Section III: Grading and Academic Performance Policies

Grade Options

For the MD Class of 2017 and subsequent classes of medical students, all AMS courses in Years 1 and 2 will be graded on a Satisfactory (S)/No credit (NC) basis, and all clinical courses in Year 3 and 4 including clerkships will be graded on an Honors (H)/Satisfactory (S)/No Credit (NC) basis. All grades are recorded as such on the student’s Official AMS Banner Transcript and on the Internal AMS Grade Card that is posted in EMSR (Electronic Medical Student Record).  Passing grades for courses that have an S/NC grading policy are recorded on the official University transcript with an asterisk (S*) next to the grade indicating that the Honors designation is not an option for this course.

Grades in the basic science courses are assigned by the Directors of the Preclinical Curriculum (first year or second year) in consultation with the course leader(s).  Grades in the Doctoring courses are determined by the individual course leaders. Grades in clerkships and clinical electives are determined by Clerkship Directors and Clinical Elective Directors, respectively.

Grades are determined according to the following guidelines:

Honors (H or HNRS): This grade indicates that the student has performed at a level of distinction as determined by the Clerkship Director and Clinical Elective Director, as applicable.

Satisfactory (S): The student has completed all course or clerkship requirements at or above the minimum standard of performance.

No Credit (NC): The student's overall performance in a course or clerkship is below the minimum standard of performance. Grades of NC are reported to the Medical Committee of Academic Standing and Professionalism (MCASP).

Additional (temporary) grading options for all courses and clerkships are as follows:

Existing Deficiency (ED): This temporary grade indicates that the student has performed below the minimum standard of performance in certain components of the course or clerkship, but that overall performance was deemed satisfactory. This grade option is used when a course or clerkship leader(s) believes that a reasonably limited amount of additional effort or study would remedy these deficiencies and result in satisfactory performance in all course components. When using the ED option, the course leader(s) should discuss the deficiencies with the student, develop a plan and timetable for correction, and communicate this plan to the Director(s) of the Preclinical Curriculum, the Doctoring course leader, the Clerkship Director or Clinical Elective Director, as appropriate. The course leader(s) should decide, at the time of the meeting with the student, what means will be used to evaluate the student's performance at the end of the time-table. When the student successfully remedies the deficiencies, the grade will be changed to satisfactory (S), and the student will receive full credit for the course. If the student fails to remedy the deficiencies as explicitly outlined in the plan, then the grade will be changed from ED to no credit (NC). An ED grade not remedied within one year of the beginning of the course, clerkship or rotation may be changed to an NC, in which case the student may be required to repeat the entire course, clerkship or rotation.  Grades of ED are reported to the Medical Committee on Academic Standing and Professionalism.

Incomplete (I or INC): Under exceptional circumstances outside of the student’s control (such as illness or a family emergency), a student who is unable to complete all of the required course work, clerkship, or rotation requirements may be given a grade of incomplete (“I”) by the Director(s) of the Preclinical Curriculum, the Doctoring course leader, the Clerkship Director, or Clinical Elective Director. Normally, course work not completed within one year will result in the grade being changed to no credit (NC).

Transcripts

The grades of H/S/NC (or S*) are entered into the University’s Official Banner Transcript by the AMS Registrar’s office.  An Internal AMS Grade Card is also maintained by the medical school’s Registrar’s office.  This Internal Grade Card contains information about temporary grades and grade changes. 

When a student receives an NC in a course or clerkship, a remediation plan is put into place by the Director(s) of the Preclinical Curriculum and the course leader(s) or the clerkship director(s).  In the preclinical years, remediation typically entails mandatory tutoring sessions followed by a remediation exam, or a repeat of the entire course. After a course or clerkship has been successfully remediated or repeated, the new grade of “S” replaces the original grade of “NC” on the Official University Banner Transcript.  A comment is inserted in the "Notes" section of the AMS Internal Grade Card that records the date that the grade change occurred.  The grade card is uploaded to the student's electronic record (EMSR) twice each year.  The grade of Honors is only available under very extraordinary circumstances, and at the discretion of the Clerkship Director(s), when the original grade was either NC or ED.

Temporary grades of ED or I are noted on the Internal AMS Grade Card, and are changed to an “S” on the Official Banner University Transcript and the Internal AMS Grade Card after appropriate course work has been completed.

