2013-2014 Student Handbook 8-15-13 1.1 0|Page TABLE OF CONTENTS I. About the School of Medicine ..............................................................................................................4 A. Mission, vision, our values and goals.................................................................................................4 B. OUWB Dean’s Administration ...........................................................................................................6 C. Diversity and Multicultural Affairs ....................................................................................................8 D. OU Campus Map ................................................................................................................................8 E. Beaumont Health System Locations and Maps.................................................................................8 F. OU Safety/ Emergency Information ..................................................................................................9 G. Important Contacts ..........................................................................................................................11 II. Graduation Competencies ..................................................................................................................12 A. Patient Care ......................................................................................................................................12 B. Medical Knowledge ..........................................................................................................................12 C. Practice – Based Learning and Improvement ..................................................................................13 D. Interpersonal and Communication Skills .........................................................................................14 E. Professionalism ................................................................................................................................14 F. Systems – Based Care .......................................................................................................................15 G. Interprofessional Collaboration.......................................................................................................15 H. Personal and Professional Development ........................................................................................15 III. Policies .................................................................................................................................................16 A. Professionalism ...............................................................................................................................16 1. OUWB Professional Code of Conduct.......................................................................................16 2. Beaumont Health Systems Code of Conduct, Confidentiality and Computer Systems Usage Agreement ...........................................................................................................................................18 3. Physicianship Forms ..................................................................................................................22 4. Standards of Conduct for the Teacher-Learner Relationship ..................................................23 5. Reporting Incidents of Inappropriate Behavior .......................................................................25 6. Dress Code .................................................................................................................................27 7. Academic Honesty.....................................................................................................................32 B. Student Performance and Promotion .............................................................................................36 1. Satisfactory Academic Progress ................................................................................................36 2. Sharing Information ..................................................................................................................38 8-15-13 1|Page 3. Standards for Graduation .........................................................................................................38 4. OUWB Student Performance Review Committee (SPRC)........................................................39 5. Academic Probation ..................................................................................................................41 6. Withdrawal ................................................................................................................................42 7. Dismissal ....................................................................................................................................42 8. Leave of Absence (LOA) ............................................................................................................44 9. Standards and Procedures for Disciplinary Action ..................................................................46 C. Attendance and Class Participation .................................................................................................46 D. Grading ..............................................................................................................................................50 E. Examinations ....................................................................................................................................53 F. OU Disabilities Accommodations ....................................................................................................59 G. Assessing Students Experiencing Environmental Difficulties in the Laboratory Activities ...........60 H. Discrimination ..................................................................................................................................60 I. Course and Faculty Evaluation .........................................................................................................61 J. Harassment .......................................................................................................................................61 K. Educational Records .........................................................................................................................63 L. Tuition Refund ..................................................................................................................................64 M. Immunizations and Procedures ......................................................................................................65 N. Technical Standards .........................................................................................................................66 O. Drug Screening .................................................................................................................................68 P. Technology Use.................................................................................................................................69 IV. Health and Safety ................................................................................................................................71 A. Infectious and Environmental Hazards Exposure ...........................................................................71 B. Blood/Body Fluid Exposure ..............................................................................................................72 C. Occupational Injuries .......................................................................................................................73 D. V. Health and Wellness ........................................................................................................................74 1. Health Services ..........................................................................................................................74 2. Personal Counseling ..................................................................................................................75 3. Insurance ...................................................................................................................................76 Student resources ................................................................................................................................76 A. Recreation Center .........................................................................................................................76 8-15-13 2|Page B. Academic Advising and Mentoring ..................................................................................................76 1. Tutoring and Academic Workshops: ........................................................................................77 C. Career Advising .................................................................................................................................77 