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Student Progress System
Table of Contents
PREAMBLE
DIVISION I - PURPOSE
DIVISION II - INTRODUCTION
DIVISION III - STANDARDS OF ACADEMIC CONDUCT
Section 3-101 - Academic Performance
A. Performance Standards
B. Completion of Curricular Segments
C. Remediation of Curricular Segments
D.
Promotion
E. Failure to Achieve Objectives
Section 3-102 - Professional Conduct
DIVISION IV - GRADUATION
DIVISION V - COMMITTEE
Section 5-101 - Student Progress Committee
A.
Definition
B. Responsibilities and Jurisdiction
C.
Composition
D. Conduct of Meetings
Section 5-102 - Subcommittee on Student Progress System
Appeals
A. Definition
B. Responsibility and Jurisdiction
C. Composition
DIVISION VI - PROCEDURES
Section 6-101 -
Matters of Academic Performance
Section 6-102 -
Matters of Professional Conduct
Section 6-103 -
Appeal in Matters of Academic Performance and
Professional Conduct
Section 6-104 -
Further Appeal
DIVISION VII - AMENDMENTS
Students at Southern Illinois University School of Medicine are members of the university community and, as such, are responsible for conforming to all the rules and regulations of Southern Illinois University at Carbondale including the Student Conduct Code for Southern Illinois University at Carbondale. In addition, they shall be responsible for conforming to the standards of Academic Conduct established by the School of Medicine under this Student Progress System.
Southern Illinois University School of Medicine is a professional community of faculty, students, administrators, and staff who share responsibility for the achievement of a common goal: the training of competent physicians who shall exhibit and maintain high standards of professional and personal conduct. Achievement of this goal is a complex process with many steps through which the student must progress. The progress of students shall be monitored to ensure and facilitate each student’s adherence to established standards of Academic Conduct which is defined to include Academic Performance and Professional Conduct. This document describes the system employed by the School of Medicine for considering matters of student progress.
The primary objectives of any educational institution are broadly academic in nature: the institution exists to help the student acquire knowledge and to certify that knowledge has been acquired. However, where training of physicians is concerned, special consideration is also given to noncognitive expectations related to Academic Performance as well as to Professional Conduct. Certification by a school of medicine implies that the student has acquired the knowledge and has demonstrated the behaviors and conduct necessary to assume the responsibility for the protection of human life and health. It is, therefore, incumbent upon the School of Medicine to define specifically the cognitive, psychomotor, and affective competencies required of its graduates. This function is predominantly the responsibility of the faculty of the School of Medicine who, as representatives of the medical profession and the medical school community, define the standards of Academic Performance and Professional Conduct to which individual medical students must conform.
Knowledge alone does not ensure academic competence. It is also necessary that knowledge be employed in a skillful, responsible, and ethical manner. Accordingly, schools of medicine, through their faculty, must establish and maintain standards to certify that their graduates are competent and complete medical doctors who have met the cognitive and noncognitive Academic Performance goals.
The noncognitive goals include consistent display of behavior congruent with the standards of the profession. Medical students shall not demonstrate behavior that is considered to render them unfit for a career in medicine or that shall cast serious doubts upon their potential suitability or competence as physicians. Such inappropriate behavior includes, but is not limited to, demonstration of poor judgment, lack of integrity, inappropriate interpersonal relations with patients, faculty, or peers, poor self-discipline, lack of responsibility or dependability, or inability to recognize personal limitations or to function under pressure. Medical students shall demonstrate sensitive and humane consideration for patients by projecting a professional image through proper communication, attitude, behavior, manner, dress, and grooming.
Medical students are members of the medical community. While trainee status dictates restriction of their privileges within this community, medical students have responsibilities similar to those of their year four colleagues for their own Professional Conduct. Professional Conduct includes, but is not limited to, behavior consistent with the highest standards of professional and personal integrity and honesty, as well as compliance with laws, rules, regulations, and applicable guidelines.
In summary, it is the responsibility of the faculty to define for the institution Academic Conduct standards related to both Academic Performance and Professional Conduct. It is the responsibility of all members of the School of Medicine community, but primarily of the faculty, to determine that the standards have been met.
