It is the policy of the University of Arizona College of Medicine – Phoenix that the grade in a clerkship is based on the student’s overall performance in the educational program objectives during that clerkship/selective.

Process

  1. The final grade will be determined based on a composite score derived from the Clerkship/Selective required components and detailed in clerkship/selective syllabus.
  2. Clerkship/Selective Directors will report final grades within six weeks of the end of the clerkship/selective according to the Final Grades Reporting Timeline Policy.
  3. The grade will be divided into four categories: Honors, High Pass, Pass or Fail.
  4. The Clerkship/Selective Director is responsible for final determination of each student’s final grade.
  5. An Incomplete will be awarded:
    1. If the student is at a site with only one evaluator and the evaluation has not yet been received.
    2. Students have passed the examination, but have not completed their required activities.
    3. Student has passed clinically, but has failed the initial examination attempt and has not yet completed the retake.
    4. Students begin, but are unable to complete clerkship/selective requirements as stipulated in the syllabus if and only if the student has a legitimate (for example medical/personal) reason for not completing requirements. Such a legitimate reason must be corroborated by communication from the Associate Dean, Student Affairs in conjunction with the Associate Dean, Clinical and Competency Based Education and appropriate relevant offices, e.g. Campus Health or the Disability Resource Center.
      1. If the student has successfully completed a minimum of two weeks* of the required clerkship/selective, the student will not be required to restart the clerkship/selective.
      2. If a student has not completed a minimum of two weeks* of the required clerkship/selective, the student may still be eligible for an incomplete on their transcript in the setting of an approved reason for an unplanned departure from the curriculum (see above).
      3. In the event a student receives an Incomplete grade in a clerkship/selective, the Clerkship/Selective Director will delineate, at their own discretion, in writing via the final grade form in the curricular management system, the steps and timeline to successfully complete all required course elements. A plan for completion of the clerkship/selective examination may not involve a direct week-by-week completion, as clinical sites may have additional requirements or stipulations about length of time on service. Students contemplating a clinical incomplete in a clerkship/selective should discuss these considerations with the appropriate stakeholders, if possible, to best understand what the required clinical schedule will look like.
      4. Successful completion of all required elements by the date stipulated will result in a grade change from Incomplete to Grade Earned (H/HP/P/F). Failure to complete all required elements by the time stipulated will result in a grade change from Incomplete to Fail.
    5. A grade of Incomplete automatically reverts to a failure on the transcript after one calendar year if the clerkship/selective has not been completed.
      1. If an approved leave of absence is the reason the incomplete is not completed within one calendar year, a student will receive a “W” (withdraw) on their transcript and will be required to restart the clerkship/selective.
    6. Withdrawing from a Clerkship/Selective: In the event that a student begins but then withdraws from a clerkship/selective without the coordinated approval by the Associate Dean, Student Affairs and the Associate Dean, Clinical and Competency Based Education, the student’s transcript will reflect a “W” regardless of the amount of time spent on the rotation.

*Two weeks: In order to receive credit for two week’s effort on the clerkship, the student must complete the expected requirements as determined by the clerkship director and site director for that particular clerkship. A clinical work week is defined as up to six days on service with one day off; therefore, in order to be eligible for an incomplete, the student should have successfully completed 10 to 12 days in the clinical setting, as determined by clerkship/selective director.

  1. Posting a grade replacing the Incomplete will take place within two weeks after receipt of the following:
    1. Evaluation from the clerkship/selective site.
    2. Completion of the required activities.
    3. Receipt of score on the retake of the shelf examination.
  2. A student who posts two incomplete grades in year 3 or 4 must finish the incomplete units before beginning a new curricular unit. Exceptions may be considered by the Associate Dean, Student Affairs and Associate Dean, Clinical and Competency Based Education.
  3. A student who retakes an examination because of failing on the first attempt is not eligible for a final clerkship/selective grade of Honors or High Pass. See Clerkship After Examination Failure Policy.
  4. If a student needs to schedule a retake examination, the student will work with OAE and the Associate Dean, Clinical and Competency Based Education to schedule a retake exam at a time that is not in conflict with other curricular requirements. All Year 3 clerkship retakes must be resolved before engaging in any Year 4 electives, selectives or clerkships.
  5. Failure of Clerkship/Selective. See Clerkship/Selective syllabus for details of failure.
  6. If a student fails the clerkship/selective, the student will be required to repeat the clerkship/selective. This means that the student must complete all components and requirements for the clerkship/selective (i.e. completion of examination and of clinical requirements) and will no longer be eligible to receive a final clerkship/selective grade of Honors or High Pass for the clerkship. Failure of the same curricular unit twice is grounds for dismissal as per the Dismissal Policy.
  7. Each student will be rated a Level 1, 1.5, 2, 2.5 or 3 on the individual educational program objectives within the six behavioral competency domains. Criteria for assigning a Level 1 are outlined in the clerkship syllabus. See Competency Assessment Policy and Level 1 Competency Appeal Policy.
  8. In-person formative feedback with written documentation is required during all clerkships. Formative feedback is required in all selectives if the student is at risk of not meeting expectations in one or more of the EPOs.
Curriculum Committee
:
Approved
10/26/2021
,
Amended
10/26/2021