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Dartmouth The M.D.-Ph.D. Student Handbook 2009-2010 The M.D.-Ph.D. Program at Dartmouth The Norris Cotton Cancer Center One Medical Center Drive 603 Rubin Building Lebanon, NH 03756 (603) 653-9958 1 Table of Contents For 2009-2010 The M.D.-Ph.D. Student Handbook Page Number Introduction 4 The M.D.-Ph.D. Program at Dartmouth 4 Goals of the M.D.-Ph.D. Physician-Scientist 5 Expectations of the M.D.-Ph.D. Student at Dartmouth 5 Academic Performance 5 Obligations of Students in the M.D.-Ph.D. Program at Dartmouth 6 Proceeding through the M.D.-Ph.D. Program at Dartmouth 7 Training Structure 7 Phase 1: The First Two years 7 Arrival 7 DMS Years 1 and 2 for the M.D.-Ph.D. Student 8 Transition to the Ph.D. Thesis 8 Phase 2: Graduate Work and the Ph.D. Thesis 8 Expectations for Students and Thesis Advisors during the Ph.D. Training Phase 8 Graduate Program-Specific Requirements 9 Graduate Courses 9 M.D.-Ph.D. Graduate Program Requirements 9 Molecular and Cellular Biology (MCB) Program 9 The Program in Experimental and Molecular Medicine (PEMM) 10 Thayer School of Engineering (M.D.-Ph.D. Program in Biomedical Engineering 10 Other Ph.D. Programs 11 Transition to Phase 3 11 Review of Clinical Skills 12 Phase 3: DMS Years 3 and 4 for the M.D.-Ph.D. Student 13 DMS Year 3 13 DMS Year 4 14 Revisions of the Curriculum for the 3rd and 4th Years of DMS 14 A New M.D.-Ph.D. Clinical Research “Selective” (Required Elective) 14 Rotation Description 14 Integration of the 4th Year Courses for M.D.-Ph.D. Students’ Educational Needs 15 USMLE Time Limits 15 Advising for the M.D.-Ph.D. Student 17 Class Program Advisor 17 Table of Contents For 2009-2010 The M.D.-Ph.D. Student Handbook Registration 17 2 Registration as Medical Students 17 DMS Year I Entering Class 17 DMS Years II-IV 18 Late Registration Fee for Medical Students 18 Registration as Doctoral Students 18 The Dartmouth Institute for Health Policy and Clinical Practice 19 Thayer School of Engineering 19 Registrars 19 International Students 19 Transcripts and Grading Issues 20 Training Programs 20 Laboratory Safety Training Program 20 Professional Ethics Program for First Year Graduate Students 21 Leave of Absence for M.D.-Ph.D. Students 21 Postdoctoral Fellowships 22 Financial Support for the M.D.-Ph.D. Student 22 Loan Policy for M.D.-Ph.D. Students 23 Employment/Research Activities 23 Student Billing 23 M.D.-Ph.D. Student Fees 24 Student Activity Fees 24 Disability Insurance 25 Reimbursement of Student Expenses 26 M.D.-Ph.D. Social/Professional Activities 26 Annual Meetings and Enrollment Plans 27 M.D.-Ph.D. Admissions Season 27 Visiting Day 27 Policy on Student Images 27 M.D.-Ph.D. Program Office 28 3 Dartmouth The M.D.-Ph.D. Student Information Handbook Student Policies for the M.D.-Ph.D. Student Introduction Students in the M.D.-Ph.D. Program are governed by rules and regulations established by Dartmouth College as well as those established by Dartmouth Medical School (“DMS”). Please note that this handbook does not replace those issued by the graduate programs in the Arts and Sciences, the Thayer School of Engineering, the Dartmouth Institute for Health Policy and Clinical Practice or Dartmouth Medical School. It is important for M.D.-Ph.D. students to become acquainted with those policies and procedures contained in the handbooks that relate to their status as a medical student or as a graduate student. The following information includes some excerpts taken by those handbooks mentioned above. However, this handbook serves to provide guidance for M.D.-Ph.D. students as they train in their two academic fields and to alert them to policies and procedures that govern their status as M.D.-Ph.D. students. The M.D.-Ph.D. Program at Dartmouth The profession of medicine has entered an especially challenging and exciting period as the health care system undergoes revolutionary changes in its organization and focus. There is, therefore, an increased need for leaders who can use powerful, newly developed technical and conceptual tools to diagnose, treat, and prevent illness. One of the most effective ways to provide leadership on these issues and to advance our knowledge of health care and the human condition is through an educational program such as the M.D.-Ph.D. Program. Dartmouth is committed to training physician-scientists for the 21st Century. Dartmouth Medical School will meet and exceed educational challenges in training the next generation of physician-scientists, individuals that will provide excellent patient care, lead discovery in biomedical disease-oriented research, advocate for basic and translational biomedical research, and take leadership roles in biomedical research and the delivery of health care. Training for this career path will be unique and distinct from the simple combination of the separate M.D. and Ph.D. educational programs. Of equal importance is the need to maintain flexibility to meet the special needs of individual students. The program at Dartmouth offers opportunities that are challenging and rewarding for students who are committed and motivated. This is an era of astounding discoveries in biomedical research making it an exciting time for pursuing a unique career. 4 Goals of the M.D.-Ph.D. Physician-Scientist M.D.-Ph.D. physician-scientists are special individuals with extensive training in both medicine and in biomedical research. M.D.-Ph.D.s are vital members of the research community and are uniquely positioned to advance basic and clinical research. Their goals are to: (1) Advance the understanding of health and disease processes at the basic research level; (2) Mediate the translation of bench top discovery into clinical advances in the diagnosis, prevention, or therapy of diseases; (3) Ameliorate illness and suffering through patient care, basic and applied research; and (4) Establish and implement health care policy. Expectations of the M.D.-Ph.D. Student at Dartmouth In addition to academic excellence, students in the M.D.-Ph.D. Program are expected to review and to comply with the following: • The personal principles and values as well as rules and regulations concerning Academic and Personal Conduct as described in the Dartmouth Medical School (DMS) Student Policy Handbook. • The Dartmouth Medical School Honor System as outlined in the DMS Student Policy Handbook. • The Dartmouth-Hitchcock Medical Center Core Code of Ethical Conduct and Code of Professional Conduct as described in the DMS Student Policy Handbook. • The Principle of Community, the Academic Honor Principle and the Student Code of Conduct as outlined in the Dartmouth Arts & Sciences Graduate Student Handbook. A student found in violation of the Honor Principle or Code of Conduct forfeits his/her right to continue at Dartmouth. Academic Performance It is our expectation that all M.D.-Ph.D. students will maintain an excellent academic record. If a student encounters academic difficulty, the student may be placed on probation and is at risk for being separated from the Program. Further, should the Council on Student Performance and Conduct request that a student split his/her academic year in order to improve performance, tuition and stipend support will cease during that time. The student could be placed on a Leave of Absence from the Program, and will need to formally petition to be re-instated. As you know, the Program is fully supported by Dartmouth Medical School and requires a substantial influx of monies each year. Thus, your performance reflects not only on your personal record, but also on that of the entire Program. We have every reason to 5 expect that M.D.-Ph.D.s will be leaders in their chosen fields, both in the clinic and at the bench. It is not unreasonable to expect that M.D.-Ph.D. students will be academic leaders within their class. Obligations of Students in the M.D.-Ph.D. Program at Dartmouth The M.D.