Section 3-101 - Academic Performance
Promotion within the curriculum and graduation from the program with the granting of the M.D. degree are based on satisfactorily meeting the performance standards established by the faculty. Both cognitive and noncognitive objectives are developed by faculty, and performance standards are defined by faculty to determine acceptable levels of performance.
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Performance Standards
Evaluation of student progress is determined by achievement of identified curricular objectives. At the end of appropriate curricular segments, each student’s performance is evaluated. Faculty-determined performance standards are established for such curricular segments to ensure that students are judged primarily by criterion-referenced methods.
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Completion of Curricular Segments
To complete an appropriate curricular segment, a student must achieve both the cognitive and noncognitive objectives specified by faculty.
In order to achieve cognitive objectives, a student must demonstrate the acquisition of a specific data base as well as the development of reasoning and problem solving abilities, appropriate technical and procedural skills, clinical sophistication in history and physical examination, problem identification and integration, diagnosis and patient management, use of investigations, and patient education.
In order to achieve noncognitive objectives, a student must demonstrate behavior congruent with the medical profession including, but not limited to, the following: self-directed learning; effective time utilization; critical thinking; sound judgment; appropriate interpersonal relations with faculty, patients, and peers; self-evaluation; self-discipline; proper dress and grooming; responsibility; motivation; dependability; integrity; emotional and professional maturity; ability to recognize personal limitations and to function under pressure; and both oral and written communication skills.
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Remediation of Curricular Segments
If a student does not achieve the objectives for an appropriate curricular segment, remedial experiences may be required. Such remediation shall be recommended by the faculty. It should be emphasized, however, that remediation of comprehensive examinations, as appropriate, shall be permitted only upon specific approval of the Student Progress Committee (SPC). If necessary, adjustments in the student’s curricular program will be considered by the SPC on a case by case basis.
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Promotion
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Year One and Year Two
Promotion from Year One to Year Two requires satisfactory completion of all curricular segments. In addition, all students may be required to complete satisfactorily a comprehensive examination developed by the faculty of the School of Medicine. Exceptions are possible only under special circumstances as determined following review by the Student Progress Committee (SPC). When making recommendations for promotion to Year Two, the SPC will evaluate and consider all aspects of a student’s academic performance during the year.
Promotion from Year Two to Year Three requires satisfactory completion of all curricular segments. In addition, all students may be required to complete satisfactorily a comprehensive examination developed by the faculty of the School of Medicine. Exceptions are possible only under special circumstances as determined following review by the Student Progress Committee (SPC). When making recommendations for promotion to Year Three, the SPC will evaluate and consider all aspects of a student’s academic performance in Year One and Year Two.
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The United States Medical Licensing Examination (USMLE)
Passage of the USMLE, Step 1, is required for graduation from Southern Illinois University School of Medicine. All students are required to take the exam and record a score prior to beginning Year Three. Failure of the exam will result in a formal review of academic performance by the Student Progress Committee. Based upon this review, the Student Progress Committee will recommend appropriate action to the Dean, which may include, but need not be limited to, Special Student Status, Formal Warning, Probation, or Dismissal from the School of Medicine.
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Year Three and Year Four
Completion of Year Three and Year Four requires satisfactory completion of all curricular segments. In addition, all students will be required to complete a comprehensive clinical competency examination (CCX), developed by the faculty of the School of Medicine. Unsatisfactory performance on any component of the CCX may result in a recommendation for remediation. Exceptions are possible only under special circumstances as determined following review by the Student Progress Committee (SPC). When making recommendations for graduation, the SPC will evaluate and consider all aspects of a student’s academic performance while in medical school.
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Failure to Achieve Objectives
When, after due consideration of a student’s overall cognitive and noncognitive academic performance and any special circumstances, it has been determined that the student has failed to meet identified objectives, the student may be given Formal Warning, placed on Probation, Leave of Absence, or Special Student Status, or dismissed from the School of Medicine. Any of these actions may be taken based upon the severity of the student’s academic performance deficiency. Progressive implementation of the above actions shall not be required.
