ACADEMIC STANDARDS 1. Medical Curriculum The four-year medical curriculum at The University of Kansas consists of required and elective courses and clerkships in two principal components. The first is a two-year component of required courses in basic science and introductory clinical disciplines. In addition to the required courses, a limited number of electives are available. As a general guide line, only those students who are in good academic standing within the required courses should be consider taking on an elective which runs concurrently with the required courses. It is important to remind students that the commitment to take any medical course requires its successful completion, or withdrawal while passing in order to not affect their GPA. Following promotion, students enter the major clinical component of required clerkships and clinical and non-clinical electives. All required courses and clerkships should be completed at The University of Kansas School of Medicine; any exception must have the approval of the respective department chair or course director and the Academic Committee. Admission to the School of Medicine, progress within the curriculum and certification of graduation requirements are the responsibilities of the Academic Committee and its three subcommittees (Admissions, Special Programs, and Student Promotions). The content, organization, implementation, and evaluation of the curriculum are the responsibilities of the Education Council. Both the Academic Committee and the Education Council consist of elected faculty and student representatives. Required courses, clerkships, and elective distributions are listed below: Basic Science and Introductory Clinical Component Year One, Fall Semester ATMY 821 (Human Anatomy & Embryology), 5 credits ATMY 831 (Cell and Tissue Biology 1), 3 credits BIOC 801 (Medical Biochemistry 1), 4 credits PHYS 801 (Medical Physiology 1), 4 credits ICM 801 (Introduction to Clinical Medicine), 3 credits Year One, Spring Semester ATMY 822 (Human Anatomy and Embryology 2), 4 credits ATMY 832 (Cell and Tissue Biology 2), 3 credits ATMY & PHYS 840 (Neuroscience), 5 credits BIOC 802 (Medical Biochemistry 2), 4 credits PHYS 802 (Medical Physiology 2), 4 credits ICM 802 (Introduction to Clinical Medicine ), 3 credits Year Two, Fall Semester MBIO 850 (Microbiology), 9 credits PAON 850 (General Pathology), 7 credits ICM 850 (Introduction to Clinical Medicine), 3 credits Year Two, Spring Semester PHARM 850 (Pharmacology), 9 credits PAON 851 (Systemic Pathology), 9 credits ICM 851 (Introduction to Clinical Medicine), 5 credits Clinical Component Year Three Kansas City and Wichita Campus MED 900(K), INMD 975(W) Internal Medicine, 8 credits SURG 900(K),SGRY 975(W) General Surgery 8 credits PED 900(K),PDRC 975(W) Pediatrics, 6 credits GYNO 900(K), OBGN 975(W) Gynecology and Obstetrics, 6 credits FAPR 950(K), FCMD 975(W) Family Practice, 6 credits PYCH 900(K), PSCR 975(W) Neuropsychiatry, 8 credits AMED 900(K), AMMD 975(W) Ambulatory Internal MedicineGeriatrics, 6 credits Year Four Kansas City and Wichita Campuses SUBINTERNSHIP SELECTIVES: 4 credits Students select one: Internal Medicine Surgery Pediatrics Family Medicine Obstetrics/Gynecology Neuropsychiatry CRITICAL CARE SELECTIVES: 4 credits Students select one: Medicine ICU Surgery ICU Pulmonary ICU Pediatrics/Neonatal ICU Emergency Medicine HEALTH OF THE PUBLIC: 4 credits RURAL MEDICINE PRECEPTORSHIP: 4 credits Students select one: Family Medicine Internal Medicine Pediatrics ELECTIVES: 20 credits No more than 8 credits will be counted from the Basic Science No more than 8 credits can be earned off campus at another medical school 2. Grading and Records A. A student must register for each course at the prescribed time outlined in the curriculum, unless otherwise authorized in writing by the Academic Committee and Executive Dean of the School of Medicine. B. Grading shall be the responsibility of the faculty teaching the course or clerkship. C. A student must achieve a passing grade in each course, clerkship or elective taken for credit toward the achievement of the M.D. degree. However, passing grades in individual courses and clerkships do not guarantee that the student’s performance, viewed as a whole, will meet requirements for awarding the degree. A student’s performance will be recorded as: Superior (SU) -work of marked excellence, indicating high honor High Satisfactory (HS) -work of much more than average quality Satisfactory (SA) -work of average quality Low Satisfactory (LS) -work of lowest acceptable quality Unsatisfactory (U) -work of less than acceptable quality Incomplete (I) -work required for the course is not completed, but the student is otherwise passing the course D. A student’s grade cards shall be carefully and judiciously written and shall take into consideration knowledge of subject matter, attitudes, and skills. E. Departments or committees shall forward grades to the Registrar within ten days after the end of a course and shall make the grades available to individual students as soon thereafter as possible. The Registrar will record the grades and maintain the official transcript. The following numerical values are used in calculating a student’s Grade Point Average: Superior (SU) - 4 points High Satisfactory (HS) -3 points Satisfactory (SA) -2 points Low Satisfactory (LS) -1 point Unsatisfactory (U) -0 point