Grade Determination/Appeal

The Director(s) of the Preclinical Curriculum and the course leader(s), the Clerkship Director(s) or the Clinical Elective Directors are responsible for determining how students will be evaluated and how grades will be assigned. Students who believe that an assigned grade is not an accurate reflection of their performance should discuss this with the Director(s) of the Preclinical Curriculum and the course leader(s), Clerkship Director(s) or Clinical Elective Directors. While there is no formal avenue of appeal of a grade within the medical school beyond the judgment of the Director(s) of the Preclinical Curriculum and the course leader(s), Clerkship Director(s) or Clinical Elective Directors, the Associate Dean for Medical Education may be asked to provide input into particularly contentious discussions regarding grade assignments.

Grading Policy for Preclinical Courses: Overview

The preclinical courses are organized within each of the first four semesters of medical school as Integrated Medical Sciences I-IV and Doctoring I-IV. Each semester of IMS consists of 2-5 courses, each of which is assigned a course number and is under the direction of a separate course leader(s). The grading policies for each of these courses are described in this document.

Grading Policy Preclinical Courses: Semester I

There are five IMS-I courses (SFM, Histology, Human Anatomy I, HSP-I and General Pathology) and one Doctoring course (Doctoring I) in Year I Semester I. All IMS-I courses and the Doctoring I course have grade options of S/NC (Satisfactory/No Credit).  

Grading for Doctoring I

  • BIOL3640 Doctoring I (2 credit course) Course Leaders: S. Warrier, K. Dodd

Grading for Doctoring I will be based upon performance in small groups, objective structured clinical examinations (OSCEs), case write-ups, reflective field notes, and community mentor sessions. If a student’s performance is unsatisfactory in any component of the course, s/he will be required to remediate the deficiency before receiving a final grade. If a student’s performance is unsatisfactory in more than one component of the course, s/he may be required to repeat the entire course. This determination is made by the Doctoring course leader(s).  All NC and ED grades are brought to the attention of the Medical Committee on Academic Standing and Professionalism (MCASP).

Grading for IMS-I

  • BIOL3642 IMS-I: Scientific Foundations of Medicine (SFM) (1 credit), T. Salazar-Mather
  • BIOL3643 IMS-I: Histology (1 credit), M. Thompson; Course Lab Leaders: J. Ou, K. Hansen
  • BIOL3644 IMS-I: Human Anatomy I (1 credit), D. Ritter
  • BIOL-3656 IMS-I: Health Systems and Policy I (HSP-I) (1 credit), E. Tobin-Tyler
  • BIOL3645 IMS-I: General Pathology (1 credit), L. Dumenco, A. Kane; Course Lab Leaders: J. Ou, K. Hansen

    Examinations: There will be six integrated examinations during Semester I. Each exam will contain questions from 3 to 4 of the IMS-I courses. Course scores will be cumulative throughout the semester. A grade of 70% or above will normally be considered passing. A cutoff below 70% may be designated as passing at the discretion of the Director(s) of the Preclinical Curriculum in conjunction with the IMS course leader. Students who do not achieve a passing grade will be assigned a grade of no credit (NC).

    Small Group Sessions: Small group sessions and labs are important components of the IMS-I Human Anatomy I, Histology, General Pathology, and Doctoring courses. Assessment of small group performance is based upon participation, quality of contribution to the discussions and leadership skills. Each small group leader will assess student performance in the following Nine Abilities: Ability I: Effective Communication, Ability III: Using Basic Science in the Practice of Medicine, Ability V: Lifelong Learning, and Ability VI: Professionalism. Small group faculty evaluations are posted in OASIS, the internal registration and evaluation system for AMS.

    Attendance and participation in all small group, case-based and team-based learning, and laboratory sessions is mandatory.  Students need to submit a request for an excused absence on the home page of the Canvas website and receive permission from the Director(s) of the Preclinical Curriculum or Doctoring Course Coordinator for permission to miss a small group, case-based or team based learning, or laboratory session.  If granted an excused absence, students must then notify their small group leader(s) and complete required make-up work.  If a student misses more than two small group sessions (even if excused) and/or does not perform satisfactorily in the small group sessions, s/he may receive an ED or NC in the course and be required to remediate the deficiency by special accommodation or by retaking the course. This determination is made by the Director(s) of the Preclinical Curriculum in conjunction with the IMS course leader or by the Doctoring course leader. See the Attendance Policy section of the Student Policy Handbook for more details.

    MD2018 Remediation, Progression to Semester II

    If a student receives a single grade of NC or ED in any Semester I course (including any of the five IMS-I courses or Doctoring I), s/he will be brought to the attention of the Medical Committee on Academic Standing and Professionalism (MCASP). The Director(s) of the Preclinical Curriculum and the IMS course leader(s) or the Doctoring course leaders will determine the remediation plan, which may consist of summer remediation or retaking of the entire course.

