grade for cumulative course performance) will be determined by the Course Director. When extraordinary circumstances bring a student to seek an appeal of a decision regarding a course grade, the student must seek solutions through the following administrative channels, entering at the appropriate level and proceeding in the order stated below. All appeals and decisions must be in writing.  

  1. Course Director(s);  
  1. Assistant Deans of Preclinical Education for OMS I and II or Assistant Deans of Clinical Education, as appropriate, for OMS III and IV (Final level of appeal)  

A student seeking to resolve a grading concern through the administrative channels above must initiate formal action in writing within ten business days from the date that the course grade has been finalized. The written appeal must state the circumstances surrounding the grade dispute, with specificity. Review of the student problem and complaint at each administrative level will be carried out as expediently as possible.  If the student is not satisfied with the decision, he or she may appeal to the next administrative level. If the student chooses to continue the appeal, this must be done in writing within five business days of the date the decision was rendered at each level of the appeal (excluding weekends and official school holidays).