Common Clerkship Policies

AY 2017-18

Office of Medical Education Contacts for Years Three and Four (MS3s and MS4s)

Name

Title

Phone

Email

Richard Brower, M.D.

Associate Dean for Medical Education

De-Lara, Veronica
Sr. Business Assisstant
915-215-4965

veronica.de-lara@ttuhsc.edu

Maureen Francis, M.D.

Assistant Dean for Medical Education

De-Lara, Veronica
Sr. Business Assisstant
915-215-4965

veronica.de-lara@ttuhsc.edu

Lourdes Davis

Course Coordinator, Years 3 & 4

915-215-4393

Lourdes.Davis@ttuhsc.edu

Virginia Pacheco

Course Coordinator, Year 3

915-215-5552

Virginia.pacheco@ttuhsc.edu

Rebecca Aranda

Coordinator, Hospital Clerkships

915-215-5034

915-577-7593

Rebecca.aranda@ttuhsc.edu

 

Disability Support Services

TTUHSC El Paso is committed to providing equitable access to learning opportunities to students with documented disabilities (e.g. mental health, attentional, learning, chronic health, sensory, or physical). To ensure access to educational opportunities in the clinical setting, please contact Tammy Salazar, Ph.D., with Disability Support Services to engage in a confidential conversation about the process for requesting reasonable accommodations in the classroom and clinical settings. Or for more information, email disabilitysupport.elp@ttuhsc.edu or elpaso.ttuhsc.edu/studentservices/dss

 

Attendance Policy

Attendance at clinical and didactic activities is mandatory. Unexcused absences will not be tolerated and may result in disciplinary action, potentially including a requirement to repeat the clinical block or rotation. Students have been allotted institutional holidays as stated in the student handbook and academic calendar. 

Students assigned to rotations at William Beaumont Army Medical Center (WBAMC) will be excused from duty on institutional holidays. However, students will be expected to work on military training days that do not coincide with institutional holidays. If the clinic the student is assigned to is closed, the student will be assigned duties on campus for the day.

Students are required to attend both the first and last days of every rotation. The only excused absences will be for interviews, illnesses (with a doctor’s note), or documented family emergency. Students will not be excused for away or international rotations. 

Absences are excused at the discretion of the clerkship/course director. Commonly excused absences include:

  • Illness/Health Care Appointment
  • Family Emergency
  • Death in the Family
  • Religious Holidays (please see the Religious Holy Days Policy in the Student Affairs Handbook)
  • Presenting at a National Conference
  • Interviews for Residency (MS4s only)

During the third year, a student is expected to attend all clinical and didactic activities. If s/he plans to be absent for any activity, advance approval must be obtained from the clerkship director. If the clerkship director determines that a student’s absence compromises his/her ability to attain the necessary competencies, the student may be required to make up days or complete alternative assignments. If a student is required to make up time, this must be completed during unscheduled time and the hours worked must be in compliance with the duty hour policy.

If a student is absent for more than four days per block or 12 days during third year, the absences will be assessed by the associate dean for student affairs. Excessive absences could be a violation of the Student Code of Conduct and may be forwarded to the Grading and Promotions Committee (GPC).

In the event of an emergency that results in an absence from clerkship duties, the student must notify the clerkship coordinator and the Office of Student Affairs, as noted above, as soon as possible.

In the fourth year, a student may have no more than three excused absences in a four-week block without having to make up that time. However, if the clerkship/course director determines that the student’s absence(s) compromised his/her ability to attain the necessary competencies, the student may be required to make up days or assignments, regardless of the number of days missed. It is also at the discretion of the clerkship/course director to give the student an alternative assignment to satisfy all or part of the make-up time. If a student is required to make up time, this must be completed during unscheduled time and the hours worked must be in compliance with the duty hour policy.

If a student is absent for more than six days in a semester during the fourth year, the absences will be assessed by the associate dean for student affairs. Excessive absences could be a violation of the Student Code of Conduct and may be forwarded to the GPC.