    If a student fails a special remediation examination, s/he will be required to repeat the course the following year, and this second NC will be brought to the attention of the MCAS.  At that time, the student may be placed on academic warning. Students will be permitted to take only one remediation exam. Exceptions will be considered by the Associate Dean for Medical Education in unusual circumstances.

    Students failing two or more Semester I courses (including the five IMS-I courses and Doctoring I) will be required to repeat the entire semester, even if they have already passed one or more of the Semester I courses, and will be placed on academic warning or probation. Such determination is made by the MCASP. Students who return the following year and fail an additional course can be considered for probation and/or dismissal by MCASP. Students will not be allowed to return a third time to repeat Semester I.

    Grading Policy Preclinical Courses: Semester II

    There are five IMS-II courses (Brain Sciences, Microbiology/Infectious Diseases, Supporting Structures, Human Anatomy II, and the Human Systems and Policy II) and one Doctoring course (Doctoring II) in Semester II.  All IMS-II and Doctoring II courses are graded with S/NC options.

    Grading for Doctoring II

    • BIOL3650 Doctoring II (2 credit course) S. Warrier, K. Dodd

    Grading follows the same policies as for Doctoring I.

    Students may progress on to Doctoring II without passing Doctoring I at the course leader’s discretion. 

    Grading for IMS-II

    Each IMS-II course is S/NC (Satisfactory, No Credit). Grades are determined based on examination scores and small group attendance and participation.

    • BIOL3652  IMS-II: Brain Sciences  (2 credits),  J. Roth, N.S. Potter, J. Donahue, G. Tung, B. Connors, D. Berson, C. Harrington, E. Lowenhaupt
    • BIOL3653  IMS-II: Microbiology/Infectious Diseases (1 credit) T. Salazar-Mather, J. Lonks, A. Pop-Vicas
    • BIOL3665 IMS-II: Supporting Structures (1 credit), S. Schwartz, J. Katarincic, L. Robinson-Bostom, R. DeLellis, W. Bowen
    • BIOL3655 IMS-II: Human Anatomy II (1 credit), D. Ritter
    • BIOL3657 IMS-II:  Health Systems and Policy (HSP) II (1/2 credit), P. George

      Examinations: There will be one to two integrated examinations in each course. The Anatomy component includes two lab practical exams.  In courses with more than one exam, scores are cumulative and final grades are determined based upon the total number of possible points on all exams.  A grade of 70% or above will normally be considered passing. A cutoff below 70% may be designated as passing at the discretion of the Director of the Preclinical Curriculum (first year) in conjunction with the IMS course leader(s).  Students who receive a failing grade in an IMS-II course will receive an NC and be brought to the attention of the MCASP. The Director of the Preclinical Curriculum (first year) and the course leader(s) will determine the remediation plan which may consist of summer remediation or retaking of the entire course.

      Small Group Sessions: Small group sessions and labs are important components of the IMS-II Brain Sciences, Micro/ID, Supporting Structures, HSP-II, Human Anatomy II, and Doctoring courses. Small group performance assessment is based upon participation, quality of contribution to the discussions as well as leadership skills. Each small group leader will assess student performance in the following Nine Abilities: Ability I: Effective Communication, Ability III: Using Basic Science in the Practice of Medicine, Ability V: Lifelong Learning, and Ability VI: Professionalism. Small group faculty evaluations are posted in OASIS, the internal registration and evaluation system for AMS.

      Attendance and participation in all small group, case-based and team-based learning (TBL), and laboratory sessions is mandatory.  Students need to complete a request for an excused absence on the home page of the Canvas website and receive permission from the Director(s) of the Preclinical Curriculum or the Doctoring Course Coordinator for permission to miss a small group, case-based and team-based learning, or laboratory session.  If granted an excused absence, students must then notify their small group leader(s) and complete required make-up work.  If a student misses more than two small group sessions (even if excused) and/or does not perform satisfactorily in the small group sessions, s/he may receive an ED or an NC in the course and be required to remediate the deficiency by special accommodation or by retaking the course. This determination is made by the Director of the Preclinical Curriculum (first-year) in conjunction with the IMS course leader(s), or by the Doctoring course leader. See the Attendance Policy section of the Student Policy Handbook for more details.