-Ph.D. Program is a single, dual-degree program with two training components: 1) medical school training leading to the M.D. degree; and 2) doctoral graduate training leading to the Ph.D. degree. Admission to and/or enrollment in the M.D.-Ph.D. Program do not constitute or imply the option to pursue only one or the other degree individually. Students who wish to withdraw from one component may not continue in the other component without approval upon petition; students who are suspended from one component are automatically suspended from the other component without approval upon petition. Only those students who are in good academic standing in both the medical school training component and the doctoral training component will be considered eligible to petition to discontinue one component while continuing the other. Such a petition must be submitted to the Director of the M.D.-Ph.D. Program. The petition will be granted if approved by the Director of the M.D.-Ph.D. Program; the graduate program in which the student is enrolled; the Dean of Graduate Studies in the Faculty of Arts and Sciences; and the Committee on Student Performance & Conduct in the Medical School. There are also budgetary obligations on behalf of the student that will need to be addressed before a student is approved for discontinuing the doctoral training program. Specifically stated in the contract letter signed by M.D.-Ph.D. students: While enrolled in the Medical School M.D.-Ph.D. students will receive a deferment of their tuition. When they have satisfactorily completed their graduate program, earning their Ph.D., the deferment of medical school tuition will be changed to a full waiver and the waiver will be continued through to the completion of the M.D. If the M.D.-Ph.D. student has been enrolled as a medical student and drops out of the graduate program before earning the Ph.D., any deferred tuition for the Medical School will become due and payable. M.D.-Ph.D. students should understand that the School can help them arrange for financial aid, if they are eligible, only for the year/courses in which the student is enrolled when they drop out of the program. They will need to procure funding independently for any prior academic years for which they received a deferment. On the other hand, if a student is expelled or separated from either component, that student is automatically dismissed and terminated from the other component and from the M.D.-Ph.D. Program as a whole. Issues concerning the academic performance, status and/or conduct of an M.D.-Ph.D. student relating to study in the Ph.D. component will be addressed and adjudicated first by the graduate program in which the student is enrolled, and, if necessary, by the Office of the Dean of Graduate Studies. Please review the Arts & Sciences Student Handbook at: www.dartmouth.edu/~gradstdy/students/. 6 Issues concerning the academic performance, status and/or conduct of an M.D.-Ph.D. student relating to study in the M.D. component will be addressed and adjudicated by the Committee on Student Performance & Conduct. Please refer to the DMS Student Handbook at: http://dms.dartmouth.edu/students/resources The student who matriculates into the M.D.-Ph.D. Program is obligated to complete the requirements for both degrees in a timely fashion according to established policies of Dartmouth Medical School and the Arts and Sciences Graduate Program. Please refer to your medical school and graduate student handbooks for further information. Proceeding through the M.D.-Ph.D. Program at Dartmouth The M.D.-Ph.D. Program at Dartmouth is organized to permit students to achieve the full potential of both degrees in an efficient and effective manner while also developing an understanding of the health care system as a whole. Training Structure There will be three major phases of training. Broadly stated, students will complete DMS years 1 and 2, then their Ph.D. graduate training, and finally DMS years 3 and 4. This is referred to here as a "2-P-2" structure. In somewhat more detail: Phase (1) During the first two years, students will complete Dartmouth Medical School years 1 & 2, complete up to three laboratory rotations, and choose their Ph.D. graduate program and thesis lab. (2) During the Ph.D. thesis phase, students will complete all requirements for their Ph.D. thesis program and participate in clinical tutorials. (3) Following completion of their thesis work, students will complete Dartmouth Medical School years 3 & 4. Phase 1: The First Two Years Arrival When M.D.-Ph.D. students confirm matriculation they will be assigned a Class Program Advisor. The Class Program Advisor, with help from Ann Coady and assigned M.D.- Ph.D. students, will provide guidance to the incoming group and assist and advise in living, administrative, and academic issues. Students will begin Dartmouth with the start of DMS Year 1 and its orientation which begins in mid-August. These students will perform their first rotation after their first year of medical school and their second rotation after the second year of medical school. They will be expected to enter their thesis laboratory in the fall. 7 DMS Years 1 and 2 for the M.D.-Ph.D. Student You can access information about the medical school curriculum at: http://dms.dartmouth.edu/ed_programs/. The second year of medical school needs to be completed before students enter their graduate Ph.D. thesis phase. Transition to the Ph.D. Thesis Prior to entering the Ph.D. thesis phase of the program, all requirements for the first two years of Dartmouth Medical School and up to three research rotations must be completed. In addition, students should plan to take USMLE part 1. Students are urged to pass USMLE part 1 before proceeding with their research. In the unlikely event that a student fails USMLE part 1, the M.D.-Ph.D. Program Director will meet with the student to plan appropriate actions. It will be expected that the student will re-take the USMLE part 1 at the next available date. Failure to pass USMLE part 1 in two tries is grounds for dismissal from the M.D.-Ph.D. Program. Phase 2: Graduate Work and the Ph.D. Thesis Expectations of Students and Thesis Advisors during the Ph.D. Training Phase Before the M.D.-Ph.D. student commits to a specific laboratory for his/her thesis, the student and the identified potential thesis advisor must meet with the M.D.-Ph.D. program Director. The purpose of this meeting is to clarify for the potential thesis advisor his/her understanding of the structure of the M.D.-Ph.D. program, to discuss in particular the two critical transition points that flank the Ph.D. training: (1) the transition between M2 and the Ph.D. phases of training, and (2) the transition between the Ph.D. and M3 phases of training. In addition, the Director of the M.D.-Ph.D. program must approve each student's selection of his/her Ph.D. thesis advisor. The student and the Ph.D. thesis advisor are expected to meet with the director of the M.D.-Ph.D. program on an annual basis to discuss progress with the thesis research and to plan appropriately for the Ph.D. defense. In addition, students are expected to send a copy of their annual program- or department-specific Ph.D. thesis committee meeting to the M.D.-Ph.D. office. Graduate Program-Specific Requirements During the Ph.D. thesis phase, the M.D.-Ph.D. student will fulfill the requirements of their graduate programs for their Ph.D. These specific requirements will be pre- determined by the individual graduate programs in consultation with the M.D.-Ph.D. Program and may include participation in seminars, journal clubs, and teaching 8 assistantships. Specific requirements will vary between graduate programs. Students should reasonably expect to complete their research, dissertation, and defense in about four years. It is expected that students will publish their research findings in high-quality peer-reviewed journal(s). Graduate Courses Requirements of M.D.-Ph.D. students to take graduate school entry-level core courses are waived, and the DMS1 and DMS2 curriculum will be accepted in lieu. To maximize research productivity M.D.