When a student is going to be absent, they are required to notify:

  1. The Clerkship Coordinator BEFORE their shift begins. Acceptable forms of notification are: email (preferred), phone call, or text message. Please see individual Clerkship Syllabus for Clerkship-specific contact requirements
  2. The Office of Student Affairs by emailing plfabsence@ttuhsc.edu

If a student is absent:

  • Orientation day - Orientation is a graded activity. Therefore, a doctor’s note on the health care provider’s letterhead or prescription paper is required if a student wishes to be excused from orientation. The absence is subject to the institution’s Missed Graded Activities Policy. Please see the Student Affairs Handbook for more information.
  • More than two consecutive days of illness - A doctor’s note on the health care provider’s letterhead or prescription paper is required.
  • Presenting at a national conference – When presenting at a national conference, a copy of the invitation to present and a travel itinerary are required.
  • Residency interviews - When interviewing for residency (MS4s only), a copy of the invitation to interview and a travel itinerary are required.

Students who miss a National Board of Medical Examiners (NBME) exam must make arrangements with the Office of Medical Education to make up the exam on the next scheduled exam date. 

MS3 students who must remediate an NBME exam will need to complete the exam before beginning their MS4 coursework. The schedule for the remediation exam must be approved by the associate dean for student affairs.

MS4 students who must make up an NBME exam will take the exam on the next scheduled exam date, even if it falls during vacation time. Students who are required to make up days will take the exam on the next available date following the make-up day. Students may delay the exam if the next exam date falls during another clerkship with a required NBME. Exceptions will also be made for approved away rotations.

During year four, all remediation must be completed in time for certification for graduation.

No special arrangements (additional exam dates/times) will be made.

AY 2017-18 NBMEs will be administered on the following dates:

• Friday, June 9, 2017
• Friday, June 16, 2017
• Friday, June 23, 2017
• Friday, June 30, 2017
• Friday, July 7, 2017
• Friday, August 11, 2017
• Tuesday, August 29, 2017
• Friday, September 1, 2017
• Friday, September 29, 2017
• Friday, October 27, 2017
• Friday, November 3, 2017
• Wednesday, November 22, 2017
• Friday, December 1, 2017
• Tuesday, December 19, 2017
• Friday, December 22, 2017
• Friday, January 5, 2018
• Friday, January 26, 2018
• Friday, February 2, 2018
• Friday, February 23, 2018
• Friday, March 23, 2018
• Friday, April 20, 2018
• Tuesday, April 24, 2018
• Friday, April 27, 2018
• Friday, May 18, 2018
• Friday, May 25, 2018
• Friday, June 1, 2018

 

Clinical Grading Policy

Student clerkship performance is based on the clerkship director’s judgment as to whether the student honors, passes, or needs improvement on each of the eight competencies described by the Paul L. Foster School of Medicine (PLFSOM)’s discipline performance rubric. The final clerkship performance assessment is conducted at the end of the rotation based on the student’s level of performance at that point in time.  Students are not penalized for lower levels of performance early in their rotation.  It is expected that over the course of the block, student performance will improve in many or all categories, based on constructive feedback and growing familiarity with the clinical discipline and patient care. In other words, the final assessment is not an average of the student’s performance over the entire rotation, but represents his/her final level of achievement.  

Possible final grades are honors, pass, fail, and incomplete. There is no cap or quota on the number of students eligible for honors designation. The overall grade is based on the eight competency criteria as described below. No student who is assessed as “needs improvement” in any competency on the final clerkship evaluation is eligible for honors. 

A student who fails in the professionalism category may be receive an overall pass or a fail at the discretion of the course director, regardless of his/her score(s) on any other item(s).

Overall grade is based on assessment in each of the eight competencies, the student’s NBME score (see Table 1 for clerkship-designated thresholds for pass and honors), OSCE performance, and professionalism.

  • Honors, if all of the following are true:
    • Passes NBME exam, if applicable, at or above the clerkship designated score for honors on first attempt
    • Passes the OSCE, if applicable, on first attempt
    • Minimum of four of the eight individual competencies rated as “honors” on the final clerkship evaluation
    • No individual competency rated as “needs improvement” on the final assessment
  • Pass if all of the following are true:
    • Passes NBME exam, if applicable, at or above the clerkship-designated score for pass on the first or second attempt
    • Passes OSCE, if applicable, on the first or second attempt
    • Minimum of six of the eight individual competencies rated as “pass” or better on the final clerkship evaluation
    • No more than two individual competencies rated as “needs improvement” on the final clerkship assessment
    • Any professionalism concerns are, in the judgment of the course director, not significant enough to warrant a “fail” on the final clerkship evaluation
  • A failing clinical assessment is assigned if any of the following are true:
    • Three or more individual competencies rated as “needs improvement” on the final clerkship assessment
    • NBME score, if applicable, below the designated clerkship score for “pass” after two attempts
    • Failing score on final exam (other than NBME), if applicable, after two attempts
    • Failing score on OSCE, if applicable, after two attempts
    • Any professionalism concerns deemed by the course director significant enough to warrant a “fail” on the final evaluation
  • If a student receives a final grade of “needs improvement” in the same competency in three or more clerkships, they will be referred to the Grading and Promotions Committee (GPC).
  • If a student fails three NBMEs or 3 OSCEs within the third year, they will be referred to the GPC and a notation will be made on their Medical Student Performance Evaluation (MSPE).

