Medical Student Handbook
Medical Student Education
Medical Student Education
Advanced Integration Policies
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Review of Professional Performance
A student whose behavior is considered to render them unfit for a career in medicine may be dismissed at any time from the Larner College of Medicine. Such negative behavior includes, but is not limited to, demonstrated poor judgment, lack of personal integrity, lack of personal accountability, or the conviction of any criminal act when such an act is found to adversely affect the student's ability to practice medicine. Students of the Larner College of Medicine are expected to meet, at a minimum, the behavioral expectations found in the Student Handbook, the Larner College of Medicine Technical Standards, Student Honor Code, University's Code of Student Rights and Responsibilities and the Code of Academic Integrity.
Violation of University policy may result in sanctions by the Committee on Fitness up to and including dismissal from the Larner College of Medicine. A student's fitness for a career in medicine may be called into question at any time by a member of the faculty of the Larner College of Medicine. In such an event, the faculty member will prepare in writing the specific allegations giving rise to the question and submit the statement to the chairperson of the Committee on Fitness. On receipt of the statement of allegation, the chairperson shall convene the Committee to investigate the matter. The chairperson of the Committee on Fitness shall also inform the student in writing of the Committee's pending investigation, the membership of the Committee and the specific allegations giving rise to the question of the student's fitness. The student may object to the participation in the investigation by one or more members of the Committee. If the objection is deemed reasonable by the chairperson, the member(s) challenged shall be replaced by one or more alternates as designated by the Dean. If the student challenges the Committee's Chairperson, the Dean shall consider the objection and if deemed reasonable shall appoint a substitute Chairperson.
The student shall have the right to appear before the Committee on Fitness and to be accompanied by a faculty or student advisor of the student's choice. The advisor must be a member of the University community and shall not be an attorney or a family member. The student shall have the right to review their file before any hearing by the Committee. At the hearing, the student shall have the right to hear the evidence upon which the proceedings are based and attempt to clarify or correct. The student may present additional data to the Committee. The student may identify witnesses to give evidence. Additional witnesses may be called by the committee.
Following its investigation, the Committee in executive session will determine whether sanctions, up to and including dismissal are warranted. Decisions will be made by majority vote of the members present and voting. The Committee on Fitness may require continued monitoring of the student by the Committee or by a designated agent. The Committee may also determine appropriate corrective sanctions, which may include, but are not limited to, restitution, specific training, limitations on placements, etc. A record of the Committee directives and vote will be documented. The student will be furnished a copy of the Committee's final report. If a student fails to comply with any imposed sanctions the committee will reconvene to consider further actions. The committee may be alerted of a student's failure to comply with sanctions by a faculty member or a designated agent. Sanctions voted by the Committee other than dismissal are final and not subject to appeal.
Dismissal by the Committee on Fitness may be appealed to the Dean of the Larner College of Medicine. The written appeal must be based solely upon issues of procedural error(s), or clear abuse of discretion during the proceedings before the Committee on Fitness, or new evidence which was not available during any hearing before the Committee on Fitness. The student must provide written notification of intent to appeal a dismissal action within 24 hours of receipt of written notification of the dismissal. This appeal must be forwarded to the Dean within eight business days of the date of the letter indicating the dismissal. The decision of the dean shall be final. Unless a written appeal is received by the Office of the Dean of the College on or before the eighth business day after the date of the letter indicating dismissal, dismissal will be effective as of the following day. If an appeal is timely filed but the dean's decision is to affirm the dismissal, dismissal shall be effective on the date of the dean's decision. During the interval between receipt of written notification of the dismissal and the expiration of the appeal period, the student remains actively enrolled. If the student has submitted notification of intent to appeal, s/he may request administrative leave during this period (as described elsewhere in this handbook) or, alternatively, s/he may continue normal student activities except in instances in which a student has been placed involuntarily on administrative leave. If no notification of intent to appeal is submitted, the student will be placed on administrative leave until the expiration of the appeal period.
Applicability of the Policy
Reviewed and Approved
Medical Curriculum Committee, on July 21, 2015
The Robert Larner, M.D. College of Medicine
University of Vermont
University of Vermont Medical Center
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