Grades of W (Withdraw), I (Incomplete), P (Passing), Credit, and No Credit are not averaged into the Grade Point Average. Grades of WF (Withdraw Failing) are averaged into the Grade Point Average. A semester Grade Point Average will be calculated at the end of each semester in Years One and Two; a cumulative Grade Point Average will be calculated based on all completed coursework. F. The Registrar shall forward all grade cards to the Associate Dean for Student Affairs. The Associate Dean shall inform the Student Promotions Subcommittee of all the Incomplete grades, Unsatisfactory grades, or semester or cumulative Grade Point Averages below 2.0. G. A grade of Incomplete shall be completed within one year from the last day of classes in the semester in which the grade was given. If this does not occur and unless the department chairperson requests an extension in writing to the Registrar, the Incomplete shall be changed to an Unsatisfactory grade. H. All Unsatisfactory grades shall remain a part of the permanent record, whether or not these have been rectified. I. A grade of Unsatisfactory (U) shall be rectified by additional study, retaking the final examination, both of these, retaking the course from the beginning at The University of Kansas School of Medicine, or taking the course at another medical school. Departments should adopt a policy requiring all students to follow one of these alternatives or requiring that the Unsatisfactory grade be reviewed on a case-by-case basis. If the latter alternative is selected, the decision regarding any particular student shall be based solely on the student’s overall academic record and her/his relative performance in the course in question. (See Section 7, Remedial Experiences). J. An academic folder for each student shall be kept in the Office of Student Affairs. The folder shall include MCAT scores, premedical transcripts and records, grade cards from the medical faculty, and the letter of recommendation for residency written by the Executive Dean of the School of Medicine. 3. Requirements for Promotion and Graduation with Granting of the M.D. Degree A. Promotion A student who has satisfactorily completed the basic science and introductory clinical component of the curriculum, passed Step 1 of the USMLE, and is otherwise in Good Standing shall be recommended for Promotion to the clinical component of the curriculum. A student who does not meet these requirements will be reviewed by the Academic Committee on a case-by-case basis. B. Graduation The M.D. degree will be conferred by The University of Kansas upon persons who have complied with the following requirements: (1) acceptable grades in all required courses and clerkships; AND (2) acceptable grades in at least twelve (12) weeks of electives, including at least eight (8) weeks of clinical electives; AND (3) a cumulative Grade Point Average of 2.0 or higher; AND (4) passing scores on Steps 1 and 2 of the USMLE; AND (5) acceptable academic and professional behavior and ethical standards. C. Endorsement and Responsibility of Faculty In granting the Doctor of Medicine degree, the Faculty of The University of Kansas School of Medicine endorses the student as having acquired the knowledge and skills appropriate for entry into postgraduate medical training and as having demonstrated appropriate professional and personal conduct. It, therefore, becomes the responsibility of the Faculty to establish the standards of academic accomplishment and professional conduct that a student must attain to receive the M.D. degree. The Faculty also has the responsibility of establishing the criteria consistent with the standards goals of the School of Medicine and to assist each student in recognizing and correcting deficiencies before the M.D. degree can be granted. D. Time Permitted to Meet Requirements All of these requirements (see B above) must be met within six (6) years of the date of first enrollment, unless the student is enrolled in a special program approved by the Academic Committee. A student with an outstanding Incomplete or unrectified Unsatisfactory grade on her/his transcript will not be allowed to graduate from the School of Medicine after the six year period has expired without the explicit permission of the Academic Committee. 4. United States Medical Licensing Examination A. Requirement for Promotion and Graduation A student must pass the United States Medical Licensing Examinations (USMLE), Step 1 and Step 2 CK and CS, to graduate from The University of Kansas School of Medicine and be granted the M.D. degree. Students must pass each Step exam within one year of their first attempt on each exam. Successful completion of Step 1 is required for Promotion. B. Step 1 of the USMLE Step 1 is a one-day, computer based examination of the basic medical sciences and includes questions related to anatomy, behavioral sciences, biochemistry, microbiology, pathology, pharmacology, and physiology. A student will take Step 1 for the first time during the months of May or June at the end of Year Two of the medical curriculum, unless she/he receives a waiver from the office of Student and Academic Affairs. C. Step 2 CK (Clinical Knowledge) of the USMLE Step 2 CK is a one-day, computer based examination of the clinical sciences and includes questions related to gynecology and obstetrics, internal medicine, pediatrics, preventive medicine and