-Ph.D. students are required to take usually no more than two higher-level graduate school courses. Limiting courses may not be appropriate for students in graduate programs such as Chemistry, Computer Science, The Institute for Health Policy and Clinical Practice, and Psychological and Brain Sciences, which may require substantial coursework not included in the Dartmouth Medical School curricula. M.D.-Ph.D. Graduate Program Requirements Over the past several years, the Ph.D. program requirements for some of the graduate programs at Dartmouth have been modified to accommodate M.D.-Ph.D. students. The three Dartmouth graduate programs that have modified their curricula for M.D.-Ph.D. students include Molecular and Cellular Biology (MCB), the Program in Experimental and Molecular Medicine (PEMM) and the Thayer School of Engineering. Currently, other Dartmouth graduate programs (including Chemistry, Computer Science, Psychology and Brain Sciences, as well as The Dartmouth Institute for Health Policy and Clinical Practice) have no differences in requirements between M.D.-Ph.D. students and Ph.D. students. Molecular and Cellular Biology (MCB) Program: M.D.-Ph.D. students are required to complete two research rotations. The first rotation typically occurs in the summer between years one and two of Dartmouth Medical School (DMS). The second rotation occurs following DMS year two and USMLE Step 1. A thesis lab may be chosen after the second rotation. Once an M.D.-Ph.D. student chooses his/her MCB lab, the student will formally become a member of the MCB program and will begin working full time on his or her Ph.D. The first two years of the DMS curriculum substitute for the MCB core course. However, MCB has seven program requirements for M.D.-Ph.D. students to fulfill for a Ph.D.: (1) two research rotations (completed before enrolling in the MCB Program), (2) two graduate course electives selected from the MCB approved course list, (3) an approved ethics course, which does not count as an elective. (4) a qualifying exam, (5) attendance at Program functions, (6) a thesis, (7) a thesis seminar, and (8) a thesis defense. Program functions include journal club 9 participation (Fall, Winter, Spring), Research-in-Progress seminars (RIPs), and program seminars.1 The Program in Experimental and Molecular Medicine (PEMM): M.D.-Ph.D. students are required to complete two research rotations. The first rotation typically occurs in the summer between years one and two of Dartmouth Medical School (DMS). The second rotation takes place after DMS year two and USMLE Step 1. A thesis lab may be chosen after the second rotation. Once an M.D.-Ph.D. student chooses his/her PEMM lab, the student will formally become a member of the PEMM program and will begin working full time on his or her Ph.D. M.D.-Ph.D. students are exempt from PEMM 101, 102, and 103. Some M.D. coursework may be considered equivalent to some PEMM coursework, so M.D.- Ph.D. students may be exempted from up to one additional elective PEMM course. M.D.-Ph.D. students are responsible for completing all other PEMM requirements and will typically take 2-3 PEMM courses beyond their M.D. coursework. PEMM has additional program requirements for M.D.-Ph.D. students to fulfill for a Ph.D.: (1) a qualifying exam, (2) attendance at Program functions, (3) a thesis, (4) a thesis seminar, and (5) a thesis defense. Program functions include journal club participation, Research-in-Progress seminars (RIPs), and program seminars.2 Thayer School of Engineering (M.D.-Ph.D. Program in Biomedical Engineering): M.D.-Ph.D. students will enter the Thayer School after successfully completing DMS one and two, as well as taking USMLE Step 1. No formal research rotations are required. Candidates will be required to choose a research advisor at Thayer during the first two medical school years. Once a M.D.-Ph.D. student begins the Ph.D. program at Thayer, the student must be a member of a Thayer laboratory for funding to continue. All M.D.-Ph.D. students must be in residence, i.e., registered for a full course/research load for a minimum of 6 terms at the Thayer School. M.D.-Ph.D. candidates work with their special advisory committee3 to make sure that all Thayer Ph.D. degree requirements are met. These requirements include technical proficiency, technical breadth, specialization, professional competence, and original research. (More information is available in the Thayer Guide to Programs) 1 This information is available at: http://dms.dartmouth.edu/mcb/about/mcbrules/MDPHD.php. 2 This information is available at: http://dms.dartmouth.edu/pemm/ 3 The special advisory committee is assigned to the student upon arrival at Thayer. This committee is for academic advising and is typically different than the thesis committee. The committee is composed of the proposed thesis advisor and two other engineering faculty. 10 For M.D.-Ph.D. candidates, the following coursework will typically be required: Three (3) courses in applied mathematics and four (4) courses leading to a depth of knowledge in an engineering specialty. Medical school coursework may not be substituted for any of these seven courses. In addition to these seven courses, M.D.-Ph.D. students must participate in the following seminars and workshops: ENGS 195 (Seminar on Science, Technology, and Society) for 1 term. ENGG 196 (Seminar on Applied Science and Technology) for 3 terms. ENGG 197 (Ph.D. Professional Workshops) for 1 term. ENGG 198 (Research-in-Progress Workshop) annually. M.D.-Ph.D. candidates must complete an oral qualifying exam after three terms in residence and, subsequently, a thesis proposal defense and defense of the actual thesis.4 Other Ph.D. Programs: For all other Ph.D. programs, the requirements for M.D.-Ph.D. students are not different from those for Ph.D. students. Please consult the appropriate department to determine those requirements. Transition to Phase 3 Students wishing to matriculate must defend their Ph.D. thesis before they enter their first clinical block. The ideal time to finish the Ph.D. phase of training is in the spring prior to the June graduation. This allows the student to join the M3 clinical clerkships in Block 1, near the end of June. Late June is the optimum time to begin M3, and students are strongly encouraged to plan carefully so that they can be in a position to begin the first Block. Block 2, in late August, is the last possible date for matriculating in M3 with the intent of graduating two years later. Please note that students are strongly discouraged from beginning in Block 2. Attendance at the clinical orientation for rising DMS 3rd years that takes place at the end of June is mandatory for all students entering 3rd year. Even if the student plans to begin in Block 2, s/he is still expected to attend the clinical orientation at the end of June. Regardless of when s/he plans to join the clinical clerkships during the 3rd year, the student is expected to discuss his/her plans in advance with the Assistant Dean for Medical Education (currently Dr. Eric Shirley). 4 This information is available at http://engineering.dartmouth.edu/graduate/md/. 11 If the student defends his/her Ph.D. thesis in mid-academic year (after the beginning of Block 2), the M.D.-Ph.D. Program encourages the PI to allow the student to remain on as a post-doctoral fellow until the time where the student can matriculate into DMS year 3, with the expectation that the student be productive during this interim period. If a student wishes to matriculate into DMS year 3 in June, the student and his/her thesis advisor must discuss the student’s plan with the M.D.-Ph.D. office no later than January 31 of the same calendar year. In the final year of the Ph.D. training, students need to schedule a meeting with his/her thesis committee twice prior to completion of the Ph.D. October is a preferred time for the first meeting in order to engage the committee with the completion plans. The second session should be no later than January prior to the June completion or March if the student intends to defend his/her thesis in August. Review of Clinical Skills One of the challenges M.D.