Table of Contents Section 1: Academic Policies and Academic Progress Attendance General Deportment and Guidelines for Attire Electronic Communication and Web Presence The Grading System Student Requesting Accommodations Examination Policies and Procedures- All Years Individual Course or Clinical Rotation Grade Policies Appealing a Grade or Evaluation in a Course or Clerkship - All Years Course Exemptions Withdrawing from a Course Extended Curriculum Guidelines for Promotion: Year 1 to Year 2 Guidelines for Promotion: Year 2 to Year 3 Guidelines for Promotion: Year 3 to Year 4 Guidelines for Promotion: Year 4 to Graduation Graduation Requirements Clinical Rotation Policies Clinical Site Policies and Guidelines Student Advising Behavioral and Professionalism Standards for Drexel University College of Medicine Students Specific Academic Policies Dismissal from the College of Medicine Student Promotions Committees–Academic, Ethical or Professional Concerns Dual Degree Programs Enrollment Status Tuition Refund and Credit Policy Educational Development and Growth Experience (EDGE) Section 2: Facilities and Services Overview Dragon Cards Bookstores Libraries Student Lockers Parking Recreational Facilities Public Safety: Your Right to Know Security Officers Escort Services Campus Shuttle Identification Cards Crime Prevention Dissemination of Criminal Information Section 3: University Policies Building Access Weapons Policy Alcohol and Drug Policy Criminal Records Discrimination, Sexual Harassment and Assault Student Mistreatment Section 4: Health Policy for Students Health Insurance Monitoring and Documentation of Health Policy Requirements Disease Surveillance and Immunization Requirements Required Immunizations Follow-up for Student Immunization and Disease Surveillance Compliance Student Health Care Counseling, Psychiatric Evaluation and Treatment Alcohol and Drug (AOD) Services Disability Insurance Exposure to Infectious and Environmental Hazards Blood and Body Fluids Exposure HIV Testing Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 1 Section 5: Honor System Code of Ethics The Honor System The Honor Court Appendix A – Amendment Process Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 2 Section 1: Academic Policies and Academic Progress Attendance [Table of Contents] Missed Time in Preclinical Years Attendance requirements for pre-clinical courses, laboratories and small group sessions are determined by and may differ in each department and in each curriculum track (PIL and IFM). Departments may factor in student attendance in assigning final grades. Students should attend all classes and laboratories except in the case of illness or personal or family emergency. 1. Acute Illness or Emergency: In the event of acute illness or emergency, a student must contact the Dean for Student Affairs to be excused from a mandatory session. Written documentation from a physician may be requested for student absences due to illness or due to a planned physician’s visit. If a student misses more than two day, a physician’s note is required. 2. Requests for Absence from Mandatory sessions due to Special Circumstances: Examples of special circumstances where absences from mandatory sessions may be approved include family member weddings or student presentation at a national meeting. Since dates for such special circumstances are known in advance, requests to be excused must be made in writing to the Dean for Student Affairs at least four (4) weeks prior to the event. It is recommended that requests be made as early as the special circumstance date is known (the more advance notice given, the more likely it will be that the request can be accommodated). . In the event of acute illness, family emergency or other special circumstances, the maximum time that a student can be excused from the preclinical curriculum is two (2) weeks. Missed time from Clinical Rotations Time away from third year clinical clerkships is not allowed except in the event of illness or emergency. Rarely, there may be a special circumstance that warrants an approved absence. Any absence from clinical rotations must be documented and approval must be obtained prior to missing clinical responsibilities. Absences without prior notification of the faculty will be considered as unexcused absences, warranting a Letter of Concern for Unprofessional Behavior and potentially subject to action of the Student Promotions Committee. Students must notify the Dean for Student Affairs if they miss more than 2 days of a clinical rotation. 1. Acute illness or Emergency: In the event of acute illness or emergency requiring missed day(s) from clinical rotation, students must contact the Dean for Student Affairs and/or Clerkship/Course Director, the Site Director and the patient care team in advance of the start of the missed workday. If the emergency is such Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 3 that multiple contacts would be difficult, the student should make the contact to the Student Affairs Dean who will make appropriate notifications. 2. Requirements for Physician Documentation of clinical absence: The Department may request written documentation from a physician for student absences due to illness or due to a planned physician’s visit. If a student misses more than two days during any clinical rotation, a physician’s note is required. 3. Requests for Absence due to Special Circumstances: Examples of special circumstances where absences may be approved include family member weddings or student presentation at a national meeting. Since dates for such special circumstances are known in advance, requests to be excused must be made in writing to the Dean for Student Affairs or the Clerkship/Course Director at least four (4) weeks prior to the start of the rotation. It is recommended that requests be made as early as the special circumstance date is known (the more advance notice given, the more likely it will be that the request can be accommodated). 4. Make-up Time for Absences: The Department determines how and when missed clinical time will be made up. Make-up for missed time may include additional days, additional call and/or additional assignments. All students missing more than two days from a clinical rotation will require clinical work in order to make it up. If the missed time cannot be made up during the remainder of the rotation, the Department may elect to submit a grade of Incomplete until such a time as the student satisfactorily makes up the missed clinical experience. Students may not pursue make-up clinical activities for one course while engaged in another rotation. 5. Absences for CSA exam, USMLE Step 2 CK or USMLE Step 2 CS: Absences due to these exams will typically not require make-up work unless a mandatory activity is missed. If a student takes more than one day off for these exams during an individual rotation or if a student has already missed a day(s) for other reasons, required make-up time will be necessary. 6. Recurrent Missed Clinical Time due to Appointments: Students who need to be excused from clinical time on a regular basis for recurring medical appointment should obtain accommodations through the Office of Disability Resources. Absences for Residency Interviews • Time away from fourth-year rotation assignments for the purpose of interviewing for residencies is permitted under the following conditions: A maximum of three days absence in any four-week rotation is permitted for residency interviewing. The student is responsible for notifying the course director by email to obtain approval for such absences before they occur. Students should include their emailed interview confirmation in their correspondence with the course director and course coordinator. Absences without prior notification of the course director will be considered as unexcused absences, and subject to action of the year-appropriate Student Promotions Committee. • Time off for interviews is permitted between October 1 and February 15 for students participating in NRMP match residencies and between November 1 and January 1 for students participating in Early Match residencies. • Absences are not permitted during a two-week rotation. (Students should not schedule two-week elective rotations during the time period that they will be going on residency interviews.) • A course director has the prerogative to assign make-up work/time for any absences taken from a rotation. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 4 General Deportment and Guidelines for Attire [Table of Contents] The policy established and approved for students at Drexel University College of Medicine is as follows: While in this institution and specifically in patient care areas or health care delivery settings, a student should be dressed professionally in appropriate attire. “Appropriate attire” is determined by societal convention and society’s expectation of the medical profession. A student who is engaged in patient contact must keep in mind that members of the professional community are obligated to maintain an acceptable professional standard. Good grooming and personal hygiene are essential for professionals in a health care setting. Students are to adhere to the dress/appearance standards of their assigned clinical sites. Appearances that may potentially offend or distract patients should be avoided. Examples of these appearances include but are not limited to: • Easily visible body piercing (e.g., nose, lip, eyebrow, tongue) • Unusual hair coloring or style • Casual clothing (e.g., jeans, shoes that are not intact, revealing or ill-fitting clothing.) • Unwashed or unkempt appearance • Word slogans on clothing or accessories other than professional identification (e.g., cause/position buttons) Deportment As with clothing, it is easier to say what not to do. It is inappropriate to be rude or disrespectful to anyone, or curt with any staff or patients. Everyone is different. Be sensitive to differences. Avoid being condescending to anyone. Except for children, it is generally improper to call patients or their parents by their first names. It is proper to confer respect by use of surname, not first name. Patients notice if doctors care enough to know their names. A manner of respect for all individuals, recognizing the rights of patients is fundamental to a physician's professional conduct. Arrogance, superiority, rudeness and disdain for the idiosyncrasies that often appear with illness are manifestations of unprofessional and unacceptable behavior. It is a professional obligation to respect the privacy of patients and the confidentiality of their records. Discussion of patients' problems in a public setting (for example, the elevator, the shuttle or the cafeteria) constitutes a serious breach of patient rights. Electronic Communication and Web Presence [Table of Contents] Email is the official means of communication of the College of Medicine. Students are expected to review their Drexel.edu email accounts regularly and respond promptly when contacted by faculty and staff. When communicating by email to faculty and staff, students must send emails directly from their Drexel.edu email accounts. Emails sent using another email server are not reliably delivered to faculty and staff due to security safeguards utilized by the College of Medicine. All students must recognize the importance and potential impact of their personal web presence in the public domain. 1. Students may not blog or post to websites ANY information which may breach confidentiality or identify patients. 2. Students are NOT permitted to post information which is defamatory in nature relating to patients, their families, peers, classmates or faculty. 3. A student’s web presence on sites such as Facebook, MySpace, Twitter or other publicly accessed sites may not contain information or references to patients which may identify patients, their diagnoses, treatment plans, potential complications or outcomes. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 5 4. Students may not post information which compromises the academic integrity of the College of Medicine. Such information would be considered to include examination questions and answers to examination questions which are not uniformly available to all students in the College of Medicine. 5. Violations of these policies will be considered a violation of the Student Honor Code and will be referred to the Honor Court for adjudication. Violations of these policies may result in academic sanction including dismissal from the College of Medicine. The Grading System [Table of Contents] Transcript grades are restricted to Honors (H), Highly Satisfactory (HS), Satisfactory (S), Marginal Unsatisfactory (MU) and Unsatisfactory (U). An Incomplete (I) grade is recorded in the formal academic record, only in instances where some exigency prevented a student from completing course requirements. When a student chooses not to complete or is unable to complete the incomplete course within that academic year or within a time frame defined by the department, the course director will submit a grade change from I to W (Withdrawn). A grade change from Incomplete to Unsatisfactory will be made administratively if a grade of I is not converted to an S or other final grade within one academic year. A grade of Marginal Unsatisfactory (MU) is not a passing grade; it indicates a borderline failing grade. As such, an MU will be considered by the year-appropriate Student Promotions Committee when evaluating a student's complete academic record. There are three distinct outcomes of an MU grade: 1) successful remediation with grade change to Satisfactory, 2) unsuccessful remediation with grade change to Unsatisfactory, or 3) remain an MU permanently. 1) If the opportunity for remediation is granted by the year-appropriate Promotions Committee and the remediation is successful the transcript grade is changed from Marginal Unsatisfactory to Satisfactory but may be no higher than Satisfactory. 2) If the opportunity for remediation is granted by the year-appropriate Promotions Committee and the remediation is not successful, the transcript grade is changed from Marginal Unsatisfactory to Unsatisfactory, and the course (or a course equivalent determined by the department with the approval of the year-appropriate Promotions Committee) must be repeated. 3) If the opportunity for remediation is a) not granted or b) not taken the student’s official transcript will record a permanent grade of MU. a) When a student is required by the Promotions Committee to repeat in a subsequent academic year, a course in which he or she previously received a grade of MU, he/she will receive whatever grade they earn in the repeated course, including Highly Satisfactory (HS) or Honors (H). The student is not limited to Satisfactory (S) as the highest possible grade in the repeated course. The student’s official transcript will record a permanent grade of MU and the new grade achieved when the course was repeated. Grades will be recorded on the transcript based on the semester/year evaluated. b) If the student is not given or does not take the opportunity to remediate (e.g dismissal, leave of absence, missed deadline to take remediation exam), the student’s official transcript will record a permanent grade of MU. Grades of Unsatisfactory (U) are permanently entered into the official transcript of the student. Based on a student’s overall academic performance, the year-appropriate Student Promotions Committee determines whether or not a student may remediate any grade of Unsatisfactory. Remediation of an Unsatisfactory grade typically requires repeat of the course but in some courses, individual policy may dictate remediation by other coursework and/or exam. The year-appropriate Student Promotions Committee will have the responsibility of approving and determining the manner and timing of any remediation. When a student repeats in a subsequent academic year, a course in which he or she previously received a U, he/she will receive whatever grade they earn in the repeated course, including Highly Satisfactory (HS) or Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 6 Honors (H). The student is not limited to Satisfactory (S) as the highest possible grade in the repeated course. The student’s official transcript will record both the U and the grade achieved when the course was repeated. Grades will be recorded on the transcript based on the semester/year evaluated. All courses must be completed and passed for a student to continue to progress in the curriculum. Course grades and faculty comments are used for determining preparedness of the student to progress, for letters of recommendation and for the Medical Student Performance Evaluation (MSPE), a document prepared for applications for residency and later postgraduate positions. Individual Course or Clinical Rotation Grade Policies [Table of Contents] Departments determine grades by objective and subjective measures including examination performance, participation, and faculty assessment of the interpersonal and professional skills essential to the practice of medicine. Each department establishes guidelines for determining grades. Student preparedness to progress through the curriculum is determined by quality of coursework, appropriate deportment and professional behavior. Evaluation Policies Students cannot be evaluated in any component of any College of Medicine course by an individual with a potential conflict, including spouses, relatives, and healthcare providers. Clinical Evaluations During the clinical years, students are evaluated using standard evaluation forms approved by the Educational Coordinating Committee of the College of Medicine. Students are evaluated based on rotation-specific expectations in the competency areas defined by the Graduation Competencies of the College of Medicine. Students must “meet expectations” in each competency area in order to Satisfactorily pass a course or clerkship. During the required clerkships, students must demonstrate academic excellence (as indicated by a designated score on the NBME subject examination for the specific clerkship) in addition to demonstrating excellence in meeting all required clerkship competencies in order to achieve a grade of Honors or Highly Satisfactory. This is not negotiable and NBME “cut off” exam scores cannot be appealed. View the Clinical Evaluation Form | Comeptency Anchors Appealing a Grade or Evaluation in a Course or Clerkship - All Years [Table of Contents] Course grades are the jurisdiction of the individual department. Any student feeling that a course grade is in error may appeal the final grade in a course. Students may also submit an appeal if they believe that there is an error in the Summary Comments of their clinical evaluation. All appeals must be made IN WRITING to the Course Director within ten (10) calendar days of the posting of grades. Any appeal received after the ten (10) calendar day deadline, will not be considered. When appropriate, the course director, on behalf of the department, may submit a revised evaluation or addendum to the Office of the Registrar. A revised evaluation or addendum will supersede and replace the original evaluation. If the initial appeal of a grade is not successful, a student has the option to appeal to the Chairman of the Department in which the course is taken. It is the student’s responsibility to notify the Department Chair of the intent to appeal the grade. The student has ten (10) calendar days following the notification of the denial of the initial appeal in which to submit an appeal to the Department Chair. The appeal may be in the form of a letter, or a personal meeting. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 7 If the appeal to the Department Chair is not successful, the student has the option to appeal to the Vice Dean for Educational and Academic Affairs or his/her designee. It is the student’s responsibility to notify the Vice Dean of the intent to appeal the grade. The student has ten (10) calendar days from the date of the Department Chair denial notification in which to submit an appeal to the Vice Dean. The appeal may be in the form of a letter or a personal meeting. The decision of the Vice Dean or his or her designee is considered final, and no further appeal can be made. Students Requesting Accommodations [Table of Contents] Students requesting accommodation for physical disability, learning disability or testing accommodations must submit documentation to the Office of Disability Resources of Drexel University. Students requesting geographic accommodations during the clinical years due to a physical disability or due to a need for proximity to medical care must submit documentation of need to the Office of Disability Resources at least one month in advance of the year-appropriate clinical lottery. The documentation will be reviewed and notification of the recommended accommodations will be provided to the student. All Students who are approved for accommodations MUST present a valid Accommodations Verification Letter to the Office of Student Affairs. Accommodations Verification Letters are valid for One Year ONLY and must be renewed each year. The Office of Student Affairs will coordinate all accommodation recommendations for approved students. The Office of Disability Resources is located at 3201 Arch Street, Philadelphia, 215-895-1401. Students may also discuss potential learning concerns with the Dean of Students and/or the Director of Student Academic Support who will assist in assessment and possible referral for psychoeducational and/or neuropsychological evaluation. Examination Policies and Procedures- All Years [Table of Contents] Students are responsible for knowing the examination schedule and for noting any published changes in an examination schedule. Students are expected to take all examinations during assigned times. In the event that an emergency prevents a student from taking an examination at the assigned time, the student MUST contact the Office of Student Affairs (215-991-8221 during business hours, or 215-991-8184 after hours and on weekends) prior to the scheduled examination time. If a student misses an examination without the Associate Dean for Student Affairs or his/her designee validating the reason, the course director may assign a grade of zero (0) for that examination. Valid reasons for missing an examination include: Emergencies: personal or family. Unplanned emergency travel (usually related to the above). Personal illness (requires a physician's note). Special categories (includes, for example, childbirth or complications of pregnancy). Major family events over which the student has no scheduling control. Unacceptable reasons to miss a scheduled examination: Not feeling prepared for the examination. Test anxiety Non-emergency travel reservations at a time conflicting with a scheduled exam or exams Business or other appointment at a time that would conflict with an examination. ONE make-up date will be assigned for each scheduled examination. Students who are excused from the initial examination will be required to take the make-up examination at that time. In the event that a student is unable to take the make-up examination at the scheduled makeup date, the examination will be offered during Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 8 the final week of Winter Break, during Spring Break, or during the first week of the Summer Break, whichever is closest to the original date of the examination. This will be the final offering of the examination, and students who do not take missing examinations at this date will receive a zero (0) for the examination. As many examinations are cumulative in nature, the student is held responsible for all material tested during examinations, whether the student has taken the initial examination or whether the student will be taking the make-up examination at a later date. Examination Guidelines YEAR 1 AND 2 EXAM RULES – Paper Exams When you start the examination: • • • • • • • • • Students are expected to be in place at their test site approximately 10 minutes prior to the start of each examination. Students must have a clear desktop and may NOT have study materials open at this time. No additional time will be given to latecomers. If you arrive more than 30 minutes late for an examination, you must report to the Dean of Student Affairs. The only questions you may ask during an exam pertain to the physical condition of the exam, such as a missing pate, incorrect question numbering, or illegible copy. Issues of content (including possible typographical errors) can be addressed during the examination review session. All Year 1 module exams are timed by multiplying the number of multiple-choice questions by 1.4 minutes and rounding up to the nearest 5 minute interval (e.g., a 92 minute test would be given 95 minutes). All Year 2 module exams are timed by multiplying the number of multiple-choice questions by 1.3 minutes and rounding up to the nearest 5 minute interval. Laptop computers, PDA's and other graphing calculators and other programmable computer-like devices are not allowed. You will be given a calculator to use during certain exams. You must return it after the exam. Cell phones must be turned off during examinations. Headphones and CD players are not allowed in the examination room. Year 1- Upon completing your examination, follow the instructions regarding returning or keeping the exam booklet. Year 2- The last page of your exam booklet is a blank answer key, which you should use to record your answers. This portion of the exam booklet you may keep, and you should detach it from the booklet. When you finish the exam: • • • • When time is called, ALL PENCILS MUST BE PUT DOWN IMMEDIATELY. Failure to do so is a violation of the HONOR CODE. In addition, if you do not comply with this regulation, you will be reported to the Dean of Student Affairs. You must write your name and ID number on all sheets and finish filling out your answer key BEFORE time is called. Upon finishing, you must turn in your answer sheet and exam booklet, unless instructed to keep the exam booklet (Some exams in Year 1 permit the student to keep the exam booklet- Instructions will be noted on the exam booklet). There are no "KEEP" booklets in Year 2. You should tear the answer key from the exam booklet if you have not already done so. Not returning an exam booklet is considered an HONOR CODE VIOLATION, and non-complying students will be reported to the Dean of Student Affairs. You must leave the auditorium and may not remain in the atrium to talk. Atrium noise is disruptive to students still taking the examination. Students completing their examinations within 10 minutes of the official end time for the exam will be required to remain in the examination room until all exams have been completed and collected. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 9 YEAR 1 and 2 EXAM RULES – Computerized Exams • • • • Students must arrive 20 minutes in advance of the exam No cell phones or other electronic devices (other than your ipad) are permitted in the exam room No food, drinks (including water bottles), backpacks, bags, purses papers, or books are permitted in the exam room. Students should not leave personal items in the back of the exam room or outside the exam room. All personal items must be placed in your locker with a secure lock. YEAR 3 AND 4 EXAM RULES All students are expected to take their required National Board of Medical Examiners (NBME) Subject Examinations at an assigned site and on the assigned date. Exceptions will be granted on rare occasions and only when approved by the Associate Dean for Student Affairs. All such requests must be made by the 1st week of the clerkship in a 4-week clerkship, by the 2nd week of the clerkship in a 6-week clerkship or by the 7th week of a 12 week clerkship. If the exception is granted, the student must notify Cynthia Rabuck within the time frame noted above. (215-991-8763 or CRabuck@drexelmed.edu) NBME Testing Policies Students are not permitted to bring unauthorized personal items and/or devices into the testing room. These items include, but are not limited to the following: • Cell phones • iPods/iPads • Watches with alarms, computer or memory capability • Calculators • Paging devices • Recording/filming devices • Reference materials (book, notes, papers) • Backpacks, briefcases, or luggage • Beverages or food of any type • Coats, Outer jackets, or headwear You will be provided with one laminated erasable noteboard and one dry erase marker. You are permitted to make calculations or notes only on this noteboard once the exam begins. You can use both sides. If you need additional space for making notes, a proctor will collect the “filled” laminated noteboard and replace it with a new one. The laminated erasable noteboards will be collected at the end of the examination session. Course Exemptions [Table of Contents] A student may be exempted from medical school courses previously taken and passed with a level of performance acceptable to the faculty, if the course was taken within two years of the time the student is scheduled to take that course in medical school. The student must have the approval of the department offering the course. Approved course exemptions are noted on the official transcript as “Exemption.” A maximum of three courses may be exempted in year 1 and two courses in year 2. Exemption from a course transfers neither credit nor a grade. Students seeking course exemption must notify the course director no later than the end of the second week of the course. Until a decision is made, students should assume they will not be exempted and should continue to meet all course expectations. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 10 Withdrawing from a Course [Table of Contents] Students withdrawing from a course will have the grade “W” recorded on the transcript. If permitted, a student who has withdrawn from a course will repeat that course during the following year, and will not be able to satisfy that course requirement by substituting a summer course. Extended Curriculum [Table of Contents] In some circumstances, students may be permitted to take an Extended Curriculum where they carry a course load that is reduced to allow the completion of one academic year over a period of two years. This Extended Curriculum may be requested by the student, or may be recommended by the Administration or the appropriate year Promotions Committee. Extended curriculum is intended to support students who are experiencing personal difficulties or temporary academic difficulty. Deadlines for request of an Extended Curriculum are released annually and are considered by the Promotions Committee. Students who are granted the Extended Curriculum option must receive grades of Satisfactory or above in all courses taken during the Extended Curriculum years. A grade of less than satisfactory (including marginal unsatisfactory or unsatisfactory) in any course during a period of Extended Curriculum will be considered grounds for dismissal from the medical school. While the student is on Extended Curriculum, the student will be responsible for all fees, but tuition will be assessed proportionate to the course work carried. Deadlines for requesting Extended curriculum are set each year by the Promotions Committee and will be posted on-line and/or sent via email. Requests received after the deadline will not be considered by the Promotions Committee. Students will receive notification from the Promotions Committee that a request is granted or denied. During Extended Curriculum, students are not permitted to hold leadership positions in student organizations, and are cautioned concerning employment or other outside activities. Guidelines for Promotion: From Year 1 to Year 2 [Table of Contents] Interdisciplinary Foundations of Medicine (IFM) and Program for Integrated Learning (PIL) Promotion Policies Students must successfully complete, with passing grades, ALL academic and clinical coursework in the first year of medical study in order to be promoted from Year 1 to Year 2. The Preclinical Promotions Committee will review the entire record of any student with one or more grades of Marginal Unsatisfactory or Unsatisfactory in order to determine if that student is demonstrating a level of academic performance sufficient to remain enrolled in medical school, and to review individual departmental recommendations, especially when a student needs remediation in multiple courses. In the absence of multiple failures, a grade of Marginal Unsatisfactory (MU) is customarily remediated by examination. A student who earns a grade of Unsatisfactory (U) in one course, may be permitted, by the Promotions Committee, to repeat the course in an AAMC approved medical school remediation course during the summer break. For courses where no remediation course is found acceptable, a remediation examination may be given or the student may be required to repeat the course during the subsequent academic year. In IFM, a number of courses include a MUST PASS final exam. The requirement for passing those courses include passing the final exam in addition to achieving an overall passing score in the course. Students who fail a MUST PASS final exam but have an overall passing score in the course are allowed to remediate the final exam by taking a second exam prepared by the department or an NBME Subject exam in that discipline. Failure to successfully pass the remediation will result in a course failure and the requirement to repeat the course during the summer or in the next academic year. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 11 In PIL, a Comprehensive Exam is given after the completion of Block II and after the completion of Block III but before the start of the Primary Care and Community Practicum (PCCP). The disciplines of Gross Anatomy, Microanatomy, Physiology and Neuroscience are represented on the Block II Comprehensive. The disciplines of Genetics, Immunology, Biochemistry /Nutrition are represented on the Block III Comprehensive exam. Each discipline will have at least 30 – 35 exam questions. Students with MUs in Patient as a Person disciplines will use the week prior to the Comprehensive to remediate and can sit for the Comprehensive on time. Students with ONE grade of Marginal Unsatisfactory (MU) in a science discipline in Blocks 1 or 2 will be permitted to take the Block II Comprehensive on the scheduled date and students with ONE grade of MU in a science discipline in Block 3 will be permitted to take the Block 3 Comprehensive on the scheduled date. Students with one or more grades of Unsatisfactory (U) or more than one grade of MU in a science discipline cannot take the respective Comprehensive exam until all remedial work is completed. Students who have one or two MU’s in a science discipline in Blocks I, II or III will remediate those disciplines by exam during the week of the PCCP Mid- Case Review. Another sitting of the Comprehensive exam will be scheduled for the week following the PCCP Final Case Review. This will be for students who failed the first attempt and for students who had MU’s in Blocks I, II or III and are taking the exam for the first time. The passing rate for the first taking of both sections of the Year 1 Comprehensive Exam will be 70 or 1.5 standard deviations below the mean whichever is lower. In addition, a minimum score of 60 must be achieved in each discipline. If the first attempt of the Comprehensive Exam is not passed, the student will be reexamined in only those subjects that were not passed, however the exam can be changed and questions added. The passing rate for each subject remediated is 70%. Failure of remediation in any discipline covered by the comprehensive exam will result in the student taking a summer course(s) or repeating the year depending on the number of courses failed, as determined by the Promotions Committee. Criteria for successfully completing a summer remediation course will be established by the appropriate department at the Drexel University College of Medicine. While this generally entails achieving a passing grade at the school giving the remediation course, additional criteria such as passing an NBME Shelf Exam may need to be met. A student earning a grade of Unsatisfactory (U) or Marginal Unsatisfactory (MU) for a repeated course or for other required remedial activity may be dismissed from the College of Medicine. Decisions of the Preclinical Promotions Committee addressing course remediation or the requirement to repeat an academic year may be appealed to the Preclinical Promotions Committee for reconsideration. Any appeal must be submitted to the Associate Dean for Student Affairs within ten (10) calendar days following notification of the Promotions Committee’s decision. If the appeal to the Promotions Committee is not successful, a final appeal may be presented to the Vice Dean for Academic Affairs. Students are encouraged to work with the Associate Dean for Student Affairs to prepare an appeal. Guidelines for Promotion: From Year 2 to Year 3 [Table of Contents] Students must successfully complete ALL academic and clinical coursework in the second year of medical study in order to be promoted from to Year 3. The Preclinical Promotions Committee will review the entire record of any student with one or more grades of Marginal Unsatisfactory or Unsatisfactory in order to determine if that student is demonstrating a level of academic performance sufficient to remain enrolled in medical school, and to review individual departmental recommendations, especially when a student needs remediation in multiple courses. In the absence of multiple failures, a grade of Marginal Unsatisfactory (MU) is customarily remediated by examination. A student who earns a grade of Unsatisfactory (U) in one course, may be permitted, by the Promotions Committee, to repeat the course in an AAMC approved medical school remediation course during the summer break. For courses where no remediation course is found acceptable, a remediation examination may be given or the student may be required to repeat the course during the subsequent academic year. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 12 In IFM, a number of courses include a MUST PASS final exam. The requirement for passing those courses include passing the final exam in addition to achieving an overall passing score in the course. Students who fail a MUST PASS final exam but have an overall passing score in the course are allowed to remediate the final exam by taking a second exam prepared by the department or an NBME Subject exam in that discipline. Failure to pass the remediation will result in a course grade of Unsatisfactory and the requirement to repeat the course through an AAMC-approved summer remediation course or by repeating the course in the next academic year, contingent upon approval by the Promotions Committee. In PIL, a Comprehensive Exam will be given approximately 10 days after the completion of Block VII. Pathology, Pathophysiology, Pharmacology, Microbiology and Psychopathology will be the disciplines represented on this exam. Each discipline will have ~50 multiple choice questions on the exam. The Comprehensive exam in year 2 is also factored into the discipline specifc grades (see course policies). The passing rate for the first taking of this exam will be 70% or 1.5 standard deviations below the mean whichever is lowest. In addition, students must achieve a minimum score of 65 in each discipline. If the first attempt of the Comprehensive exam is not successful, the student must remediate only those subjects that were not passed. The remediation will be the NBME Subject Exam in that discipline or an exam prepared by the department. The passing score for each discipline on the second taking is 70% on a departmental exam or determined by the course director if using a NBME subject exam. Failure of the remediation exam will result in a grade of Unsatisfactory and the requirement to repeat the course through an AAMC-approved summer remediation course or by repeating the course in the next academic year, contingent upon approval by the Promotions Committee. Criteria for successfully completing a summer remediation course will be established by the appropriate department at the Drexel University College of Medicine. While this generally entails achieving a passing grade at the school giving the remediation course, additional criteria such as passing an NBME Shelf Exam may need to be met. Students will be notified of any additional requirements by the individual course director. A student earning a grade of Unsatisfactory (U) or Marginal Unsatisfactory (MU) for a repeated course or for other required remedial activity may be dismissed from the College of Medicine. Decisions of the Preclinical Promotions Committee addressing course remediation or the requirement to repeat an academic year may be appealed to the Preclinical Promotions Committee for reconsideration. Any appeal must be submitted to the Associate Dean for Student Affairs within ten (10) days following the receipt of the Promotions Committee’s decision. If the appeal to the Promotions Committee is not successful, a final appeal may be presented to the Vice Dean for Academic Affairs. Students are encouraged to work with the Associate Dean for Student Affairs to prepare an appeal. Step 1 of the USMLE: Institutional Policies All Students MUST take and earn a passing score on Step 1 of the USMLE in order to progress to Year 3 of the curriculum. Students are required to take Step 1 of the USMLE prior to the start of Transition to Clinician I: Transition to the Clinical Years. Students may begin 3rd year clerkships ONLY after completing Step 1 of the USMLE. Step 1 Deferral Policy Any student wishing to defer Step 1 beyond the start of Transition to Clinician I MUST submit a formal request in writing to the Year 1+2 Promotions Committee no later than June 8th for approval at a special meeting of the Committee. Download the Request for Deferral of Step 1 form. If a student’s request for deferral is denied by the Year 1+2 Promotions Committee (or if the student does not submit a request), and the student still chooses to defer Step 1 (and thus Block 1), the student will be subject to the following consequences: • The student’s current 3rd year rotation schedule will be dropped for the full academic year. Once the student has taken the Step 1 exam, the Office of Clinical Education will reschedule 3rd year rotations but this will be done based on availability, i.e. the student will have lost the ability to choose their schedule (discipline order and/or site preference). Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 13 • The student will lose the ability to use the two weeks between 3rd and 4th year to start a deferred clerkship early. • The student may be issued a Letter of Concern for Unprofessional Behavior The above will result in reduced vacation/interview time in the 4th year and may obviate a student’s ability to graduate on time. Time Limitations for Completion of Step 1 • All students, even those granted permission for deferral, are required to take Step 1 of the USMLE no later than the Friday before the beginning of Block 3 of the calendar year that the second year coursework was successfully completed. Failure to sit for Step 1 within this time period will be considered as grounds for dismissal from the College of Medicine. • All students who do not PASS Step 1 of the USMLE prior to the beginning of Block 5 will have their Year 3 schedule dropped and will not be rescheduled for clerkships until a passing score is posted by the NBME. • All students must successfully PASS Step 1 of the USMLE within 12 months of successful completion of the Year 2 curriculum. Specifically, the final date that a student can sit for Step 1 is June 30th of the calendar year following the completion of Year 2. Failure to successfully PASS Step 1 within this time period will be considered as grounds for dismissal from the College of Medicine. Any request for additional time to take or pass Step 1 must be submitted in writing for consideration by the Promotions Committee. Limitation of Number of attempts at Step 1 Students are permitted three (3) attempts to successfully PASS Step 1 of the USMLE. Failure to successfully PASS within three attempts will result in dismissal from the College of Medicine. Failure of the Step 1 Exam Upon learning of a USMLE Step 1 failure: 1. Students on a 12 week clinical clerkship Student will be given the option to complete the 4 week Sub-Block component of the clinical rotation in which they are enrolled (Medicine or Surgery) but then will be pulled from clinical rotations to prepare for and retake the USMLE Step 1 exam. 2. Students on a 6 week clinical clerkship Student will be given the option to complete the 6 week clinical clerkship but then will be pulled from clinical rotations to prepare for and retake the USMLE Step 1 exam. Students are encouraged to meet with the Associate Dean for Student Affairs and the Director of Student Academic Support to discuss a strategy for successful re-examination. No student will be allowed to resume clinical rotations until he/she has sat for USMLE Step 1 re-examination. Students who have failed Step 1 a second time will NOT be permitted to resume clerkships until a passing score on Step 1 has been received. Students must meet with the Associate Dean for Student Affairs and the Director of Student Academic Support to discuss a strategy for success and to identify factors leading to poor examination performance. The student should consider undertaking a comprehensive board review course. Students are also encouraged to seek counseling to to identify and deal with issues that might be interfering with focus of study and/or to deal with the stress of facing their final attempt at the USMLE Step 1 exam. Students are expected to notify the Associate Dean for Student Affairs, in writing, that they have taken the steps outlined above. Students are also expected to submit a summary of their examination preparation plan and why it will best facilitate their success. Students needing time away from clinical rotations for USMLE Step 1 preparation will be placed on Independent Study status. Students are expected to meet with the Associate Dean for Student Affairs and the Director of Student Academic Support at least once each month to discuss progress while on Independent Study. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 14 Guidelines for Promotion: From Year 3 to Year 4 [Table of Contents] All students must successfully complete all the required Intersession I (Transition to the Clinical Years) and all required third year clerkship rotations in order to be promoted from Year 3 to Year 4. The required third year Clerkships include Family Medicine (6 weeks), Obstetrics and Gynecology (6 weeks), Pediatrics (6 weeks), Psychiatry (6 weeks), Medicine (12 weeks) and Surgery (12 weeks). Each Clerkship Department establishes criteria which must be successfully completed in order to pass a given Departmental Clerkship. Departments establish clinical competency requirements which must be successfully met in order to successfully complete a Departmental Clerkship. Additional requirements such as “clinical passports”, patient logs, oral examinations, departmental examinations and other requirements may be established by individual departments. Students are responsible for noting such requirements and completing requirements by established deadlines. Each student must earn a passing score on the NBME subject examination in each clerkship in order to earn a passing grade for the clerkship. Each department will establish a required passing score on the NBME subject examination for their respective clerkships. Departments may also establish a minimum score that must be achieved in order for a student to earn a final grade of Highly Satisfactory or Honors in a given clerkship. NBME Subject Examination Policies Failure of the NBME subject examination in a clerkship will result in the grade of Marginal Unsatisfactory being assigned. This indicates that a student is required to demonstrate mastery of subject material by achieving a passing score on repeat of the NBME subject examination. A second failure of the NBME subject examination in a given discipline will result in the assignment of a final grade of Unsatisfactory in that Clerkship. Students earning a grade of Unsatisfactory will be required to repeat the entire clerkship, including repeat of the NBME subject examination. Students who have failed NBME subject examinations in two (2) clerkships will be removed from further clinical rotations for dedicated time to study and remediate the subject examinations. They will not be permitted to return to clinical rotations until all NBME subject examinations have been successfully completed. Note: Students are required to take make-up NBME subject examinations during the break following the unsuccessful attempt at the NBME subject examination. Students who fail a NBME subject examination during Blocks 1-4 will be required to take the make-up examination during Winter Break. Students who fail a NBME subject examination during Blocks 5-8 will be required to take the make-up examination following the completion of Block 8. In the event that a make-up exam is required or that circumstances exist such that a student is granted an extension, there is a maximum time limit for passing the exam; specifically, the NBME subject exam for a given clerkship must be successfully PASSED within one year of completion of the clinical portion of that clerkship. If the NBME subject exam for a given clerkship is not passed within one year of completion of the clinical portion of the clerkship, the clerkship must be repeated in its entirety (if approved by the Promotions Committee). All students must successfully complete all academic coursework in Year 3 prior to advancing to Year 4 coursework. This includes taking and passing all make-up NBME subject examinations. There are NO EXCEPTIONS to this requirement. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 15 Students earning grades of Marginal Unsatisfactory and/or Unsatisfactory in one or more clerkships will have their entire academic record reviewed by the Clinical Promotions Committee. The Clinical Promotions Committee may consider repeated failure as grounds for dismissal from the College of Medicine. The Clinical Promotions Committee may also recommend academic sanctions such as suspending clinical work pending successful completion of academic requirements (e.g., NBME subject examinations), repeating clerkships, repeating the entire academic year, or other sanctions deemed appropriate. The Clinical Promotions Committee may also require that students complete subsequent rotations in the Philadelphia area to allow for close oversight by the Clerkship Director. Guidelines for Promotion: From Year 4 to Graduation [Table of Contents] Step 2 of the USMLE: Institutional Policies Step 2 Clinical Knowledge (CK) and Step 2 Clinical Skills (CS) All students must complete and earn a passing score on Step 2 CK and Step 2 CS in order to graduate from the College of Medicine. Time Limitations for Completion of Step 2 CK and Step 2 CS • All students are required to take Step 2 CK and Step 2 CS of the USMLE NO LATER THAN October 31st of the Senior year. All students, even those granted permission for deferral, must have a PASSING Step 2 CK and Step 2 CS score in order to be certified by the College of Medicine for participation in the National Residency Matching Program (NRMP) match. The NRMP deadline for certification of students is in February of the graduating year. Limitation of Number of attempts at Step 2 CK and Step 2 CS • Students are permitted three (3) attempts to successfully PASS Step 2 CK of the USMLE. Failure to successfully PASS within three attempts will result in dismissal from the College of Medicine. • Students are permitted three (3) attempts to successfully PASS Step 2 CS of the USMLE. Failure to successfully PASS within three attempts will result in dismissal from the College of Medicine. Step 2 CK or CS Deferral Policy Any student with extenuating circumstances who wishes to delayStep 2 CK or Step 2 CS of the USMLE beyond October 31st of the Senior year MUST present a request and obtain approval from the Clinical Promotions Committee. All students, even those granted permission for deferral, must have a PASSING Step 2 CK and Step 2 CS score in order to be certified by the College of Medicine for participation in the National Residency Matching Program (NRMP) match. The NRMP deadline for certification of students is in February of the graduating year. All Step 2 deferral requests must be made in writing to the Clinical Promotions Committee no later than August 31st of the Senior year for approval. Download the Request for Deferral of Step 2 CK or CS form. If a student’s request for deferral is denied by the Year 3+4 Promotions Committee (or if the student does not submit a request), and the student still chooses to defer Step 2, the student may be pulled from their clinical rotations and not be permitted to do any further clinical work until the Step 2 CK or CS exam is taken. This may obviate a student’s ability to graduate on time. The student may also be issued a Letter of Concern for Unprofessional Behavior. 4th Year Pathways Each student must select a Fourth-year discipline-based pathway. The Pathway System provides structure in the fourth year curricula as well as an advisory system for students during the residency application process. Students are permitted to change their selected pathway. The final deadline for changing pathways is November 1st of the Senior year. All students must complete the requirements of a Pathway in order to qualify for graduation from the College of Medicine. Students are referred to Pathway guidelines for specific details regarding individual Pathway requirements. In addition, formal documentation of Pathway advising for each individual student is required at three distinct time periods. 1. Pathway Advising Form #1: Pathway Lottery Approval Form. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 16 In February of the third year, Pathway Directors, or their designee, will meet with 3rd year students who have selected their pathway to guide them in appropriate initial course selection for the fourth year of study. Students will not be given a 4th year schedule without appropriate signatures on this form. Pathway Advising Form #1 Due: Before close of 4th year lottery. 2. Pathway Advising Form #2: 4th Year Schedule Review and Residency Application Process Advising. During the months of May through August Pathway Directors, or their designee, must meet with pathway students to review 4th year schedules post-lottery and to advise regarding the residency application process (e.g. Letters of recommendation, personal statement, student competitiveness, residency program selection) Pathway Advising Form #2 Due: August 15th of the Senior year 3. Pathway Advising Form #3: 4th Year Schedule Review and Residency Interview Process Check-In. In the Fall of the senior year, Pathway Directors, or their designee, check in with students to evaluate the number of interviews he/she has received, assess need for additional program applications or alternate plans if concerns exist. In addition, schedules should be reviewed at this time in the year to assure graduation requirements will be met. Pathway Advising Form #3 Due: November 20th of the Senior year Note: Students in the MD/PhD, Research or Women’s Health Pathways are also required to meet with and get advising from the Pathway Director of the specialty they are interested in applying for residency. 4th Year Coursework There are 44 calendar weeks available in the 4th year. All students must complete a minimum of thirty-six (36) weeks of senior-credit rotations in order to graduate. Students are permitted to take a maximum of 46 weeks of senior-credit rotations. (Note: Students receive 2 weeks of elective credit for Transition to Clinician I and 2 weeks of elective credit for Transition to Clinician II. The total of 4 weeks elective credit for Transition to Clinician I and II is given following the completion of the Year 4 Transition to Clinician II and counts as 4 weeks of 4th year graduation credits.) During the fourth year, each student must complete the following coursework: • • • • • • • Each student must select a pathway. Each senior Pathway provides a menu of recommended electives, some of which are strongly recommended. An overview of the fourth year, including a list of individual Pathways, Pathway required courses and the recommended elective rotations for individual Pathways can be found on the web at http://webcampus.drexelmed.edu/clinicaleducation/Pathways/FourthYr.htm Each student must complete the required Medicine Subinternship at a Home site Each student must complete the required Neurology Course at a Home site Each student must complete the required Pathway-specific rotation(s) as defined by each Pathway's particular requirement(s). Each student must complete the required Transition to Clinician II: Transition to Clinician course in Philadelphia Students may not receive graduation credit for the identical rotation for more than 4 weeks without the approval of the Special Electives Committee. (i.e., if all 12 characters of the course codes are the same it is the identical course) No more than 12 weeks of coursework may be taken at "away" sites. No more than 12 weeks of coursework may be taken in any one discipline or specialty, with two exceptions: Medicine, in which a student may take 20 weeks of coursework, and Neurology, in which a student may take 16 weeks of coursework. Research rotations do not count towards the total weeks in a specific discipline. All Senior students must have their final course schedules completed by February 1st of the Senior year. All schedules will be reviewed at this time to confirm completion of graduation requirements. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 17 Graduation Requirements • [Table of Contents] Each student must complete a minimum of thirty-six (36) weeks of senior-credit rotations and meet their Pathway guidelines in order to meet graduation requirements. • • Each student must complete 18-22 weeks (depending on pathway requirements) of elective rotations in addition to the three or four required courses (depending on pathway requirements) listed above plus the required Intersession II. Details of the elective requirements are below: Electives are categorized as follows: 1. Direct Patient Care Fourth Year students must take at least 16 weeks of Direct Patient Care rotations during their fourth Year of medical school. (The required Medicine sub-internship and Neurology Clerkship count towards 8 of these direct patient care weeks.). 2. Patient Care Related (e.g., Radiology, Electrophysiology, Pathology) Fourth Year students may take Patient Care Related courses as their schedule permits. 3. Teaching, Non-patient care related (e.g., OMED, Mini-Med School, Anatomy, Neuroscience) Fourth Year students may take no more than 4 weeks of Teaching or NonPatient Care electives. For example, a student may take two weeks of Acad Elect in Med Ed and two weeks of Mini-Med, but may not take Acad Elect in Med Ed, Mini-Med and Anatomy combined (6 weeks). 4. Research (Basic Science or Clinical), Non-patient care related Fourth Year students may take 4-weeks of Research (all Research must be approved by the Special Elective Subcommittee). A request for more than 4 weeks must be approved by the Special Elective Subcommittee. Exception: Research Pathway students and MD/PhD students will be permitted to perform Research consistent with Pathway requirements following approval by the Special Electives Committee. 5. Transition to Clinician II: Transition to Residency Completion of Transition to Clinician II is mandatory for all Fourth Year students. Students receive 2 weeks of elective credit for Transition to Clinician I and 2 weeks of elective credit for Transition to Clinician II. The total of 4 weeks elective credit for Transition to Clinician I and II is given following the completion of Transition to Clinician II and counts as 4 weeks of 4th year graduation credits. Transition to Clinician is not counted against any of the above categories but does count as 4 weeks towards the total weeks required for graduation. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 18 • Students must complete a Minimum of 16 total weeks of Direct Patient Care rotations. • Students are limited to a Maximum of 8 weeks of Non-Patient Care related rotations. This includes Electives that would be classified as: Teaching, Non-Patient Care Related electives or Research Electives (#3 and #4 above). However, students may take no more than 4 weeks of Teaching Electives and no more than 4 weeks of Research electives. Of note, Translational Research is not counted against either the Teaching or Research elective categories but is counted as 2 weeks of NonPatient care rotations. Additional Guidelines Regarding Graduation from the College of Medicine Please note: Receipt of satisfactory grades in all courses does not assure promotion or graduation. Inappropriate behavior and attitudes, insensitivity, intolerance, other unprofessional attributes or consistently marginal performance may result in an assessment by the Promotions Committee that the overall performance of the student is insufficient to be granted the M.D. degree. In order to receive a diploma, students must have… - Met all financial obligations to Drexel University College of Medicine. - Completed an exit interview with the Office of University Student Financial Aid. Drexel University and the College of Medicine may, at any time, change any provisions, curricular requirements, bylaws, rules, regulations and policies and procedures as may be necessary in the interest of the University, the College of Medicine and its students. Students who have met all other degree requirements but who have not passed USMLE Step 2 CK or CS in time for graduation will not graduate. They will be placed on Independent Study pending taking and passing the examination. Diplomas will bear the date that a passing examination score is reported to the school. Students who have not passed Step 2 CK or Step 2 CS of USMLE in time to graduate, but who have obtained residency positions have the responsibility of contacting their residency program directors and notifying them that they will not be graduating and will be unable to begin residency. Participation in Commencement Ceremonies Students are permitted to participate in commencement ceremonies only if they have met all graduation requirements and have been approved for graduation by the Promotions Committee. Students who have extenuating circumstances requiring the completion of clinical coursework beyond the date of commencement will be permitted to participate in commencement ceremonies if they will complete all required coursework by June 30th of the graduating year. However, the student will not receive a diploma until all coursework is completed. Clinical Rotation Policies [Table of Contents] All-Year Site Placements Drexel has multiple academic campuses that offer all-year placements for third year students. Students who designate an all-year site preference at the time of matriculation are given priority for that site at the time of the third year lottery. However, when requests exceed spots, all preferences cannot be honored. In addition, academic performance and/or transition through the curriculum may preclude students from being eligible for placement in an all-year site. Specifically, students are ineligible for placement in all-year sites in any of the following circumstances: Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 19 • • • • • Students who receive(d) a grade of Unsatisfactory (U) in any Year 1 or Year 2 Course (regardless of whether the Unsatisfactory grade has been remediated) Students required to repeat any Year 1 or Year 2 course Students who take more than two consecutive years to complete the Year 1 and 2 curricula, including students who have taken an Extended Curriculum for Year 1 or Year 2, leaves of absences of any type, etc. Students who have been required to participate in the Professionalism Monitoring and/or Remediation program. Interim Year 2 course grades will be reviewed for all students requesting all-year sites during the first week of January of the 2nd year. At that time, students with a course average of < 70 in any Year 2 course will be ineligible for placement in an all-year site. Students who have been placed in all-year sites during the initial third year lottery must continue to meet academic and curricular criteria in order to maintain that placement. Specifically, students will be ineligible to maintain their all-year site placement in any of the following circumstances: • • • • Students who receive a grade of Marginal Unsatisfactory (MU) or Unsatisfactory (U) in any Year Two course Students who fail any Year Two final exam Students who have been required to participate in the Professionalism Monitoring and/or Remediation program. Student performance on the NBME self-assessment exams will be reviewed. Students must achieve a passing score on the first mandatory NBME self-assessment utilizing the DUCOM-provided voucher (deadline for all students is May 15th following Year 2 finals). Students whose first NBME selfassessment score is < passing are considered at risk and will be required to achieve a score of at least 10 points above passing on the second NBME self-assessment taken no later than June 1st, utilizing the DUCOM-provided voucher, in order to maintain their all-year site placement. Clinical Workload/Duty Hours Student work hours are limited to a maximum of 80 hours per week on clinical rotations. Students usually follow their resident’s schedule during required clerkships and SubInternships. Clinical Rotation Schedule Change Policies All schedule change requests must be made through the DOCSS clinical scheduling system or through the Division of Clinical Education at least 5 weeks in advance of the start of the rotation being added or dropped. Add/Drop forms are located on the Clinical Education Website. Course Director signature is required on the Add/Drop form to document approval if a special request is being made (e.g. request for a two week rotation when only a 4-week elective is offered in the course catalogue). Pathway Director signature is required on the Add/Drop Form if the schedule change request involves a Pathway-required course. Emergency Schedule Change Requests made within 5 weeks of the start of a Block must be submitted in writing to the Division of Clinical Education. All requests will be reviewed for approval by a Dean. The final deadline for submission of an Emergency Schedule Change Request is two and one-half (2 1/2) working days prior to the start of the rotation (i.e. noon on the preceding Wednesday for a Monday rotation). This final deadline is not negotiable. Emergency Schedule Change Requests should be sent by email to the Division of Clinical Education (Clinical.Education@drexelmed.edu) and must include the following: • Requested Course to be dropped • Requested Course to be added • Detailed reason for late Emergency Request Add/Drop Forms for Emergency Schedule Change Requests must be sent to the Division of Clinical Education within the aforementioned timeframe. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 20 Maximum Weeks in Individual 4th Year Electives Students may take a maximum of 4 weeks in any given elective rotation. Identical courses at different clinical sites will be considered as the same course and therefore only 4 weeks total can be applied toward graduation requirements. Clinical Rotation Evaluation Expectations: Where’s My Evaluation? Clerkship Directors and Elective Course Directors are expected to submit final student evaluations within four weeks after the rotation ends. Grades are transmitted in a manual upload to the Registrar twice weekly. The Registrar must then upload grades into Banner for posting to the transcript. Automobile Requirement All third and fourth year students on clinical rotations are required to have an automobile for transportation. Students are frequently required to travel to more than one patient care site during a clinical clerkship or course and must have access to their own automobile. Clinical Site Policies and Guidelines [Table of Contents] All students are expected to read and understand these policies prior to rotating at clinical sites. Failure to abide by these policies may result in the student's removal from the clinical site, withholding of the student's evaluation or final grade, and other academic or disciplinary sanctions. Individual Clinical Site Policies Students are expected to comply with all applicable rules, regulations, policies and procedures of the clinical site. Failure to do so, may result in the student's removal from the clinical site or other academic or disciplinary sanctions. Acceptable Use of Network and Information Technology Resources Students at each clinical site may be granted access to the hospital network at that site. Such access, both within the hospital itself and in student housing and other areas, is subject to the same Acceptable Use provisions that apply to use of the Drexel and DrexelMed networks (http://www.drexel.edu/irt/org/policies/acceptableUse/).. In addition, each clinical site may have additional policies governing the use of their network and other information technology resources. Clinical site policies may impose additional restrictions on the use of their network, including limitations on access to various internal and external sites. Using or accessing the clinical site’s network in violation of any clinical site's policy or without proper authorization or attempting to access restricted sites is strictly prohibited and may result in disciplinary action or loss of network privileges. Issued/Borrowed Items Students are responsible for all items that are issued to them or borrowed from the institution. The student is responsible for the replacement value of any item not returned at the end of the rotation. This includes, but is not limited to items such as beepers, keys, identification cards, and textbooks. The student's evaluation may be withheld until all items are returned. Educational Housing Policies At some of the sites, as a courtesy, housing is offered on a space available basis by the clinical site while rotating on a clinical clerkship, a required course or elective rotation. Authorized representatives of the clinical site may enter the housing facility at any time and for any reason, with or without advance notice to the occupants. The physical layout of the housing will vary from site to site. You may have to share a room with another student of the same gender and/or share common facilities such as a bathroom, living room or kitchen with students of the opposite gender. Do not "redecorate" by rearranging furniture or putting furniture in the hallway. Do not change rooms without specific permission. If the housing offered by the site does not meet your needs, you will have to make alternative housing arrangements at your own expense. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 21 Room Assignments/Roommates Gender-specific roommate assignments will be made. Guests/Visitors No spouses, significant others, and/or visitors are permitted in the housing. No one other than the student(s) assigned is permitted. Pets Pets are NOT permitted within any housing which is provided by clinical sites. Telephone Utilization within Housing Provided by Clinical Institutions Telephone availability and use policy varies from site to site. All charges related to the telephone usage are the responsibility of the tenant(s). See Telephone section within each individual site for more information. Responsibility for Damages You are financially responsible for any damages you cause to the housing facility. You may also be held responsible for damage caused by other occupants of housing if individual responsibility is not acknowledged. Housing Deposit A clinical site may request a deposit to cover potential damage to housing. Lost or Damaged Personal Property Drexel University is not responsible for any damage or loss to your personal property that occurs at the clinical site's housing. The following procedure will be followed if a student is accused of violating the DUCOM Educational Housing Guidelines or an institution’s more specific housing policy: • The clinical site will notify the Vice Dean for Educational and Academic Affairs, Associate Dean(s) for Student Affairs or Director of Clinical Education of the violation. • The Student will be notified by the Associate Dean of the accusation. • The student will be given opportunity to provide written response to the accusation within 48 hours to the clinical site and the Associate Dean for Student Affairs. • The Associate Dean for Student Affairs and Director of Medical Education at the clinical site (or their designees) will meet with the accused student, either in person or by telephone conference call, to discuss the violation. This meeting will not take place until Student has submitted written response or 48 hours has passed, whichever is earlier. • If the Associate Dean for Student Affairs determines that there is sufficient evidence that the student is responsible for the violation, he or she will determine the sanction which will be imposed. • The Associate Dean for Student Affairs decision or sanctions may be appealed to the Vice Dean for Educational and Academic Affairs or his/her designee. The decision of the Vice Dean is final and no further appeal is possible within the College. • If the misconduct violates other College of Medicine policies or regulations, the Associate Dean for Student Affairs may also refer the matter to the Honor Court or Promotions Committee for additional proceedings. • In instances where the Associate Dean for Student Affairs believes the student’s presence in housing may pose a danger to self or others, the Associate Dean may impose a temporary ban or other restriction on the student for up to 72 hours. • Students should be aware that if the sanction includes a prohibition on current or future use of clinical site education housing then the student will be responsible for securing housing on their own and at their own expense. A student’s rotation schedule will not be changed to accommodate housing needs. • Nothing in these guidelines shall limit a clinical site’s authority to restrict a student from entering its property pursuant to its own policies and regulations. . Weapons/Firearms See Handbook Section 3, University Services: Weapons Policy. This policy also applies to clinical sites and clinical housing. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 22 Criminal Background Checks Students are required to complete an updated criminal background checks and child abuse clearance every two years while actively enrolled in the College of Medicine. Drug Testing ProtocolSome clinical sites require drug testing prior to beginning clerkships. Students will be notified by the Office of Immunization and Surveillance of the need for drug testing and will provide information on the specifics of scheduling and details of sites where surveillance (drug testing) can be completed. It is the student’s responsibility to complete screening in a timely fashion. Students will not be permitted to begin clerkships until screening has been completed. 1. Clinical sites will be notified when screening has been completed. 2. Results will be reviewed by the Office of Immunization and Surveillance 3. Individuals testing positive will be referred to the Director of Student Mental Health for a formal assessment and further evaluation. Retesting will be arranged as necessary by the Director of Student Mental Health. Student Advising [Table of Contents] There are multiple formal and informal sources of advising available to all students in the College of Medicine. The Associate Deans in the Office of Student Affairs are available and oversee advising in all years. Each first year student will be assigned to an advisory group for the preclinical years. Each Advisory Group is led by a Faculty Advisor. Additionally, each Advisory Group will have a second year and a third or fourth year Student Peer Mentor. Scheduled mandatory group meetings occur twice each year. Students are encouraged to meet and/or communicate individually with their Faculty and Peer Advisors as needed. Pathway Advisors serve as academic advisors for students in Year 3 and 4 of the curriculum(See description of Pathway Advisory System). Rising 4th year students are also assigned a Student Affairs Advisor to provide additional support through the residency selection process. In addition, career advising is provided to all students by the Career Development Center on an individual basis and through a variety of programs, workshops, and specialty student interest groups. Behavioral and Professionalism Standards for Drexel University College of Medicine Students [Table of Contents] Students are expected to meet the following behavioral and professionalism standards: 1. Integrity a. Act at all times in an ethical, responsible, and dependable manner b. Conduct oneself in accordance with the Drexel University College of Medicine Honor Code c. Maintain an honest approach to all activities so as to be deemed worthy of trust 2. Reliability and Responsibility a. Complete all assigned tasks in a timely and responsible manner b. Arrive on time for scheduled activities and notify appropriate individual for missed activities c. Attend classes and meetings for their full duration and prepare appropriately for class activities d. Respond promptly to faculty or administration when contacted personally or electronically e. Admit errors and accept responsibility for one’s own actions f. Respond appropriately to witnessed unprofessional or unethical behaviors g. Demonstrate self-motivation and accountability for one’s own learning Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 23 3. Self-Awareness a. Demonstrate ability to identify areas of deficiency in one’s own performance b. Accept constructive criticism and modify behavior based on feedback c. Project a professional image in interpersonal relationships, manner, dress, and communication (including electronic) d. Maintain composure during difficult interactions e. Monitor personal biases that may interfere with professional duties f. Request help from appropriate support resources when needed g. Attend to one’s own well being 4. Team-Building and Communication a. Facilitate communication among team members b. Acknowledge the value of other members of the health care team in providing patient-centered care c. Treat fellow students, co-workers, faculty, administrators and staff with respect and sensitivity d. Provide supportive and constructive feedback; including counseling to peers when appropriate e. Listen to others respectfully and attentively f. Manage conflicts in a collegial manner g. Demonstrate accountability when unable to fulfill responsibilities 5. Patient-Centered Care a. Meet all clinical responsibilities b. Demonstrate respect, integrity, compassion and responsibility toward patients, even under difficult circumstances c. Discuss / refer to patients in a respectful and non-judgmental manner d. Maintain confidentiality of patient information e. Acknowledge limits of knowledge within clinical setting f. Take on extra work when appropriate for the benefit of the patient g. Ensure that coverage for patients is provided for patients when unable to fulfill responsibilities The process of medical education includes instruction in the knowledge, skills, and attitudes necessary to perform as competent physicians. While factual information and clinical skills are evaluated by examinations, and observations in the clinical setting, evaluation of behaviors, attitudes and professional development are less systematic and generally based on observed encounters, compliance with assignments, timeliness, and other less structured methods of evaluation. The professional development of medical students is an essential component of a complete medical school experience. Students and faculty have a responsibility to acknowledge incidents of exceptional professionalism as well as lapses in professionalism. It is important to recognize that in acknowledging such incidents that the actions and not the individual are being observed and noted. Feedback and Evaluation of Professionalism Assessment of professionalism occurs in a number of ways during both the preclinical and clinical years of the curriculum. Peer Feedback and Evaluation: During the first two years of medical school, students participate in many group learning activities and laboratory activities which require work to be conducted as a group. Students are expected to actively participate in group and laboratory activities in a way that fairly shares member responsibilities and contributes to the success of group learning. Students will be requested to evaluate members of their group to identify participation, contribution to the learning of the group and acceptance of responsibility within the group. These evaluations are reviewed together by course directors. Students who receive evaluations indicating the need for education and reinforcement will be referred to the Associate Dean for Student Affairs who in conjunction with the Professionalism Advisory Board will provide assistance and opportunities for remediation as deemed necessary. Reports of exemplary professionalism based on peer evaluations will be submitted to the Associate Dean for Student Affairs for inclusion in their Medical Student Performance Evaluation (Dean’s Letter). Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 24 Student Reports of Unprofessional or Unethical Behavior. Students are encouraged to report any unprofessional or unethical behavior that they have experienced or witnessed during the preclinical or clinical years to the Associate Dean for Student Affairs. Students can also submit an anonymous (or signed) report via the following online form: http://webcampus.drexelmed.edu/professionalism/IncidentReport.asp If you experience or witness mistreatment or unethical behavior and need to speak with someone urgently and confidentially, call the Student Affairs Emergency Hotline at 215-991-8184. Faculty Feedback and Evaluation: Faculty evaluations of professional behaviors are provided by small group faculty leaders in the preclinical years. During the clinical years, students receive evaluations of professional behavior and performance as part of each clerkship and clinical course evaluation. In addition, at any time a faculty member may submit a Commendation for Exemplary Professionalism or a Report of Concern for Unprofessional Behavior. Exemplary Professionalism: All students are expected to demonstrate appropriate professional behavior, but there are instances of exemplary professionalism that should be singled out for recognition. A faculty member, staff member, or fellow student who directly observes such instances is encouraged to fill out a Report of Exemplary Professionalism. The faculty member, staff member or student is encouraged to discuss this form with the student and then forward the completed form to the Senior Associate Dean for Student Affairs. Students receiving Reports for Exemplary Professionalism will have this noted in their Medical Student Performance Evaluation. Download the Report of Exemplary Professionalism form (.pdf) Lapse or Deficiency in Professional Behavior Students who require assistance in developing professionalism skills should be identified and provided with opportunities to improve their skills and behaviors. Faculty, staff or students who identify students with deficiencies and/or areas needing improvement, are encouraged to submit a Report of Concern for Unprofessional Behavior. Download the Report of Concern for Unprofessional Behavior form (.pdf) Reports of Concern for Unprofessional Behavior are NOT intended to replace one-on-one feedback. Rather, reports are intended for use in situations in which feedback has been unsuccessful and/or in instances in which behavior is grossly deficient. Levels of Concern: When submitting Reports of Concern for Unprofessional Behavior, the level of concern can be rated as “Moderate Level of Concern” or “High Level of Concern”. A “Moderate Level of Concern” rating may be considered in response to behaviors that demonstrate a lapse or failure in professionalism that should be acknowledged, but one that does not jeopardize patient care, team performance, or academic progress. Examples of instances in which a rating of “Moderate Level of Concern” would be appropriate include, but are not limited to: 1. Student does not submit assigned work by deadline 2. Student is late or absent for group activities 3. Student appearance or dress is not appropriate for setting or environment 4. Student does not participate in group/team activities A “High Level of Concern” rating should be considered in response to lapses in behavior that require education, remediation and intervention due to significant lapses in: 1. Integrity 2. Reliability and Responsibility 3. Self-Awareness 4. Team-Building and Communication 5. Patient-Centered Care Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 25 Management of Reports of Concern for Unprofessional Behavior Upon receipt of a Report of Concern for Unprofessional Behavior, the Senior Associate Dean for Student Affairs will contact the student named and arrange a meeting. The student will have an opportunity to present any information which might explain actions or behaviors. The purpose of the initial meeting is often educational and the Senior Associate Dean will explore ways in which behaviors can be improved and meet the expected level of professionalism. Any student receiving two or more Moderate Level Reports of Concern or a single High Level Report of Concern will be reviewed with the Professionalism Advisory Board and the Promotions Committee to assess the need for education, monitoring and/or administrative action. Students who are placed in Professionalism Monitoring may be required to complete an educational reflection paper, ongoing meetings with a faculty mentor, and/or additional remedial educational activities as deemed necessary. It may be recommended that students delay progression to the next academic level and/or retake certain courses or experiences. Students receiving two or more Moderate Level Reports of Concern or a single High Level Report of Concern Report of Concern for Unprofessional Behavior may have a notation placed in the Professionalism Section of the Medical Student Performance Evaluation (Dean’s Letter). The Promotions Committee has the authority to determine that the severity of a single offense or a pattern of behavior is cause for dismissal from the College of Medicine. Students will be notified by the Senior Associate Dean for Student Affairs if they are being reviewed by the Promotions Committee. Students will be notified in writing regarding any sanctions imposed by the Committee and standard processes of appeal will be in place to address sanctions or penalties imposed. Professionalism Grade At the end of each academic year, students will receive a Professionalism grade which will appear on the permanent transcript. Students who demonstrate the ability to meet the Behavioral Objectives will receive a Satisfactory for their Professionalism Grade. Students who have received Reports of Concern for Professional Behavior may receive a Professionalism Grade of Marginal Unsatisfactory or Unsatisfactory. Specific Academic Policies [Table of Contents] Multiple Failures during the Same or Subsequent Academic Year(s) Receipt of grades below Satisfactory (Marginal Unsatisfactory or Unsatisfactory) in more than one course during the same academic year or in subsequent academic years will result in a complete review of a student’s academic record by the year-appropriate Student Promotions Committee. This may result in any of the following actions: 1. 2. 3. 4. Dismissal from the College of Medicine Requirement to sit for remediation examination(s)-, and/or Requirement to repeat coursework in an AAMC-approved summer remediation course, and/or Requirement to repeat coursework in a subsequent academic year. Receipt of grades below Satisfactory (Marginal Unsatisfactory or Unsatisfactory) in any repeated/remediated course will be considered as cause for dismissal from the College of Medicine. Timeframe for Completion of the Curriculum 1. The maximum timeframe permitted for completion of both the preclinical and clinical curriculum of the College of Medicine is six (6) years, exclusive of Leaves of Absences. Specifically: • No student is permitted more than three (3) academic years to complete the preclinical curriculum and • No student is permitted more than three (3) academic years to complete the clinical curriculum. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 26 2. All students must complete the medical school curriculum within seven (7) years of matriculation, inclusive of Leaves of Absences (Individual exceptions for dual degree students are considered). • Leaves of Absence do not “stop the clock.” • Extended Curriculum does not “stop the clock”. • Failure to make satisfactory academic progress may be viewed as grounds for dismissal from the College of Medicine. Dismissal from the College of Medicine [Table of Contents] Students may be dismissed from the College of Medicine for failure to meet academic, clinical or professional standards established by the College of Medicine. The Year specific Promotions Committee may make a recommendation that a student be dismissed from the College of Medicine. In the event of such recommendation, the student will be notified in writing by the Associate Dean for Student Affairs. Students are permitted to continue academic work pending the resolution of any appeal of the dismissal during the preclinical (year 1 and 2) medical studies with the exception of clinical skills sessions/coursework that takes place in the clinical setting. Students dismissed during the clinical years (year 3 and 4) of their medical studies are not permitted to continue clinical rotations following notification of dismissal, pending the outcome of an appeal. Appeal Guidelines for Dismissal from the College of Medicine Following an initial notification of dismissal: 1. The student must notify the Associate Dean for Student Affairs of an appeal of the dismissal within ten (10) calendar days following notification of the dismissal. 2. The student will appeal the dismissal to the Year Appropriate Promotions Committee at the next meeting of the Promotions Committee. a. The student is encouraged to meet with the Associate Dean for Student Affairs to prepare the appeal. b. Each student is permitted to appear in person at the Year-Appropriate Promotions Committee meeting in order to present their appeal and answer questions or concerns raised by the members of the Committee. In the event that the appeal is successful: 1. The student will be notified in writing of the successful appeal by the Associate Dean for Student Affairs. 2. The appeal may be granted with specific conditional terms of Probation that supersede and control over any provisions in the Medical Student Handbook or any College of Medicine policy or regulation. In the event that an initial appeal is unsuccessful: 1. The student will be notified in writing of the unsuccessful appeal by the Associate Dean for Student Affairs. 2. The student has the option to appeal to the Dean of the College of Medicine. The student must notify the Associate Dean for Student Affairs of their intention to appeal to the Dean of the College of Medicine within ten (10) calendar days following the notification that the initial appeal was unsuccessful. 3. The Associate Dean for Student Affairs will assist the student in preparing an appeal to the Dean of the College of Medicine. 4. The Associate Dean for Student Affairs will provide each student a written document detailing the format of the appeal to the Dean of the College of Medicine. 5. The student should be prepared to meet with the Dean of the College of Medicine within one month. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 27 In preparing for an appeal to the Dean of the College of Medicine, students should: 1. Meet with the Associate Deans for Student Affairs for guidance in preparing their appeal and to discuss the format for the meeting with the Dean. 2. Prepare a written statement to the Dean discussing the details of their appeal. 3. Prepare a copy of his/her curriculum vitae. 4. Consider any additional information and materials that he/she feels would be relevant to the appeal. In the event that the appeal to the Dean of the College of Medicine is successful 1. The student will be notified in writing of the successful appeal by the Dean. 2. The appeal may be granted with specific conditional terms of Probation that supersede and control over any provisions in the Medical Student Handbook or any College of Medicine policy or regulation. In the event that the appeal to the Dean of the College of Medicine is unsuccessful 1. 2. 3. 4. The student will be notified in writing of the unsuccessful appeal by the Dean There is no further appeal of the dismissal from the College of Medicine. The Associate Dean for Student Affairs will notify the Registrar of the Change in Status of Enrollment The Registrar will notify the Association of American Medical Colleges of the Change in Status of Enrollment. 