public health, psychiatry, and surgery. A student will usually take Step 2 CK for the first time during the months of July, August and September at the beginning of Year Four of the medical curriculum. D. Step 2 CS (Clinical Skills) of the USMLE Step 2 CS assesses whether an examinee can demonstrate the fundamental clinical skills essential for safe and effective patient care under supervision. There are three subcomponents of Step 2 CS: Integrated Clinical Encounter (ICE), Communication and Interpersonal Skills (CIS), and Spoken English Proficiency (SEP). A student will usually take Step 2 CS for the first time during the months of July, August, September or October at the beginning of Year Four of the medical curriculum. E. Failure of Step 1 or Step 2 CK or CS of the USMLE After the first failure of an exam, the student will be counseled by the Student Affairs Dean. If a student twice fails either Step 1, Step 2 CK or Step 2 CS of the USMLE, the student’s entire academic record will be reviewed by the Student Promotions/Special Programs Subcommittee to include consideration of extenuating circumstances. Recommendations for remedial experiences and/or further attempts will be forwarded to the Academic Committee. A third failure will result in dismissal from the School of Medicine. A student who (1) has satisfied all requirements for graduation except successful completion of Step 2 of the USMLE (see Section 3.B.) and who (2) is not formally enrolled for electives or board preparation courses will be granted an Academic Leave of Absence by the office of Academic and Student Affairs. 5. Criteria for Good Standing, Probation, and Suspension As a student proceeds through the medical curriculum, progress is monitored at the completion of each semester or academic year by the Student Promotions/Special Programs Subcommittee. Recommendations of academic standing are made to the Academic Committee and the Executive Dean. A student will be placed in one of the following categories: A. Good Standing A student is in Good Standing who has: (1) attained a cumulative Grade Point Average of 2.0 or higher OR maintained a semester Grade Point Average of 2.0 or higher for two consecutive semesters after having been placed on Probation or Suspension; AND (2) remediated any Unsatisfactory grade in a required course or clerkship; AND (3) passed the appropriate step of the USMLE (when applicable); AND (4) maintained acceptable academic and professional behavior and ethical standards. B. Probation A student loses good standing and is placed on Probation if she/he has (1) a cumulative Grade Point Average less than 2.0; OR (2) received a single Unsatisfactory grade in any course or clerkship; OR (3) failed to pass the appropriate step of the USMLE ; OR (4) unacceptable academic or professional behavior or ethical standards. Probation does not preclude the student from participation in subsequent courses or clerkships except in the following situations: (a) an Unsatisfactory grade in a Year One course must be remediated before the student will be allowed to enroll in Year Two courses; (b) an Unsatisfactory grade in a Year Two course must be remediated before the student will be allowed to enroll in clinical clerkships or clinical electives; (c) an Unsatisfactory grade in a required clinical clerkship must be remediated as soon as possible after receiving the grade; and (d) a student may not enroll in a course that requires satisfactory completion of a prerequisite course before the subsequent course can be taken. C. Suspension A student loses good standing or probationary status and is placed on Suspension if she/he has (1) a cumulative Grade Point Average less than 2.0 for two consecutive semesters; OR (2) received Unsatisfactory grades in two different courses or clerkships (required or elective); OR (3) continued or particularly egregious unacceptable academic or professional behavior or ethical standards. Suspension requires that the student’s normal progress through the curriculum be halted until a review by the Academic Committee. If currently enrolled, the student will be disenrolled and granted an Academic Leave of Absence by the office of the Executive Dean. A decision to permit continuation in the curriculmn, to recommend remedial experiences, or to move for dismissal will be made by the Academic Committee after careful consideration of the student’s academic record and other relevant information. 6. Academic and Professional Behavior and Ethical Standards A. A student will present only her/his own written work when submitted for credit or performed as a required element of a course or clerkship, unless group work is explicitly permitted by the faculty. B. A student will give, receive, or utilize only such assistance that has been authorized by the faculty in connection with any examination, written work submitted for credit, or work submitted or performed as a required element of a course or clerkship. C. A student will provide only truthful information to another person about any academic or clinical matter. D. A student will cooperate with other students while engaged in academic and clinical activities, so that no other student’s academic performance is obstructed. E. A student will act responsibly and exercise care when engaged in activities directly connected with patient care or academic activities. F. A student will protect the confidence of a patient and disclose information about a patient only to a person who is, at the time of disclosure, a member of the patient’s health care team. G. A student will honestly present material information pertaining to her/his class rank, Grade Point Average, or any other academic achievement or endeavor. 