PURPOSE
To outline processes developed to assist students in meeting academic and/or professional requirements for satisfactory progress in the curriculum.

AUDIENCE
All medical students

LCME STANDARDS
9.5 Narrative Assessment
9.7 Formative Assessment and Feedback
9.9 Fair and Timely Summative Assessment

POLICY

  1. To assist students in meeting academic and/or professional requirements for satisfactory progress in the curriculum, the School provides remediation opportunities, as outlined in the School’s Bylaws and Regulations.
  2. All remediation plans require official approval by the Committee on Student Promotions.
  3. All students are required to follow their approved remediation plan.
  4. During the pre-clerkship phase of the curriculum, all remediation exams are taken at pre-determined times identified by course IORs, usually at the next curricular break. Dates for remediation exams will be published in the course syllabus.
  5. All other remediation plans are developed by the student and the Instructor(s) of Record (IOR), in consultation with the Dean of Students, the Director of Student Development and the Office of Student Learning and Educational Resources.  Students are also encouraged to work with their academic coach for additional support and guidance. 

    DEFINITIONS
    Remediation: working to convert a “Y” mark to a passing grade, retaking an “F” graded course to earn a passing grade, passing a previously failed USMLE Step exam, or addressing deficiencies related to professionalism.

    PROCEDURE

    Pre-Clerkship Remediation Process

    1. Remediating a “Y” mark in the pre-clerkship years may mean taking a cumulative exam, re-taking an exam that was previously failed, or other work determined by the IOR, in conjunction with CSP. In the case of Clinical Skills, remediating a “Y” mark means following the remediation plan set forth by the Instructor of Record and CSP.
    2. Remediation of an “F” grade entails retaking the course in its entirety. In unique situations, the student may be approved to apply for and take the course through ‘credit by examination.’

    USMLE Step 1 Remediation Process

    1. See USMLE Step 1 Policy

    Clerkship Remediation Process

    1. Remediation for “Y” marks include retaking a written, oral or clinical skills exam and/or retaking the clerkship rotation.
    2. Remediation of an “F” grade entails retaking a written, oral or clinical skills exam, or retaking the course in its entirety. This will be determined by the IOR(s) in conjunction with CSP.

    Post-Clerkship Remediation Process

    1. Remediation for “Y” marks may include completing additional clinical work, written assignments and/or clinical skills exams. This will be determined by the IOR(s) in conjunction with CSP.

    USMLE Step 2 Clinical Knowledge (CK) Remediation Process

    1. See USMLE Step 2 Policy

    Professionalism Remediation Process
    Professionalism remediation is determined by CSP and will include having professionalism assessments completed on subsequent professional performance by the Professionalism Improvement Committee and be periodically reviewed by the Committee (in consultation with the Dean of Students) for removal from warning or probation.

    In circumstances where professionalism deficiencies are so significant that they prevent a student from performing patient care responsibilities and/or functioning appropriately in a clinical environment, CSP may require a written clearance from a Committee-approved, qualified professional before the student is allowed to return to duty/school (“fitness for duty”).

    RESPONSIBILITY
    Committee on Student Promotions

    REFERENCES
    UC Davis School of Medicine Bylaws and Regulations, Regulation 80: Remediation (B)

    RELATED POLICY/POLICIES
    Code of Academic & Social Conduct
    Professionalism Policy
    USMLE Step 1 Policy
    USMLE Step 2CK Policy

    POLICY OWNER
    Committee on Student Promotions

    REVIEWED BY
    Committee on Student Promotions*
    Committee on Educational Policy

    REVIEWED DATE and REVIEW CYCLE
    February 2021, 2-year cycle