5. The Registrar will notify the Bursar and the Office of Financial Aid of the Change in Status of Enrollment. Student Promotions Committees – Academic, Ethical or Professional Concerns [Table of Contents] There is a Year 1 and 2 Student Promotions Committee for students in the first two years of the curriculum of Drexel University College of Medicine and a Year 3 and 4 Student Promotions Committee for students in the final two years of the curriculum. The Student Promotions Committees are standing committees of the Faculty. These committees are composed of experienced faculty representing the respective preclinical and clinical departments. The Student Promotions Committees act on problems referred by faculty members, departments or College of Medicine or University administrators. The committees address both academic deficiencies and breaches of professional and ethical behavior. The committees formulate policy, review student academic progress and make decisions regarding the manner by which a student will repeat all or part of a course, if that is recommended by a Department. The committees make decisions that may modify a student's overall progress through the medical school curriculum, up to and including dropping a student from the rolls of the school. The Associate Dean for Student Affairs informs students, in writing, about decisions of the Student Promotions Committees. Repeat course work, re-examination or supplementary remedial work may not be undertaken without the formal approval of the Committee. The outcome of recommended and approved remedial work (Satisfactory/Unsatisfactory) is reported to the Office of Student Affairs and to the Department. The Associate Dean for Student Affairs or the Course Director reports the outcome to the year-appropriate Student Promotions Committee. The final grade is reported to the Registrar, when it is deemed that no further remedial work is needed. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 28 Academic or Disciplinary Issues: Steps 1. The year-appropriate Student Promotions Committee reviews available information and makes decisions regarding academic or disciplinary sanctions. 2. The Associate Dean for Student Affairs notifies the student that an academic or disciplinary issue has been brought to the committee and notifies the student in writing regarding decisions of the Committee. 3. The student must notify the Associate Dean for Student Affairs if he/she wishes to appeal the decision of the Promotions Committee. The notification must be received by the Associate Dean for Student Affairs within ten (10) calendar days following the receipt of the decision from the Promotions Committee. 4. The student will be provided an opportunity to meet with the Promotions Committee to appeal the decision at the next scheduled meeting. The Associate Dean for Student Affairs is available to assist and advise the student in preparing their appeal. 5. The Associate Dean for Student Affairs will notify the student, in writing, of the Committee’s decision regarding his/her appeal. 6. In the event that the student’s appeal to the Promotions Committee is successful, the appeal may be granted with specific conditional terms of Probation that supersede and control over any provisions in the Medical Student Handbook or any College of Medicine policy or regulation. 7. If the student’s appeal to the Promotions Committee is denied, the student may appeal to the Vice Dean for Academic Affairs or his/her designee. The student must notify the Associate Dean for Student Affairs in writing within ten (10) calendar days following the receipt of the decision from the Promotions Committee indicating that he/she wishes to appeal to the Vice Dean . 8. The decision of the Vice Dean for Academic Affairs is final. In the event that the appeal to the Vice Dean is successful 1. The student will be notified in writing of the successful appeal by the Dean. 2. The appeal may be granted with specific conditional terms of Probation that supersede and control over any provisions in the Medical Student Handbook or any College of Medicine policy or regulation. Dual Degree Programs: MD/PhD, MD/MPH, MD/MBA, MD/BA [Table of Contents] There are several dual degree programs available to medical students in the College of Medicine. Each of the dual degree programs have different requirements, applications, application deadlines and options for timing of the program with reference to the medical school curriculum. All students participating in a dual degree program must successfully complete Years 1 and 2 of the medical school curriculum and must PASS Step 1 of the USMLE in order to transition into any of the joint degree programs. Failure to meet these requirements will result in removal from the dual degree program. Enrollment Status [Table of Contents] LEAVES OF ABSENCE Requests for a leave of absence are made to the Associate Dean for Student Affairs. Requests may be addressed to the year-appropriate Student Promotions Committee at that individual’s discretion. The maximum time that a student may be away from curricular work on a Leave of Absence is one year. Leaves of absence may be initiated for one of several reasons: Academic - This leave of absence is usually initiated by the year-appropriate Student Promotions Committee and is intended for students who are experiencing academic difficulty. Students use the leave of absence to undertake activities which may help to remedy their academic difficulty. The year-appropriate Student Promotions Committee recommends the remedial activities. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 29 Medical - This leave of absence is usually initiated by the student and is intended for those students who have a medical or psychosocial problem that needs to be addressed and remedied during time away from school. Students who are granted a medical leave of absence are required to present appropriate medical documentation regarding the need for the medical leave. Upon return from a medical leave of absence and prior to resuming coursework, students must submit appropriate medical documentation confirming their fitness to return as a full time medical student. An independent evaluation to determine fitness for duty may also be required. Personal - This leave of absence is initiated by the student, and may be granted for a student to meet family or other obligations or for other reasons agreed to by the Associate Dean for Student Affairs. Administrative - This leave of absence is initiated by the College of Medicine or University administration and is intended for those students who are granted a leave of absence for an administrative reason(s). Examples of reasons for Administrative Leave of Absence include but are not limited to delinquent tuition, incomplete registration, or failure to comply with immunization or other health policy requirements. The student remains on a leave of absence until the administrative issue(s) is resolved. Under extraordinary circumstances, a student may be placed on Administrative Leave of Absence for disciplinary cause and/or to assure the safety and well-being of patients. If a student requests a leave of absence, he/she must submit a written request including the reasons for, the starting date of the leave of absence and probable time of re-entry. The Associate Dean for Student Affairs presents the names of students returning from leaves of absence to the year-appropriate Student Promotions Committee. If that committee mandates that certain requirements be met for re-entry, documentation that a student has met those requirements must be submitted. If the committee mandated the leave, it must give approval for the student’s return. If the leave was imposed for academic reasons, the student should submit written reports of grades from courses taken, employer's recommendations and any other documentation requested by the year-appropriate Student Promotions Committee. The student may be required to appear personally before the yearappropriate Student Promotions Committee before returning from an academic leave of absence. The student will be notified if he/she is required to appear personally. If an LOA was mandated for administrative reasons, the student must submit applicable written documentation to the Associate Dean for Student Affairs or his/her designee, documenting that the reason(s) for the mandated administrative LOA is/are resolved. The student may be asked to meet with one or more of the Associate Deans before returning from an administrative leave of absence. The student will be notified if he/she must do so. If the leave was imposed for disciplinary reasons or out of concern for patient safety, the Administration and the year-appropriate Student Promotions Committee must be assured that the reasons for these concerns no longer exist. Tuition, Financial Aid, Academic Standing during Leave of Absence, Independent Study, non-standard progress. Tuition, Financial Aid, and loan repayment may be affected by leave of absence or Independent Study. It is important that students understand the implications of these options. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 30 Please refer to the following table for details Tuition Fees Eligible for Health Insurance Eligible for Financial Assistance Independent Study None Yes Yes Yes Administrative Leave None No No No Medical Leave None No Yes No 50% tuition for Yes Yes Yes No Medical No Medical School Fees Yes Yes No Medical No Medical School Fees Yes Yes No Yes Yes No Billed based on Contact hour Yes Yes Yes Student Status Extended Curriculum MBA/MPH PhD component of MD-PhD EDGE Year Research Service Learning Doris Duke Fulbright, etc. Repeated Coursework, Clerkships Independent Study Students may request a period of independent study to prepare intensively for USMLE examinations. Students wishing to request independent study time must submit a formal request that defines the period of independent study and provides both the starting date and the anticipated date for resumption of medical studies. The formal request must be made through the Associate Dean for Student Affairs. Students who are placed on Independent Study must meet regularly with the Associate Dean for Student Affairs to discuss study plans and to assess progress. Tuition Refund and Credit Policy [Table of Contents] Withdrawal or Leave of Absence While courses in the College of Medicine are variable in length and are not semester-based, tuition is assessed on a semester basis. The amount of tuition and fee refunds following withdrawal or leave of absence is based on when the withdrawal or leave occurred relative to the start of classes in each semester. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 31 If the effective date of the Withdrawal or Leave of Absence falls: a. Before the start of classes, all charges will be removed and no tuition or fees will be due. b. Within the first 15 days of the semester, all charges will be removed and no tuition or fees will be due. c. From day 16 to day 30, tuition and fees will be reduced by 50%. d. From day 31 to day 45, tuition and fees will be reduced by 25%. e. After 45 days, there is no reduction in the tuition and fees. Extended Curriculum When a student is granted Extended Curriculum by the Promotions Committee: a. Tuition will be reduced according to the course content actually carried, e.g., 50% course load will carry a 50% tuition charge. b. Tuition paid in excess of the reduced tuition charge will be applied to the following semester. No refunds will be processed for payments made in excess of the reduced charges. c. Full administrative fee will be assessed for each year of the Extended Curriculum. Repeat Coursework When a student is required to repeat academic coursework he/she will be responsible for tuition proportionate to the coursework repeated. Students are assessed each year during active enrollment in the College of Medicine. Educational Development and Growth Experience – EDGE [Table of Contents] Students in the College of Medicine are permitted to take an extended period of research, clinical or service related activity for academic and personal growth. Some examples of EDGE activities include but are not limited to: 1. 2. 3. 4. 5. 6. 7. Fulbright Fellowship year Doris Duke Clinical Research Year Center for Disease Control Research Year National Institutes of Health Research Fellowship Service Learning- international or community based Independent Research Other activities as approved Students may request an Educational Development and Growth Experience after successfully completing the second year medical school curriculum and the USMLE Step 1 exam. Students requesting an EDGE must complete an application detailing the purpose and activities included during the time period for the educational experience. A faculty advisor or mentor must be identified in the application and that individual is required to indicate that he/she approves of the project and will provide oversight and supervision. Applications must be submitted in writing to the Office of Student Affairs at least three months prior to the beginning of the EDGE start date. Failure to submit an application will result in denial. No requests will be considered if submitted retroactively. During an Educational Development and Growth Experience ,a student remains: 1. 2. 3. 4. 5. Enrolled in the College of Medicine Eligible to participate in the Student Health Insurance Program Eligible to utilize all Drexel University Resources (library, email, etc) Responsible for full student fees Not Eligible for Financial Aid Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 32 Students will NOT be billed tuition during the EDGE period. Students will NOT receive academic credit towards graduation for any work performed during the EDGE period. Students are required to provide quarterly written progress reports to the Associate Dean for Student Affairs during the Educational Development and Growth Experience. . A faculty committee will consider all requests for the EDGE program. Students will be notified of this decision which will be final and not subject to appeal. DOWNLOAD THE "Application for Educational Development and Growth Experience" FORM (.pdf) Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 33 Section 2: Facilities and Services Overview [Table of Contents] A valid student ID is required to access all buildings on all campuses. Students must comply with all rules and regulations governing the use of University facilities. Automated card readers are "keyed" to ID cards prepared and distributed at the Queen Lane or the Center City sites. Students wishing to access facilities for which their ID cards are not "keyed" must use main building entrances and present their ID cards to the security officers on duty there. Some internal facilities require keyed ID cards for entry, e.g., the Fitness Center at the Center City Campus, the PIL Resource rooms. The Security officers at the Queen Lane Campus and Center City Hahnemann Campus know that all students in the University may use its facilities. Should a student encounter any difficulty, they should contact the Office of Student Affairs to apprise us of the difficulty. Enjoy the facilities. Respect and maintain them. Use them safely and wisely. Dragon Cards [Table of Contents] Entering students receive an ID badge from the Security Office that must be carried at all times. ID badges are required of actively enrolled students for access to all facilities of the University and to all of its educational resources. Badges of students no longer enrolled at the University are inactivated. ID badges must be provided for inspection upon request from University Staff. Bookstores [Table of Contents] Bookstores for purchase of required textbooks and other academic resources are located at the Center City and Queen Lane Campuses. Their Hours and locations are accessible through the following link: http://drexel.bncollege.com Libraries [Table of Contents] http://www.library.drexel.edu/healthsciences Student Lockers [Table of Contents] First and second year students may request lockers at the College of Medicine campus for which they must provide their own locks. Space to secure personal belongings will be provided at clinical training affiliates for students on clinical clerkships and rotations. Parking [Table of Contents] Parking is available through the Dragon Card Office on the Queen Lane Campus. http://www.drexel.edu/dbs/parkingServices/queenLane/ Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 34 Recreational Facilities [Table of Contents] Fitness Centers Queen Lane Campus The Fitness Center is located adjacent to the student lounge. Students must present valid active ID cards for access. The Fitness Center is open 24 hours daily. The facility is only available to University students. Rules for the fitness center are posted in the center. Students wishing to use the Queen Lane Fitness Center must complete the “Release and Assumption of Risk Agreement” which can be obtained in Room 114-E in the Office of Student Affairs, Queen Lane Campus. Drexel University College of Medicine: Your Right to Know [Table of Contents] Queen Lane Medical Campus Drexel University, in compliance with the College and University Security Act of 1988 (PA) and the federal Student Right-to-Know and Campus Security Act of 1990 (Clery Act), revised in 1999, provides the following information and statistics on the frequency of crime, known and reported, on and off campus, as well as crime prevention policies, procedures and educational programs that the University has in place to ensure the safety and security of its community. The department's management team consists of an Executive Director of Public Safety and Department Head, a Director of Public Safety, an Assistant Director of Public Safety, an Assistant Director of Investigative Services, a Security Liaison Officer, and a Manager of Contracted Services. The Executive Director, Director and Security Liaison Officer are responsible for managing all campus-related security issues, and safety programs. The Department of Public Safety is responsible for investigations, complaints and incidents that occur on campus property, reviewing incident reports and contacting students, faculty and staff regarding incidents that may need additional follow up. When appropriate, the Department of Public Safety also works with city, state and federal law enforcement agencies, such as the State Police, FBI or Drug Enforcement Agency. Members of the Department of Public Safety are not commissioned law enforcement officers and do not possess authority to arrest individuals. Security Officers [Table of Contents] The uniformed arm of the Department of Public Safety services the medical community 24 hours a day, seven days a week. Security Officers follow and enforce the policies and procedures set by the University, as well as appropriate local, state and federal laws. Background investigations are conducted on all officers and include pre-employment and criminal history checks, Department of Motor Vehicle operator license validation, pre-employment drug screening, education level verification and previous employment history checks. All officers receive an orientation to buildings and campus grounds, as well as specific on the job training for the first 30 days. All security officers receive ongoing in-service training to update and enhance their professional skills. Drexel University recognizes the importance of maintaining a safe and secure environment for study and work. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 35 Security personnel work to maintain a safe environment for visitors, students and employees, and to plan and implement actions necessary to prevent loss or damage to personal belongings, campus facilities and properties. Mobile and foot patrols, closed-circuit television, electronic alarms and other surveillance measures are used to monitor security conditions. Any identified deviation or deficiency is corrected promptly. When a serious criminal incident occurs or when security personnel detain a person, the Philadelphia Police Department is notified. Security personnel are not permitted to carry any weapons in the performance of their duties. The possession or use of firearms, other weapons, or explosives by employees, students, or visitors on campus is prohibited. Escort Services [Table of Contents] The Security Department is available to provide walking escorts to Drexel University students, faculty and staff, 24 hours a day, every day, to any location on campus, upon request. Mobile escorts, subject to availability, are limited to a defined area. That area is maintained at the Security Desk in the main lobby. These escorts are provided for the purpose of safety and security. Campus Shuttle [Table of Contents] This shuttle service provides the University community another dimension of safety and security while traveling between campuses. Members of the Drexel University community are permitted unlimited usage at no charge. Upon boarding the shuttle, individuals are required to present a valid Drexel University card to the driver. Schedules for the shuttle are available at the Security Desk and other locations around campus. Identification Cards [Table of Contents] All current Drexel University students, faculty and staff are issued identification cards for entering campus buildings and events, as well as access to many University services. All University faculty, staff and students are required to produce a proper Drexel University ID upon request from security or a University official when on any University-owned property. The control of access to campus property is facilitated by the issuance of identification badges to faculty, staff, employees, students and volunteers by the Security Liaison Office and the Dragon Card Office. These identification badges are encoded to allow access through designated entrances, which are equipped with electronic locking devices. Visitors and others enter the buildings through designated visitor entrances. Crime Prevention [Table of Contents] A series of crime prevention seminars and orientations are conducted at the start of each semester and periodically throughout the year for all students and employees. Crime prevention publications are available from the Drexel University Department of Public Safety, and are distributed to the campus community periodically throughout the year. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 36 Dissemination of Criminal Information [Table of Contents] Security Alerts The Security Alert was developed as a communications resource to better communicate important information to the campus community and its neighbors. On occasion, a security or safety issue, on or off campus, may be of such importance that the Drexel University Department of Public Safety will issue a Security Alert, advising the community of an incident. The Alert also provides safety tips, suggestions on how to handle situations and action steps to take if you witness a similar situation. Web Site (http://www.drexel.edu/PublicSafety/homepage.html) The Department of Public Safety web site provides current security and safety-related information to the Drexel University community. The web site allows for instant access to policies and procedures, security tips, Security Alerts, security e-mail, and information related to the Student Right to Know and Campus Security Act. Daily Crime Log Drexel University Department of Public Safety (Queen Lane Campus) maintains an incident journal in the Security Liaison Office. This is a chronological listing of all incidents, known and reported to the department for the campus area. It also includes the names of persons arrested, if known, and charged in criminal situations, and is open for review by any member of our community during normal business hours. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 37 Section 3: University Policies To provide for the safety and security of those using Drexel University facilities, certain policies have been put into place. Of particular importance are the following: Building Access [Table of Contents] All University buildings and residences are the private property of Drexel University. The University reserves the right to restrict access to University students, faculty, employees, and other persons authorized to enter University building or property. Entrance to all buildings requires valid University issued student or employee photo identification badges to enter at all times. Security Officers are posted near entrances of all buildings to check identification badges and direct visitors. Security reserves the right to request identification of all persons entering the property. The University reserves the right to change the hours of operation and building access with notification to students and staff. Questions concerning building access should be directed to the Security Liaison office, at Queen Lane, 215-991-8132. Weapons Policy [Table of Contents] No student, staff, faculty member or visitor shall keep, use, possess, display or transport any rifles, shotguns, handguns, pellet or BB guns, dangerous knives, billy clubs, makeshift weapons, martial arts weapons, or any other lethal or dangerous devices capable of casting a projectile by air, gas, explosion or mechanical means on any property or in any building owned or operated by the University or in any vehicle on campus. Realistic facsimiles of weapons are also specifically not allowed. Alcohol and Drug Policy [Table of Contents] The possession, use, distribution or sale of narcotics or drugs, other than those medically prescribed, properly used and in the original container, by students, staff or visitors on University property or while on University business is prohibited. Off-campus possession, use, distribution or sale of narcotics or drugs by students or staff is inconsistent with the University's policies and goals, and therefore prohibited. Any and all types of drug paraphernalia including, but not limited to bongs, pipes and any items modified or adapted so that they can be used to consume drugs are not permitted on University property. The Drexel University policy regarding alcohol is consistent with the laws of the Commonwealth of Pennsylvania. The consumption, distribution or service of alcoholic beverages must be in compliance with the Pennsylvania Liquor and Crimes Code, which defines the lawful consumption and service of alcohol and prescribes sanctions for violations. These policies are further addressed in the Alcohol and Drug Prevention brochure, which is distributed to all students. This brochure sets forth the prevention, counseling and treatment programs available through the University to students and staff. Copies of this brochure are available in the office of student life and the personnel department. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 38 Criminal Records [Table of Contents] Known criminal records of students and employees are considered during the admission or hiring process. Discrimination, Harassment and Sexual Assault [Table of Contents] Drexel University College of Medicine is committed to providing an environment for all employees, faculty and students that is free from discrimination and harassment on the basis of race; color; sex (except where sex is a bona fide occupational qualification); sexual orientation; gender identity; religion; creed; national or ethnic origin; citizenship status; age; disability (or association with an individual with a disability); and status as a special disabled, Vietnam era or other eligible veteran. This prohibition applies equally to all faculty, staff and students, to all other persons on the premises subject to College control and to those engaged to further the interests of the College. Discrimination is defined as unfavorable or unfair treatment of a person or class of persons as compared to others not in the protected class because of a factor, such as, race, color, sex (except where sex is a bona fide occupational qualification), sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status or reprisal for opposition or complaints about discriminatory practices or participation in an investigation. Harassment is defined as verbal or physical conduct that denigrates or shows hostility or aversion toward an individual on the basis of race, color, sex (except where sex is a bona fide occupational qualification), sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, or veteran status and that has the purpose or effect of creating an intimidating, hostile or offensive employment or educational environment; or has the purpose or effect of unreasonably interfering with an individual's employment or academic performance. Sexual Harassment is a form of sex discrimination recognized under Title VII of the Civil Rights Act of 1964, which prohibits sex discrimination in the terms and conditions of employment and Title IX of the Education Amendments, which prohibits sex discrimination in educational programs and activities. Sexual harassment involves unwelcome sexual advances, requests for sexual favors or verbal or physical conduct of a sexual nature. It is often imposed upon a person in an unequal power relationship through the abuse of authority. Central to this concept is the use of implied reward or threat of deprivation that interferes with the academic or work effectiveness of the victim. Sex Discrimination and Sexual Harassment Title IX of the Education Amendments of 1972 (“Title IX”) prohibits discrimination on the basis of sex in any federally funded education program or activity. Sexual harassment, which includes sexual violence, is a form of sex discrimination. Drexel University is committed to providing an environment free from discrimination based upon sex. The University provides supports and resources to students, faculty, and professional staff to address concerns related to sex discrimination and has appointed Michele Rovinsky-Mayer, Associate Vice President, Office of Equality and Diversity, as its Title IX Coordinator. Michelle can be reached at 215-895-1403 or mrovinsky@drexel.edu Any student who believes that he or she has been discriminated against on the basis of sex, in violation of Title IX, may also file a complaint with the Deputy Title IX Coordinator for DUCOM students, Amy Fuchs, M.D., Senior Associate Dean for Student Affairs. Dr. Fuchs can be reached at 215-991-8221 or Amy.Fuchs@DrexelMed.edu Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 39 Sexual Assault Drexel University seeks to foster a safe and healthy environment built on mutual respect and trust. At the very basis of the University's mission is the recognition of the essential dignity and worth of each member of our community. Sexual assault is a very serious violation of these principles and will not be tolerated in any form. The University encourages all members of its community to be aware of the trauma caused by sexual assault and challenges its members to work together to prevent its occurrence. Drexel University provides support for victims and urges victims to seek assistance using any appropriate resources. The University handles complaints of sexual assault with due regard to the parties' concern of confidentiality. If occurrences of sexual assault pose a general threat to the University community, Drexel University will take affirmative steps to notify students, faculty and staff of the potential danger. Reporting Sexual Assault Drexel University offers support for victims of sexual assault through the Victim Support and Intervention Services program. http://www.drexel.edu/studentlife/support_health_services/support_health_services_victim_support_interventio n_services/ It was established to provide victims of crime, physical trauma, or injury access to high quality, community appropriate, victim-centered services. It also provides services to students, faculty and staff members in accordance with the “Campus Sexual Assault Victims’ Bill of Rights” as part of the Higher Education Amendments of 1992 (Public Law: 102- 325, section 486(c)). What to Do If You Have Been Sexually Assaulted • Immediately contact the Department of Public Safety at (215) 895-2222 and Victim Support & Intervention Services at (215) 895-0353 for assistance. You may also dial 911. The DUCOM Student Deputy Title IX Coordinator is also available to assist you. • Do NOT bathe, shower, or clean up the crime scene. While this may be difficult, it is important to preserve any potential evidence if you decide to press charges. • Seek medical attention immediately. A representative from Victim Support and Intervention Services will accompany you to the Rape Trauma Unit at Jefferson University Hospital. Free medical treatment is also provided to victims/survivors at Episcopal Hospital. Transportation is available through Drexel Public Safety. Once you are at Jefferson you will be advised of your options, including the involvement of the Philadelphia Police Sex Crimes Unit. The individual is apprised of all options for filing a complaint, both on campus and off, including the right to report fully to the Philadelphia Police, to file an anonymous report with Philadelphia Police, or to file no report with the Philadelphia Police. The choice is solely up to the individual. • Remember that you are not alone! Support Services for Victims - Drexel University Counseling Center: 215-895-1415 - Thomas Jefferson Hospital Crisis Center 215-955-6541 - Women Organized Against Rape 215-985-3333 The University will pursue criminal and/or disciplinary action in cases of sexual assault, taking into account the wishes of the victim. Upon request, the University will change a sexual assault victim's academic and housing assignments if the changes requested are reasonably available. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 40 Student Mistreatment [Table of Contents] It is the policy of the Drexel University College of Medicine that student mistreatment, harassment or abuse will not be tolerated. Student abuse may be verbal, psychological or physical. It includes, but is not limited to, sexual harassment, discrimination due to age, racial and ethnic background, religion, national origin, or disability. It is understood that all personnel will treat students in a collegial and professional manner. Student abuse and sexual harassment are best defined functionally. Student abuse includes but is not limited to treating students in a harmful, injurious or offensive way; attacking in words; speaking insultingly, harshly or unjustly to or about a student1; reviling or demeaning a student; undermining the self-esteem or confidence of a student. Abuse and harassment create a hostile environment in which to work. It is understood that incidents of abuse or harassment may cover a spectrum from flagrant to ambiguous and subjective. The abuser may be a member of the faculty, a resident, a nurse, another student, a member of administration, a hospital employee, or even a patient. The mechanism of reporting and investigating incidents of student abuse is described below. An algorithm outlining the steps is included. The system and the plan for its implementation are designed to protect students from retaliation and to protect those charged with abuse from unfair accusations. The names of the student, the reporting individual and the alleged abuser will be held in strict confidence on a need-to-know basis. There are many avenues for student reporting and assistance for instances of gender discrimination, sexual harassment and sexual assault as outlined in the respective sections above. The College of Medicine provides additional mechanisms for reporting of other types of student mistreatment. An incident of abuse may be reported by the student or by an individual who witnessed the incident of abuse. An incident can be reported directly to the College of Medicine’s Early Response Group, led by the Vice Dean for Academic and Educational Affairs. The Early Response Group will investigate reports of student mistreatment. An incident can be reported to the Associate Dean for Student Affairs for discussion and referral to the Early Response Group. Reports made to a trusted faculty member, a class officer, a member of academic administration, or a close friend may be reported to the school’s Early Response Group or to the Associate Dean for Student Affairs who will refer the case to the school’s Early Response Group. The College of Medicine’s Early Response Group will gather information on the incident from the student, from any known witnesses to the incident and from the accused offender. The communication and interaction involved in this process may lead to resolution of the incident. If the incident is resolved, no further action need be taken. The Early Response Group will follow up on the incident six to eight weeks after the report to assure that there has been no retribution. An algorithm outlining the mechanisms of reporting and investigation of reported incidents of student abuse is described below. The system and the plan for its implementation are designed to protect students from retaliation and to protect those charged with abuse from unfair accusations. The names of the student, the reporting individual and the alleged abuser will be held in strict confidence on a need-to-know basis. Guidelines for the Reporting and Handling of Incidents of Medical Student Mistreatment: Reporting Student mistreatment may be reported by the student or by an individual or group who witnessed the incident of abuse. Incidents can be reported to one of the following: • The Early Response Group • Associate Dean for Student Affairs (Students who need to speak with the Associate Dean for Student Affairs urgently can call the Student Affairs Emergency Hotline at 215-991-8184) • Vice Dean for Educational and Academic Affairs • College of Medicine On-Line Anonymous Reporting System for Unethical/Unprofessional Behavior: http://webcampus.drexelmed.edu/professionalism/IncidentReport.asp Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 41 • • A Trusted Faculty Member (Reports incident to the Vice Dean, the Associate Dean for Student Affairs, or The Early Response Group) A Friend (Reports incident to a faculty member, an Associate Dean or the Vice Dean.) If you experience or witness mistreatment or unethical behavior and need to speak with someone urgently and confidentially, call the Student Affairs Emergency Hotline at 215-991-8184. Investigation of Reports Reports of Student Mistreatment are investigated by the Early Response Group. The Early Response Group: • Gathers information from student, others, the accused. • Notifies Legal Counsel, as it judges the need. • Facilitates resolution, whenever possible. • Requests a remediation plan in instances where student mistreatment is confirmed. This may include individual faculty education, remediation and/or counseling. • Conducts follow-up assessment 6-8 weeks after the process to determine if there has been any retribution to the student. • In the strictest confidence, all reported incidents of abuse will be documented by the Early Response Group, including information regarding verification and resolution. If there is no resolution… The Early Response Group: • • • Confers with Legal Counsel Gathers additional information, as needed Reports essentials of the case to the Dean for appropriate intervention 1. Silver, H.K., M.D.; Glicken, A.D., M.S.W: Medical Student Abuse, JAMA 263: 527-532, 1990. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 42 Section 4: Health Policy for Students All Drexel University College of Medicine students who are enrolled full-time must carry comprehensive health protection meeting minimum specific, benefit standards. Documentation of immunizations and infection surveillance are required for all students enrolled in the College of Medicine. Students who are non-compliant with maintaining adequate health insurance or appropriate immunization and disease surveillance requirements may be barred from classes and/or clinical activities by being placed on an Administrative Leave of Absence until the deficiency is resolved. Non-compliance with College of Medicine Health Policy may also warrant an Unprofessionalism Citation. The Student Immunization and Surveillance office is responsible for maintaining the health and immunization records for students in the College of Medicine. The Office is located on the Queen Lane Campus, Room 102 (phone 215-991-8560, fax 215-843-0214). E-mail contact: imm_surv@drexelmed.edu If you need assistance finding a Primary Care Physician, you may find a physician in the Department of Family, Community and Preventive Medicine or the Department of Medicine by utilizing the Drexel University College of Medicine website http://www.drexelmed.edu/home/findadoctor.aspx. Students cannot receive healthcare from anyone who will evaluate them during medical school. Health Insurance [Table of Contents] All Drexel University College of Medicine students who are enrolled full-time must carry comprehensive health protection meeting minimum specific, benefit standards. To satisfy the health insurance requirement, students may obtain coverage through the University-sponsored group plans or maintain equivalent health insurance through a plan administered elsewhere. For information, contact the Office of Student Financial Services at (215) 991-8268. Students are responsible for any co-payments or the cost of uninsured services. Monitoring and Documentation of Health Policy Requirements [Table of Contents] The university follows the recommendations of the CDC and the American College Health Association concerning required immunizations. Students are required to document immune status with appropriate titers which are obtained through the students’ health care provider. Students with deficits in either immunizations or immune status, may receive appropriate immunizations and boosters through the Drexel University Student Health Center (3201 Arch St) or through their primary care provider. Students may also receive immunization services at the Occupational Health Services located at Hahnemann University Hospital, Bobst Bldg, Rm 131. Documentation and Monitoring of compliance with health policy requirements is conducted by the Student Immunization Surveillance Office. All student health and immunization records are maintained by the Coordinator of Student Health Records, who communicates directly with students. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 43 Students requesting a copy of their transcript of immunization/titer documentation should submit a written request to the Student Immunization Surveillance Office. Immunization transcripts are mailed directly to the student and not to programs or institutions. Health and immunization documentation is maintained for current medical students. Health and immunization documentation is destroyed following graduation. Students are advised to maintain a copy of their own health/immunization documentation. Disease Surveillance and Immunization Requirements [Table of Contents] Tuberculosis Surveillance Testing Prior to matriculation (entering first year of medical school), all Students must complete Tuberculosis surveillance testing. For most students this will consist of Two-Step Tuberculin Skin Test (TST) testing (PPD). The first step must be completed within 12 months of the second step. The second step must be completed within two months of matriculation to medical school. If you have received BCG Vaccine, you are still required to have tuberculosis surveillance testing. You may have a Two-Step Tuberculin Skin Test, or alternatively, you may provide documentation (copy of test result/titer) of negative Interferon Gamma Release Assay (IGRA) blood test completed within two months of matriculation (The BCG vaccine may result in a false positive tuberculin skin test while the IGRA does not. Thus, in the setting of BCG vaccination, the IGRA blood test has a higher specificity for exposure to or latent tuberculosis.) If you have documentation of a positive PPD or a positive IGRA blood test, you must provide documentation of 9 months INH treatment and negative Chest X-ray (taken within one year of matriculation to Drexel University College of Medicine). Thereafter, while at DUCOM you will be required to have annual chest x-rays. In addition to the matriculation requirements, the College of Medicine also requires annual tuberculosis surveillance testing for actively enrolled students. This is usually accomplished by annual tuberculin skin testing. However, if you have had a prior positive TST but negative IGRA, you would be required to submit documentation of annual IGRA testing. If a student converts from a Negative TST or IGRA to a Positive TST or IGRA they will require evaluation by their healthcare provider. The healthcare provider will need to submit documentation with an assessment of whether or not the student has active tuberculosis disease. If no active disease, documentation of the commencement of and completion of appropriate Tuberculin Preventative Treatment as well as a negative chest x-ray is required. Thereafter, while at DUCOM you will be required to have annual chest x-rays. Failure to complete these requirements within 30 days of the TST or IGRA conversion will result in the suspension of any clinical activities (i.e. rotations) and may result in a Citation for Unprofessional Behavior. If you develop active disease, proof of appropriate Tuberculosis treatment is required. Students will also need documentation by their healthcare provider that disease is no longer active and the student is no longer considered a health risk to others before returning to any classes or clinical rotations. Thereafter, while at DUCOM, you will be required to have annual chest x-rays. Micro-Particulate Respirators Because of the increasing prevalence of tuberculosis and the appearance of multiple drug resistant strains, all students will be fitted for a micro particulate respirator prior to the beginning of the third year of medical school. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 44 Required Immunizations [Table of Contents] Influenza Vaccination All medical students are required to be vaccinated yearly with the seasonal influenza vaccine. Documentation of vaccination must be submitted to the Office of Immunization and Surveillance by October 15th each year (Some clinical sites may have an earlier deadline). Failure to complete this requirement will result in the suspension of any clinical activities (i.e. Year 1/2 clinical skills hospital sessions or Year 3/4 clinical rotations) and may result in a Citation for Unprofessional Behavior. If there is a medical contraindication to influenza vaccination, documentation including the specific contraindication to vaccination is required from the student’s health care provider. Hepatitis B All medical students are required to have been immunized against Hepatitis B. Hepatitis B immunization consists of a series of three injections that should be completed prior to matriculation. Students who do not have documentation of the dates of the series of three vaccines, must submit written proof of positive immunity. Measles/Mumps/Rubella All students are required to have two Measles/Mumps/Rubella (MMR) immunizations. Students without documentation of two specific dates of their MMR immunizations must submit written proof of positive Antibody Titers for Measles, Mumps and Rubella. Polio, Tetanus, Diphtheria, Pertussis Students are required to have documentation of their primary series against Polio. Students are required to have documentation of their primary series in Diptheria/Pertussis and Tetanus. Additionally, students shall have had a Tdap booster within the past ten years. Students with a DT booster greater than two years ago are still required to have a Tdap booster. Varicella Students with a history of varicella should have documentation. Appropriate documentation includes documentation of positive antibody titer. Students without a history of varicella, or vaccination, must submit written documentation of two doses of varicella vaccine or documentation of positive Antibody titer. Nonimmune students will not be permitted on clinical services. Recommended Immunizations Meningococcal Meningococcal vaccine is recommended prior to matriculating to medical school. Hepatitis A Hepatitis A vaccine is recommended prior to matriculating to medical school. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 45 Follow-up for Student Immunization and Disease Surveillance Compliance [Table of Contents] Annually, the Coordinator of Student Health Records will notify students who are non-compliant with immunization requirements. The Coordinator of Student Health Records will provide the Associate Dean for Student Affairs with a list of students deficient in one or more areas of required infection surveillance or immunization. Students who are non-compliant with maintaining adequate health insurance or appropriate immunization and disease surveillance requirements may be barred from classes and/or clinical activities by being placed on an Administrative Leave of Absence until the deficiency is resolved. Non-compliance with College of Medicine Health Policy may also warrant an Unprofessionalism Citation. Student Health Care [Table of Contents] If you need assistance finding a Primary Care Physician, you may find a physician in the Department of Family, Community and Preventive Medicine or the Department of Medicine by utilizing the Drexel University College of Medicine website http://www.drexelmed.edu/home/findadoctor.aspx. Student Health Services are also provided at the Drexel Student Health Center located at 3201 Arch Street, Philadelphia on main Drexel Campus. Students cannot receive healthcare from anyone who will evaluate them during medical school. Counseling, Psychiatric Evaluation and Treatment [Table of Contents] There are several resources for mental health care in the College of Medicine and the University. In the College of Medicine, Diane Gottlieb, M.D., Director of Student Mental Health and Jill Adaman, Ph.D., Clinical Psychologist, work together as a team to provide evaluation and treatment including individual and group counseling therapeutic care, and stress management. All services provided to students are confidential and free of charge. Drs. Gottlieb and Adaman can be reached Monday through Friday: Dr. Gottlieb : 215-991-8532 or diane.gottlieb@drexelmed.edu Dr. Adaman: 215-991-8214 or jill.adaman@drexelmed.edu Alcohol and Drug (AOD) Services [Table of Contents] (see also Policies on Alcohol and Other Drugs) Alcohol and Substance Impairment If a student needs help, or feels that a friend or family member needs help, there are many resources available. Resources include the Pennsylvania Medical Society and Alcoholics Anonymous (www.aa.org). The University Counseling Center Staff are available to provide assessment and evaluation for students concerned about problem drug or alcohol use. All services provided through the University Counseling Center are free of charge and confidential. Disability Insurance [Table of Contents] Students in the College of Medicine are covered by a disability insurance policy provided by funding from student fees. The policy provides disability income insurance, which pays a monthly benefit in the event that a student becomes disabled. The plan is portable after graduation. While in medical school, students are insured under a group insurance policy issued by The Guardian Life Insurance Company of America. Definition of Disability: A student is considered totally disabled if, as a result of injury or sickness, he/she is under the regular care of a physician and unable to fulfill the requirements of a full-time student. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 46 A student will be considered partially disabled if he/she is unable to fulfill the requirements of a full-time student, but is able to perform at least one of the duties of another occupation on a part-time basis, or he/she is performing some, but not all, of the duties of another occupation on a full-time basis. In either case, the disability must start while the student is insured, and the student must satisfy a waiting period of 90 consecutive days during which he/she is totally or partially disabled. If a student remains disabled after the waiting period, benefits are payable to age 65, or the period specified in the policy, if the disability starts on or after age sixty (60). Monthly Benefit Provided: $1500 per month The monthly payment will be reduced by benefits the insured received for that same disability from Social Security, Workers’ Compensation or other plans required by law that are intended to replace income, government agencies such as the VA, or other group disability plans purchased for the insured by the University. If a student is partially disabled, the monthly payment will be reduced by wages he/she receives from an employer as well as benefits from any of the plans mentioned above. Exposure to Infectious and Environmental Hazards [Table of Contents] (see below for additional information) Mandatory educational sessions on universal precautions for blood-borne pathogens are provided at the orientations for entering students and for students as they enter the core clinical clerkship year of studies. Information about safety and response to exposure to infectious agents or hazardous substances is presented during the orientation programming for entering students and at entry into the second and third years of the curriculum. Each student is required to complete a review of the laboratory safety presentation and manual on line and complete the on-line survey for documentation. Information is also provided during course orientations for those specific courses in which students may be exposed to infectious agents and/or toxic substances, and in the student manuals for those courses. Blood and Body Fluids Exposure [Table of Contents] Definition of Occupational Exposure • • Exposure to blood, tissues, visibly bloody body fluids or other body fluids to which universal precautions apply (i.e. semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, and amniotic fluid) Modes of exposure: o Percutaneous injury: Penetration of skin by needle or other sharp object that was in contact with blood, tissue, visibly bloody fluids or other body fluids as listed above. o Mucous membrane exposure: Contact of mucous membranes (eyes, nose, or mouth) with blood, tissue, visibly bloody fluids or other body fluids as listed above. o Non-intact skin exposure: Contact of non-intact skin (e.g. chapped, abraded, dermatitis, open wounds) with blood, tissue, visibly bloody fluids or other body fluids as listed above. o Bite: A human bite sustained by a healthcare worker from a patient, co-worker or visitor. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 47 If you believe you have had an Occupational Exposure: 1. WASH. • • • Skin exposures (intact or non-intact): Immediately wash the area with antibacterial soap and water. Small wounds and punctures: Cleanse thoroughly with alcohol-based skin disinfectant. Mucous membrane exposure: Flush the area with copious amounts of water. 2. REPORT IMMEDIATELY. Report the incident to all of the following: • • • • • Your immediate supervisor (resident and/or attending) Director of Medical Education at affiliate site Office of Student Affairs (Student Affairs Emergency Hotline: 215-991-8184) Fill out the Appropriate Incident Report NOTE: Reporting should not prevent you from seeking immediate medical care. 3. SEEK IMMEDIATE MEDICAL EVALUATION. DO NOT WAIT: • • • • • • • • • • Third and Fourth year students: Go immediately to the Employee Health Department or the Emergency Department of the hospital where you are working. During regular working hours [usually 8 am-5pm Mon-Fri] you will usually be evaluated in the Employee Health Department or its equivalent. During other hours evaluation will usually be in the Emergency Department. However, students should consult the exposure policy of the specific affiliate hospital for specific instructions. First and Second Year students: Go immediately to the Hahnemann University Hospital Emergency Department. Identify yourself as a medical student with an exposure. Have the name and medical record number of the patient involved in the exposure, if available. Baseline testing and immediate treatment may be necessary for exposure to fluids or tissue from patients with known or suspected HIV or Hepatitis infection. Current recommendations are for treatment within 2 hours - DO NOT WAIT to seek medical evaluation. You are responsible for all payments and co-payments for medical care. Provide your insurance information and do not allow yourself to be submitted to Workman's Compensation. Obtain appropriate referrals as required by your insurance company (it will be too late if you wait for Workman's Comp to turn you down). You are responsible for knowing your insurance company's policies regarding provider notification. Retain your Explanation of Benefits (EOB) when you receive it from your insurance company. Always keep copies for your records. If you carry the Drexel University College of Medicine sponsored health insurance, there should be limited personal liability for payment related to exposures if you have submitted billing invoices and statements as requested. 4. FOLLOW-UP. • • Get copies of all testing, assessments, and recommendations (This should include results of the source patient’s testing). Follow-up care (including follow-up testing, monitoring of medications, etc.) can be coordinated through DUCOM student health, your own physician, or through the hospital where the exposure occurred. Regardless of where you elect to have care rendered, your medical insurance will be billed and you will be responsible for co-payments or services that are not covered. 5. All HIV testing and information processing in Pennsylvania hospitals will adhere to PA Act 148 as well as applicable federal laws. The DUCOM Deans for Student Affairs are available to assist you in a confidential manner. Student Affairs Emergency Hotline: 215-991-8184 Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 48 HIV Testing [Table of Contents] HIV testing is not required. When HIV testing is necessary due to a blood or body fluid exposure exposure, all HIV testing and information processing in Pennsylvania hospitals will adhere to PA Act 148 as well as applicable federal laws. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 49 Section 5: Honor System Code of Ethics [Table of Contents] Introduction Medical students have entered the community of medical professionals and therefore have the responsibility to uphold the core ethical principles of physicians at all levels of practice and training. There are two basic tenets to the Code of Ethics: First, students must be trustworthy and act with integrity in all spheres of professional life: academics, patient care, research and professional relationships. Students must be honest and worthy of the trust of teachers, patients, peers and the community. This culture of trust requires individuals to act with respect and empathy toward one another. Students are expected to behave publically and to utilize social media in ways that uphold the respect and trust given by society to the medical profession. Second, students must together safeguard the culture of integrity and trustworthiness by encouraging each other to act ethically and by responding appropriately to violations of the Code of Ethics. A student who witnesses an apparent violation of the Code ought to clarify and discuss the incident with the involved party whenever possible. Successful peer-to-peer resolution may require the person who violated the Code of Ethics to self-disclose that behavior to the Class Honor Court Representative, the President of the Honor Court or the Dean of Students. If the witnessing student chooses not to approach the involved party, or if the issue cannot be fully resolved on a peer-to-peer basis, then the witnessing student must report the apparent violation to one of the following: the appropriate faculty member or course director, the class Honor Court Representative, the President of the Honor Court or the Dean of Students. Should the faculty member or Dean determine that a violation had likely occurred, the issue must subsequently be reported to the President of the Honor Court. Witnessing and responding appropriately to the unprofessional or unethical behavior of a colleague is a core responsibility of physicians at all levels of training and practice. Self-disclosure of error is also a core responsibility and creates possibility for rectification. Failure of a witness to respond and report is itself a violation of the Code. Academic Standards of Conduct Students are expected to demonstrate trustworthiness and integrity in all academic work. Academic dishonesty is a serious offense because it is a violation of trust, diminishes the quality of scholarship, makes accurate evaluation of a student impossible and defrauds those in society who must depend on the honesty and integrity of the Profession. Academic misconduct includes, but is not limited to, lying, cheating, stealing or dishonesty in relation to any academic exercise. Students must follow instructions during examinations and neither give nor receive any aid when taking examinations unless this is explicitly allowed by the course director. Students must respect all protected instructional and testing materials distributed by instructors; they must never copy or Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 50 disseminate these materials, either in hard copy or digitally, without the explicit permission of the instructor. Copyright laws are to be followed. Students are expected to produce their own work without plagiarism, defined as presenting another’s work as one’s own. Violations of these standards undermine the trust placed in the student by peers and faculty, disrupts the learning environment, compromises medical training, and injures the integrity of the community. Complicity in academic dishonesty includes, but is not limited to, attempting to help another student violate the Code or failing to take appropriate action when witnessing a violation. Patient Care Standards of Conduct The guiding ethical principles of patient care include respect for patients as persons, protection of patient autonomy and elevation of patient welfare above all other concerns. These require treating all patients with compassion and dignity, assuring informed consent and shared decision-making, protecting confidentiality in speech, writing and electronic communication and navigating social and cultural differences in order to deliver the best care possible. Social justice is another guiding ethical principle that is expressed in the commitment to advocate for patients who are socially vulnerable and also to steward limited healthcare resources. Trust is the foundation of the physician-patient relationship. Honesty in communication and documentation of the clinical record is essential to that trust. Medical records are legal documents and under no circumstances should false information be recorded, items entered of which the student has no direct knowledge or records altered. Promoting patient welfare requires physicians to promote a culture of safety, improve quality of care and work as an effective member of the interdisciplinary medical team, bringing respect and empathy to all professional and inter-professional interactions. It also requires physicians to maintain appropriate boundaries in professional relationships and manage conflicts of interest. Patient welfare necessitates honesty and transparency when medical error occurs, and also demands appropriate response to witnessing unethical or unprofessional behavior of a faculty member, physician, other healthcare provider, or medical student. Research Standards of Conduct Respect for persons, protection of human subjects, social justice, scientific integrity and managing conflicts of interest are cardinal principles of medical research and these require adherence to research standards and regulations set by Drexel University. Personal Standards of Conduct Students are expected to behave in a manner befitting of members of the community of medical professionals endowed with the trust and respect of society. The public conduct of a medical student, including the use of social media, reflects upon that individual and also upon our academic community and the medical profession as a whole. Personal misconduct includes, but is not limited to, any violation of federal, state, local, or Drexel University rules and regulations, as well as complicity in violating those rules and regulations. The Honor System [Table of Contents] By enrolling, all students of the Drexel University College of Medicine are subject to the provisions of the Code of Ethics and acknowledge that they may be sanctioned by the College for failing to comply with this Code. Each student has the responsibility to participate in the enforcement of the Code when necessary. Any student whose integrity or personal conduct has been questioned can be referred to the Honor Court. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 51 The Honor Court [Table of Contents] Members of the Honor Court are elected by the student body. As representatives, they are expected to act both in a manner befitting the trust accorded to them by their peers and in conformity with the provisions and spirit of the Code of Ethics. Honor Court members have a duty to act fairly, impartially, with strict confidentiality, and only upon evidence formally presented during the course of appropriate correspondence or meetings. Duties of the Honor Court include, but are not limited to, the following: 1. Communicate and foster compliance with the Code of Ethics. This includes informing present and prospective students, faculty, and administration of the philosophy and mechanics of the Code. 2. Provide guidance to members of the student body on issues of professional conduct and ethics as they learn to monitor the professional conduct of themselves and their peers. 3. Secure appropriately the confidentiality of Honor Court communications and proceedings. 4. Enforce the spirit and procedures of the Code of Ethics; in this respect it shall act as the body which protects the rights of the students at Drexel University College of Medicine to an educational environment guided by the principles in the Code of Ethics and is available to counsel students individually and collectively. 5. a. Serve as the peer review body to hear and evaluate claims of student violations of the Code of Ethics. Receive complaints from students regarding alleged student violations of the Code of Ethics. b. Provide notice, conduct proceedings and maintain records of all action taken by the Honor Court in response to complaints to assure that students accused of Code violations receive due process in accordance with Honor Court Procedures. c. Conduct fact-finding investigations, as necessary and appropriate, to determine whether a violation of the Code of Ethics has occurred for which some sanction would be appropriate. d. Make a final determination on each student within the period of time defined in the Honor Court procedures that either: I. No violation of the Code of Ethics had occurred, in which case all records of the person(s) involved and proceedings will be destroyed, or II. A student has acted in violation of the Code of Ethics, demonstrating disregard for the Drexel University College of Medicine community, in which case the Court will preserve all records of the student(s) and proceedings for communication to the Student Promotions Committee. (College of Medicine) e. Report to the Student Promotions Committee the proceedings of the Honor Court that results in a finding that a student has acted in violation of the Code of Ethics. The Student Promotions Committee will review the findings of the Honor Court. A dean in the Office of Student Affairs, or the Chair of the Student Promotions Committee will communicate the results of this review to the Honor Court including, at a minimum, that specific disciplinary action was or was not taken. Composition of the Honor Court The Honor Court shall consist of the Honor Court President and the following representation from each class: Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 52 1. Two (2) representatives from each of the first- and second-year classes (one from each curricular track). 2. Three (3) representatives from the third-year class. 3. Three (3) representatives from the fourth-year class. Functions of the President of the Honor Court The duties of the President of the Honor Court include, but are not limited to, the following: 1. Meet with the newly elected Court and faculty advisor following elections to discuss in detail the function of the Court and the duties of its members. 2. Present the honor code system to incoming students of Drexel University College of Medicine describing the purpose and process of the Honor Court. As requested by the Office of Student Affairs, the Honor Court president will provide a summary of the year’s incidents that came before the Honor Court. 3. Arrange training for the members of the Honor Court to ensure their understanding of the procedures of the Court. 4. Inform any student against whom a report has been filed of the specific allegations, the Honor Court role and responsibilities, the specific Honor Court process that will be followed, and the student's rights. This should be done as soon as possible, after a report has been made, when the student in question has been contacted regarding this report. 5. Arrange and conduct hearings including giving notice of the time and place of meetings to other members of the Court, the faculty advisor, and any other people whose attendance is requested. The President will request the presence of the student who has filed a report, the student against whom the report was filed, and any witnesses at appropriate meetings. 6. Preside over all meetings of the Honor Court, including those concerning possible Code of Ethics Violations by a student of Drexel University College of Medicine. The President will maintain an impartial voice in proceedings, not rendering a vote in the final determination except in the case of a split decision. If unable to remain impartial, the President shall remove him/herself from the case and an Acting President shall be selected. (See Voting, 3.c.) 7. Inform the College of Medicine's Student Promotions Committee of the report, review process, hearing dates, results of investigation, findings, and recommendations of the Court for each case in which the Court determines that a student has acted in violation of the Code of Ethics. 8. Provide written notices of reports, proceedings, and recommendations as required by the Honor Court procedures. 