It is the policy of the University of Arizona College of Medicine – Phoenix that the enrollment status, block and course sequencing, and grade determination for a student in the pre-clerkship curriculum are governed by the following guidelines:

Process

I. Pre-Clerkship Enrollment Status

A student is enrolled in a block or course under one of the following statuses:

  1. First-Time Enrollment
    1. Defined: Enrollment in a block or course for the first time.
  2. Remediation Enrollment
    1. Defined: Available only after the failure of that block or course. A remediation enrollment is a condensed version of a block or course, in which a set of experiences and assessments are designed to be equivalent in scope to the original block or course.
  3. Repeat Enrollment in a Block or Course
    1. Defined: Enrollment in a block or course for the second time.

II. Pre-Clerkship Sequencing

  1. General Requirements:
    1. Except as noted below, a student is expected to complete and receive a passing grade in all pre-clerkship blocks and courses of Years 1 and 2 in sequential order. A student must pass the Transitions to Clerkship block to progress to Year 3.
      1. Students enrolled in the MD/PhD degree program may be permitted to take up to eight weeks of non-patient care elective(s) after completing all pre-clerkship requirements prior to starting their graduate program. The completed non-patient care elective(s) will count toward the Year 4 eight credit maximum.
    2. Most blocks do not have prerequisites required. See each syllabus for requirements.
    3. With the exception of Year 1 students in the Clinical Anatomy Block and students remediating a block during Personalized Active Learning (PAL) Block, a student may be enrolled in only one block at a time.
    4. A failure of any Year 2 course will most likely delay the beginning of Year 3 clerkships and will be noted in the Medical Student Performance Evaluation (Dean’s letter) as an academic delay.
  2. Leave of Absence:
    1. In the event of an approved Leave of Absence resulting in a missed block or course, a student may be allowed a modified schedule under the guidance of the Student Progress Committee(SPC), which may consist of an altered block or course sequence dependent upon prerequisite(s) as defined in II.1.a
  1. Make-Up/Retake:
    1. All block make-up examinations (except MBLD and CA) or permitted retake examinations must be completed prior to beginning a new block. MBLD make-up examinations must be completed prior to the beginning of MSNS1. Clinical Anatomy make-up examinations must be completed prior to the beginning of NSII. Exceptions must be approved by the Associate Dean, Curricular Affairs and Program Evaluation, in consultation with the Associate Dean, Student Affairs.
  2. Failed Block or Course:
    1. Remediation of a failed block or course in Year 1 up to Pulmonary, Renal, Acid-Base Block (PRAB) occurs during the Personalized Active Learning Block, or the block or course can be repeated when offered during the next academic year. A student request to repeat the block or course rather than remediate must be communicated in writing to the Associate Dean, Student Affairs and the block or course director. To remediate PRAB, the notification must be within five days of the posting of a failing grade.
    2. Remediation of PAL or a failed block or course in Year 2 occurs immediately following the Oncology block and must be completed before the Transition to Clerkships Block (i.e., during USMLE Step 1 study time), or the block or course can be repeated when offered during the next academic year. A student request to repeat the block or course rather than remediate must be communicated in writing to the Associate Dean, Student Affairs and the Block or Course Director before the first day of the Oncology Block. For a failure of the Oncology block, the request must be within five days of the posting of a failing grade.
    3. A modified sequence, other than remediation during the PAL Block or USMLE Step 1 study time, must be approved by the Student Progress Committee.
    4. A failed remediation or failed repeat of a block or course counts as failing a block or course a second time, and results in automatic dismissal. See Dismissal Policy.
  3. Block Remediation with Course Incomplete:
    1. A Year 1 student who has a block failure while holding a grade of Incomplete in a course can begin remediation of the failed block during the Personalized Active Learning Block. However, the course incomplete must revert to a grade of Pass for a student to sit for the final remediation assessment of the failed block.
    2. If the course incomplete reverts to a final grade of Fail, that constitutes a failure in two different curricular units, which results in a student being removed from remediation and repeating Year 1. See section II.7. “Repeat of an Academic Year.”
  4. Block or Course Completion during PAL Block:
    1. A student receiving a grade of Incomplete for any Year 1 block or course must complete the block or course requirements prior to receiving credit for the Personalized Active Learning Block hours.
    2. The Block or Course Director assigning the grade of Incomplete and the PAL Block Director must both approve the block or course completion form as the student’s activity plan(s) before the start of PAL for any student receiving credit during the PAL Block. The Associate Dean, Curricular Affairs and Program Evaluation adjudicates potential conflicts surrounding the curricular activities to ensure both the course and PAL Block are completed successfully or that the course is completed successfully and a plan for PAL completion is in place prior to the start of Year 2.
    3. A student cannot receive PAL credit for activity to resolve an incomplete during PAL time.
  5. Repeat of an Academic Year:
    1. If a student fails any combination of two different blocks or courses (i.e. one block and one course; or two blocks; or two courses) within one academic year during Year 1 or 2, the student is required to repeat the academic year in its entirety.
    2. Any block or course failure (including those previously passed) during the repeat of the year results in an automatic dismissal. See Dismissal Policy.

III. Pre-Clerkship Grade Determination

  1. General Requirement:
    1. Each syllabus must clearly state how the final grade will be determined.
    2. Each syllabus must clearly state when and how students will be able to review their final grade.
    3. For Grade Appeals, see Student Progress Policy.
  2. Block Grading for Pass or Fail:
    1. Block Pass
      1. Block Scoring for Passing Grade
      2. The block score is calculated as the total number of correct responses divided by the total number of questions on all examinations combined throughout the block.