      MD2018 Remediation, Progression to Year II

      If a student receives a single grade of NC or ED in any Semester II course (including the five IMS-II courses and Doctoring II), s/he will be brought to the attention of the Medical Committee on Academic Standing and Professionalism (MCASP). The Director of the Preclinical Curriculum (first-year) and the IMS course leader(s) or the Doctoring course leaders will determine the remediation plan which may consist of summer remediation or retaking of the entire course. 

      If a student is permitted to take and then fails a special remediation examination, s/he will be required to repeat the course the following year. Students will be permitted to take only one remediation exam. Exceptions will be considered by the Associate Dean for Medical Education in unusual circumstances.

      Students receiving a grade of NC in two or more Semester II courses (including the four IMS-II courses and Doctoring II) will be required to repeat the entire semester, even if they have already passed one or more of the Semester II courses.  Students will not be allowed to repeat Semester II for a third time.  Students must successfully complete both Doctoring I and Doctoring II in order to proceed on to Year 2.

      MD2017 Grading Policy Preclinical Courses: Year II

      There are five IMS-III courses (Cardiovascular, Renal, Pulmonary, Endocrine Sciences, and Human Reproduction) and one Doctoring course (Doctoring III) in Semester III.  There are two IMS-IV courses (Hematology and Gastroenterology) and one Doctoring course (Doctoring IV) in Semester IV.

      All year 2 courses (including IMS-III, IMS-IV, and Doctoring III and IV)  are graded S/NC (Satisfactory, No Credit). Grades are determined based on examination scores and upon small group attendance and participation. 

      Grading for Doctoring III and IV

      • BIOL3660 Doctoring III (2 credit course) Course Leaders: M. Daniel, S. Rougas
      • BIOL3670 Doctoring IV (2 credit course) Course Leaders: M. Daniel, S. Rougas

      All four semesters of the Doctoring Course are graded S/NC. Grading for Doctoring III and IV will be based upon performance in small groups, OSCEs, case write-ups, reflective field notes, and community mentor sessions. If a student’s performance is unsatisfactory in any component of the course, s/he will be required to remediate the deficiency before receiving a final grade. If a student’s performance is unsatisfactory in more than one component of the course, s/he may be required to repeat the course. This determination is made by the Doctoring course leader(s).

      Although students must pass both Doctoring I and II in Year 1 to proceed on to Doctoring III and IV in Year 2, students may progress on to Doctoring IV without passing Doctoring III at the course leader’s discretion. 

      MD2017 Grading for IMS-III and IMS-IV

      • BIOL3662 IMS-III: Cardiovascular (1 credit) D. Burtt, R. DeLellis, W. Bowen
      • BIOL3664 IMS-III: Renal (1 credit) S. Hu, K. Richmond, R. DeLellis, W. Bowen
      • BIOL3663 IMS-III: Pulmonary (1 credit) M. Jankowich, B. Kimble, R. DeLellis, W. Bowen
      • BIOL3654 IMS-III:  Endocrine Sciences (1 credit) G. Gopalakrishnan, R. DeLellis, W. Bowen
      • BIOL3674 IMS-III: Human Reproduction (1 credit) B. Cronin, B. Hampton, A. Stuckey, R. DeLellis, W. Bowen
      • BIOL3672 IMS-IV: Hematology (1 credit) E. Wittels, A. Taber, L. Dumenco, W. Bowen
      • BIOL3673 IMS-IV: Gastroenterology (1 credit) H. Rich, M. LeGolvan, W. Bowen

        Examinations: Grades for each IMS-III and IMS-IV course (with the exception of IMS-III: Supporting Structures) are based upon a single examination as well as small group attendance and participation.  (A quiz also contributes to the final course grade in IMS-III: Cardiovascular, Pulmonary and Renal).

        A grade of 70% or above will normally be considered passing. A cutoff below 70% may be designated as passing at the discretion of the Director of the Preclinical Curriculum (second-year) in conjunction with the course leader(s). Students who receive a single failing grade in an IMS-III or IMS-IV course will receive an NC and be brought to the attention of the MCASP.  The remediation plan is determined by the Director of the Preclinical Curriculum (second-year) and the course leader(s).  This remediation most often consists of a period of tutoring and independent study followed by a remediation examination.