D. Financing Your Education ................................................................................................................78 1. Financial Planning Services .......................................................................................................78 2. Financial Aid ..............................................................................................................................78 E. Student Life .......................................................................................................................................78 F. 1. Housing ......................................................................................................................................78 2. Parking .......................................................................................................................................79 3. Transportation...........................................................................................................................80 4. ID Cards......................................................................................................................................80 5. Library ........................................................................................................................................80 6. Lockers .......................................................................................................................................81 7. Printing and Photocopying .......................................................................................................81 8. Study Room Use ........................................................................................................................81 Student Involvement ........................................................................................................................81 1. Student Organizations ..............................................................................................................81 2. Medical Student Government ..................................................................................................81 8-15-13 3|Page I. ABOUT THE SCHOOL OF MEDICINE Oakland University (OU) and Beaumont Health System (BHS) were founded at approximately the same time, half a century ago, in close proximity to each other and in a region of greater Detroit. Today, OU is one of 15 public universities in Michigan. OU has an enrollment exceeding 19,000 students and a Carnegie classification of doctoral/research university-intensive. Meanwhile, Beaumont Health System has flourished into a three-hospital regional healthcare provider. Beaumont Health System is now a 1,700-bed tertiary care, teaching, research and referral hospital system. A. MISSION, VISION, OUR VALUES AND GOALS Mission The Oakland University William Beaumont School of Medicine is a collaborative, diverse, inclusive and technologically advanced learning community, dedicated to enabling students to become skillful, ethical and compassionate physicians, inquisitive scientists, and dynamic and effective medical educators, who are invested in the scholarship of discovery. Vision The Oakland University William Beaumont School of Medicine will be recognized by its students and faculty members - and by their peers in the global medical community - as a premier educational environment for individuals to become physicians and to study medicine throughout their lives, to transform the practice of medicine through research, and to lead in promoting, maintaining and restoring health to individuals and communities served by the school and its graduates. Our Values Our values will guide our actions and describe how we will behave and work together to achieve our mission and vision. Compassion: We are a “school that cares” by having a safe and secure environment that treats everyone with respect, sensitivity, dignity, decency and empathy in all our endeavors. Partnership, Collaboration and Teamwork: We are dedicated to collegiality, collaboration, teamwork and mutual respect as we work together enthusiastically within and across organizational boundaries in pursuit of our mission. Innovation: We pursue all avenues to energize and encourage creativity, while cultivating and nurturing the school environment to foster the unique talents of our students, staff and faculty. 8-15-13 4|Page Professionalism: We value honesty, integrity and ethical conduct in dealing with our students, patients, faculty, staff and the community we serve. Quest for Excellence: We commit to doing the best for everyone who interacts with the school by always striving to build upon and enhance what already has been achieved. Goals To achieve and sustain excellence in medical education, research and patient care To lead the evolution of physician training toward a competency-based education, embracing the dimensions of biomedical sciences, social and behavioral sciences, diversity and the art and practice of medicine To advance, support and recognize the medical educator, mindful of the role that biomedical scientists and physicians play as communicators and teachers To inspire all students and their teachers to ask significant questions that can be addressed through careful investigation, thereby transforming the practice of medicine To create a dynamic exchange of ideas between medical scholars and colleagues in other disciplines, acknowledging the potential contributions of many fields to the improvement of healthcare To embrace internal and external partnerships that promote the development of novel technologies to advance medicine To affirm, emphasize and demonstrate that the patient is the focus of our activities To serve our community through the faithful execution of our mission. 8-15-13 5|Page B. OUWB DEAN’S ADMINISTRATION Robert Folberg, MD Nelia Afonso, MD Founding Dean and Chief Academic Officer, Assistant Dean, Beaumont Health System Community Integration and Outreach afonso@oakland.edu Jeffrey Devries, MD, MPH Vonda Douglas-Nikitin, MD Associate Dean, Assistant Dean, Graduate Medical Education Diversity and Multicultural Affairs Jeffrey.Devries@beaumont.edu vdouglas@beaumont.edu David Felten, MD, PhD Linda Gillum, PhD Associate Dean, Associate Dean, Research Academic and Faculty Affairs, david.felten@beaumont.edu gillum@oakland.edu Christina Grabowski, MSA Sandra LaBlance, PhD Assistant Dean, Assistant Dean, School of Medicine Admissions Student Affairs and Career Development grabowsk@oakland.edu lablance@oakland.edu Robert McAuley, PhD Lynda Misra, DO, FACP, MA Ed Associate Dean, Associate Dean, Educational Information Technology Undergraduate Clinical Education mcauley@oakland.edu Lynda.MisraDO@beaumont.edu 8-15-13 6|Page Robert Noiva, PhD Angela Nuzzarello, MD, MHPE Associate Dean, Associate Dean, Educational Programs Student Affairs noiva@oakland.edu nuzzarel@oakland.edu Brooke Taylor, MPH, CCMEP Cheryl Verbruggen, MSA Vice Dean, Assistant Dean, Continuing Medical Education Brooke.Taylor@beaumont.edu 8-15-13 Business and Administration verbrugg@oakland.edu 7|Page C. DIVERSITY AND MULTICULTURAL AFFAIRS The Oakland University William Beaumont School of Medicine values diversity and inclusion in medical education. In a society that relies on an informed, educated citizenry, no one should be denied the opportunity to attain their fullest potential. Our community welcomes and honors all persons and provides equal opportunity in receiving an excellent education. We are committed to ensuring that all students of the school have the services and support they need in order to be successful inside and outside of the classroom and hospital. Mission The Oakland University William Beaumont School of Medicine Office of Diversity and Multicultural Affairs is committed to fostering an environment of intentional inclusion, which embraces and celebrates the multiple dimensions of diversity. We aim to promote respectful, innovative exchanges between students, staff and faculty, analytical reflection and compassionate, ethical decision-making as means to demonstrate and develop cultural competency. We are devoted to recruiting, training, promoting and retaining the best individuals to optimally deliver high quality medical care to an increasingly diverse patient population as part of an increasingly diverse work force. Our institutional culture facilitates and promotes the importance of a diverse medical community through pipeline programs, student groups, educational programs, community outreach and mentoring with the goal of addressing health care disparities both locally and nationally. Purpose To implement and integrate retention programs and student success initiatives on campus and in the community To create student, faculty and staff programming that highlights diversity and inclusion To create opportunities and maintain a welcoming and inclusive environment for learning and engagement To serve as a support base and resource for