A student who fails to meet the objectives of any curricular segment, or curricular year, may be required to repeat the same segment, or year, or to participate in other remedial activities as deemed appropriate by the Student Progress Committee. Unlimited opportunity to repeat curricular segments, or years is neither feasible nor desirable. Accordingly, frequency of remediation of curricular segments and/or the extent of the student’s inability to remediate shall be a major consideration in determining the severity of the student’s academic performance deficiency.
A student may be dismissed from the School of Medicine as a result of frequent remediation, or repetition of curricular segments. A student may be dismissed from the School of Medicine if the student does not pass the USMLE as described earlier in this section (Section 3-101, D.2), or if, in the absence of extraordinary circumstances, it is necessary to repeat the same curricular year more than once or a subsequent curricular year.
In this regard, it should be emphasized that a pattern of academic performance difficulty creates serious doubts about a student’s competence and potential ability to function as a physician. As a student moves from Year One through Year Four, there are increasing expectations relative to academic performance. Accordingly, when a student has experienced prior academic performance deficiencies, there will be decreasing tolerance by the School of Medicine for deficient performance in subsequent curricular activities. In such instances, the Student Progress Committee may consider probation or dismissal to be appropriate.
Section 3-102 - Professional Conduct
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Students are required to conform to standards of Professional Conduct. Violations of the standards of Professional Conduct include, but are not limited to:
- Representing the work of another as one’s own work, or participating in plagiarism by preparing a writing with the knowledge that it is to be used by another as that person’s own work.
- Cheating by any method or means.
- Furnishing false information to officials of the University or the School of Medicine.
- Restricting the use of generally available resource materials in a manner prejudicial to the interest of other students.
- Falsifying or manufacturing scientific or educational data and representing the same to be the result of scientific or scholarly experiment or research.
- Falsifying by omission or commission any information pertinent to patient care.
- Disclosing confidential or privileged information inappropriately or unethically.
- Failing to comply with federal and/or state laws, rules and/or regulations applicable to or promulgated by the University or the School of Medicine, affiliated hospitals, or other medical institutions, and/or other applicable rules, regulations, or guidelines either stated or published.
- Failing to demonstrate behavior consistent with the standards of the profession, including personal and professional integrity and honesty.
- Failing to abide by the terms and conditions of the School of Medicine Honor Code (See Appendix 1).
- When, after due consideration, it has been determined that a student has failed to conform to standards of Professional Conduct, the student may be given Formal Warning, placed on Probation, Leave of Absence, or Special Student Status, or dismissed from the School of Medicine. Any of these actions may be taken based upon the severity of the Professional Conduct violation in question, as well as prior Professional Conduct violations. Progressive implementation of the above actions shall not be required.
Graduation is recommended by the Student Progress Committee to the Dean when a student has met the Standards of Academic Conduct including Academic Performance and Professional Conduct previously described. The Dean shall accept and act upon the recommendation of the SPC barring compelling reasons to the contrary.
Section 5-101 - Student Progress Committee
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Definition
The Student Progress Committee (SPC) is a standing School of Medicine committee which is responsible for monitoring the progress of all students through the curriculum.
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Responsibilities and Jurisdiction
The SPC shall function under the Student Progress System as an advisory body to the Dean. The responsibilities of the Committee are to monitor student progress, identify problem areas, assist students in dealing with these problems, and determine whether the established standards of Academic Conduct have been met. The SPC may delegate any or all of its responsibilities to an appointed subcommittee or subcommittees.
Problems may be identified and reported through such means as written evaluation by School of Medicine departments and communications from individual members of the medical school community and from the Student Advisory Committee. Ordinarily such concerns are directed to the SPC Chairperson, who establishes the agenda for meetings and/or other proceedings as appropriate. The SPC shall have jurisdiction to consider all matters of Academic Conduct as previously defined to include Academic Performance and Professional Conduct. The SPC is responsible for conducting meetings and other proceedings in accordance with these procedures, making recommendations for actions to the Dean of the School of Medicine as appropriate, and implementing final decisions of the Dean as appropriate. SPC recommendations may include, but are not limited to the following:
- Graduation.
- Promotion.
- Remediation.
- Counseling.
- Leaves of Absence.