-Ph.D. students encounter in the program’s 2-P-2 format is re-entry from the Ph.D. thesis work to the clinical medical school years. All M.D.-Ph.D. students at Dartmouth receive instruction in clinical skills during DMS1 and DMS2 through the On Doctoring course and through seeing patients. To assist in the return to the clinical training phase of the program, prior to entering DMS3, M.D.-Ph.D. students will undertake a program to refresh their clinical skills, including, interviewing, physical examination, developing an assessment, and oral and written presentation. Specific skills to be reviewed include: History taking: Chief Complaint, History of Present Illness, Past Medical History, Social History, Family History, Review Of Systems. Some attention will also be given to motivational interviewing skills. Physical exam skills: vital signs, HEENT (head, ears, eyes, nose, throat), cardiac, pulmonary, abdominal, musculoskeletal/extremities, neurological. Patient presentations and completing formal written documentation of patient encounters, including SOAP notes and longer in-patient notes. Clinical services agreeing to participate in the refresher course for M.D.-Ph.D. students is shown in the table. Service Contact Person Number of slots available for M.D.- Ph.D. students 12 General Internal Medicine Roshini Pinto-Powell, 1 or 2 M.D. Pediatrics (PICU) Todd Poret, M.D. 1 Family Medicine Cathleen Morrow, M.D. 1 or 2 Alternatively, with permission from the M.D.-Ph.D. program, individual students may identify a primary practice provider or group not listed above that is able and willing to provide this experience. Within the six months before starting his/her clinical rotations, the M.D.-Ph.D. student is expected to complete 16 hours of mentored clinical time. The student will work with the M.D.-Ph.D. Program to set up an appropriate refresher experience and identify an appropriate service and mentor. The student is expected to coordinate with her/his clinical mentor a regular schedule during which s/he will complete the clinical refresher. A typical schedule is a regular two-hour block of time, once per week, for eight weeks. The schedule is flexible and can be modified at the discretion of the student and the clinical mentor. Phase 3: DMS Years 3 and 4 for the M.D.-Ph.D. Student DMS Year 3 The M.D.-Ph.D. student will typically complete all required clinical clerkships in the DMS3 year. The exception is the student returning in September, who may complete five of the six clerkships, with the sixth to be completed in DMS4. Required clerkships are: Internal Medicine Surgery Family Medicine Neurology Obstetrics, Gynecology, and Women’s Health Outpatient Medicine Psychiatry Pediatrics DMS Year 4 The curriculum for the DMS year 4 M.D.-Ph.D. student includes the remainder of the required clinical clerkships, as well as the Clinical Investigation Course (see below). Any of the eight DMS year 3 clerkships that may have not been completed yet 13 The two additional required DMS4 clerkships Sub-internship The Feb-March block on o Health Society and Physician o Clinical Pharmacology and Therapeutics o Advanced Medical Sciences o Cardiac Life Support Revisions of the Curriculum for the 3rd and 4th Years of DMS A New M.D.-Ph.D. Clinical Research “Selective” (Required Elective) The medical school curriculum of Dartmouth’s M.D.-Ph.D. program should best serve the needs of M.D.-Ph.D. students while preserving the integrity of the core M.D. curriculum. A new required clinical rotation has been established to better prepare M.D.-Ph.D. students for careers as physician-scientists. This new rotation for M.D.- Ph.D. students will replace the Geriatric and Ambulatory Medicine (GAM) rotation, typically completed in the DMS year 4. The new rotation consists of working with two to three physician-scientists in the Department of Medicine to learn how the successful physician-scientist combines the clinical and research aspects of his/her career. Rotation Description The new rotation is required for all M.D.-Ph.D. students and is completed under the auspices of the Department of Medicine. The main goal is to expose M.D.-Ph.D. students to translational and clinical research and to augment clinical skills in one or more medicine subspecialties. Each M.D.-Ph.D. student will be matched with two or three mentors in the Department of Medicine at DHMC. Mentors will be active in clinical and/or translational research and will also have clinical duties. Mentors will be selected based on these criteria and their willingness to include M.D.-Ph.D. students in a variety of enriching experiences, including IRB, lab meetings, clinical duties and others. Members of the faculty who volunteer to mentor are expected to help the students with their professional development. The duration of the clerkship will be four weeks. M.D.- Ph.D. students will be permitted scheduling flexibility, to complete this clerkship at various times throughout DMS years 3 and 4. Students will be evaluated through observations of their clinical skills and techniques as observed by the mentors, as well as through a written report, that can take the form of a case report, an analysis of the scientific rationale behind a clinical trial, or possible avenues of using scientific means to advance clinical knowledge related to a disease. Students must complete the 7 week medicine clerkship before they can take their selective. Integration of the 4th Year Courses for M.D.-Ph.D. Students’ Educational Needs There will be two changes in DMS4 courses specifically for M.D.-Ph.D. students. The first pertains to the Advanced Medical Sciences (AMS) course taught to all medical students. Parts of AMS are redundant with the Ph.D. training phase for M.D.-Ph.D. 14 students. M.D.-Ph.D. students will be relieved from the portion of the AMS course that trains student to critically read scientific manuscripts. This relief amounts to five hours, allowing the students more time to focus on the M.D.-Ph.D.-specific Clinical Investigation Course (CIC), offered concurrently during DMS4. The CIC (PHARM 602) has been offered since 2007 and has been popular with the M.D.-Ph.D. students. The purpose of the CIC is to serve as a final point of integration between the Ph.D. and M.D. curricula. It also introduces the students to more in-depth knowledge about the design and execution of clinical research and clinical trials. This course will be offered over a 7-week period in February and March of the 4th year. Therefore this course will overlap with HSP, CPT, AMS, and ACLS courses, and will not exceed 3 hours of class time per week (total of 21 hours of class time.) It is possible that this course could be opened to other (non-M.D.-Ph.D.) students; if so, the enrollment should be capped at 10 individuals. USMLE Time Limits http://www.usmle.org/General_Information/general_information_bulletin.html It is a requirement for medical licensure that you complete the three steps of the United States Medical Licensing Examination (USMLE). Each State’s Medical Board administers medical licensure and the requirements for licensure therefore vary from state to state. There is a general time limit of seven years for the completion of the three USMLE steps. The USMLE does recommend exceptions to the time limit for M.D.