students To train and lead students on diversity-related topics and issues in regard to multiple facets of the educational and career transition experience D. OU CAMPUS MAP A full-color, interactive map can be located on OU website at www.oakland.edu/map. Additionally, the site offers audio and video tours and a walking map. E. 8-15-13 BEAUMONT HEALTH SYSTEM LOCATIONS AND MAPS 8|Page Beaumont Health System has three main locations: Royal Oak, Troy and Grosse Pointe. Detailed information about each location, including directions and maps, can be found at http://www.beaumonthospitals.com/patients-visitors/locations. F. OU SAFETY/ EMERGENCY INFORMATION OU prides itself in promoting safety across campus. The Oakland University Police Department (OUPD) patrols the campus and there are a variety of safety measures in place to promote safe conditions for students, faculty and staff. Emergency Phones/ Blue Lights Throughout the campus of OU emergency phones with bright blue lights on top of them are available to use in an emergency. In the case of a threat or other emergency, locate the nearest blue light emergency phone and OUPD will respond. Text Message Alert System OUPD received a grant to institute an emergency alert system on campus. Individuals who sign up for this voluntary service, in the event of a large-scale campus emergency, will be notified via text message immediately. Sign up for the alert system at www.police.oakland.edu. Police Escorts If an individual is not comfortable walking to their car alone, they can call and request a student cadet escort to accompany them to their vehicle. To utilize the police escort service, call 248-370-3331. Contact OUPD There are a variety of ways to contact OUPD for assistance. Dial 911 any time there is an emergency situation. Dialing 911 from a campus phone will connect the person calling to OUPD emergency services, and dialing 911 from cell phones will connect to the local police emergency services. To expedite service in the case of an on campus emergency, call 911 from a campus phone; if using a cell phone on campus, call (248) 370-3333. For all non-emergencies, call 248-370-3331 to reach OUPD or simply dial 3331 from a campus phone. An email can be sent as well to OUPD at www.police@oakland.edu. School Closings To find out if campus has been closed, check the OU main page (www.oakland.edu) or call 248-3702000, or sign up for the Text Message Alert System noted above. Inclement Weather The School of Medicine conforms to the OU policy on emergency school closings and inclement weather. Students, faculty and staff should pay particular attention to public announcements (radio and television), which will attempt to clearly differentiate (when appropriate) between the School of Medicine and other parts of the University. OU may close for a specified period of time in the event of inclement weather. However, since faculty, staff and students may provide health care services, they 8-15-13 9|Page may need to work in an inclement weather situation. If ever the procedure to be followed cannot be communicated by a public announcement, the School of Medicine will activate its own internal network. Note this rule of thumb: If opening the University is delayed, first-year and second-year classes - both on-campus and offcampus - will be canceled until the announced opening time. At that point, the remaining academic schedule for the day will be followed at the normally designated locations and times. If the University is closed, first-year and second-year classes will be canceled. M1/M2 students would not report to the hospital if the University is closed due to inclement weather. M3/M4 students are expected to make every effort to report to work during clerkship/elective months. Notice of Annual Campus Safety & Security and Fire Safety Report Availability OU’s Annual Campus Safety & Security and Fire Safety Report is available online at http://www.police.oakland.edu/statement or you may request a paper copy from the OUPD, 10 Police and Support Services Building; University Human Resources, 413 Wilson Hall; Academic Human Resources, 517 Wilson Hall; and the Office of the Dean of Students, 144 Oakland Center. This report is required by federal law and contains policy statements and crime statistics for OU. The policy statements address OU’s policies, procedures and programs concerning safety and security and include topics such as: crime prevention, fire safety, university police law enforcement authority, crime reporting policies, disciplinary procedures and other matters of importance related to security and safety on campus. The report also contains crime statistics for the three previous calendar years for certain types of crimes that were reported to have occurred on campus, in or on off-campus buildings or property owned or controlled by OU and on public property within or immediately adjacent to the If ever the procedure to be followed cannot be communicated by a public announcement, the OUWB School of Medicine will activate its own internal network. Note this rule of thumb: If opening the university is delayed, first-year and second-year classes - both on-campus and off- campus - will be canceled until the announced opening time. At that point, the remaining academic schedule for the day will be followed at the normally designated locations and times. If the university is closed, first-year and second-year classes will be canceled. M1/M2 students would not report to the hospital if the university is closed due to inclement weather. M3/M4 students are expected to make every effort to report to work during clerkship/elective months. 8-15-13 10 | Page G. IMPORTANT CONTACTS Oakland University Beaumont Health System Office of the Dean 472 O'Dowd Hall 2200 N. Squirrel Rochester, MI 48309 (248) 370-2452 School of Medicine Admissions Email: medadmit@oakland.edu (248) 370-2769 Beaumont Hospital, Royal Oak 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 (248) 898-5000 School of Medicine Admissions Email: medadmit@oakland.edu (248) 370-2769 Beaumont Hospital, Troy 44201 Dequindre Road Troy, Michigan 48085 (248) 964-5000 Beaumont Hospital, Grosse Point 468 Cadieux Road Grosse Pointe, Michigan 48230 (313) 343-1000 Center for Medical Student Services216 O'Dowd Hall 2200 N. Squirrel Rochester, MI 48309 (248) 370-2767 Police / Fire / Medical Emergency 911 or 911@oakland.edu School Closing Hotline University 248-370-2000 Non-Emergency 248-370-3331 Parking Tickets 248-370-2826 University Switchboard 248-370-2100 Oakland University Police 2200 North Squirrel Road Rochester, Michigan 48309 Email: police@oakland.edu 8-15-13 11 | Page II. GRADUATION COMPETENCIES A. PATIENT CARE Provide patient-centered care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health 1.1 Perform all medical, diagnostic, and surgical procedures considered essential for the area of practice 1.2 Gather essential and accurate information about patients and their conditions through historytaking, physical examination, and the use of laboratory data, imaging, and other tests 1.3 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient 1.4 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.5 Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.6 Develop and carry out patient management plans 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 1.9 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health 1.10 Provide appropriate role modeling 1.11 Perform supervisory responsibilities commensurate with one’s roles, abilities, and qualifications B. MEDICAL KNOWLEDGE Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and socialbehavioral sciences, as well as the application of this knowledge to patient care 2.1 Demonstrate an investigatory and analytic approach to clinical situations 2.2 Apply established and emerging bio-physical scientific principles fundamental to health care for patients and populations 8-15-13 12 | Page 2.3 Apply established and emerging principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving and other aspects of evidence-based health care 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients and populations 2.5 Apply principles of social-behavioral sciences to provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care seeking, care compliance, and barriers to and attitudes toward care 2.6 Contribute to the creation, dissemination, application, and translation of new health care knowledge and practices C. PRACTICE – BASED LEARNING AND IMPROVEMENT Demonstrate the ability to investigate and evaluate one’s care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and lifelong learning 3.1 Identify strengths, deficiencies, and limits in one’s knowledge and expertise 3.2 Set learning and improvement goals 3.3 Identify and perform learning activities that address one’s gaps in knowledge, skills, and/or attitudes 3.4 Systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement 3.5 Incorporate feedback into daily practice 