- Voluntary: A student may request a Leave of Absence from the Associate Dean for Student Affairs or designee. The request must be in writing and must set out the dates and reasons therefor and the proposed use of Leave of Absence time. The Associate Dean for Student Affairs or designee may grant the request or refer the request to the SPC for action. If the request is granted, then the SPC will be informed of this action. If the request is referred to the SPC for action, then the SPC will evaluate the request and make a recommendation to the Dean. If a Leave of Absence is granted, then conditions may be specified, which must be met by the student during the Leave of Absence period.
- Involuntary: Under extraordinary circumstances, the Chairperson of the SPC or the Associate Dean for Student Affairs may recommend to the Dean that a student be placed on Leave of Absence. In imposing a Leave of Absence, the Dean may specify conditions that must be met during the period of the Leave of Absence.
- Formal Warning: Formal Warning from the SPC shall take the form of written notice from the Chairperson and may be issued as appropriate when the SPC perceives a trend toward increasing Academic Conduct difficulty. The notice of Formal Warning shall set out the problems in reasonable detail and shall indicate possible consequences.
- Probation: Probation is a status other than in good standing which shall be established with specified requirements that must be met before the student is removed from probationary status. If these requirements are not met, a recommendation for dismissal from the School of Medicine will follow. A student may be placed on Probation for deficiencies in Academic Performance or for violation of the standards of Professional Conduct. Any student placed on Probation will meet with the Associate Dean for Student Affairs to discuss the requirements of the probation.
- Special Student Status: Special Student Status is a status which shall be established for a specified period of time with specified requirements that must be met. This special status is appropriate for students on a reduced or modified academic load, students receiving academic support services, or students preparing to retake USMLE, Step 1.
- Dismissal from the School of Medicine: A student may be dismissed from the School of Medicine for failure to meet the standards of Academic Conduct previously described, failure to meet the requirements of Probation or Special Student Status, failure to pass USMLE, Step 1, or failure to meet Leave of Absence conditions.
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Composition
The Student Progress Committee (SPC) is appointed by the Dean, who also appoints the SPC Chairperson. Student members are appointed with the advice of the respective student governing body. The composition of the SPC is set forth in the Standing Faculty Committees resource book.
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Conduct of Meetings
Meetings to review the progress of all students are regularly scheduled. Agenda are established by the Chairperson. Special meetings and other proceedings are scheduled as needed.
Section 5-102 - Subcommittee on Student Progress System Appeals
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Definition
The Subcommittee on Student Progress System Appeals (SSPSA) is a standing subcommittee of the School of Medicine Executive Committee.
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Responsibility and Jurisdiction
The SSPSA shall function under the Student Progress System as an advisory body to the Dean. In that capacity, the Subcommittee shall consider and render recommendations to the Dean on appeals taken from earlier decisions of the Dean. The Subcommittee shall have jurisdiction to consider all aspects of Academic Conduct as previously defined to include Academic Performance and Professional Conduct. The SSPSA is responsible for conducting meetings and other proceedings in accordance with the procedures outlined in Division VI of this document and for making recommendations to the Dean of the School of Medicine for final decisions and actions as appropriate. SSPSA recommendations may include, but are not limited to, affirming, reversing, or modifying prior decisions of the Dean.
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Composition
The SSPSA shall consist of five (5) members of the School of Medicine Executive Committee appointed by the Dean. All appointments shall be for two (2) years. Annually in July, the Dean shall appoint one (1) of the five (5) subcommittee members to serve as Chairperson.
Section 6-101 - Matters of Academic Performance
Section 6-102 - Matters of Professional Conduct
Section 6-103 - Appeal in Matters of Academic Performance and Professional Conduct
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A written appeal of any decision of the Dean may be filed within twenty (20) working days after being notified of the decision. In such appeal, the appellant may request that the prior decision of the Dean be reversed or modified. Any such appeal must be in writing and must be based upon one (1) or more of the following grounds:
- The decision is contrary to the manifest weight of the evidence.
- The gravity of the action to be taken pursuant to the decision is clearly not in keeping with the seriousness of the student’s academic performance deficiencies or unprofessional conduct.
- SPC proceedings were conducted unfairly.