-Ph.D. students (see below). However, it is only a recommendation and each state will have their own requirements. You can locate state requirements on the USMLE web site. TIME LIMITS FOR PASSING USMLE Posted December 13, 2004 In the United States and its territories, the individual medical licensing authorities (state medical boards) of the various jurisdictions grant a license to practice medicine. Each medical licensing authority sets its own rules and regulations and requires passing an examination that demonstrates qualification for licensure. Although the USMLE program places no limitation on the time period to complete the Step examination sequence, the program recommends to medical licensing authorities that they require the dates of passing the Step 1, Step 2, and Step 3 examinations to occur within a seven-year period. For purposes of medical licensure in the United States, any time limit to complete the USMLE is established by the state medical boards. Most, but not all, use the recommended seven years as the time limit for completion of the full USMLE sequence. While medical schools may require students to pass one or more Steps for advancement and/or graduation, students should understand the implications for licensure. For states that establish a time limit for completion of all three Steps, the “clock” starts running on the date the first Step or Step Component is passed or, in 15 some cases, on the date of the first attempt at any Step. General information regarding state-specific requirements for licensure can be obtained from the Federation of State Medical Boards (www.fsmb.org). For definitive information, students should contact directly the jurisdiction in which they intend to seek licensure. Special Notice for M.D-Ph.D. Candidates: The common pathway for M.D.-Ph.D. students involves completion of the first two years of medical school and then moving to graduate school studies and research for a three- or four-year period. Following completion of Ph.D. course work and all or most of their research project, these students return to complete their two clinical years, thus completing the medical degree in seven to nine years after first matriculating. The USMLE program recognizes that the recommended seven-year time limit may pose problems for medical licensure for some students pursuing a combined degree (i.e., M.D.-Ph.D.). It is for this reason that the USMLE program recommends to licensing jurisdictions that they be willing to consider exceptions to the seven-year limit for M.D.-Ph.D. students who meet certain narrow requirements. The recommended requirements are as follows: • The candidate is working toward both degrees in an institution or program accredited by the Liaison Committee on Medical Education (LCME) and regional university accrediting body and is a student in good standing, enrolled in the institution or program. • The Ph.D. studies should be in a field of biological sciences tested in the Step 1 content. These fields include but are not necessarily limited to anatomy, biochemistry, physiology, microbiology, pharmacology, pathology, genetics, neuroscience, and molecular biology. Fields explicitly not included are business, economics, ethics, history and other fields not directly related to biological science. • Candidates seeking an exception to the seven-year rule should be required to present a verifiable and rational explanation for the fact that he or she was unable to meet the seven-year limit. Although these explanations will vary considerably, each licensing jurisdiction will need to decide on its own which explanation justifies an exception. Students who pursue both degrees should understand that while many states' regulations provide specific exceptions to the seven-year rule for dual degree candidates, others do not. Students pursuing a dual degree are advised to check the state-specific requirements for licensure listed by the Federation of State Medical Boards (www.fsmb.org.) http://www.usmle.org/copyright.htm Advising for the M.D.-Ph.D. Student Class Program Advisor All newly arriving M.D.-Ph.D. students will be assigned a single Program Advisor for their first year of training. This individual will be a faculty member who has extensive knowledge of the M.D.-Ph.D. Program, the Medical School, and the various graduate 16 programs. The Class Program Advisor will serve as a focal point for the first year class students to go to for programmatic advice. S/he will meet several times throughout the year with all the M.D.-Ph.D. students, both as a group and individually. With the assistance of the M.D.-Ph.D. program administrators, the Class Program Advisor will assist the students in choosing lab rotations. Registration M.D.-Ph.D. students register with either the 1) Dartmouth Medical School; 2) Office of Arts and Sciences Graduate Studies; 3) The Dartmouth Institute for Health Policy and Clinical Practice; or 3) Thayer School of Engineering. Registration as Medical Students Registration at DMS consists of two separate activities and is required of every student prior to, and at the beginning, of each school term during designated times. The first of the two activities involves the actual selection of the term coursework and methods differ from class to class. The second activity is called “Registration Check-In" and validates course selections and allows the student to begin the term. The check-in process is done through the WEB. In order to be eligible for registration check-in, all students must have their term bill and DA$H accounts in order, as well as have their Dick's House files and necessary immunizations completed. Prior to registration check- in, "holds" are placed on the files of any student who has not cleared any outstanding obligation, as noted, and registration check-in may not be completed until the "hold" is released. Students are not considered "enrolled" until they have completed the check-in process. Students who are not "enrolled" are not eligible for malpractice insurance, course registration, loan deferment and other services afforded to registered/enrolled students. Completion of check-in allows Financial Aid to be disbursed. DMS Year I Entering Class Registration check-in for newly entering students is explained during orientation week and is completed via the WEB during approximately the first week of classes. The staff of the Registrar’s office processes the actual selection and registration of each student into the Year 1 courses. Registration check-in takes place for approximately the first week of each of the three Year 1 terms. Entering students normally receive a summer mailing from the DMS Student Affairs Office that outlines all of the orientation week activities. At Orientation, students will learn about the registration and check-in procedure, receive Dartmouth College and DHMC identification cards, and have individual photographs taken for a class composite called the “Face Sheet” which is distributed to faculty and administrative offices. This “Face Sheet” is reconfigured each year through Year 4 at DMS. This is also the time when students can register their cars; receive mailbox assignments, and other important class schedule information. The mandatory orientation is a full and rewarding introduction to the all aspects of DMS life including course work. 17 DMS Years II-IV Registration and check-in for Year 2 students is the same as that for Year 1. The staff of the Registrar’s office processes course registration and registration check-in takes place via the WEB for approximately the first week of classes. The Registrar’s staff prior to the start of classes will distribute instructions for the WEB registration check- in in August and in January. Course selection for Year 3 takes place via a lottery system directed by the Office of Clinical Education. Year 3 students may access the website for elective choices after the Year 3 Clerkship Lottery is completed. Registration for Year 4 electives and sub-internships opens in mid-March (approximately) prior to the start of Year 4. Students may use this web-based system to select and change established elective choices at DMS and some regional sites. Elective selections are forwarded to each elective coordinator for final approval. Final approval to enroll in the elective comes from the department sponsoring the elective directly to the student. Late Registration Fee for Medical Students A medical student who fails to complete the check in process at the start of each term during the designated time will be assessed a $25.00 