3.6 Locate, appraise, and assimilate evidence from scientific studies related to patients’ health problems 3.7 Use information technology to optimize learning 3.8 Participate in the education of patients, families, students, trainees, peers, and other health professionals 3.9 Obtain and utilize information about individual patients, populations of patients, or communities from which patients are drawn to improve care 3.10 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes 8-15-13 13 | Page D. INTERPERSONAL AND COMMUNICATION SKILLS Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds 4.2 Communicate effectively with colleagues within one’s profession or specialty, other health professionals, and health related agencies (see also 7.3) 4.3 Work effectively with others as a member or leader of a health care team or other professional group (see also 7.4) 4.4 Act in a consultative role to other health professionals 4.5 Maintain comprehensive, timely, and legible medical records 4.6 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics 4.7 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions E. PROFESSIONALISM Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles 5.1 Demonstrate compassion, integrity, and respect for others 5.2 Demonstrate responsiveness to patient needs that supersedes self-interest 5.3 Demonstrate respect for patient privacy and autonomy 5.4 Demonstrate accountability to patients, society, and the profession 5.5 Demonstrate sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation 5.6 Demonstrate a commitment to ethical principles pertaining to provision or withholding of care, confidentiality, informed consent, and business practices, including compliance with relevant laws, policies, and regulations 8-15-13 14 | Page F. SYSTEMS – BASED CARE Demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care 6.1 Work effectively in various health care delivery settings and systems relevant to one’s clinical specialty 6.2 Coordinate patient care within the health care system relevant to one’s clinical specialty 6.3 Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population-based care 6.4 Advocate for quality patient care and optimal patient care systems 6.5 Participate in identifying system errors and implementing potential systems solutions 6.6 Perform administrative and practice management responsibilities commensurate with one’s role, abilities, and qualifications G. INTERPROFESSIONAL COLLABORATION Demonstrate the ability to engage in an interprofessional team in a manner that optimizes safe, effective patient- and population-centered care 7.1 Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust 7.2 Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served 7.3 Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the treatment of disease in individual patients and populations 7.4 Participate in different team roles to establish, develop, and continuously enhance interprofessional teams to provide patient- and population-centered care that is safe, timely, efficient, effective, and equitable H. PERSONAL AND PROFESSIONAL DEVELOPMENT Demonstrate the qualities required to sustain lifelong personal and professional growth 8.1 Develop the ability to use self-awareness of knowledge, skills, and emotional limitations to engage in appropriate help-seeking behaviors 8.2 Demonstrate healthy coping mechanisms to respond to stress 8-15-13 15 | Page 8.3 Manage conflict between personal and professional responsibilities 8.4 Practice flexibility and maturity in adjusting to change with the capacity to alter one’s behavior 8.5 Demonstrate trustworthiness that makes colleagues feel secure when one is responsible for the care of patients 8.6 Provide leadership skills that enhance team functioning, the learning environment, and/or the health care delivery system 8.7 Demonstrate self-confidence that puts patients, families, and members of the health care team at ease 8.8 Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty III. POLICIES A. PROFESSIONALISM 1. School of Medicine OUWB PROFESSIONAL C ODE OF CONDUCT The School of Medicine community is committed to providing a learning environment that promotes mutual respect among students and faculty. In order to do this, we believe that certain principles of professionalism must be upheld. All students must abide by these professional tenets. I will treat my colleagues, teachers, patients, patients’ families, and all members of the health care team with respect, honesty, and compassion without regard to age, height, weight, disability, religion, creed, national origin, ancestry, marital status, familial status, veterans status, race, gender, religion, ethnicity, disability, social status, sex, gender identify, gender expression, sexual orientation, or political ideology. I will present myself professionally to the School of Medicine community and the local community through my language, dress, and deportment. I will abide by the rules of confidentiality in all my interactions with patients and will always put the patient’s interests before my own interests or financial gain. Honesty will guide my interactions both inside and outside of the classroom. I will never give nor receive impermissible assistance on exams or class work and will not claim someone else’s work as my own. Information that I provide regarding my patients will be true, complete, and verifiable. My motivation for learning will always be to provide the optimal care for my future patients. 8-15-13 16 | Page I will take responsibility for staying physically and psychologically healthy as necessary to complete my studies and care for my patients and will seek assistance when needed. I will abide by all the policies, procedures, rules, and regulations, ordinances and other requirements of OU, Beaumont, and the School of Medicine. I will create an atmosphere that allows my colleagues to learn and grow professionally. I will recognize my limitations and will always strive to improve. I agree to maintain this code, discourage its violation, and to report any infraction. In addition, the duty to act in the best interest of the patient is the fundamental ethical principle of the medical profession. This duty dictates certain standards of professional and ethical behavior for medical students that include but are not limited to the areas of honesty, health, professional boundaries with patients and criminal activity. Dishonesty such as cheating on examinations or academic assignments, falsifying applications or data on medical records, and other forms of dishonesty are wrong not only because such behavior violates intrinsic academic integrity, but also because such behavior may negatively affect patients. Specific unacceptable behavior and/or illnesses that impair performance include, but are not limited to, active drug and/or alcohol abuse, severe psychiatric illnesses and, occasionally, physical illnesses. It is not permissible for students to interact with patients while impaired by these conditions. It is the policy of the School of Medicine to encourage recognition of unacceptable behavior and/or illness that leads to impairment in medical students. It is never appropriate to have a sexual relationship with a patient, including a consensual relationship. A romantic relationship based on this information is always inappropriate. Knowledge acquired during the doctor patient relationship should never be used for any purpose other than therapeutic. Criminal activities including but not limited to selling drugs, child abuse, possession of child pornography and sexual activities resulting in legal designation as a registered sex offender will not be permitted. There is an ethical imperative to report medical students and physicians in violation of these standards. Reports about students will be made to the Associate Dean for Student Affairs. Reports about faculty or other physicians should be directed first to clerkship supervisors, hospital administrators, the Associate Dean for Academic and Faculty Affairs, and then, if necessary and appropriate to the Physician Health Committee of the Michigan Medical Society. 8-15-13 17 | Page 2. BEAUMONT HEALTH SYSTEMS CODE OF C ONDUCT, C ONFIDENTIALITY AND COMPUTER SYSTEMS USAGE AGREEMENT SCOPE All Beaumont Employees (hospital based, Ambulatory, Home Care, BRL, Research, etc.), Medical Staff (employed and non-employed, including residents), BSC employees, independent contractors, vendors, students, volunteers and any other person who is considered a member of Beaumont’s work force to comply with legal regulations and Hospital policies regarding the code of conduct and confidentiality of Beaumont Information. Beaumont Information includes, but is not limited to, protected health information (PHI) such as patients’ personal and medical information and Beaumont’s proprietary Information (clinical, research, business practices, including but not limited to strategic plans, business objectives and transactions, financial performance or targets, integration initiatives, reimbursement, or other trade activities, etc.), whether that information is verbal, written, printed, or electronic or electronically stored. Additionally, this Agreement applies to all internet communications that may be accessed by the public, including but not limited to social media, blogs, personal Web sites, e-mails, and discussion forums. OUR OBLIGATIONS Beaumont is required by law to maintain the privacy of patients’ information. As designees of Beaumont, you must fully comply with all applicable laws pertaining to the privacy and security of PHI. PHI includes written documents, electronic information (ePHI), verbal information, video, photographic or audio recording. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 defines Privacy and Security Regulations related to PHI. The Regulations define “protected health information” as individually identifiable health information that is: transmitted by electronic media; maintained in electronic media; or transmitted or maintained in any other form or medium. CODE OF CONDUCT All students must comply with Policy 265, Professional Code of Conduct and Guidelines, and refrain from behavior including, but not limited to: Behavior that is disruptive to maintaining a safe and healing environment or that is counter to promoting teamwork. 8-15-13 18 | Page Negative or disparaging comments about the moral character or professional capabilities of an employee or physician made to employees, physicians, patients, visitors or the public at large. Negative or disparaging comments regarding religious, ethnic or racial background, disability or sexual orientation made to employees, physicians, patients, visitors or the public at large. CONFIDENTIALITY As a student in the School of Medicine, I understand, acknowledge and agree that: Beaumont Information is business information, which is not for the public domain. I have no right or ownership interest in any confidential information referred to in this Agreement. Beaumont may at any time revoke my access to confidential information. Any access or disclosure of Beaumont information (PHI or proprietary), except for approved job-related uses, is strictly prohibited. I will retrieve or attempt to retrieve from Beaumont’s medical records or computer systems data for only those individuals with whom I have a patient care relationship, or for approved educational, administrative, or research purposes. I will access or disclose the minimum necessary of Beaumont Information (PHI or proprietary) only as required to perform my duties, and only to authorized persons who have a work-related need to know such information. Confidential information is not an appropriate topic in casual conversation. I will not discuss confidential information in public places such as elevators or cafeterias, and will take care to avoid being inadvertently overheard while communicating or dictating such information. I will exercise appropriate safeguards and due care when copying files using portable devices, storing, transporting, photocopying, printing, disposing of, or faxing confidential information related to my job duties. I will take precautions to avoid having computer display monitors, printers, fax machines, or paper records in view of unauthorized onlookers or left unattended while such data or confidential information is displayed or printed. I will report any improper use, access, or disclosure of confidential information that I observe to my manager/supervisor, Department Compliance Coordinator (DCC), Information Security Officer or Privacy Officer, who will initiate the appropriate actions. If I am uncomfortable reporting to these individuals, I will call the Compliance Line. All use of video, audio, or a photographic recording is prohibited without written authorization of the parties as defined on Form 4564 - Authorization Form for Disclosure of Patient Information. This 8-15-13 19 | Page includes, but is not limited to, the use of personal devices such as cameras, camera phones, PDA’s, Smart Phones or Blackberry’s for recording on Beaumont premises. COMPUTER SYSTEMS USAGE Beaumont’s computer systems must be password-protected in accordance with the Corporate Compliance Policy #314, Confidentiality and Disclosure of Protected Health Information. User logon ID’s and passwords must not be written down or placed on the device. I understand that all Beaumont computer systems will be accessed in accordance with Beaumont’s Information Security Policy #358. In accordance with Beaumont’s policy #108 - Copyright Policy, licensed material, including software, may not be illegally duplicated. I understand that I may only use this device to duplicate data that does not violate any licensing or copyright agreement or federal or State laws. I am responsible for all data, information, and orders, which are entered into any Beaumont computer system using my designated ID and password. I will not reveal, release, or make accessible any Beaumont system User ID, badge, token, or password of mine to any other person. I will not use the User ID, badge, token, or password belonging to anyone else in order to access any Beaumont’s computer systems. I understand that Beaumont maintains computer audit logs of user access to all Beaumont computer systems, and regularly reviews audit logs, without warning, to detect inappropriate access. Because text messaging systems are not fully secure, only minimal confidential or proprietary information should be sent via this method. Use of social security numbers should NEVER be sent via cell phone. For example: “Mr. Smith in room 3210 has chest pain” is acceptable. As part of my employment, service, association, or privileges with Beaumont, I may have the need to access various Beaumont computer systems, including OneChart-OneContact, E-mail and the Internet. I understand use of this information infrastructure is a privilege, and inappropriate use may result in denial of access to these systems. I will not install or operate any non-licensed software on any Beaumont computers or make unauthorized copies for use by myself or others of software licensed to Beaumont. I will not make unauthorized electronic copies of confidential information. If I have received approval to electronically copy confidential information, I will use only Hospital approved devices such as, removable storage: portable disk drives, memory USB drives, CD’s or DVD’s with password encryption software. Beaumont’s GroupWise E-mail is secure and encrypted only inside Beaumont. Forwarding Beaumont GroupWise E-mail to an external Internet E-mail account is strictly prohibited. If confidential information 8-15-13 20 | Page needs to be sent over the Internet I will use Beaumont’s Secure File for secured external Internet transmission. All personal devices such as laptops, tablets, PDA’s or smart phones must first be examined and approved by Beaumont’s Information Technology Services before connecting them to the private Beaumont’s internal network. Use of personal electronic devices is subject to my manager’s approval and must never interfere with your Hospital duties or patient care. I understand that Beaumont may provide to me Internet access, Internet educational sites, and/or web based applications. The use of computer based applications, including GroupWise E-mail and Internet access, are intended for Beaumont job-related activities only. I understand that Beaumont monitors and electronically logs all computer transactions and usage including Internet activity, GroupWise email. These audits are regularly reviewed by the appropriate Beaumont administrative representatives. Beaumont reserves the right to retrieve and read any data, documents, or communications composed, sent, received, or stored in its computer systems. All such information is considered to be part of the official records of Beaumont and, as such, may be subject to disclosure legal agencies or third parties. Consequently, I will ensure that information I communicate in any Beaumont system is accurate, appropriate, ethical, and lawful. 8-15-13 21 | Page GENERAL CONDITIONS I understand that if I fail to comply with the terms of the requirements of this section, Beaumont may institute disciplinary action, including termination of my employment, service, association, or privileges with Beaumont, as well as pursue appropriate legal action under local, State or federal law. In addition anyone who inappropriately accesses or discloses PHI is subject to disciplinary action, up to and including: ■ Dismissal or loss of privileges at Beaumont an ■ Civil or criminal penalties and sanctions I understand that my obligations regarding confidentiality under this Agreement will continue even after termination of my employment, service, association, or privileges with Beaumont. I understand that any relevant Beaumont policies, rules, or regulations remain applicable indefinitely, in addition to the standards described above. Exclusive Clinical Affiliate Beaumont Health System is the exclusive clinical affiliate of the School of Medicine. If the Health System determines that a medical student is to lose access to the electronic medical record due to a violation of HIPAA Privacy and Security Rules, this will result in the student being dismissed from the School of Medicine without recourse of appeal. 