9. Oversee and assist with all SGA elections, in coordination with Honor Court representatives, as described in the SGA Constitution. 10. The President of the Honor Court will have one vote on the SGA Council, as described in the SGA Constitution. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 53 11. Oversee the maintenance and destruction of Honor Court records as appropriate. Functions of the Class Representatives Duties of each of the representatives on the Honor Court include, but are not limited to, the following: 1. Attend all meetings of the Honor Court. 2. Participate in the review and resolution of all matters that come before the Court except those with which the representative has a conflict of interest. 3. Abstain from participating in Court deliberations or investigations related to any matter with which the representative has a conflict of interest. 4. Coordinate and run elections for their classmates, as outlined in the SGA Constitution. Functions of the Faculty Advisor Duties of the faculty advisor include, but are not limited to, the following: 1. Act in an advisory capacity to the Honor Court with respect to due process and impartiality. 2. Participate in investigations and hearings. (The advisor will not be involved with weighing the evidence of a case or in voting.) 3. Assist with the year-to-year transition of the Court. Elections Candidate Eligibility 1. No student who has been found by the Honor Court to have committed a Code of Ethics violation may serve on the Honor Court. 2. Only currently enrolled medical students are eligible to serve on the Honor Court and to vote in Honor Court elections. 3. All members elected to the Honor Court will be elected to serve one-year terms. Nominations 1. The process for nominating students to serve on the Honor Court is as follows: a. Any student may place the name of a student on the ballot through usual nominating channels according to SGA Bylaws. 2. The process for nominating individuals to serve as Faculty Advisor is as follows; a. The Honor Court members will select five (5) eligible faculty members. Eligibility will be determined by the Senior Associate Dean of Student Affairs, since no member of a Student Promotions Committee or the Student Appeals Committee may serve as Faculty Advisor to the Honor Court. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 54 b. After obtaining permission of the eligible candidates, each Honor Court member will submit one vote. A new Faculty Advisor will be appointed based on the majority vote by the Honor Court. Voting 1. For all positions, the candidate(s) who meet(s) eligibility criteria receiving the highest number of votes will be declared the winner. a. For first and second year students, one honor court representative will be elected for each class year and each curricular track, and the student receiving the highest numbers of votes will be declared the Honor Court Class Representative. b. For classes with three representatives (third and fourth years), the three individuals receiving the highest numbers of votes will be the class representatives. c. The candidate for Honor Court President who receives the highest number of votes will serve as President. In the event an alternate Honor Court President is needed, the Honor Court will convene and will elect, by majority vote, one of the class representatives to serve as acting Honor Court President. 2. Faculty Advisor a. The faculty advisor will be selected by the newly elected Honor Court from the list of eligible nominees (See Nominations 2.a. and b.). The faculty advisor will serve for a term of three years. Timing of elections Election of the Honor Court President will take place concurrently with the SGA elections. 1. Elections for all Honor Court Representatives (except those for the new incoming class) will take place concurrently with class elections in the Spring of each year. 2. If at any time a vacancy in one of the positions arises, there will be an election as soon as possible to fill the position. Until such an election occurs, one of the class presidents will temporarily fill the vacancy. Summary of Honor Court Procedure The procedures for reporting an incident to the Honor Court have been established to insure confidentiality and due process to all persons involved. As outlined in the Honor Court process, when an infraction of the Code of Ethics is perceived, the observer(s) will contact a member of the student Honor Court as soon as possible. The Honor Court representative, together with the President of the Honor Court, will arrange a joint meeting of the observer(s) and other members of the Honor Court. The observer(s) will be prepared to describe, in detail, the events witnessed. After the full review process, if the Honor Court determines that a violation has occurred, they will notify the Student Promotions Committee (a standing committee of the medical school faculty) of their findings. A final decision regarding an appropriate course of action will be rendered by the Student Promotions Committee. All Honor Court proceedings are held in absolute confidentiality. Involved individuals must not discuss these proceedings outside of official committee meetings. If no action is taken against an accused student, all records and information brought forth during the proceedings will be destroyed. The final sanctionsrendered by the Student Promotions Committee as a result of an Honor Code violation are subject to appeal Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 55 Reporting of a Suspected Violation of the Code of Ethics Any person believing that a violation of the Code of Ethics has been committed by a Drexel University College of Medicine student is encouraged to first seek clarification of the acts or behavior from the individual suspected of committing a violation of the Code. If, after seeking clarification from the suspected individual, the witnessing person believes that there has been no violation of the Code, the matter will be forgotten. If the witnessing person had already contacted the Honor Court, the Honor Court should be contacted again, so that the case will not proceed further. 1If the witnessing person still believes that there has been a violation of the Code, or if the person was not able to approach the suspected individual for the purpose of seeking clarification, then a formal report must be made to the Honor Court. This may be done by writing an email to the honor court president or one of the representatives in which the reporting person fully describes the incident to the best of his/her ability. If an Honor Court Representative receives this report, he/she must provide this report to the Honor Court President immediately. It is the duty of each member of the Drexel University College of Medicine community to report suspected violations promptly. Therefore, any Code of Ethics violation alleged to have been committed more than 90 days before the Honor Court is informed will be dismissed unless at least two-thirds of the members of the Court… 1. believe that good cause for delay has been shown; and… 2. it is still feasible to hold a fair, impartial investigation. Preliminary Investigation Upon receiving a formal complaint, the Honor Court President will contact the other members of the Honor Court, to let them know that there is an incident which has been presented to the Honor Court. At this time, members of the Honor Court will promptly review all the available reports, including those from the student who is the subject of the report and anyone else who has submitted a report regarding this incident. If members deem necessary, they may further investigate the alleged violation. Such investigation will include review of any written or oral investigative evidence, which will be used for review by the Court before rendering any decisions. The purpose of this preliminary investigation is for each honor court representative to determine whether or not a hearing should take place regarding the incident. A representative’s vote for or against an Honor Court hearing should be rendered to the Honor Court President as soon as possible. Formal Charges If the by a majority vote of Honor Court representatives, the Honor Court decides further investigation is warranted, the President of the Honor Court will call a meeting of the Honor Court and contact each student involved with the incident to let them know that there will be a hearing. In this contact, the honor court president will also try to schedule a time that each person involved can appear for the hearing, and then inform each person of the time, date, and location of the future meeting. The president will also include a summary of the report, including all relevant details, the honor court procedure, and refer each person to the full copy of the Honor Code for more information. The Hearing Panel A hearing panel will consist of no fewer than five (5) members in addition to the President, and at least two representatives will be from both the preclinical and clinical years. The maximum number will be all of the elected members. If any honor court member feels as though s/he cannot remain impartial during a hearing, this person should voluntarily remove her/himself from the hearing. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 56 Likewise, any student participating in the honor court process has the right to request that an honor court member be removed from the panel if s/he has concerns for this person’s unbiased participation in the case. Scheduling The Honor Court will convene at the mutually agreed upon time. The student suspected of violating the Code of Ethics and Honor Court President must contact one another within this time frame. The student may request an extension of time, if the dates proposed by the Honor Court president are not amenable to the student. The President will consider such a request and may reschedule the meeting if deemed appropriate. If the student has been contacted and has not responded, if the President has made several attempts to contact the student and has received no response, or if the student fails to attend, the meeting will be held as scheduled. If, in the latter case, the Honor Court finds that a violation of the Code of Ethics has occurred, a notation of the student's failure to appear will accompany the findings and recommendations forwarded to the Student Promotions Committee of the Faculty. Confidentiality All members of the Honor Court and all persons involved as witnesses or in any other capacity in connection with an alleged violation, investigation or meeting concerning the Honor Court must not discuss information learned during such service or participation. Such persons must not discuss or disclose any information concerning the merit(s) of the charge(s) either with the faculty, students, officials of Drexel University College of Medicine, or persons not associated with Drexel University College of Medicine before or after a meeting. All information must be kept confidential except as expressly required to be discussed or revealed in connection with further investigation. The Honor Court may notify a course instructor that the Court is meeting, if approached by the course instructor; however, the specifics of the meetings are not to be discussed. Any violation of the requirement for confidentiality will be deemed to be a violation of the Code of Ethics. Procedure 1. The Honor Court President will open the meeting by stating the following to each person who comes before the Honor Court: "The Code of Ethics and the Honor Court have been established by the Drexel University College of Medicine Student Body to serve the Student Body. The Honor Court will respectfully listen to all participants in its proceedings and will conduct its proceedings in accordance with standards of confidentiality required by the Honor Court. All matters concerning possible violations of the Code of Ethics are to be taken seriously by the members of the Honor Court. Each of you realizes how difficult the proceedings are for the Honor Court members, and recognizes this is true for all people who participate in the proceedings in any capacity. The members of the Honor Court have a duty to uphold the Code of Ethics and the Honor Court process, and to protect the rights of any person who makes a complaint to the honor court, the student who is the subject of that reports, witnesses or other members of the Drexel University College of Medicine community who attend any Honor Court meetings. The Honor Court recognizes the right of students suspected of violating the Code or charged with other misconduct to know what is said about them during proceedings; however, the Honor Court also recognizes that in order to protect everyone involved, there may be times when the identity of witnesses must not be revealed. The members of the Honor Court should remove themselves from a hearing, or be asked to leave by anyone participating in a hearing if it is believed that they may have prejudices or inappropriate biases that may influence their investigations or decisions in any matter that comes before the Court." The Honor Court will meet separately with all persons involved in a hearing. 2. The Honor Court President will review the complaint and allow clarification by the reporting person. At this time the reporting person may tell the Honor Court of anyone who might have witnessed the alleged violation(s). In the case that persons involved choose to have legal counsel: No legal or other representative of a reporting person or student who is a subject of the report may come before the Honor Court at proceedings when the represented individual is not present. Legal counsel has the right to speak only with individual(s) he/she is Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 57 representing unless the Faculty Advisor or President of the Honor Court deems otherwise. This is to protect the integrity of the proceedings. 3. The Honor Court President will then review the complaint with the student who is the subject of the report, including any clarification by the reporting person. In the case that persons involved choose to have legal counsel: The reporting person and his/her counsel will not be present during this clarification. At this time the Student will declare that he/she did or did not perform the suspected violation. a. If the Student admits to performing the suspected violation, the Hearing will be concluded after the Student has completed any remarks that he/she wishes to address to the Court. The Honor Court will prepare and deliver a summary of the violation and the Honor Court's recommendations to the Student Promotions Committee of the Faculty. b. If the Student maintains innocence, s/he may clarify the complaint. At this time the Student may tell the Honor Court of any person(s) who may provide evidence that there was no violation. 4. During the course of the hearing, Honor Court members may prepare written documentation of evidence presented at the hearing. Access to such documentation will be available only to the Honor Court Members attending the hearing. At any time, any member of the Honor Court has the right to question any person in order to clarify what has been said. All documentation will be kept confidential, available to Honor Court representatives during a hearing, and kept by the Honor Court President after hearings, in a private file. 5. After completion of clarification by the all persons involved in a hearing, the Honor Court members will be sequestered for private deliberation. All documentation, written and audio taped, will be available to members of the Honor Court at this time. 6. One of the following decisions must be reached: a. A violation has occurred. A written summary and Honor Court recommendation will be sent to the Student Promotions Committee. Honor Court documentation will be kept in a confidential file for a period of five years after the student’s graduation date. b. A violation has not occurred. If such a decision is reached, all documentation will be destroyed, the all persons involved in a hearing will be notified, and no summary will be sent to the Student Promotions Committee of the Faculty. c. Further clarification or deliberation is needed. If such a decision is reached, the Honor Court may hold subsequent meetings, and may invite people thought to have witnessed the suspected violation. The Honor Court has the right to ask any person to attend future meetings if clarification from them is necessary. To insure confidentiality, no persons who came before the Honor Court at the original hearing will be present. Rendering Decisions 1. All of the elected members of the Honor Court may sit for a hearing. 2. A minimum of five (5) members plus the President must be present to constitute a panel. 3. There must be no fewer than two (2) preclinical members and no fewer than two (2) clinical members present at all sessions to comprise a minimum hearing panel. If this representation is not present, the hearing will be rescheduled. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 58 4. All members of the Honor Court who were present at all sessions of the hearing and who heard/participated in all discussions and deliberations must vote. 5. Members not present for all sessions may not vote. 6. The President of the Honor Court and the Faculty Advisor will not vote. The Honor Court President may vote in the instance that there is a split decision. 7. If less than a majority of Honor Court members votes that a violation of the Code of Ethics has occurred, the case will be dropped. 8. If there is a majority or unanimous vote of Honor Court members that a violation of the Code of Ethics has occurred, then all documentation regarding the case will be forwarded to the Student Promotions Committee. When applicable, it will be noted that the vote supporting the fact that there was a violation of the Code was unanimous. Student Notification of the Results of the Hearing Once a vote is complete, the Honor Court President will review the results of the hearing with all participants; this may be done through email. The court will reserve no final disciplinary power for itself. Any statements which need to be sent to the Student Promotions Committee will be written by the members of the Honor Court and may include opinions supporting and dissenting from the recommendation of the Honor Court. The Honor Court and the Student Promotions Committee If the Student Promotions Committee requires clarification from the Honor Court, such a request will be made in writing. Communications between the Student Promotions Committee and the Honor Court can either occur in writing or by personal communication with the President. The student found to be in violation of the Code of Ethics has the right to appeal any finding or penalties to the Student Promotions Committee, with final appeal to the Vice Dean for Educational Affairs of the College of Medicine or his/her designee.. Maintaining Documentation All documentation will be kept in a confidential file to insure the protection of all of those involved. The President of the Honor Court or his/her designee will have access to that file. Honor Court documentation will be kept for a period of five years after the student’s graduation date. Student Rights [Table of Contents] 1. Students have a right to expect that the Drexel University College of Medicine community is committed to the Code of Ethics, and that this commitment will be reflected in the behavior of the members of the community. 2. Students have a right to expect their reputations to be protected by the Honor Court during the process of handling any accusation. Any student making a report, as well as any student accused of a violation, has a right to expect complete and absolute confidentiality during the entire process of investigation and the proceedings of the Honor Court. Honor Court members and others involved in the processes will not disclose any information about the case to anyone outside the process. All documentation, including the formal complaint, will be kept in a confidential file during the entire period of investigation. If there is a finding that there was no violation, all records will be destroyed, there will be no permanent record of the investigation, and confidentiality will be maintained. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 59 3. Students have the right to know the nature of the charges against him/her. This should be made clear when the Honor Court President first contacts the student regarding the report that was filed. If there is any question of the nature of the Honor Code violation, the student may clarify this by contacting the Honor Court President; or, if the case goes to a hearing, the allegation(s) may be clarified during a hearing. 4. Students accused have a right to a hearing before the student Honor Court. Students' complaints are heard before their elected peers, who act as representatives of the Drexel University College of Medicine community. Honor Court Representatives are elected from the student body. The Honor Court President is elected by the entire student body in the SGA elections. 5. Students have a right to a fair hearing. Honor Court members hearing a case should hear evidence and make a decision that is fair, impartial and unbiased. Honor Court members may excuse themselves if they feel that they cannot hear a case and judge without bias, or if they have a conflict of interest. If the student believes that any member of the Honor Court could not impartially hear and judge his/her case, the student may petition that the Honor Court member step down. 6. Students have a right to present their own side. Students will be able to present witnesses and evidence, give information, make clarifications and explanations, and know the full extent of the charge and evidence against them. The student will be able to make statements to the Honor Court, and may choose to have legal counsel. The student will be able to answer the charges before the Honor Court, and to refute the accuser. 7. Students have a right to a speedy resolution. The first step in the process after a formal complaint is made is a preliminary decision of whether or not the Honor Court will have a hearing. The student accused will be promptly be notified if the majority of Honor Court Representatives do not believe that there was a violation, the case will be closed and go no further. Honor Court hearings will be scheduled so as to avoid excessive delay. If the student accused cannot be present at the scheduled time, a delay of up to ten days may be made. If the student chooses not to appear, the hearing will be held without the student, and a decision will be reached. 8. Students have the right to know the consequences of an Honor Court decision. 9. Students have the right to appeal. The student has a right to appeal any finding or penalty to the Student Promotions Committee of the Faculty, with final appeal to the Vice Dean for Educational Affairs of the College of Medicine or his/her designee. Appendix A – Amendment Process [Table of Contents] Any amendments to the Code of Ethics must be rendered in accordance with SGA policy and follow the amendment procedure as outlined in the SGA constitution. Recommendations for revisions to the Code of Ethics must be initiated and executed by the Honor Court and its members, and presented to the SGA for approval. Drexel University College of Medicine, Medical Student Handbook – last updated 12/17/2014 60
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