Review of Academic Performance:
Clerkship Level


Policy 565.30


Policy Statement


The Committee on Advancement will review the total performance of each student at least twice within each curricular segment (Foundations, Clerkship and Advanced Integration Levels) on the basis of grades and narrative comments by the course and rotation directors and satisfactory completion of global assessments and requirements. Specific procedures under which the committee operates for students in the Clerkship Level are as follows:

  1. Students must satisfactorily complete the work of the Clerkship Level to progress to Advanced Integration Level by vote of the Committee on Advancement. 
  2. All unsatisfactory academic progress in the Clerkship Level will be reviewed by the Committee on Advancement at its earliest scheduled meeting, provided that the meeting date is no sooner than seven days from notification of unsatisfactory performance.
    Reasons for referral to the Committee on Advancement may include the following:
    1. Clerkship, course or block failure
    2. Three clerkship rotation, course and/or block grades of Marginal Pass
    3. Unsatisfactory academic progress despite a passing grade (clerkship/level director referral)
    4. Two different clerkship secure exam failures
    5. Any grades of Incomplete
    6. Subsequent unsatisfactory progress after previous referral to the Committee (additional grades of Marginal Pass, Incomplete, Fail, or course director referral)
    In such cases the Committee on Advancement may require a student to take certain actions including, however not limited to, remediating/repeating one or more courses/clerkship rotations, repeating an entire curricular segment, or the Committee may dismiss the student from the Larner College of Medicine.
  3. In addition to the above, the Committee on Advancement may determine that a student has not satisfactorily completed the work of the Clerkship Level even if there are no clerkship failures. Such a determination may reflect consistent or collective marginally acceptable performance with failure to achieve expected competencies or successive failures in final summative assessments of medical knowledge. In such an event, the course director or curriculum level director will prepare in writing the specific allegations giving rise to the review and submit the statement to the chairperson of the Committee on Advancement. On receipt of the statement, the chairperson shall inform the student in writing of the Committee’s pending review, the membership of the Committee and the specific allegations giving rise to the review of the student’s performance. In such cases the Committee on Advancement may require a student to take certain remedial actions including, but not limited to, repeating one or more clerkship rotations, repeating an entire curricular segment, or dismiss the student from the Larner College of Medicine.
  4. A student failing one of the clerkship rotations may, on a vote of the Committee on Advancement, be permitted to remediate, delaying entry into Advanced Integration Level until the requirements of the clerkship are met. Failure to meet these requirements will result in dismissal from the Larner College of Medicine for unsatisfactory performance.
  5. A student failing two or more clerkship rotations will be dismissed from the Larner College of Medicine for unsatisfactory performance.
  6. A student may withdraw from a clerkship rotation following approval of the student’s written request by the Associate/Assistant Dean for Students and the clerkship director. The request must be made prior to the final day of the rotation. The transcript grade of Withdrawn will be recorded for such a rotation. A narrative evaluation of the student’s performance prior to the withdrawal will be submitted for incorporation in the student’s permanent record. A student must obtain permission of the Committee on Advancement to retake/remediate the clerkship in a manner acceptable to the clerkship director.
  7. A student who fails to attend a scheduled Clerkship without having been excused by the Associate/Assistant Dean for Students will be assigned a grade of Fail.
  8. Students must pass the End of Clerkship Level Clinical Skills Examination (CSE) in order to graduate. To be eligible to take the CSE, all required work of the Clerkship Level must be completed successfully. A student failing the CSE after one attempt must retake the exam. A student failing on the second attempt may, on a vote of the Committee on Advancement, be allowed to remediate their performance or may be dismissed.

Applicability of the Policy


Clerkship Level Students

Related Larner College of Medicine Policies


Related University of Vermont Policies


Not Applicable

Related Liaison Committee on Medical Education (LCME) Standard(s)


  • 8.6 Monitoring Completion of Required Clinical Experiences
  • 9.4 Assessment System
  • 9.6 Setting Standards of Achievement
  • 9.9 Student Advancement and Appeal Process

History


  • 5/20/2014 Policy Adopted/Affirmed [Medical Curriculum Committee]
  • 11/18/2014 Policy Revised [Medical Curriculum Committee]
  • 8/17/2015 Policy Revised [Medical Curriculum Committee]
  • 3/21/2017 Policy Revised [Medical Curriculum Committee]
  • 6/20/2017 Policy Revised [Medical Curriculum Committee]
  • 12/19/2017 Policy Revised [Medical Curriculum Committee]
  • 8/20/2019 Gender Neutral Language Edit [Medical Curriculum Committee]
  • 12/17/2019 Reformatted [Medical Curriculum Committee]
  • 8/18/2020 Policy Revised [Medical Curriculum Committee]

Policy Oversight


Associate Dean for Clinical Education; Associate/Assistant Dean for Students

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