late fee which will automatically be applied to the student's bill. Registration as Doctoral Students All graduate students must check-in on the first day of each term. Use a computer located on campus and point your Web browser to: http://www.dartmouth.edu/bannerstudent/. This process requires the on-line verification/update of the student’s address and an enrollment commitment (check-in) for the term. The check-in process indicates for each students holds that may have been placed on registration due to failure to settle the tuition bill or DA$H account, or meet certain other College requirements. If holds exist, information is provided to indicate where and how to remove the holds. The check-in process is available each term on the day before classes begin. Doctoral students are required to complete the check-in process (including clearance of any holds by 4 p.m. on the second day of class for the term. A $50.00 charge will be made for check-in after this time. Students who are obliged to check-in late may petition the Graduate Registrar for waiver of this charge for good and sufficient reason. Any student scheduled to be in residence that has not completed the check-in procedure ten calendar days after the term begins is subject to administrative withdrawal from college immediately thereafter. The Dartmouth Institute for Health Policy and Clinical Practice 18 Doctoral students in The Dartmouth Institute will receive a student informational package at the beginning of the summer. This packet contains important information for enrollment in the DIHPCP program. Doctoral students work with their advisors and the chair of the DIHPCP Ph.D. program to determine their academic courses for each term. Before the end of the fall term and winter term, students are notified by The Dartmouth Institute Registrar that they must sign onto the Banner student website to pre-register for the next term. Thayer School of Engineering Registration for Thayer School students is required at the beginning of each term. Thayer is on the same academic calendar as Arts and Sciences Graduate Studies and the undergraduate school. Students go through the Web check-in process and on line course selection prior to the start of term to make their course selections. New students will receive a summer mailing that includes information on orientation, check- in, and course selection. Please refer to the appropriate student handbook for each program for further details on registration issues. Registrars Joan Monahan--DMS Registrar: 603-650-2248 Gary Hutchins--Arts and Sciences Registrar: 603-646-2107 Wanda Kenison—Dartmouth Institute for Health Policy and Clinical Practice: 603-653-0819. Daryl Laware--Thayer School Registrar: 603-646-3801 International Students International M.D.-Ph.D. students will receive information and materials from the Dartmouth Medical School Admissions Office about the process for enrolling at Dartmouth shortly after receiving their admissions acceptance letter. Internationals students will receive an e-mail from the Office of Visa & Immigration (OVIS) at Dartmouth, with a link to a secure on-line form that must be completed and submitted on-line by the admitted student. The student must attach to the on-line form a scanned copy of his or her passport ID page, and any required evidence of personal financial documentation, if not fully funded by Dartmouth College. It is recommended that students complete this form and return it as soon as possible in order to start the visa application process. If you have any questions, please contact Robin V. Catmur, Director, Office of Visa & Immigration Services (e-mail: firstname.lastname@example.org or telephone 603-646-3474). Address/Location: Office of Visa & Immigration Services 44 North College St., Suite 6202 Dartmouth College 19 Hanover, NH 03755 (fax: 603-646-1616) Transcripts and Grading Issues M.D.-Ph.D. students have two separate transcripts, one for medical school and one for their graduate program. The status of "Joint on Leave" was created to identify M.D.- Ph.D. students pursuing their course of study at their other school during a particular academic year. The status of JOL provides explanation of the large gaps of time spent between the two training programs. This status of "JOL" also expedites the billing process as well since it will be apparent which school should be billing the student. Please refer to the appropriate handbook for grading issues as they differ between the medical school and your graduate program. Training Programs Laboratory Safety Training Program for M.D.-Ph.D. Students in the Ph.D. Phase The Occupational Safety and Health Administration (OSHA) have standards that regulate the use of hazardous materials in teaching and research laboratories. Important among these requirements are standards related to the use of potential hazardous chemicals and blood borne pathogens. Blood borne pathogens include viruses such as Hepatitis B (HBV), Hepatitis C (HCV) and the Human Immunodeficiency Virus (HIV). HBV is recognized as being the most common laboratory-acquired infection among persons handling human blood and body fluids. Fortunately, a very effective and safe vaccine exists against HBV. To help ensure students' safety and ensure compliance with OSHA standards, a mandatory laboratory safety training program is scheduled at the beginning of fall term for all new incoming biomedical graduate students. The Arts and Sciences Graduate Office along with the Environmental Health and Safety Office organize this. Professional Ethics Program for First Year Graduate Students The Graduate Studies Office, in collaboration with the Ethics Institute at Dartmouth, has developed an institution-wide training program in the basics of professional ethics. This program is a requirement for all first-year Arts and Sciences graduate students. The Graduate Ethics Program has four components: an opening session during orientation, a graduate student ethics survey, and four small group discussions addressing focal topics during the first year of graduate school. More information on the full Graduate Ethics Program will be provided at orientation. Please note: All Arts and Sciences first year graduate students must complete the Graduate Ethics Survey once they arrive on campus (and have a Dartmouth e-mail account). The ethics survey asks that you read Sources: Their Use and 20 Acknowledgement and the Honor Principle and Code of Conduct. Once you have read both documents, please complete the survey indicating that you have read and understand both documents. Each student accepts Dartmouth’s Honor Principle and Code of Conduct upon registering as an Arts and Sciences graduate student. A student found in violation of the Honor Principle or Code of Conduct forfeits his/her right to continue at Dartmouth. Please go to http://www.dartmouth.edu/~gradstdy/grdethics.html to complete the survey. Leave of Absence for M.D.-Ph.D. Students M.D.-Ph.D. students are eligible to petition for a leave of absence during medical school and graduate course work years. Leaves of absence are granted based on the policies of the Medical School and the Arts and Sciences Graduate School. A student is required to notify the Director of the M.D.-Ph.D. Program in writing requesting a leave. Permission must be granted by the Director of the M.D.-Ph.D. Program in consultation with the Associate Dean for Medical Education and the Dean of Graduate Studies. The student's record and future plans are reviewed at that time to determine whether a leave is in the best interest of the student, the medical school, and the Arts and Sciences Graduate Program. Leaves of absence are usually granted for a maximum duration of one year. A request for renewal of a leave of absence beyond a year must also be addressed to the Director of the M.D.