Student Grading and Promotion Policies

Grades

For coursework begun during or after the January 2012 semester, grades are interpreted and GPAs are determined as follows:

Letter Grade

A

Numerical Percentage Range

85-100

Quality points per credit hour

4.00

B+ 80-84 3.50
B 75-79 3.00
C+ 71-74 2.50
C MPS – 70 2.00
F Fail (below MPS) 0.00
HP High Pass 85 – 100 0.00
P Pass MPS – 84 0.00
NP No Pass 0.00
W* Withdrawn Before Interim Exams 0.00
WP* Withdrawn Passing 0.00
WF* Withdrawn Failing 0.00
I R

UP

Incomplete

Course repeated in subsequent semester Unsatisfactory Progress

0.00

*Withdrawal from a single course during a Foundations of Medicine semester is not permitted. However, if a student withdraws from the term, a grade may be given for any courses that have been fully completed.

Grades of High Pass, Pass or No Pass for the first semester courses do not count toward the cumulative GPA. Courses in remaining semesters will receive an A, B+, B, C+, C or F grade and will impact the cumulative GPA.

All students must have a minimum cumulative GPA of 2.00 in order to advance to IMF. Students with a cumulative GPA lower than 2.00 are subject to dismissal.

Recognition of Exemplary Grades

Students earning exemplary grades are recognized as follows:

o 3.50 – 3.59 Honors

Academic Amnesty/Grade replacement policy:

Students completing semester one in May 2013 and beyond will be able to replace failing (F/NP) grades in their GPA after repeating the course and receiving a passing grade. The course with the F or NP grade will be removed from the GPA calculation, but the attempted hours will still count in the calculation of Satisfactory Academic Progress (SAP).

Minimum Passing Score (MPS) Requirement for Foundations of MedicineCourses Cumulative Scores

The academic content in FM courses is presented in lectures, anatomy lab and small group sessions. This content is assessed by mini-examinations, laboratory examinations, and final examinations. The contribution of each laboratory examination, mini-examination and final examination are weighted to contribute to the determination of the overall cumulative score for each FM course. Additionally, each mini-examination and final examination assessment contributes to the calculation of discipline scores within each course. The course syllabi will provide further information regarding the weighting of exams specific for each course.

Minimum Passing Score (MPS) and Minimum Performance Level(MPeL)

Grades in the semester 1-5 Foundations of Medicine courses are set by using a Minimum Passing Score (MPS) as calculated by using the Hofstee method. The end of semesterminimum passing score (MPS) is assigned to the complete set of compiled scores for the exams and labs in each course. The MPS score is determined by the academic administration using the Hofstee method. It is this final MPS assignment which is utilized for determination of a student’s final grade in the FM and CS courses. Scores are rounded to two decimal places with

0.005 rounded up. In addition to using MPS to calculate the final grade, minimum performance levels (MPeLs), found in the course syllabus, will be determined for each discipline block within the course. These minimum performance level (MPeL) scores are determined by the academic administration using the Hofstee method. Students must achieve the MPeL for each discipline block to be eligible to pass the course. All grades are posted on myRoss at the end of each semester.

Promotion Policies: Foundations of Medicine Semesters

Students who receive passing grades and are otherwise in good standing are promoted to the next semester. Students who fail any semester for the first time will be allowed to repeat the failed semester on Academic Probation. Students failing two semesters will be subject to dismissal.

Students who have been dismissed have the right to appeal a dismissal. If a student successfully appeals a dismissal and is allowed to return, the student will be placed on Academic Probation until the student fully remediates the failure.

Repeating, Return from Approved Absences and Readmitted:

Failing Grades: Foundations of Medicine

Should a student fail one course in a semester, the student must repeat the entire semester (courses) and will be enrolled in the Essential Lifelong Learning Skills (ELLS) course.

Students who fail only one course in the Foundations of Medicine curriculum will receive a failing (or no pass) grade for both the Foundations of Medicine and Clinical skills courses regardless if the student received a passing grade in the other course.

Students repeating a semester will be placed on Academic Probation.

Students will not be allowed to proceed with subsequent semesters until they have successfully passed each prior semester’s study.

Students who failed in the Standard Accelerated Curriculum and repeat in the Ross+ curriculum will be required to remediate all curricular content before the Grade Amnesty (grade replacement) policy will be applied.

Students who repeat are required to have an Academic Plan on file with the Office of the Registrar outlining the requirements of satisfactory academic performance signed by the student and the Associate Dean of Student Affairs or the Associate Dean of Academic and Student Affairs or authorized designee. Please note that no semester may be repeated more than once.

  1. A student repeating the previous semester will be enrolled in Foundations of Medicine, Clinical Skills and ELLS.
  2. Students who are returning from an AA and have successfully passed the previous semester will be enrolled in Foundations of Medicine and Clinical Skills.
  3. Students returning after being readmitted due to failing two semesters or successfully appealing their dismissal will be enrolled in Foundations of Medicine, Clinical Skills and ELLS.
  4. Students who withdrew with W/WP and were readmitted will be enrolled in Foundations of Medicine and Clinical Skills.
  5. For students who withdrew with a WF and were readmitted will be enrolled in Foundations of Medicine, Clinical Skills and ELLS.

Foundations of Medicine & Clinical Skills Course Grade Appeal Policy

Students may appeal a Foundations of Medicine or Clinical Skills course assessment score or final grade within 3 business days of being posted if it is believed a grading error has been made. The first appeal must be written and submitted from the student’s RUSM email account to DMstudentaffairs@RossU.edu with the subject line “Grade Appeal.” The appeal must include the student’s name, ID #, semester/track, course, score or final grade in question, and a concise (less than 500 words) written statement of the rationale for the appeal.  A written response to uphold or overturn the original grade/score will be sent within 3 business days of receipt unless otherwise notified.