An “incomplete” grade will be assigned to any student who has not completed required assignments or examinations or who has not fulfilled all clinical experience obligations, pending completion of the required work.

Overall grade is based on the assessment in each of the 8 competencies:

  • Honors, if all of the following are true:
    • Passes NBME exam, if applicable, at the 60th percentile or above on first attempt
    • Passes OSCE, if applicable, on first attempt
    • Minimum of four of the eight individual competencies rated as “honors” on the final clerkship evaluation
    • No individual competency rated as “needs improvement” on the final assessment.
  • Pass if all of the following are true:
    • Passes NBME exam, if applicable, at the 6th percentile or above on the first or second attempt
    • Passes OSCE, if applicable, on first or second attempt
    • Minimum of six of the eight individual competencies rated as pass or better on the final clerkship evaluation
    • No more than two individual competencies rated as “needs improvement” on the final clerkship assessment
    • Professionalism concerns are, in the judgment of the course director, not significant enough to warrant a fail on the final clerkship evaluation
  • A failing clinical assessment is assigned if any of the following are true:
    • Three or more individual competencies rated as “needs improvement” on the final clerkship assessment
    • NBME, if applicable, below the 6th percentile after two attempts
    • Failure on final exam (other than NBME), if applicable, after two attempts
    • Fail on OSCE, if applicable, after two attempts
    • Any professionalism concerns deemed by the course director significant enough to warrant a fail on the final evaluation
  • If a student receives a final grade of “needs improvement” in the same competency in three or more clerkships, they will be referred to the Grading and Promotions Committee (GPC).
  • If a student fails three NBMEs or 3 OSCEs within the third year, they will be referred to the Grading and Promotion Committee and a notation will be made on their Medical Student Performance Evaluation (MSPE).

An incomplete grade will be assigned to any student who has not completed required assignments or examinations or who has not fulfilled all clinical experience obligations, pending completion of the required work.

Please note: Every fourth-year elective has its own specific grading assessment forms. Final grades possible are “honors,” “pass,” and “fail.” Please refer to the syllabus for each elective for more information on the specific grading policy.

A student will be referred to the GPC if s/he receives an assessment of “needs improvement” in the same competency on three or more final clerkship assessments or if s/he fails a clerkship.

All student progress will be reviewed by the GPC twice per year, considering all coursework, professionalism level, evidence of progressive improvement, and personal circumstances. Performance in other blocks or clerkships will be taken into consideration by the GPC.

For the third year:

If

Then

The student fails a clerkship

  1. Failing score on clinical component OR
  2. Failing score on professional component OR
  3. Failing score after two attempts at the NBME OR
  4. Failing score after two attempts at the OSCE
  1. One-month remediation in the fourth year in that discipline without receiving elective credit OR
  2. Repeat of third year OR
  3. Dismissal

The student fails two clerkships (same definition as above)

  1. Remediation* OR
  2. Repeat of year OR
  3. Dismissal

The student fails the NBME in three different clerkships (on first attempt)

  1. Remediation* OR
  2. Repeat of the third year OR
  3. Dismissal

The student fails three clerkships

  1. Repeat of third year OR
  2. Dismissal

The student receives an assessment of “needs improvement” in the same competency on three or more final clerkship assessments

  1. Remediation* OR
  2. Repeat of the third year OR
  3. Dismissal

* Remedial work will not be counted as elective time in assessing satisfaction of the conditions for graduation.