7. Remedial Experiences and Reinstatement to Good Standing A. The Student Promotions Subcommittee and Academic Committee will determine a course of remediation for a student who is not in Good Standing. Usually, one or more of the following remedial experiences will be recommended: (1) repeat a required course or clerkship. (2) enroll in a special course, clerkship, elective, or program to be determined, when appropriate, in consultation with course or clerkship directors. (3) repeat the entire semester or year. B. Any of these remedial experiences recommended in the preceding section, whether the same course or clerkship or an approved alternative, shall constitute a repeated attempt to satisfy a specific graduation requirement. C. After successful completion of a remedial experience to improve the cumulative Grade Point Average, to rectify one or more Unsatisfactory grades, and/or to pass the appropriate step of the USMLE, and a review of the academic record by the Student Promotions Subcommittee, the student who is on Probation or Suspension will be recommended for reinstatement to Good Standing. D. A student who has been placed on Probation or Suspension for having failed to maintain acceptable academic or professional behavior or ethical standards and has satisfactorily completed the specified remedial experience will be reviewed by the Student Promotions Subcommittee and recommended for reinstatement to Good Standing. E. Holding an office in a KUMC-sponsored student or campus organization or serving s a financially- supported representative to a regional, national, or international professional meeting shall be restricted to those students in Good Standing in their academic programs. Holding membership in KUMC-sponsored student or campus organization or participation in local volunteer service activities shall remain open to all students. During the process of annual registration of a student or campus organization and in the application of financial support for travel to extra curricular meetings, the respective Office of Student Affairs in each school shall verify that the student officers and financially-supported meeting participants are in Good Standing. F. No course or clerkship established expressly for a remedial experience or to rectify an Unsatisfactory grade may substitute for a required course or clerkship (see Section 1). G. Failure to meet the criteria of the remedial experience is grounds for Dismissal (see Section 9). 8. Withdrawals and Leaves Students may not withdraw from a required medical school course after the first day of class, unless they are making a total withdrawal from medical school or unless extremely extenuating circumstances can be documented. A leave of absence from all classes may be granted by the Associate Dean for Student Affairs. Any request for such a leave must be in writing and must state with particularity the reasons on which the request is based. If the student withdraws or a leave of absence is approved, the following record will appear on the student’s transcript: A. During the first five weeks of the semester, or the first one-third of a clinical module, the enrollment is canceled without reflection on the student’s permanent record. B. After the fifth week, or last two-thirds of a clinical module, the student will receive a grade of either W or WF at the instructor’s option (see Section 2.E. Grading and Records for calculation of Grade Point Average). A student who is granted a Leave of Absence, whether Medical, Personal, or Academic, will be given one of the following designations: [Type] Leave in Good Standing, [Type] Leave on Probation, or [Type] Leave on Suspension. 9. Dismissal for Failure to Abide by the Academic Standards A student who has failed to abide by the academic standards of The University of Kansas School of Medicine will be subject to Dismissal upon recommendation of the Student Promotions Subcommittee to the Academic Committee. Such recommendation for Dismissal may occur for one or more (but are not limited to) of the following reasons: A. Receipt of Unsatisfactory grades, rectified or not, in (1) a total of three different courses, clerkships or electives; OR (2) two clerkships or clinical electives; OR (3) the same course or clerkship twice. B. Maintenance of a cumulative Grade Point Average less than 2.0 for four (4) consecutive semesters. C. Failure to comply with an Academic Committee recommendation for remedial experience. D. Unexcused failure to enroll. E. Absence without leave. F. Improper withdrawal, once enrolled, from a required course or clerkship. G. Failure to complete requirements for graduation within the stipulated time permitted (see Section 3.D.). H. Repeated unacceptable academic and/or professional behavior and/or ethical standards. A student recommended for Dismissal shall be notified by certified letter from the Office of Student Affairs on the Kansas City campus and shall have an opportunity to appear personally before the Academic Committee prior to a decision by the Academic Committee and transmission of that