3. PHYSICIANSHIP FORMS One of the responsibilities of the School of Medicine is ensuring the professional education of all of its students. In order to monitor the progress of students and their professional growth, faculty members are able and encouraged to submit Physicianship Evaluation forms. These forms can be used to highlight exemplary behavior and growth of a student or provide feedback as early as possible, for areas in which the students need to improve. While a student is enrolled in the School of Medicine, all faculty or senior staff (Assistant Deans and Directors) who are either concerned about the professional development or unprofessional actions of a medical student or who wish to acknowledge the exemplary professional behavior of a medical student, will be offered the opportunity to complete a Physicianship Evaluation Form (PEF) either an exemplary PEF or PEF. Junior staff, including residents, and course and clerkship coordinators who encounter exemplary or unprofessional behavior should refer the issue to the appropriate course or clerkship director or to an associate dean. This individual may choose to complete a PEF. The Associate Dean for Student Affairs will read and monitor these forms. 8-15-13 22 | Page a) Student Notification The author of the PEF should meet with the student to discuss the behavior of concern and notify the student that a PEF will be submitted to the Associate Dean for Student Affairs. The Associate Dean for Student Affairs will notify and meet with the student to discuss the issue addressed in the unfavorable PEF. b) Associate Dean for Student Affairs Action May not take any further action after meeting with the student. May refer the student to the Student Performance Review Committee (SPRC) based on the severity of the issue, multiple issues, or the chronicity of the issue. Will keep PEFs separate from Students’ files unless otherwise directed by the SPRC. c) SPRC Action May review the form without taking action. May require the student to successfully complete a remediation program designed and overseen by the SPRC. May direct the Associate Dean for Student Affairs to Place the PEF in the student’s file If the issue is severe or chronic or if there are multiple issues the student may be subject to dismissal by the SPRC. 4. STANDARDS OF C ONDUCT FOR THE TEACHER-LEARNER RELATIONSHIP The School of Medicine recognizes that the function teachers serve as role models for learners is fundamental to the educational mission. Behaviors that fall short of these values undermine the effectiveness of the teacher-learner relationship and threaten the integrity of the educational mission. Foremost, the School of Medicine aims to prevent medical student mistreatment through education and the continuing development of a sense of community. The teacher-learner relationship confers rights and responsibilities on all parties to behave in ways that represent the ideal teacher-learner relationship, which fosters respectful behavior, minimizes the likelihood of student mistreatment or abuse, and optimizes the educational experience for students. Responsibilities of teachers include without limitation: Be prepared and on time 8-15-13 23 | Page Provide learners with most current materials Treat students fairly, respectfully, and without bias based upon a legally protected characteristic Give students timely, constructive and accurate feedback Avoid the embarrassment or humiliation of students Responsibilities of learners include without limitation: Be courteous and respectful of teachers and fellow students and without bias based upon a legally protected characteristic Treat fellow students as colleagues and respect the mutual learning environment Take responsibility for maximizing educational experiences by addressing conflicts and discomforts which may impede learning Be an enthusiastic learner Be trustworthy and honest Know limitations and ask for help when needed In the clinical setting: Seek knowledge about patient caseload illnesses Put patient welfare ahead of educational needs Treat all patients and members of the healthcare team respectfully and without bias based upon a legally protected characteristic Be compassionate Respect patients' privacy Teacher or learner behaviors which fall outside of these standards include, without limitation, abusive conduct and conduct that represents poor judgment, unprofessional behavior or mistreatment. The following are some examples of behaviors that fall outside of these standards. Unwanted physical contact or threats of the same Sexual or other forms of harassment Unlawful discrimination Requiring students to perform personal chores (e.g., running errands, babysitting, etc.) Disrespectful or unprofessional behavior, that may also disrupt the student's educational experience, including without limitation: o Repeated questioning of a student with the primary intent to humiliate or embarrass o Grading based on factors other than performance or merit o Coercing students to do something they find morally objectionable o Public humiliation Requiring menial, non-educational chores unrelated to the student’s educational program 8-15-13 24 | Page 5. REPORTING INCIDENTS OF INAPPROPRIATE BEHAVIOR The purpose of this policy is to describe the formal process for reporting allegations of inappropriate behavior involving students and faculty and to provide a mechanism and procedure to allow medical students to report concerns without fear of retaliation. Serious Allegations If any situation arises that poses a threat to patient safety, the safety of other students, or behavior disruptive to the learning environment, the Dean may suspend the student immediately. Consultation Concerns, problems, questions, and complaints may be discussed without fear of retaliation, with anyone in a supervisory position within the School of Medicine including: the Associate Dean for Student Affairs, the Assistant Dean for Student Affairs and Career Development, the Associate Dean for Academic and Faculty Affairs, the Director of Faculty Affairs and Professional Development, clerkship directors, or PRISM mentor. Often concerns can be resolved through consultation or an informal resolution process. If the matter is not satisfactorily resolved through consultation or the informal resolution process, then the person who made the allegation of inappropriate behavior may initiate a formal complaint. Complaint Regarding a Student Students who believe that they have been affected by the inappropriate conduct of another medical student, as defined in the Standards of Conduct for the Teacher-Learner Relationship, should immediately notify either the Associate Dean for Student Affairs or Assistant Dean for Student Affairs and Career Development, and must file a written report on-line within 30 business days of the alleged action and/or the completion of any consultation process in order for the allegation to be investigated in a timely manner. The School of Medicine reserves the right, in its sole discretion, to investigate and act on complaints involving incidents that have occurred beyond the 30-day filing reporting period. Such acceptance is not intended to, nor shall it, waive timeliness defenses the School of Medicine may otherwise have available to it in any judicial or administrative proceedings. The complainant should be prepared to provide the following: Statement and description of the alleged event Name(s) of person(s) involved 8-15-13 25 | Page Date of event Other facts considered to be relevant Summary of steps student has already taken to resolve the problem Signature of the complainant The Associate Dean for Student Affairs or Assistant Dean for Student Affairs and Career Development will gather information and may attempt to resolve the issue or forward the complaint to the SPRC for review as provided in Section IV of this Handbook. A letter will also be sent to the complainant letting him/her know the issue has been addressed. Safety Issues If any inappropriate behavior arises that poses a threat to the safety of patients, faculty, staff, students or others, or disrupts the learning environment, the Dean may suspend the student immediately. Complaint Regarding a Faculty Member, Resident, or Employee of either OU or Beaumont Students with a complaint about a faculty member, resident, or employee of either OU or Beaumont should notify the Associate Dean for Academic and Faculty Affairs at 248-370-3633, the Director of Faculty Affairs and Professional Development at 248-370-2741, or OU’s Office of Inclusion and Intercultural Initiatives at 248-370-3496 or visit the website (Office of Inclusion) immediately and must file a written report online within 30 business days of the alleged action and/or the completion of any consultation process in order for the allegation to be investigated in a timely manner. The School of Medicine reserves the right, in its sole discretion, to investigate and act on complaints involving incidents that have occurred beyond the 30-day filing reporting period. Such acceptance is not intended to, nor shall it, waive timeliness defenses the School of Medicine may otherwise have available to it in any judicial or administrative proceedings. The complainant should be prepared to provide the following: 1. 