 

Grading and Promotion Committee Review for Year 4

  1. Failure of a required or elective experience in the fourth year – review by the GPC for remediation, repeat of the year or dismissal.
  2. Failure of more than one block in year 4 – review for remediation, repeat of the year or dismissal.
  3. Failure of Step 2 CK or CS on the first attempt – no review required by the GPC, but the student must log a pass of CK and CS by May 1 in order to graduate in May.
  4. Failure of Step 2 CK or CS on the second attempt – assessment by the GPC for possible remediation and delay of graduation.
  5. Failure of Step 2 CK or CS on the third attempt - Dismissal.

 

Op-Log Policy

  1. Students are required to complete Op-Log entries for all patients with whom they have direct, hands-on clinical contact, e.g., taking all, or significant part of the patient’s history, conducting a physical examination, performing or assisting with a diagnostic or treatment procedure, writing orders, participating in treatment decisions, etc.  Student will also be expected to complete Op-Log entries for patients seen with an attending or resident where clinical teaching or learning through observation is an explicit goal of the encounter.
  2. Students will document each problem/diagnosis s/he addresses at the time of the encounter, e.g., if a patient has any of the following diagnoses listed on his/her record: DM type 2, hypertension, or osteoarthritis, but the student must only address the OA[MOU1]  during the encounter; the OA is the only problem that would be recorded in his/her Op-Log for that encounter
     [MOU1]Spell out on first mention.
  3. Students are expected to record their encounters in Op-Log at least once a week. Regardless of where the assessment falls in the week, students must have their Op-Log recordings up-to-date at least 24 hours prior to the scheduled mid-clerkship block for every formative assessment and by 5 p.m. the Monday of NBME week. For hospitalized patients, a student will complete an entry at the time of the patient’s discharge or whenever the student’s responsibility for caring for a patient ends.
  4. Timely, complete, and accurate clinical encounter Op-Log entries will be a key component of the clerkship assessment. Students who do not meet expectations in the documentation of their clinical experiences will not be eligible for honors designation.
  5. Students will not document “incidental” patient encounters. Each clerkship will operationally define incidental encounters for its own purposes. Routine follow-up visits with hospitalized patients do not need to be documented in Op-Log (see #3 above).
  6. Students are expected to document a minimum number of encounters per clerkship. Please note that these are minimum expectations, and as such, a student may not qualify for honors if s/he only meets the minimum expectation (honors designation indicates a student went above and beyond).
  7. Deliberate falsification of Op-Log entries is an honor code violation.

 

Common Requirements

  1. Intersessions
    1. There will be two one-week intersessions in the third year: one following block two and one following block three. The entire class will participate in the activities. Content will integrate the experiences in the clinical rotations during year three with concepts from year one and two coursework.
    2. This is a two-credit course required for graduation.
    3. Dates for class of 2019
      1. January 8-12, 2018
      2. May 7-11, 2018
    4. Attendance and participation in the intersession activities is mandatory.
    5. Overall Objectives:
      1. Explore clinical overlap across medical specialties.
      2. Apply basic science principles/concepts in the clinical context.
      3. Document clinical encounters accurately in the medical record.
      4. Demonstrate the ability to write appropriate prescriptions and inpatient orders in low to moderately complex cases.
      5. Demonstrate competency in the general procedures of a physician: IV line placement, venipuncture, NG tube placement, bladder catheterization (male and female), and airway management.
      6. Analyze and solve system-level problems using quality improvement and patient safety principles and tools.
      7. Understand new and emerging basic science concepts and how these discoveries may impact health care in the future.
      8. Apply knowledge of biostatistics and epidemiology in diagnostic and therapeutic decision-making.
      9. Identify social determinants to health in clinical cases and reflect on how they can affect patient care.
      10. Demonstrate the ability to obtain proper informed consent, including special situations such as children and patients who do not speak English.
      11. Demonstrate professionalism and adherence to ethical principles in all activities.
    6. Grading
      1. Students will receive a grade of pass or fail based on the following:
        1. Attendance
        2. Participation
        3. Satisfactory completion of the procedure workshop with demonstration of competent performance in the simulation lab.
        4. End-of-year-three (EOY 3) Objective Structured Clinical Examination (OSCE) – must pass on the first or second attempt.
    7. Remediation
      1. Remediation for missed activities due to unexcused absences is required.
        1. Remediation is assigned by the course director based on the specific activities missed.
      2. EOY 3 OSCE remediation
        1. Students who do not receive a passing grade (as outlined below in the EOY 3 OSCE section) on the first attempt must retake the examination a second time.
      3. Failure to complete remediation assignments in a timely matter and/or failure of the EOY 3 OSCE on the second attempt results in a fail and referral to the Grading and Promotions Committee.
    8. Please note that a syllabus for the intersession will be published on or before September 30, 2017.