        Small Group Sessions: Small group sessions and labs are important components of the IMS-III and IMS-IV courses (including Cardiovascular, Renal, Pulmonary, Endocrine Sciences, Human Reproduction, Hematology, and Gastroenterology) and Doctoring. Epidemiology small groups are integrated into several IMS courses as well.  Small group performance assessment is based upon participation, quality of contribution to the discussions and leadership skills. Each small group leader will assess student performance in the following Nine Abilities: Ability I: Effective Communication, Ability III: Using Basic Science in the Practice of Medicine, Ability V: Lifelong Learning, and Ability VI: Professionalism. Small group faculty evaluations are posted in OASIS, the internal registration and evaluation system for AMS.

        Attendance and participation in all small group, case-based and team-based learning, and laboratory sessions is mandatory.  Students need to complete a request for an excused absence on the home page of the Canvas website and receive permission from the Director(s) of the Preclinical Curriculum or the Doctoring Course Coordinator for permission to miss a small group, case-based and team-based learning, or laboratory session.  If granted an excused absence, students must then notify their small group leader(s) and complete required make-up work. If a student misses more than two small group sessions (even if excused) and/or does not perform satisfactorily in the small group sessions, s/he may receive an ED or an NC in the course and be required to remediate the deficiency by special accommodation or by retaking the course. This determination is made by the Director of the Preclinical Curriculum (second-year) and the IMS course leader or the Doctoring course leader(s). See the Attendance Policy section of the Student Policy Handbook for more details.

        MD2017 Remediation, Progression

        Students who receive a grade of NC or ED in any Semester III course (including the five IMS-III courses and Doctoring III) will be brought to the attention of the MCASP. The MCASP will consider options for remediation based upon the recommendations of the Director of the Preclinical Curriculum (second year) and the course leader(s) in consultation with the Associate Dean for Medical Education. If a student fails a special remediation examination, s/he will be required to repeat the course the following year. Students will be permitted to take only one remediation exam. Exceptions will be considered by the Associate Dean for Medical Education in unusual circumstances.

        Students who receive a grade of NC in two or more Semester III courses (any of the five IMS-III courses and Doctoring III) will be brought to the attention of the MCASP and will be required to repeat the entire semester, even if they have already passed one or more of the Semester III courses. Students will not be allowed to return a third time to repeat Semester III.

        Students who receive a grade of NC or ED in a single Semester IV course (including the two IMS-IV courses and Doctoring IV) will be brought to the attention of the MCASP. The Director of the Preclinical Curriculum (second-year) and the IMS course leader(s) or the Doctoring course leader(s) will determine the remediation plan (which may consist of required tutoring and independent study followed by a remediation or retaking of the entire course).  If a student is allowed to remediate this course via a special examination, it must be taken after completion of the semester before preparing for and taking the USMLE Step 1 examination. If a student is permitted to take and then fails a special remediation examination, s/he may be required to repeat the course the following year. Students will be permitted to take only one remediation exam. Exceptions will be considered by the Associate Dean for Medical Education in unusual circumstances.

        Students who receive a grade of NC in two or more Semester IV courses (including the two IMS-IV courses and Doctoring IV) will be brought to the attention of the MCASP and will be required to repeat the entire semester, even if they have already passed one of the Semester IV courses. Students will not be allowed to repeat Semester IV for a third time.

        Students must successfully complete all preclinical courses before progressing to Year 3 clinical clerkships.

        Timing of the USLME Step 1 Examination

        The Office of Medical Education will provide regular information sessions on Step 1 preparation during Year 2.  Students are provided with a minimum of 6 weeks of independent preparation time after completion of Year 2 courses to prepare for taking the USMLE Step 1 Exam.  All students are strongly encouraged to take Step 1 prior to beginning clerkships.  The medical school will not permit students to take the Step 1 exam before they have successfully completed all preclinical coursework including IMS I-IV and Doctoring I-IV.

        Clinical Skills Clerkship (CSC) 

        • BIOL5885 CSC (1 credit) J. Taylor, P. George, M. Daniel

        This first, non-specialty-specific transition clerkship will prepare rising third-year students for the transition from the preclinical to the clinical curriculum. Performance is based on participation in small groups and an OSCE. Grading options for this three-week course, that is offered annually each April/May, are S/NC (Satisfactory/No Credit).  All students must take and pass the CSC before then can proceed on to any of their specialty-specific clinical clerkships.

        Grading Policies Years 3 and 4: Clinical Clerkships, Sub-Internships, and Electives

        Each of the six required specialty-specific clinical clerkships (Internal Medicine, Pediatrics, Family Medicine, Surgery, Psychiatry - Clinical Neuroscience I* (PNS-1), and Obstetrics & Gynecology) in Year III are graded using H/S/NC options (Honors/Satisfactory/No Credit).  (*The MD2015 Class was required to do a 6-week Psychiatry clerkship rather than PNS-I).  In Year 4, sub-internships, the Advanced Clinical Mentorship (formerly known as the Longitudinal Ambulatory Clerkship), Psychiatry - Clinical Neuroscience II, and elective rotations are graded using H/S/NC options (Honors/Satisfactory/No Credit).