To pass a block, a block score equal to or greater than 70 percent (no rounding) must be achieved (total questions correct/total questions on all examinations X 100).

  1. Block Retake Examination Passing Grade Criteria
    1. In the event of a cumulative examination score of less than 70 percent at the end of a block, students matriculating in AY22-23  and later have the opportunity for a single retake examination in the pre-clerkship years on a date stipulated in the relevant syllabus.  Students who matriculated in previous academic years, under COVID adaptation, are permitted up to three cumulative retake exams.
      1. The retake examination only covers material from the block examination(s) that received a score of less than 70 percent.
    2. A score equal to or greater than 70 percent (no rounding) on the retake examination (total questions correct/total questions on all examinations X 100) results in a passing grade for the block. In the absence of extenuating circumstances as determined by the Associate Dean, Curricular Affairs and Program Evaluation and the Associate Dean, Student Affairs, a student who does not sit for the retake examination at the time stipulated in the relevant syllabus receives a grade of Fail for the block. See Examination Absence in Year 1 and 2 Policy.
  1. Block Fail
    1. Block Scoring for Failing Grade
      1. A score of less than 70 percent on the retake examination results in a grade of Fail for the block.
      2. If permitted retake examinations have already been used in a previous block or course, a cumulative examination score of less than 70 percent at the end of any subsequent block(s) results in a grade of Fail for the block.
    2. Block Remediation for Failing Grade
      1. A cumulative score of less than 70 percent on the remediation results in a grade of Fail for the remediation.
      2. A failure of a remediation is considered a second failure of the same block and the student is automatically dismissed. See Dismissal Policy.
    3. Block Remediation Passing Grade Criteria
      1. A student must score equal to or greater than 70 percent (no rounding) cumulatively on remediation examination(s) (total questions correct/total questions on all examinations X 100) to pass the remediation.  There is no exam retake option in remediation.
      2. Successfully passing a remediation does not change the grade of Fail on the transcript from the original grade. The remediation grade shows as a second grade on the transcript as a grade of Pass.
  2. Course Grading for Pass or Fail:
    1. Course Pass
      1. Course Scoring for Passing Grade
        1. A grade of Pass is posted for a student who meets all required elements and milestones as outlined in the course syllabus.
      2. Course Retake Examination Passing Grade Criteria
        1. The Doctoring I and II Courses are the only pre-clerkship courses that require formal examinations: Observed Structured Clinical Examination (OSCE). All other pre-clerkship courses rely on ongoing and timed milestones, benchmarks and assignments and do not have formal examinations; therefore, they do not offer retake options.
        2. A first-time failure of an OSCE allows a one-time OSCE retake on a date stipulated in the Doctoring I or II Course syllabus. Repeating the OSCE does not count as the one-time block examination retake. Passing the retake OSCE results in a grade of Pass. Failure of the retake OSCE results in a grade of Fail for the course.
  3. Course Remediation Passing Grade Criteria
    1. A student who is eligible for remediation of a failed course must consult the course syllabus for specific remediation processes (e.g., scope of work, dates of remediation, dates of required assessments, etc.).
    2. A student who successfully completes all mandated remediation activities within the time specified receives a grade of Pass.
    3. A student who fails to complete all mandated remediation activities within the time specified receives a grade of Fail.
      1. A failure of a remediation is considered a second failure of the same course and the student is automatically dismissed. See Dismissal Policy.
  4. Course Fail
    1. Course Directors are expected to identify students throughout the length of the course who are not meeting required elements in a timely manner, and provide corrective mentoring as well as a specific corrective plan (signed by both student and Course Director) outlining deficient requirements and the steps necessary to avoid a course failure.
    2. A grade of Fail is posted for a student not completing course requirements by the date stipulated in the individual course syllabus.
    3. If a student is on record as having a legitimate reason for not completing said requirements, see Section III.7. “Block or Course Grading for Incomplete, Drop or Withdrawal.”
  5. Block or Course Grading for Incomplete, Drop or Withdrawal (Drop/Withdrawal form):
    1. Incomplete
      1. If a student has not missed more than the maximum allowable time stated in the syllabus, and is on record after consultation with the Associate Dean, Student Affairs as having a legitimate reason for not completing said requirements by the block or course end date, then a grade of Incomplete is awarded.
      2. Block or Course Directors assigning a grade of Incomplete submit a Course Completion Form within one week after the block or course end date indicating the requirements for completion, including the expected completion date.
      3. Failure to complete the required assignments by the expected completion date results in a failure of the block or course.
      4. A grade of Incomplete automatically reverts to a failure on the transcript after one calendar year if the block or course has not been completed.
    2. Drop
      1. When a student has missed or will miss more than the maximum allowable time stated in the syllabus but either has not taken an assessment or is passing according to the standards of the block or course, the student may drop the block or course after approval from the Associate Dean, Student Affairs.
      2. A dropped block does not show on the transcript.
      3. A student may enroll in the same course during the next academic year when it is offered.
    3. Withdrawal
      1. When a student has missed or will miss more than the maximum allowable time stated in the syllabus, and is not passing a block or course according to the standards of the block or course, and after consultation with the Associate Dean of Student Affairs, the student may request to withdraw from a block or course when the student is approved for a leave of absence.
      2. A grade of W appears on the transcript for any withdrawals.
      3. A student may enroll in the same course during the next academic year when it is offered.
      4. Exceptions to the Block or Course Grading for Incomplete, Drop or Withdrawals must be approved by the Associate Dean, Curricular Affairs and Program Evaluation, in consultation with the Associate Dean, Student Affairs.
Curriculum Committee
:
Approved
07/26/2022
,
Amended
07/26/2022