-Ph.D. Program. Students considering taking a leave of absence should consider the financial implications of the leave, such as tuition, DMS financial loans, deferment, and regulations governing loans, liability insurance and health insurance. Students also need to be informed about USMLE time limits (see page ). The student must be aware that while on a leave he/she is not considered an enrolled student. Student stipends are suspended during the leave period. Please refer to the DMS Student Policy Handbook and the Arts and Sciences Graduate Student Handbook for further information. Postdoctoral Fellowships If an M.D.-Ph.D. student completes their thesis in the middle of an academic year, they may wish to ask their department/thesis advisor about the possibility of working as a postdoctoral fellow for the remainder of that academic year. Thus, the student could then begin DMS Year II or DMS Year III at the beginning of an academic year. This is particularly true for entering DMS Year III and participation in the clerkship lottery. It is important to go through the match with the rest of the third year class. Financial Support for the M.D.-Ph.D. Student To allow students to make appropriate judgments and actions in pursuing their academic program, provisions have been made for financial support for students whose commitment to academic work extends to the completion of the M.D.-Ph.D. degrees at Dartmouth. The academic departments offer qualified students: 1) a remission of their 21 tuition fees and 2) stipends during their graduate work. The medical school offers tuition deferment (which upon satisfactory completion of the dual degree program will become a full waiver) for every student in the program while she/he is enrolled in the medical curriculum. In addition, stipend support for all four years of medical school is available. M.D.-Ph.D. students will receive funding as long as the student remains in good academic standing. All M.D.-Ph.D. students will be asked to sign a contractual letter of agreement. This program carriers concessions about the school's tuition and obligations on the part of the M.D.-Ph.D. student. The essential points in the agreement are: While enrolled in the Medical School M.D.-Ph.D. students will receive a deferment of their tuition. When they have satisfactorily completed their graduate program, earning their Ph.D., the deferment of medical school tuition will be changed to a full waiver and the waiver will be continued through to the completion of the M.D. If the M.D.-Ph.D. student has been enrolled as a medical student and drops out of the graduate program before earning the Ph.D., any deferred tuition for the Medical School will become due and payable. M.D.-Ph.D. students should understand that the School can help them arrange for financial aid, if they are eligible, only for the year/courses in which the student is enrolled when they drop out of the program. They will need to procure funding independently for any prior academic years for which they received a deferment. During the time the M.D.-Ph.D. student is enrolled in the graduate program, working towards the Ph.D., they will receive the standard graduate student stipend and a full scholarship to cover the cost of their tuition. A copy of this agreement will be kept in the DMS Fiscal Office and in the administrative office of the M.D.-Ph.D. Program. It is important to keep in mind that if an M.D.-Ph.D. student is to receive stipend support from the Medical School or the Arts and Sciences graduate program, they need to be a registered student. Loan Policy for M.D.-Ph.D. Students Dartmouth provides full financial support for all M.D.-Ph.D. students during their tenure in the Program. This includes a tuition deferment/waiver while in medical school, and stipends in both medical and graduate school. The important goal of this support is to permit the students to leave the Program with both degrees and no debt, thus allowing them to pursue their professional interests without concern for financial burdens. Thus, it is not expected that M.D.-Ph.D. students will incur loans while at Dartmouth. However, in a few instances, there may be a need for a student to receive additional funds to cover expenses for extenuating circumstances. Should this be the case, the student needs to contact the M.D.-Ph.D. office to discuss the problem and the need. If 22 the office deems that the student’s needs cannot be met by other strategies, then the student can apply a) the DMS Financial Aid Office or b) to the Financial Aid office at Dartmouth College, through the Office of Graduate Studies, to obtain a loan. The M.D.- Ph.D. Program will be informed of the amount and duration of the loan. It is stressed that this route will be pursued only under unusual conditions, and is not encouraged. Employment/Research Activities Graduate students who are fully supported (a full tuition scholarship and a full stipend) cannot normally receive additional payment from Dartmouth College for services rendered and cannot normally accept employment outside the College while enrolled. Exceptions may be granted in cases of unique academic or professional benefit or financial hardship. Any exception will normally not exceed 8 hours per week and must have the written approval of the graduate student's advisor, department chair or Graduate Program Committee, and the Dean of Graduate Studies. There is no stated policy for medical students who wish to take on part-time employment or to engage in research activities once they have received their Ph.D. However, there is concern that the medical school curriculum takes enormous time and effort and it is essential that our students be successful in their academic careers at Dartmouth. Therefore, M.D.-Ph.D. students enrolled in the medical school curriculum will need to notify the Assistant Director of the M.D.-Ph.D. Program and request permission for these activities. Student Billing When M.D.-Ph.D. students are enrolled as graduate students, and have questions concerning their expenses contact the Student Accounts Office in 103 McNutt, 646- 2438. When enrolled as medial students, contact Karen Ricard, DMS Fiscal Office, 1 Rope Ferry Road, 650-1227. M.D.-Ph.D. Student Fees The fees listed below are not all inclusive for M.D/Ph.D. students. Additional fees will be required during the time you are at Dartmouth. Student Activity Fee Dartmouth Medical School has an annual student activity fee of $120/year per student. The revenue generated from this fee is used to fund activities associated with DMS Student Government and student organizations. The fee will be charged to students in the following categories: M.D., M.D.-Ph.D.*, TDI*, M.D./MBA*, students on a leave of absence/research leave who remain on campus and those students on a decompressed schedule. Those students on a leave of absence/research leave who are not on campus will not be charged an activity fee for that year. Each student will be charged the student activity fee on his/her Fall term bill. 23 *Special Note for students enrolled in combined degree programs at Dartmouth: M.D.-Ph.D.: The M.D.-Ph.D. students will be assessed an annual student activity fee of $120 when registered as medical students, and a $75 student activity fee when registered as graduate students. When M.D.-Ph.D. students are enrolled as graduate students in the Arts & Sciences, they will also be charged $50 for 2009-2010 for the graduate student activity fee. The Dartmouth Institute for Health Policy & Clinical Practice (TDI): All TDI students (MS, MPH, Ph.D. & Post doc) will be assessed an annual student activity fee of $50. TDI will help subsidize the activity fees with appropriate funds to the DMS Student Government ($75) and the Arts and Sciences Graduate Student Council ($50). TDI students are encouraged to participate in programming sponsored by both schools. M.D./MBA: All students enrolled in the M.D./MBA will be assessed the following annual student activity fee: Year 1 M.D./MBA Program: Full Tuck Student Activity Fee (currently $300) and partial DMS Student Activity Fee ($20) = $320 Year 2 M.D./MBA Program: Half Tuck Student Activity Fee (currently $150) and full DMS Student Activity Fee (currently $120) = $270 Due to the unique position held as M.D.