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Seton Hall University

Academic Promotion and Graduation Policy

Purpose

  • To describe the policies of the Hackensack Meridian School of Medicine at Seton Hall University (SOM) as related to the single standard for academic promotion and graduation of its students.
  • To ensure the School of Medicine complies with Element 9.9 of the Liaison Committee on Medical Education (LCME) accreditation standards.

Scope

Compliance with this policy extends to all members of the academic community.

Background

The standards for academic promotion and graduation are aligned with the competency-based approach to medical education adopted by the SOM. The policies and procedures listed here are grounded in that approach.

Policy

Academic Promotion: Advancement Within and Between Phases
Each student's progress towards achievement of the SOM’s Competencies as well as academic performance is evaluated through both formative and summative assessments as described in the Phase 1 and Phase 2 Assessment and Grading Policies. A comprehensive evaluation of each student's performance will be conducted by the Student Performance Review Committee (SPRC) at the following academic checkpoints to determine the student’s preparedness for the next Phase/component of the curriculum:

  • Advancement from the end of the first academic year to the second academic year (both within Phase 1)
  • Advancement from Phase 1 to Phase 2
  • Prior to beginning Advanced Clinical Rotations
  • Advancement from Phase 2 to Phase 3

Criteria for advancement will include adherence to the Student Code of Conduct and Statement on Professionalism. Students must also pass all required courses, clerkships, advanced clinical rotations, and high stakes examinations in each curricular Phase/Component to advance to the next Phase/Component. Evaluation of student performance and approval for academic promotion will be determined by the Student Performance Review Committee.

Graduation
The SOM has a single standard for graduation of all students. The following are required for graduation from the Hackensack Meridian School of Medicine at Seton Hall University with the M.D. degree.

Competency Requirements
Upon graduation, students are required to have demonstrated competence in all SOM Competencies, including achievement of professionalism standards. For each Competency, a set of milestones defines the expected progress throughout medical school toward achieving competence.

Course/Clerkship/Advanced Clinical Rotations
Students must successfully pass all required courses, clerkships and Advanced Clinical Rotations.

Block OSCEs
Block OSCEs are a series of clinical examinations. Students will take two high stakes and two moderate stakes Block OSCE examinations according to the following schedule:

  • Phase 1: End of the first academic year (moderate stakes)
  • Phase 1: End of phase (high stakes)
  • Phase 2: Midpoint of clerkship year (moderate stakes)
  • Phase 2: End of clerkship year (high stakes)

Block OSCEs will include a combination of standardized patient encounters, task-based and high fidelity simulations, electronic medical record use, and other clinical skills (e.g., communication skills, providing a patient hand-off).

Students will receive a score of "Meets Expectations," "Meets Expectations with Recommendations," or "Does Not Meet Expectations." Students must receive a score of "Meets Expectations" or "Meets Expectations with Recommendations" in all clinical skill domains in order to successfully pass the Block OSCE, and move to the next curricular Phase/component.

Students who receive a score of "Meet Expectations with Recommendations"
Students who receive a score of "Meet Expectations with Recommendations" will be required to meet with the Director of Clinical Skills to review their performance on the Block OSCE. The student will also be strongly advised to meet with their academic advisor and the Director of Student Success to develop a remediation plan.

Students who receive a score of "Does not Meet Expectations"
Students who receive a score of "Does not Meet Expectations" will be required to meet with the Director of Clinical Skills to review their performance on the Block OSCE. The student will also be required to meet with their academic advisor and/or the Director of Student Success to develop a remediation plan which must then be approved by the Director of Clinical Skills.

For moderate stakes examinations: Upon review of the student's performance, a student may be referred to the SPRC, and may be required to leave the SOM curriculum for focused remediation as appropriate.

For high stakes examinations: Upon review of the student's performance, a student will be referred to the SPRC, and will be required to leave the SOM curriculum for focused remediation. The student will re-enter the SOM curriculum once the deficiency has been successfully remediated.

USMLE Requirements
Students are expected to take and successfully pass USMLE Step 1 and Step 2 (CK and CS) according to a specific timeline. Students are allowed up to three (3) attempts to pass each exam.

USMLE Step 1: Students must take and successfully pass USMLE Step 1. Students must pass USMLE Step 1 to progress into Advanced Clinical Rotations. If students receive notification that they did not pass USMLE Step 1 during a rotation they may be allowed to complete their rotation, and then will leave the SOM curriculum until they have successfully taken and passed USMLE Step 1.

USMLE Step 2: Students must take and successfully pass USMLE Step 2 (CK and CS) prior to starting Phase 3 of the curriculum, including prior to graduating. Depending on the composition of the student's Individualized Learning Program (ILP), this deadline may be extended until December 31 of the student's fourth year of enrollment at the SOM with the approval of the Office of Medical Education.

Individualized Learning Plan (ILP)
Students are required to develop an Individualized Learning Plan (ILP) in collaboration with their Academic Advisor. The ILP describes the student’s planned schedule for completion of the USMLE Step 1 and USMLE Step 2, schedule for Advanced Clinical Rotations, and plan for Phase 3 of the SOM curriculum. All conditions and components of the ILP must be successfully met for the student to graduate.

Time for Completion of Required Components
All components of the medical education program listed as required for graduation from the SOM must be completed within a six-year time period, unless granted an extension at the discretion of the Office of the Dean.

Responsible Offices

Related Resources

  • Role and Procedures of the Student Performance Review Committee
  • Phase 1 Assessment and Grading Policy
  • Phase 2 Assessment and Grading Policy
  • Student Code of Conduct
  • Statement on Professionalism

Approval

This policy was approved by the Medical Education Committee on July 1, 2018.

Effective Date

July 1, 2018

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