2. 3. 4. 5. 6. Statement and description of the alleged event Name(s) of person(s) involved Date of event Other facts considered to be relevant Summary of steps student has already taken to resolve the problem Signature of the complainant The Associate Dean for Academic and Faculty Affairs or the Director of Faculty Affairs and Professional Development will then appoint an ad hoc committee which shall consist of a faculty representative, at least one member of the School of Medicine’s administration, and a representative from OU’s Office of Inclusion and Intercultural Initiatives. This committee will be appointed within five to seven business days of receipt of the written complaint and will be charged with the responsibility for investigating the 8-15-13 26 | Page complaint. The committee will consider the facts of the complaint and will report findings to the Associate Dean for Academic and Faculty Affairs. The Associate Dean for Academic and Faculty Affairs will take any action he/she feels necessary after considering the recommendation from the ad hoc committee. The decision of the Associate Dean for Academic and Faculty Affairs is final and shall be communicated in writing to the faculty/resident/employee within 30 business days. A letter will also be sent to the complainant letting them know the issue has been addressed. The ad hoc committee shall then be discharged. All records of the investigation and the resulting action will be maintained by the Office of Academic Affairs will be treated with appropriate confidentiality. Regarding an allegation against a faculty, resident or staff member: A student may request to delay the forwarding of the complaint and resulting action or remedy until after the student is evaluated academically. 6. DRESS C ODE The dress, grooming, and conduct of our students reflect upon the image of the entire School of Medicine. The expectation is that all School of Medicine students are professional in their appearance. It is the School of Medicine’s goal to convey an image and appearance of competence, approachability, professionalism and respect. Therefore, it is necessary to maintain exceptionally high standards for grooming, dress and personal conduct. Dress Code Policy For Classroom Activities On The OU Campus Dress code for the for classroom activities on the Oakland campus is informal. However, students are expected to exercise professional discretion in their appearance and grooming. Clean casual dress is allowed. An unkempt personal appearance is not acceptable. Please adhere to the following guidelines when attending classes on the Oakland University Campus. You may wear walking (“Bermuda”)-type shorts but not ultra-short athletic (running) shorts or unusually tight shorts (i.e., “Spandex”). For men, a polo shirt with a collar is preferred. A tee shirt is acceptable provided it is clean and does not contain any offensive language or picture. For women, “tube tops,” “halter tops,” deep-set necklines, and very short, tight skirts should not be worn to class. Shirts and blouses must extend to the waistband. Bare midriffs are not acceptable. Please be conscious of the “fit” of your clothes when you are in different positions, e.g., standing vs. leaning over. Baseball caps and sunglasses should not be worn in the classroom. Avoid extremes of hairstyles (e.g., “spiked hair,” multicolored or bizarre-colored), make-up, and piercings. IN SHORT, BE MODEST AND PROFESSIONAL. Dress Code Policy For Professional Settings (Beaumont Health Systems Campuses And Patient-Care 8-15-13 27 | Page Settings) All School of Medicine students must maintain a professional appearance even when they are not seeing patients. Recommended acceptable attire includes: collared shirts, ties, slacks, skirts, blouses, sweaters and dresses and shoes intended for professional wear worn with socks or hosiery. When students are working with patients, they are expected to wear a clean white coat and conform to the dress requirements of the Beaumont Health System and the supervisory clinical department. Beaumont Health Systems Dress Code: GENERAL The dress, grooming, and conduct of our employees reflect upon the image of the entire Beaumont organization. The expectation of our customers is that all Beaumont staff are professional and consistent in their appearance and conduct as well as with the provision of health care services. It is Beaumont’s goal to convey an image and appearance of competence, approachability, professionalism and respect to our patients, visitors, physicians, coworkers and community. Therefore, it is necessary to maintain exceptionally high standards for grooming, dress and personal conduct. EMPLOYEE EXPECTATION Image/Professional Conduct Employees are expected to demonstrate professional image and conduct at all times when interacting with patients, visitors, staff, physicians etc. Professional conduct includes but is not limited to the following: greeting our customers with a smile, a caring attitude; use of customer’s name and title; using language appropriate in the workplace; introducing yourself by name and function; allowing patients to maintain dignity; respecting cultural and spiritual values; and responding to all requests for information or service in a courteous and timely manner. Overall Appearance Staff members must maintain excellent personal habits of cleanliness. Whether staff members wear uniforms, business professional or business casual attire, they are obligated to present a well groomed appearance. All clothing, whether uniform or career wear shall be appropriate in size for the staff member’s frame and shall be clean, pressed and in good condition. Business casual attire is to be approved by the Department Director on a case-by-case basis in advance. FUNCTIONAL GUIDELINES This policy provides a framework for department managers to use in the establishment of their departmental dress code. The following guidelines have been developed to ensure a presentable Beaumont workforce. With the exception of scrub colors, department Directors may use their discretion in determining exceptions to the overall policy that meet the functional needs of their department. 8-15-13 28 | Page Identification Badge The identification badge shall be worn at all times, during working hours, at organizational events, work related meetings and for in-service/education programs held on Beaumont property. For ease of identification for our patients, badges will be worn on upper torso of clothing with name and photo side clearly visible. No objects of any kind may be attached to the badge. Lanyards are allowed only if they hang no lower than chest area. They may not include writing that is not Beaumont approved. Identification Badge Policy No. 255). Personal Hygiene General appearance shall comply with the organization’s high standards for cleanliness and good grooming. All clothing (including uniforms, if required) shall be clean, neat, pressed and must meet the standards set by the Hospital/ department. Makeup will be worn in moderation. Perfume/Cologne Because of fragrance allergies/sensitivities among internal and external customers, perfume, cologne and other scented products are strongly discouraged, especially in patient care areas. Tobacco Odor In response to Beaumont’s commitment to promoting a healthy lifestyle for our patients, visitors and employees, employees must not report to work with the odor of tobacco smoke on their person. Refer to Nicotine Free Environment Policy No. 256. Jewelry Wearing of jewelry, pins, buttons, etc. must be in good taste and consistent with safety, professional, work environment and public image that Beaumont is committed to. Buttons and pins may not include writing that is not Beaumont approved. Body Piercing Rings, hoops, studs or other jewelry worn in a non-traditional manner is not acceptable for the professional work place. This includes nose rings/studs, gauged ear lobes or other body piercing such as eyebrow, lip, tongue, etc. Simple/modest rings in the ears are acceptable (no more than 3 earrings per ear). Staff may wear other forms of modest jewelry (i.e. rings, bracelets), however, no more than 2 rings or bracelets per hand. Medic alert necklaces and bracelets may be worn as