decision to the Executive Dean. 10. Due Process for Academic Dismissal A. A student recommended for dismissal for one or more reasons listed in Section 9 above may request, in writing, an opportunity to appear personally before the Academic Committee prior to the effective date of the recommendation for dismissal. Upon receipt of a written request the Academic Committee shall permit the student the opportunity to characterize her/his academic conduct and place it in what the student deems to be the proper context. Under no circumstance shall the student be permitted to be represented by counsel. However, if the student desires, up to three faculty members may testify on the student’s behalf. The purpose of the meeting is to permit an informal "give and take" between the student and the Academic Committee. B. Should, after such a meeting, a majority of a quorum of the Academic Committee again recommend dismissal, this decision shall be forwarded to the Executive Dean. The student will have ten (10) days to appeal the decision to the Executive Dean. The Executive Dean will, after ten (10) days or after hearing the student’s appeal, decide to implement the recommendation for dismissal or to reinstate the student into the academic program of the medical school. The Executive Dean should inform the Academic Committee in writing the reasons for the decision of reinstatement and should describe any special conditions that the student will be expected to undertake relative to the student’s reinstatement into the academic program. C. A student dismissed for failing to meet the academic standards of the School of Medicine may reapply for admission to the School of Medicine. The application shall be considered by the Admissions Subcommittee in the same manner as are other applications. Misconduct Warranting Discipline A. A student who is suspected of misconduct may bring a recommendation from the Academic Committee for dismissal from the School of Medicine. Misconduct is described as, but not limited to: conviction of a felony involving moral turpitude; or material misrepresentation concerning past achievements or present endeavors; or habitual abuse of narcotic drugs, or drugs listed in Schedules I, II, III or IV of the Comprehensive Drug Abuse Act; or abuse of alcohol or using, possessing, manufacturing or distributing controlled substances in violation of the law on university property or at university events as described in the published university policy entitled Policies on the Use of Alcohol and Other Psychoactive Substances; or any other acts or omission which, if the student were a licensed physician, could result in discipline by the Kansas State Board of Healing Arts. B. If it is believed that misconduct warranting discipline has occurred, the matter will be presented to the Associate Dean for Student Affairs, who will refer the matter to the Academic Committee. If the Academic Committee determines that sufficient cause exists, the student will be advised that they have the right to request a hearing as described below. If after this hearing the Academic Committee, finds that misconduct warranting discipline has occurred, and that the nature of the offense is such that such discipline is warranted, it may recommend to the Executive Dean: 1. that the student receive an unsatisfactory grade for the course; and/or that he/she be dismissed from the School for a specified period or time; or that he/she be dismissed from the School; or 2. that such other measures be taken as are determined appropriate under the circumstances, or according to University Policy or Local, State and Federal Law. Students dismissed for misconduct warranting discipline shall not be readmitted to the School of Medicine. Hearing Procedure for Misconduct Warranting Discipline A. In the event any student is alleged to have engaged in any misconduct warranting discipline for which the student has been recommended to the Academic Committee for dismissal or other disciplinary action, the student may request, in writing, an opportunity to appear personally before the Academic Committee prior to the effective date of the recommendation for dismissal. Upon receipt of a written request the Academic Committee shall permit the student the opportunity to characterize her/his academic conduct and place it in what the student deems to be the proper context. Under no circumstance shall the student be permitted to be represented by counsel. However, if the student desires, up to three faculty members may testify on the student’s behalf. B. Should, after such a hearing, a majority of a quorum of the Academic Committee votes to recommend dismissal or other disciplinary action, this decision shall be forwarded to the Executive Dean. The student will have ten (10) days to appeal the decision to the Executive Dean. The Executive Dean will, after ten (10) days or after hearing the student’s appeal, decide to implement the recommendation for dismissal or other disciplinary action, or to reinstate the student into the academic program of the medical school. The Executive Dean should inform the Academic Committee in writing the reasons for the decision of reinstatement and should describe any special conditions that the student will be expected to undertake relative to the student’s reinstatement into the academic program.
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