ADDENDUM 1

Student Handbook on Academic Policies and Procedures, Spring 2019 Edition

ADDENDUM #1

Policies on Step exams

Before advancing into the final two clinical years of the curriculum (clerkship years), each student must complete all requirements for the pre-clerkship curriculum, be certified in Basic Life Support and CPR training, and achieve an overall passing grade in the United States Medical Licensing Examination Step 1, administered by the National Board of Medical Examiners.

Students must sit for USMLE Step 1 by the deadline set annually as part of their curriculum. Only students granted extenuating circumstances may sit for the exam later and still begin clinical clerkships. Extenuating circumstances requests will be evaluated on a case-by case basis by the CSOM Office of Student Affairs in consultation with the USMLE Step 1 Committee, an ad hoc committee made up of the Deputy Dean for Medical Education and Academic Affairs, the Assistant Dean for the Basic Science Curriculum and one of the Organ Systems curriculum course directors. Generally extenuating circumstances must be an acute personal, medical or family problem that has affected the student’s ability to sit for the exam. In the case of approved extenuating circumstances students may begin the first clerkship while awaiting the results of Step 1. Any student who has begun a clerkship and fails Step 1 will be immediately placed on a year-long Administrative Leave by the Student Academic Progress Committee. Any student not granted an extension who does not sit for the exam by the established deadline will be placed on Administrative Leave by the Student Academic Progress Committee. Students deemed to not be making satisfactory progress toward a passing Step 1 score may request or be placed on Administrative Leave by the Student Academic Progress Committee and not be granted permission to sit for Step 1 until such time as they are deemed ready. Assessment of readiness will be determined by the USMLE Step 1 Committee analyses of self-assessment scores.

Students on Administrative leave must fulfill the following in order to re-enter the program in good standing as M3s.

For Step 1 failures

  1. Students will not be allowed to begin the M3 year until they have passed Step 1.
  2. Students must study and retake the exam within 12 weeks after the failing grade is reported.
  3. Any deviation in this timing must be requested in writing and approved by the Step 1 Committee and the Office of Student Affairs.
  4. Students who delay beyond 12 weeks after receiving their failing grade may be presented to the SAPC by the Step 1 Committee for consideration of dismissal.
  5. Students must pass Step 1 by December 15 in order to enter the M3 clerkship lottery for the following year.
  6. Students who fail Step 1 a second time must be presented by the Step 1 Committee to the SAPC for progress evaluation.
  7. Students who fail Step 1 a third time will be dismissed from the program.

 

For Step 1 delays

  1. Students must study and take the exam by November 1.
  2. Any deviation in this timing must be requested in writing from the Office of Student Affairs and approved by the Step 1 Committee and the Office of Student Affairs.
  3. Students who delay beyond November 1 without an approved plan, or students who delay beyond their approved plan, will be presented to the SAPC by the Step 1 Committee for consideration of dismissal.
  4. Students must record a passing grade on USMLE Step 1 by December 15 to enter the following year’s M3 clerkship lottery.

Step 2 Policies

   All students must take the USMLE Step 2CS and CK before October 1 of the M4 year.

All students must pass USMLE Step 2CS and CK to graduate. Students must have a passing score in order to be certified for the residency match.

Students may only take USMLE Step 2CS after completing the entire third year and passing the M3 Summative OSCE. Any deviation must be requested in writing and approved by the Step 2 Committee, consisting of the Deputy Dean, the Assistant Dean of Clinical Curriculum, and one clinical faculty.

Step 2 Failures

  1. Students who fail either USMLE Step 2 exam while on a required clerkship or elective experience will finish the block they are on, then exit the curriculum to prepare to retake the exam.
  2. Students must retake Step 2 within 4 weeks of leaving the curriculum.
  3. Any deviation from this schedule must be requested in writing from the Office of Student Affairs, and receive approval from the Step 2 committee and the Office of Student Affairs.
  4. Students must record a passing score on both Step 2 exams to be permitted to enter the residency match.
  5. Students whose progress indicates that they will not receive a passing score on either Step 2 exam and complete their M4 year in time to enter the residency match will, at the discretion of the Step 2 committee and the Office of Student Affairs, be decelerated and permitted to take 2 years to complete the M4 year.
  6. Students whose Step 2 failure is subsequent to repeated failures in the clinical curriculum will be presented to the SAPC for consideration of dismissal.
  7. Students who decelerate will have one year to record a passing score on both Step 2 exams.
  8. Students who fail Step 2 CS or CK a second time will be presented by the Step 2 committee to the SAPC for consideration of dismissal.
  9. Students who are permitted to take Step 2 CS or CK for a third time must present a written plan of study to the Step 2 Committee and the Office of Student Affairs.
  10. Students who are not able to record passing scores on Step 2 CS and Step 2 CK by the entering date of the following M4 class will be presented by the Step 2 Committee to the SAPC for consideration of dismissal.
  11. No student will be allowed to graduate or enter the Match without a passing score on both Step 2 CS and Step 2 CK.