Student Grading and Promotion Policies


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

Letter Grade Numerical Percentage Range Quality points per credit hour
A 85-100 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W* Withdrawn Before Interim Exams 0.00
WP* Withdrawn Passing 0.00
WF* Withdrawn Failing 0.00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 Incomplete 0.00
R Course repeated in subsequent semester 0.00
RR Course requires remediation 0.00
M Missing Grade/Grade Not Submitted 0.00
UP Unsatisfactory Progress 0.00

*Withdrawal from a single course during a Medical Sciences 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.

Calculation of semester GPA and cGPA

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

Recognition of Exemplary Grades

Students earning exemplary grades are recognized as follows:

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 Medical Sciences Courses Cumulative Scores

The academic content in Medical Sciences 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 Medical Sciences 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 Medical Sciences courses are set by using a MPS as calculated by using the Hofstee method. The end of semesterMPS is assigned to the complete set of compiled scores for the exams and labs ineach course. The MPS score is determined by the academic administration using the Hofstee method. It isthis final MPS assignment which is utilized for determination of a student’s final grade in the Medical Sciences and Clinical Sciences courses. Scores are rounded to two decimal places with 0.50 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 MPeL scores are determined by the academic administration using the Hofstee method. Studentsmustachieve the MPeL for each discipline block to be eligible to pass the course. All grades are postedon myRoss at the end of eachsemester.

Promotion Policies: Medical Sciences Semesters

Students who receive passing grades and are otherwise in good standing are promoted to the next semester.

Students who fully complete (i.e. miss no mandatory activities including exams) and 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 for failing two semesters 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: Medical Sciences

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

For students who matriculate into RUSM on or after September 1, 2018 and fail only one course in the Medical Sciences 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. A grade of “RR” (Required Remediation) will be assigned to the non-failing course.  Upon successful remediation, a grade of “R” will be assigned.

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 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, 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 54 weeks instructional weeks of core clerkships (including six (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 core 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


Letter grades are assigned at the conclusion of each clerkship. The final grade for a clinical core clerkship is based on the Clinical Clerkship Assessment of Medical Student Performance (CCAMSP), SCE and the online curriculum content and weighted as follows:


Clinical Core Clerkship starting before January 1, 2017
Final Clinical Core Clerkship Grade Calculation Percent of Final Grade
Subject Clerkship Exam 25%
Online Clinical Curriculum 5%


Clinical Core Clerkship starting on or after January 1, 2017
Final Clinical Core Clerkship Grade Calculation Percent of Final Grade
Subject Clerkship Exam 25%
Online Clinical Curriculum 10%

*Weight of Clinical Clerkship Assessment is calculated on letter grade value assigned based on the overall score and not on the overall score itself.

Please also note the following:

Clinical Grade Appeals

Students may appeal the grade and/or comments on the CCAMSP and logs of patient encounters and procedureswithin 15days of the grade being posted.

First Appeal:Appeals must be submitted using the Clinical Grade Appeal form.The form and a copy of the assessment must be emailed to within 15 days of the grade being posted.The clinical preceptor or grade appeal administrator will investigate, as appropriate, and decide to change or uphold the original grade.

Second Appeal:In cases of procedural irregularity, inappropriate decisions, or where additional data has become available that was not considered by the clinical preceptor or grade appeal administrator, the student may appeal the decision to the Associate Dean of Student Affairs or authorized designee. Appeals must be submitted usingthe Clinical Grade Appealform. A new form must be completedand submitted with a copyof the assessment to within 15 calendar daysof the date fromthe decision notification email. The decision of the Associate Dean of Student Affairs,or authorized designee,on the appeal is final.

Students may not discuss their grade appeal with their preceptor, grade appeal administrator, or the Associate Dean of Student Affairs. Failure to follow the Clinical Grade Appeal process outlined above will result in a denied appeal and no changes will be made to the grade.

The Clinical Grade Appeal form can be found on the student timeline.

Failing Grades: Clinical Sciences

A student receiving an “F” in any portion of the Clinical Sciences curriculum will be subject to review by AssociateDean of Student Affairsor authorized designee. Students on Academic/Financial Aid Probation may be allowed to continue clinical clerkships at the discretion of Associate Dean of 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.

Students who fail a required core clerkship are required to remediate the entire core, including the rotation, the NBME SCE and online clinical curriculum requirements.  For the NBME SCE, the highest score a student can receive on the exam for a core remediation is a “C”.

Students remediating any clerkship will be placed on academic probation until they successfully remediate and meet SAP.

If a student is dismissed for unsatisfactory progress and successfully appeals, theymay 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.