Students may appeal the outcome of the above decision (first appeal) to the Associate Dean of Student Affairs by submitting the Foundations of Medicine & Clinical Skills Grade Appeal Policy form (found on MyRoss) and supporting documentation to DMstudentaffairs@RossU.edu, within 3 days of the decision. Appeals to the Associate Dean must meet one of the below criteria to be considered:

Promotion Policies: Clinical Science Semesters Clinical Sciences Clerkship Eligibility

In order to be eligible to begin the remainder of the clinical core clerkships, students must meet all of the following

prerequisites:

Clinical Sciences Clerkships

Passing the USMLE Step 1 and IMF clerkship are required for continuation into the remaining clerkships. Students who have completed these steps may begin clerkships at any time during this period. Beyond this timeframe, students who have not resumed clinical training enter their grace period or repayment status on their student loans and must be reported as withdrawn, for most purposes, to outside agencies.

For students who completed AICM prior to September 2014, RUSM requires 57 instructional weeks of core clerkships (including 9 weeks of AICM) and 33 instructional weeks of electives, for a total of 90 instructional weeks of clinical training.

For students beginning IMF on or after September 2014, RUSM requires 48 weeks instructional weeks of core clerkships (including 6 weeks of IMF) and 36 instructional weeks of electives, for a total of 90 instructional weeks of clinical training.

The entire clinical segment, currently 90 instructional weeks, must be successfully completed within 135 instructional weeks of attendance. Students must take all core clerkships at clinical sites affiliated with RUSM.

Note: These requirements may be subject to change in the future depending on regulatory and other academic requirements.

Clinical Sciences Grading

Students must take and pass all required and elective clinical clerkships. Each of the six core clerkships provides curricular guidelines that students must follow. At the conclusion of the core clerkship, students must pass the appropriate NBME Subject Clerkship Examination (SCE). The SCE policy can be found in the Policies and Administrative Procedures section of this Student Handbook.

Core Clerkships – General Expectations

  1. Study Hours

Reading/Case assignments are outlined and organized by week. Students should set aside time in review and preparation for the NBME subject exam. Case reviews and formative questions are great tools for surface learning, but the textbook and articles give comprehensive review of topics. In-depth understanding fosters greater retention

  1. Duty hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in- house call activities.

Continuous on-site duty, including in-house call, must not exceed 24 consecutive hours. Students may be on site for up to 4 additional hours in order to participate in didactic activities.

  1. Patient Interaction

Students are expected to interact with and be responsible for an adequate number of patients at any given time. Under the supervision of residents/faculty members, and in conjunction with the interdisciplinary team, robust clinical experiences and learning opportunities are assured.

  1. Case Presentations

Students are expected to present cases and receive feedback of their presentation skills, medical reasoning, differential diagnosis and management plans. Formal didactic presentations may also be required.

  1. Patient Notes

Clerkship students must follow the procedures and qualifications for both paper chart and electronic medical record patient notes as detailed by the hospital to which they are assigned.

  1. Essential Patient Encounters / Procedures (EPE/EPP)

A list of the types of patients to be seen during a clerkship is provided. All EPEs and EPPs must be recorded in the Patient Log as either a real patient or if needed, a Complementary Case. Although the sequence of each encounters will vary by location and assignment during a clerkship, we encourage you to log each encounter soon after the interaction.

Letter grades are assigned at the conclusion of each clerkship. The final grade for a clinical core clerkship is based on the following:

Clinical Core Clerkship starting before January 1, 2017
Final Clinical Core Clerkship Grade Calculation Percent of Final Grade
Clinical Clerkship Evaluation 70%
Subject Clerkship Exam 25%
Online Clinical Curriculum 5%
100%
Clinical Core Clerkship starting on or after January 1, 2017
Final Clinical Core Clerkship Grade Calculation Percent of Final Grade
Clinical Clerkship Evaluation 65%
Subject Clerkship Exam 25%
Online Clinical Curriculum 10%
100%

Please also note the following:

Clinical Grade Appeals

Students may appeal a clinical evaluation grade within 30 days of the grade being posted. Appeals must be written and submitted via email to the Director of Medical Education (DME) or their coordinator and copied to GradeAppeals@RossU.edu.  The appeal must include the student’s name, ID #, copy of the evaluation, and a concise written statement of the rationale for the appeal.  The clinical preceptor will investigate, as appropriate, and decide to change or uphold the original grade.

The student may appeal the decision of the clinical preceptor to the Associate Dean of Academic and Student Affairs or authorized designee by submitting, within 30 days of the decision, a grade appeal form and a concise written statement of appeal based on one or more of the following reasons:

The decision of the Associate Dean of Academic and Student Affairs or authorized designee on the appeal is final. Grade Appeal forms can be found on the student portal.

Failing Grades: Clinical Sciences

A student receiving an F in any portion of the Clinical Sciences curriculum will be subject to review by Associate Dean of Academic and Student Affairs or authorized designee. Students on Academic/Financial Aid Probation may be allowed to continue clinical clerkships at the discretion of Associate Dean of Academic and Student Affairs or authorized designee. Students will be subject to additional tuition expense if they exceed the 92 weeks covered by the standard tuition rates.

If a student is dismissed for unsatisfactory progress and successfully appeals, he/she may be allowed to repeat the semester on probation. However, including instructional weeks of repeated semesters, maximum timeframe limits

for entire completion of the curriculum must not be exceeded.