  2. End-of-Year-Three OSCE
    1. Background
      1. Cases are designed to elicit a process of history-taking and physical examination that demonstrates the examinee’s ability to list and pursue various plausible diagnoses. Diagnostic reasoning is evaluated in the note portion of the examination.
    2. Objective
      1. Demonstrate competency in history-taking, physical examination skills, and diagnostic reasoning appropriate to experience level.
      2. Accurately document focused history-taking, physical examination, assessment, and corresponding clinical reasoning in the record.
      3. Make informed decisions about the initial diagnostic work-up for each scenario and document them in the patient’s record.
      4. Demonstrate communication skills in providing patient education and counselling when appropriate to the situation.
      5. Demonstrate sensitivity, compassion, integrity, and respect for all people.
    3. Scoring and Grading
      1. Students receive two sub-scores:
        1. Integrated clinical encounter consisting of:
          1. A standardized patient checklist covering key elements of history and physical examination
          2. A subjective, objective, assessment, and plan (SOAP) note in the standard United States Medical Licensing Examination (USMLE) format with a focus on the assessment and plan and organization of the note
        2. Communication and Interpersonal Skills
          1. A uniform checklist across all cases with a focus on fostering the patient relationship, gathering information, providing information, helping the patient make decisions, and supporting  emotions
    4. Students must pass each category (integrated clinical encounter and communication and interpersonal skills) across all six cases.
      1. Minimum passing score = 75%
    5. Remediation
      1. Students who do not earn a passing score in either or both categories are required to repeat all stations of the examination.
      2. Students who do not earn a passing score in either or both categories is on the second attempt are referred to Grading and Promotions Committee.
    6. Successful completion of remediation is required to begin year-four coursework. Students are strongly encouraged to complete year three before taking the USMLE Step 2, Clinical Skills (CS).
      1. Please note that missing time to take Step 2, CS during block three results in an unexcused absence. Please see the attendance policy on page two. Unexcused absences may result in disciplinary action, potentially requiring repeat of a clinical block or rotation.

  3. Comprehensive Clinical Sciences Examination (CCSE)
    1. Class of 2018 and beyond: Each student is required to take the CCSE at the end of year three/beginning of year four to determine readiness to take the USMLE Step 2, CK.
    2. The associate dean for student affairs will meet with students whose scores are of concern and decide on a plan of action.
    3. Students are strongly encouraged to complete  year three before taking the USMLE Step 2, Clinical Knowledge (CK).
      1. Please note that missing time to take Step 2, CK during clock three results  in an unexcused absence. Please see the attendance policy on page two.
      2. Unexcused absences may result in disciplinary action, potentially requiring a repeat of a clinical block or rotation.

  4. Q Stream Participation
    1. Participation in the assigned Q Stream modules is required.
    2. Q stream is an electronic platform for spaced learning. Concepts that are important across all clerkships will be covered in a series of Q Stream modules. Examples include infection control and patient safety concepts.
    3. Reports regarding participation will be forwarded to the clerkships directors at the midpoint of the block and at the end of the block. Failure to participate may affect the student’s final grade in the related competency, such as system-based practice, practice-based learning and improvement, and/or professionalism.
  1. Procedure Workshop
    1. This is a simulation-based curriculum for fourth-year medical students in general procedural skills to review and assess competency in the following: bag-valve-mask ventilation, adult and infant intubation, venipuncture, IV line placement, NG tube placement, and male and female bladder catheterization.
    2. Each fourth-year student is required to complete the pre-work and workshop and to achieve a passing score at each station.
    3. Fourth-year students attend the workshop either during their Sub-Internship or Critical Care rotation.
    4. This is a requirement and must be completed prior to graduation.