        Grading for Third-Year Clinical Clerkships:

          • BIOL3001: Internal Medicine: M. Fagan, A. Charles, B. Gentilesco, S. Saraf
          • BIOL4500: Pediatrics: R. Rockney, B. Alverson
          • BIOL5800: Family Medicine: D. Anthony, J. White
          • BIOL4900: Obstetrics & Gynecology: B. Hampton, B. Allen
          • BIOL5300: Psychiatry-Clinical Neuroscience I: C. Harrington, E. Lowenhaupt, L. Wendell, P. Gupta*
          • BIOL3900: Surgery: E. Ryder, M. Garcia-Toca

          *For the Class of MD 2015, students were required to take a 6 week Psychiatry clerkship

          Specifics regarding the mechanisms for assigning grades for each course will be made available during Year 3 orientation sessions, as well as at the start of each clerkship.  Common assessment methods used during clerkships include assessment of students’ clinical performance with direct observation of patient interactions by clinicians, OSCEs, presentations, and National Board of Medical Examiners (NBME or “shelf”) exams.  All clerkships award Honors at a target level of 28% (< 30%) of students across the academic year.  This level may vary considerably during an individual clerkship but is consistent across clerkships during an academic year for a class of medical students.

          If a student’s performance is unsatisfactory in any component of a clerkship, s/he will be required to remediate the deficiency before receiving a final grade. If a student’s performance is unsatisfactory in more than one component of a clerkship, s/he may be required to repeat the clerkship.  Students who require remediation in a single clerkship may be allowed to progress to a subsequent one.  Students who require remediation in more than one clerkship may be brought to the attention of the Clerkship Directors. Students who receive a grade of NC or ED in one or more clerkships will be brought to the attention of the MCASP.

          The Fourth-Year Objective Structured Clinical Examination: After completing all of their core clinical clerkships, every senior medical student must take a summative Objective Structure Clinical Examination (OSCE) at the start of Year 4. At AMS, the Fourth-Year OSCE assesses student competency in clinical skills using trained standardized patients. After completing this high-stakes Pass/Fail exam that is modeled after and prepares students for the USMLE Step II Clinical Skills (CS) exam, students receive detailed written feedback on their performance. If students do not pass this exam, they will receive additional instruction and practice time with standardized patients, typically under the supervision of the Director of the Clinical Skills Suite.  Students are allowed to remediate this exam one time. If students do not pass on this remediation attempt, they will be required to schedule further practice sessions and another remediation. However, their MSPE (Medical Student Performance Evaluation or Dean's letter) will indicate they passed the required Fourth Year OSCE on their third attempt.

          Grading for Fourth-Year Electives:

          Sub-internships:  During Year 4, students must complete at least one sub-internship.  A grade is determined by direct observation of the student’s clinical performance by supervising resident and attending physicians.  Grading options for this required course are H/S/NC (Honors/Satisfactory/No Credit).

          Advanced Clinical Mentorship : Students are required to complete an advanced clinical mentorship during their last two years of medical school.  Students typically start their ACM in May of their fourth year of medical school. Students are strongly encouraged not to begin their ACM clerkship before completing Year 3. The ACM is of six months duration and consists of one-half day per week at a single outpatient site.  A grade is determined by the one attending physician supervisor based on direct observation of the student’s clinical performance.  Grading options for this required course are H/S/NC (Honors/Satisfactory/No Credit). 

          Psychiatry - Clinical Neuroscience II (PNS II, BIOL 3510; course leaders L. Wendell, P. Gupta, C. Harrington, E. Lowenhaupt): Grading options for this required course are H/S/NC (Honors/Satisfactory/No Credit).  Students must pass PNS I that is offered in Year 3 before they can take PNS II that is offered in Year 4.

          If a student’s performance is unsatisfactory in any component of an elective, s/he will be required to remediate the deficiency before receiving a final grade. If a student’s performance is unsatisfactory in more than one component of a elective, s/he may be required to repeat the rotation.  Students who require remediation in a single elective may be allowed to progress to a subsequent one.  Students who receive a grade of NC or ED in one or more electives will be brought to the attention of the MCASP.