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Policy

Promotion Standards - Pre-Clerkship and Clerkship

Categories: clerkship exams pre-clerkship promotion UGME

Updated on:

Pre-Clerkship Promotions

STUDENT PROMOTION
The academic performance of each student will be considered by the relevant Year or Term committee who will recommend that a student be:

  • Promoted,
  • Required to Repeat a portion of the program, or
  • Required to Discontinue.

Year or Term Committee Meetings are held at the end of each promotion period to consider student performance. Promotion recommendations will be forwarded to the Student Academic Management Committee (Promotion committee for the MD program) for a final determination of the student’s status. [Note that, although numeric grades are often used within the college to delineate standards of achievement for promotion and awards, the final transcript will indicate only pass (P) or fail (F).  A student who has been not been promoted due to being unsuccessful in one or more course will receive a fail (F) on his/her transcript for the relevant course(s)].

MD PROGRAM PROMOTION STANDARDS – PRE-CLERKSHIP
For students enrolled in the MD program the following promotion standards will apply:

In the pre-clerkship period (Years 1 and 2), students must achieve the following in order to be promoted to the next term of the program:
Successful completion of each course in each term in the pre-clerkship period, as described in the course syllabus for each course.

a. Students who have successfully completed all courses will be promoted unconditionally.

b. Students who have been unsuccessful in any one course will be required to either remediate the course in which they were unsuccessful, repeat a portion of the program, or discontinue, based on the following considerations:

• academic performance in all courses of that term, including performance on individual in-course assessment components and modules

• academic performance in previous terms in the MD program

• other mitigating circumstances

c. Students who have been unsuccessful in more than one course will be required to either repeat a portion of the program or discontinue.  

d. As per the Breach of Professionalism Policy, students may be required to remediate a portion of the program, repeat a portion of the program, or discontinue on the basis of unprofessional behaviour.

Students will be allowed to repeat no more than two terms (or portions of terms) of the pre-clerkship curriculum due to failure of promotion based on academic reasons or academic withdrawal. 

In addition, students will be allowed a total of no more than six years (excluding withdrawal periods) for completion of the MD Program for reasons of academic failure/academic withdrawal. This will not apply to withdrawal/leaves for medical or personal reasons in which academic performance is not a concern or combined degree programs in which the student is in good academic standing. SAMC will determine appropriate duration of withdrawal periods and placement on return to program in order to support student success.

Approved Curriculum Committee Jan 21 2016; Approved Faculty Council Jan 27 2016

Clerkship Promotions

STUDENT PROMOTION
The academic performance of each student will be considered by the relevant Year or Term committee who will recommend that a student be:

  • Promoted,
  • Required to Repeat a portion of the program, or
  • Required to Discontinue the program.

Year or Term Committee Meetings are held at the end of each promotion period to consider student performance. Promotion recommendations will be forwarded to the Student Academic Management Committee (Promotion committee for the MD program) for a final determination of the student’s status. [Note that, although numeric grades are often used within the college to delineate standards of achievement for promotion and awards, the final transcript will indicate only pass (P) or fail (F).  A student who has been not been promoted due to being unsuccessful in one or more courses will receive a fail (F) on his/her transcript for the relevant course(s)].

MD PROGRAM PROMOTION STANDARDS – CLERKSHIP
For students enrolled in the 2+2 curriculum the following promotion standards will apply:

In Year 3 of the clerkship period, students must achieve the following in order to be promoted to Year 4:
Successful completion of each course in Year 3, as determined by that Course’s policies as per the Course Syllabus.

a. Students who have successfully completed all courses will be promoted unconditionally.

b. Students who have been unsuccessful in any one course (with the exception of Core Clinical Rotations – see “c” below) will be required to either remediate that course, repeat a portion of the program, or discontinue the program, based on the following considerations:

• academic performance in all courses of that year, including performance on individual in-course assessment components and modules

• academic performance in previous terms in the MD program

• other mitigating circumstances

c. Students who have been unsuccessful in the Core Rotations Course, or in more than one of the other Year 3 courses (Selected Topics in Medicine; Selective Clinical Rotations; Success in Medical School III) will not be promoted, but will be required to either repeat a portion of the program or discontinue.

d. As per the Breach of Professionalism Policy, students may be required to remediate a portion of the program, repeat a portion of the program or discontinue on the basis of unprofessional behaviour.

In Year 4 of the clerkship period, students must achieve the following in order to graduate:
Successful completion of each course in each Year 4, as determined by that Course’s policies as per the Course Syllabus.

a. Students who have successfully completed all courses will graduate unconditionally.

b. Students who have been unsuccessful in one or more Year 4 course(s) will not graduate, but will be required to either repeat a portion of the program, or discontinue.

c. As per the Breach of Professionalism Policy, students may be required to remediate a portion of the program, repeat a portion of the program or discontinue on the basis of unprofessional behaviour.

Students will be allowed to repeat each year of the clerkship program (or portion of that year) no more than once due to failure of promotion based on academic reasons, or academic withdrawal.

In addition, students will be allowed a total of no more than six years (excluding withdrawal periods) for completion of the MD Program for academic failure /academic withdrawal reasons. This will not apply to withdrawal/leaves for medical or personal reasons in which academic performance is not a concern or combined degree programs in which the student is in good academic standing. SAMC will determine appropriate duration of withdrawal periods and placement on return to program in order to support student success.

Clerkship promotion standard for 2+2 Approved Curriculum Committee Jan 21 2016 Approved Faculty Council Jan 27 2016

Phase D Promotions – Current Curriculum (Class of 2017)

Promotion will be dependent on the student's achieving satisfactory status in every instructional program that year, including electives. Students who have met any of the following will be considered to have failed Phase D:

  • failure of 12 weeks of the clerkship period
  • failure of at least 3 rotations

Rotation specific Pass/Fail criteria:

Students can fail rotations based on deficiencies in clinical skills, knowledge base and professionalism. All rotations will use clinical assessments, in conjunction with end-of-rotation exams (locally derived or National Board Medical Examinations). Selected rotations will use additional information derived from oral examinations, and written projects/assignments. See NBME/End of Rotation Examination Policy.

Successful completion of the summative OSCE is required for clerkship. Students who fail the summative OSCE and remedial summative OSCE will be required to meet with a Sub-Committee consisting of the Phase D Chair (or designate) and at least 2 Phase D Coordinators. This Sub-committee may recommend that the student may be allowed another remedial attempt, repeat a portion of clerkship, or fail Phase D based on the following considerations:

  • Academic performance in clerkship.
  • Academic performance in previous years of the MD program.
  • Other mitigating circumstances.

Clinical Clerks failing Phase D will not be eligible for promotion that year, and will be required to withdraw from that year.

Recommendations for promotion will be made by the Phase D Committee and forwarded to the Undergraduate Education Committee for decision.