- Important evidence not known at the time of the SPC proceedings has been discovered.
The appeal is to be filed with the School of Medicine Office of Student Affairs and must set out in reasonable detail the grounds for the appeal as well as any supporting evidence. Forms to be utilized in filing the appeal are available from the Office of Student Affairs.
- Upon receipt of the written appeal, the School of Medicine Office of Student Affairs shall promptly forward to the Chairperson of the Subcommittee on Student Progress System Appeals (SSPSA) the written appeal and the entire record. A copy of the appeal shall be sent to the Chairperson of the SPC, who shall represent the interests of the School of Medicine on appeal. The appellant also shall be provided with a copy of the record.
- Upon receipt of the written appeal, the Chairperson of the SSPSA shall request from the Chairperson of the SPC a detailed, written response to the appeal. The response shall be filed with the SSPSA Chairperson within fifteen (15) working days of the request, and a copy of the response shall be forwarded to the appellant.
- After the filing of the response by the SPC Chairperson, the SSPSA shall review the entire record in the cause and the written argument made by the parties on appeal. The SSPSA may also request oral arguments by the principal parties in support of the written arguments. The SSPSA may further request that the Chairperson of the SPC and the appellant appear before the SSPSA to answer oral interrogatories. The Chairperson of the SSPSA shall establish guidelines for such oral argument or interrogatories and shall notify the parties of these guidelines. Any party making oral argument shall have the right to select and be accompanied by an adviser; however, the adviser may not address the SSPSA unless specifically requested to do so by the Chairperson. Oral arguments and interrogatories will be recorded on audio tape or by other appropriate method.
- Promptly after the conclusion of appellate review and oral arguments, if presented, the SSPSA, through its Chairperson, shall submit a written report to the Dean of the School of Medicine. The SSPSA may request and review a transcript of the oral arguments or interrogatories prior to submitting its report.
- The report shall include the following:
- Findings of fact, if any.
- Such recommendation(s) including reasons therefor, as the SSPSA, by majority vote, deems appropriate, which may include, but not be limited to, affirming, reversing, or modifying the prior decision of the Dean.
- When the decision is not unanimous, a minority report may be submitted.
- After completion of action by the SSPSA, all documents and records in the cause shall be forwarded to the School of Medicine Office of Student Affairs.
- The Dean of the School of Medicine shall consider the recommendations of the SSPSA, as well as the entire record in the cause, and shall render a final decision in the matter as promptly as possible. Barring compelling reasons to the contrary, the decision of the Dean shall reflect the recommendation of the SSPSA. Copies of the decision shall be forwarded to all principal parties and the Associate Dean for Student Affairs shall implement the decision of the Dean.
Section 6-104 - Further Appeal
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Further appeal shall be directly to the Chancellor of Southern Illinois University at Carbondale and shall be filed within fifteen (15) working days of notice of the final decision of the Dean.
- The appeal shall be submitted in writing and shall contain all relevant information, including reference to all prior decisions in the cause, the recommendations of the SPC and the SSPSA, the grounds for appeal, any additional argument, and a description of the relief sought.
- A copy of the appeal shall be sent to all principal parties. Upon receipt of a copy of the appeal, the Dean of the School of Medicine shall direct that the record in the cause be promptly forwarded to the Chancellor for review.
- Further appeal rights shall be strictly governed by the applicable Bylaws, Statutes and Policies of the Board of Trustees of Southern Illinois University.
Any member of the School of Medicine community may submit a request for an amendment to this Student Progress System to the School of Medicine Executive Committee through the Office of the Dean. The request shall be written and shall include a rationale and a description of the amendment in reasonable detail. If, after due consideration, the Executive Committee considers the request to have merit, it shall assign the task of writing the amendment to the Subcommittee on Student Progress System Appeals (SSPSA), as appropriate. The SSPSA shall report the amendment back to the Executive Committee, which shall make recommendations to the Dean concerning adoption. In approving an amendment, the Dean shall designate the effective date thereof, following which the amendment shall be binding upon all students.
Revised September, 1987 Revised November, 1990 Revised November, 1991 Revised April, 1992 Revised March, 1997 Revised December, 2000
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