  2. Critical Care Core Curriculum
    1. This is a series of online interactive modules that address core topics representing foundational knowledge and apply across critical care settings. Examples of topics addressed include nutritional support in the critical care setting, assisted ventilation, interpretation of arterial blood gases, hemodynamic monitoring, physiology, and common causes of shock.
    2. Completion of modules and quizzes is required.
    3. Students who do not complete all modules by the end of the rotation will receive a grade of incomplete until all modules are completed in a satisfactory manner. Failure to complete these modules by the assigned deadline could result in a “needs improvement” in the professionalism competency on the final
      assessment.
  1. MS3-MS4 ICE Case Presentation
    1. This requirement is effective for the class of 2019 and beyond.
    2. Each student is required to create a case presentation based on a case they see by December 31 of MS4. Cases should include the chief complaint, history of present illness, past medical history, pertinent social and family history, initial exam findings, initial lab and imaging results (including negative results), clinical course, and any available outcomes. Additionally, the case presentation must include five questions about the underlying basic science and/or diagnostic
      process. The presentation should tie the case to the most relevant PLFSOM scheme and explain the sequence of events/findings in relation to the diagnostic
      process. Faculty assessment and attestation forms are required at the time of submission. Further details will be provided as an update to these policies.

 

Continuing Medical Education (CME) Requirement

The following CME requirement is a prerequisite for graduation.

  • Expose students to the full continuum of medical education, including CME
  • Provide students opportunities to broaden their clinical training by participating in approved Type 1 CME events
  • Reinforce the fact that all physicians are expected to be active, life-long learners and to take responsibility for maintaining and expanding their knowledge base
  • A minimum of 10 documented Type 1 credits must be completed by March 1 of the student’s fourth year
  • Credits must be earned in at least three different disciplines (e.g., internal medicine (IM) and IM sub-specialties, surgery and surgical subspecialties, Ob/Gyn, pediatrics and pediatric sub-specialties, psychiatry, family medicine, etc.)
  • At least five of the credits must involve live sessions
  • Clerkship-required learning activities that happen to carry CME credit (e.g., the Ob/Gyn Department’s lactation curriculum) will not count toward meeting the CME requirement except for grand rounds sessions approved for Type 1 credit by the CME Office that students are required to attend as part of a rotation
  • Student participation in CME-approved events will be documented via medical student sign-in sheets.
  • Students are required to provide acceptable documentation (e.g., certificates of completion, transcripts of credit, and/or a photo of the sign-in sheet) to Lourdes Davis in the Office of Medical Education
  • Ms. Davis will update students quarterly about their individual status in meeting this requirement.

 

Duty Hour Policy

Preamble: The Paul L. Foster School of Medicine (PLFSOM) has the responsibility to develop and implement work hour policies for medical students, especially those on clinical clerkship rotations, in accordance with LCME Element 8. These policies should promote student health and education.

  1. Students should not be scheduled for on-call time or patient care activities in excess of 80 hours per week.
  2. Students should not be scheduled for more than 16 continuous hours.
  3. Students should have 10 hours free of duty between scheduled duty periods.
  4. Students should have at least one day off each week averaged over a one-month period.
  5. Students should not have more than six consecutive nights on night float duty.
  6. This policy applies to all clerkships/rotations in the third and fourth years at PLFSOM.
  7. The clinical departments will determine the frequency of overnight calls, which is not to exceed every fourth night.
  8. It is anticipated that student attendance at clerkship seminars, conferences and other didactic sessions will be facilitated by this policy and that provisions in this policy are not the basis for missing these sessions. Requests for excused absences from these sessions should be submitted to the clerkship director or his/her designee(s) on an individual basis.
  9. Variances from this policy must be approved by the associate dean for student affairs.

 

Reporting Duty Hours

Students must report their duty hours in the online scheduling system within 48 hours of the end of each event. Failure to enter duty hours on more than five occasions in a single clerkship will result in a slight concern notation on the student’s professionalism evaluation (completed by the clerkship coordinator).

 

Additional Policies

There are a number of policies dictated by the Office of Student Affairs. Students are expected to be familiar with all policies outlined in the Student Affairs Handbook

Special attention paid to the following:

  • Dress Code
  • Needle Stick Policy
  • Standards of Behavior in the Learning Environment
  • Medical Student Code of Professional and Academic Conduct
  • Religious Holy Days
  • Missed Graded Activities
  • Evaluation Policy

Students are expected to be familiar with policies regarding the Center for Advanced Teaching and Assessment in Clinical Simulation (ATACS) and to abide by these policies when attending sessions in the ATACS Center.

 

Please click the button below view the Common Clerkship Policies in PDF format.

Common Clerkship Policies