-Ph.D., TDI and M.D./MBA students, the Administration feels that it is important for students in combined programs at Dartmouth to have continual access to services and information regardless of whether they are registered at DMS, Arts & Sciences, TDI, or Tuck. Disability Insurance With the increased awareness of health risk in the medical profession associated with, for example, exposure to human immunodeficiency virus (HIV) and Hepatitis B Virus, DMS has implemented a group disability insurance program (hereafter referred to as “disability insurance”) for medical students. The stipulation for this group policy with the AMA-Sponsored Med Plus Advantage Program is that all students must participate in order to qualify for the low cost premiums. The DMS Student Government has regularly approved to accept this stipulation of 100 percent student participation in order to attain the low cost group rate. Each student will be charged the appropriate annual premium on his/her Fall term student bill. Any student enrolled in a dual degree program at Dartmouth (e.g., M.D.-Ph.D.*, M.D./MBA, M.D./MPH) or on a leave of absence remains covered by this plan providing the annual premium is paid. As long as a position is reserved for the student at the medical school and they do not have to reapply to return to classes, they can continue on the plan. If a student separates from the medical school, however, the coverage would be terminated. At the beginning of each academic year students will be provided with a Group Benefits 24 Booklet that describes their benefits. Questions regarding this program should be directed to: Cresson W. Holden Gallagher Benefit Services, Inc. 50 Braintree Hill Office Park, Suite 310 Braintree, MA 02184-8754 781-794-1110 email@example.com *M.D.-Ph.D. students will automatically be assessed the annual disability insurance premium when registered as graduate students unless written notification is provided to the Assistant Director of the M.D.-Ph.D. Program to discontinue coverage during this time. Please note that the disability insurance policy has Pre-Existing Conditions and Limitations and, therefore, the M.D.-Ph.D. Program staff strongly counsels its students to retain this insurance throughout their academic careers at Dartmouth regardless of status. If students don’t consistently maintain their disability insurance coverage they will be subject to a new 12-month period of pre-existing conditions limitation. According to current policy terms and conditions as outlined in the disability insurance policy described by the program administrator, (insurance broker), “Pre-existing Conditions Limitations” is defined as: Pre-existing condition means an injury or illness which was diagnosed or treated within the 12 months prior to the effective date of your insurance. No benefits will be paid for loss which starts within 12 months of the effective date of your insurance and which is caused by a Pre-existing Condition. A Claim for benefits for loss starting after 12 months from the effective date of your insurance will not be reduced or denied on the ground that it is caused by a Pre-existing Condition. Reimbursement of Student Expenses Students are required to contact Ann Coady, Assistant Director for the M.D.-Ph.D. Program, prior to incurring any expenses that they may wish to receive reimbursement. M.D.-Ph.D. Social/Professional Activities 25 Social activities are an essential component of the student experience at Dartmouth, and they serve as a venue for building the intellectual connections among the students and faculty. These activities provide opportunities to increase the students’ didactic knowledge of science and to learn about the personal and professional career choices of physician-scientists. These activities also foster interactions among our students, allowing them to stay connected during the various phases of their training while at Dartmouth, and after they leave. These social activities include: Annual Retreat This takes place over a two-day period. There are two or three guest speakers, both from within and outside of Dartmouth, as well as poster and podium presentations by the students on their research. Additional sessions are devoted to choosing a residency, which are presented by both graduating students and faculty. An important component of the Retreat is some unscheduled time so that students and faculty can interact in a casual and informal environment. Annual Spring Dinner / Medical Grand Rounds This event is hosted by the M.D.-Ph.D. Program and is held in conjunction with the Department of Medicine’s Grand Rounds, which takes place on the following day. The students select and host the guest speaker, and the Department of Medicine co- sponsors the invitee along with the M.D.-Ph.D. Program. Student Chalk Talks These are usually scheduled in the evenings, when students gather, without faculty, for informal presentations of their research. This encourages a free exchange among the students where they comment on each other’s work and suggest new approaches. Annual Meetings and Enrollment Plans During the spring term, the Director of the M.D.-Ph.D. Program will meet with individual M.D.-Ph.D. students along with his or her faculty advisor. This session reviews how the student is progressing through the program, provides advice, and evaluates their future plans. At this time each student will provide the M.D.-Ph.D. Office with an enrollment plan outlining their future progress to complete both degrees. The plan reflects for each academic year when the student will be registered as a medical or graduate student. If the enrollment plans changes, the student must alert the M.D.-Ph.D. Office. Changes will then be forwarded to the appropriate offices on campus. This notification does not take the place of registration. Students will need to register with his/her doctoral program registrars. M.D.-Ph.D. Admissions Season 26 The admissions season for inviting applicants to interview with the M.D.-Ph.D. Program begins in October and ends in March. M.D.-Ph.D. students are asked to volunteer to host applicants through this season whenever it is possible for them. Luncheons are also scheduled for applicants to meet with students who are currently in the program. M.D.-Ph.D. students play an important roll in the process of attracting new students into the program and are urged to participate. Visiting Day During the month of May, the DMS Admissions Office invites prospective students back to campus for an Open House to give them further opportunity to explore Dartmouth and what it has to offer them. The M.D.-Ph.D. Programs invites current students to participate in this event. Policy on Student Images DMS or its representatives may film or record students or the programs in which they participate to assist in teaching, research, service and public information activities. The images (i.e. photographs, videotapes or other forms) and interviews may appear in printed or electronic media or on the web, with or without identification and also become part of the DMS archive for future use as authorized. If at any time you do not want to be filmed or interviewed or to have such materials distributed, please contact the DMS Office of Student Affairs. M.D.-Ph.D. Program Office Constance E. Brinckerhoff, Ph.D. James D. Gorham, M.D., Ph.D. Director Associate Director M.D.-Ph.D. Program M.D.-Ph.D. Program Nathan Smith Professor of Medicine Associate Professor of Pathology and of Biochemistry and of Microbiology and Immunology Ann M. Coady Assistant Director M.D.-Ph.D. Program Ann.M.Coady@Dartmouth.edu 27 Office hours: Monday - Thursday, from 8:30 a.m. to 2:00 p.m. Mailing Address: The M.D.-Ph.D. Program at Dartmouth The Norris Cotton Cancer Center One Medical Center Drive 603 Rubin Lebanon, NH 03756 Office: 603-653-9958 Web site address: http://www.dartmouth/edu/dms/M.D.Ph.D./ 28
"MD PhD Student Handbook"