necessary. In patient care areas, no jewelry is allowed that will pose a safety or health risk to patients or employees. Tattoos Visible tattoos are not appropriate for the healthcare and/or professional work environment. Tattoos shall be appropriately concealed by clothing. Fingernails Nails must be clean and well groomed. In patient-care areas, nails must be no longer than ¼ inch beyond finger tip. Artificial nails are prohibited for infection control reasons for all patient care 8-15-13 29 | Page staff (including nutrition services), those employees who receive standard precautions annual training and/or handle items to which patients are exposed. If nail polish is worn, it shall be in good repair. Nail art and nail colors which are extreme (i.e. blue, green, black, etc.) are not appropriate for the health care environment. Regulatory requirements may be stricter in specific departments. Please see department policy for additional requirements. Hair Hair must be clean and neat at all times. Extreme hairstyles or unnatural hair color (e.g. blue, green, purple, etc.) are not appropriate within the professional work setting. Employees who work in patient care areas, with food or with dangerous machinery must have their hair pinned up off of shoulders or secured away from face, to promote safety for self and patients. Hairnets may be required in some departments. Facial Hair, including beards, side burns and mustaches shall be clean and neatly trimmed. In patient care areas with dangerous machinery, beards will be of appropriate length to promote safety for self and patients. Hosiery/Socks To present a professional image, it is highly preferred that all employees wear hosiery or socks at all times. Socks are to be worn with slacks only. Hosiery must always be worn with skirts and dresses. Flesh colored, ivory, white, black, navy and gray are acceptable tones for opaque or sheer hosiery. Recognizing that it is socially acceptable in some environments to do other than indicated above, executive leadership will determine if exceptions to hosiery guidelines are appropriate for their business unit. Undergarments Appropriate supportive undergarments are to be worn at all times. Such undergarments must not be visible. Clothing All employees not required to wear uniforms must present themselves in business attire conservatively appropriate for the Hospital setting. Appropriateness of an employee’s apparel will be determined by the department manager/director. Business Professional Blouses/Shirts Attire Appropriate attire includes shirts with collars, button front, pullover with finished neckline, blouses, turtlenecks, sweaters, jackets, blazers and lab-coats. Acceptable fabrics are: cotton, cotton blends, linen blends, silk, wool, rayon, chambray or blends of these fibers with polyester. 8-15-13 30 | Page Acceptable patterns are: solids and age appropriate prints. Uniform prints are allowed in designated pediatric areas only. Unacceptable: T-shirts, sweatshirts, sports jerseys, halter/tank/midriff tops, low-cut, tube or sleeveless tops, sundresses, spaghetti strap tops/dresses. Slacks/skirts Slacks trousers and skirts must be appropriate in size for the staff members frame and may not hang below the waist. Skin and underwear shall not be visible in the waist area. Slack/trouser length must not hang below tip of shoe heel and will not drag on the floor surface. Business Professional Attire Capri and gaucho pants may be worn in business casual environment only and must be of approved fabric. Unacceptable: shorts, jeans, leggings, stirrup pants, double stitched pants, extreme dress/skirt lengths and slits, military style fatigues, jogging suits. Uniforms Employees are advised of uniform requirements by the department manager. Uniformed employees, including employees wearing scrubs, must present a neat and professional appearance at all times (See your department’s uniform/scrub guidelines for further details.) Footwear Employees shall wear footwear which is clean, polished and in good repair. Footwear shall be appropriate to the work duties and responsibilities performed, and meet safety needs of the work environment. Business Professional Attire Employees assigned to and working in patient-care areas shall follow the above mentioned guidelines and more specifically, shall wear solid white leather or other leather and/or cleanable shoes (i.e. cross training) without overt contrasting trim; shoelaces will be white. Styles such as clogs, crocs and mules are acceptable in areas where scrubs and/or uniforms are worn – with the exception of those with holes on top of shoe. For safety reasons, crocs and clogs may be restricted in areas such as nutrition services, environmental services, transportation, etc. Employees should refer to their department director for requirements in these areas. 8-15-13 31 | Page In business areas where no lifting, pushing or continuous standing is required, heels no greater than 2 ½ inches may be worn. To promote safe movement, walking shoes or flats are recommended. While “sport” shoes may be safe and comfortable, they must also be professional looking and appropriate for the rest of the attire. Open-toe (with closed back) or closed-toe (with sling-back) shoes may be worn in a business office setting only. Sandals are not appropriate for the professional work setting. Head wear No personal hats or caps shall be worn by staff inside Beaumont buildings. Hats should be removed as a courtesy when indoors. Outerwear Layering/Outerwear must be solid in color with no logos or artwork other than Beaumont logo. This includes sweaters, jackets, blazers and lab coats. This does not include sweatshirts or hoodies. Only white and solid colored lab coats and scrub jackets– matching uniform colors – are allowed. Cultural/ Religious Attire Cultural/Religious headwear such as, hijabs, yarmulkes, etc. and medical related exceptions to this policy may be requested for specific individual circumstances by submitting a written request to the Department Director for approval. INQUIRIES Questions pertaining to this policy should be directed to Human Resources. **For more specific details related to Image/Appearance, see Beaumont Image/Appearance Standards - available on HR website, or via department manager. DETAILED PROCEDURES 7. None. ACADEMIC HONESTY Academic honesty is vital to the success and integrity of our academic program. The School of Medicine seeks to ensure academic honesty and personal integrity among its students and other members of the School of Medicine. Academic honesty is defined as the performance of all academic endeavors without cheating, lying, stealing, or receiving unfair assistance from any other person or using any source of information not appropriately authorized or attributed. All students benefit from a rigorous and appropriate academic honesty policy and code of honest behavior. All members of the OUWB community are therefore responsible for creating and maintaining an academic program that values and embraces honesty and integrity, and all must work together to ensure the success of this policy and code of behavior. Consequently, it is essential that all members of the OUWB community be responsible for knowing and understanding the policy on academic honesty. 8-15-13 32 | Page Reporting Incidents of Academic Dishonesty Any member of the School of Medicine, including faculty, staff, or students, who has personal knowledge of facts relating to an alleged violation of this policy, has a responsibility to report the alleged violation to the Associate Dean for Student Affairs. This policy provides the procedure for handling matters related to student academic dishonesty at the School of Medicine. Instructors have a responsibility to report alleged violations to the Associate Dean for Student Affairs as provided in this policy, and should do so within fifteen (15) business days of discovering the possible violation. The School of Medicine reserves the right, in its sole discretion, to investigate and act on complaints involving incidents that have occurred beyond the 15-day filing reporting period. Such acceptance is not intended to, nor shall it, waive timeliness defenses the School of Medicine may otherwise have available to it in any judicial or administrative proceedings. Instructors shall have the responsibility to take reasonable steps to inform students of the academic honesty rules that apply to particular academic work and the specific types of academic assistance that are permissible in connection with that academic work. Additionally, each instructor shall take reasonable steps to foster a climate of academic honesty. The failure of an instructor to meet these responsibilities, however, shall not be a defense to an accusation of academic dishonesty against a student. Every student has an obligation to be informed concerning the terms of this policy. Lack of knowledge of the provisions of this policy is not an acceptable response to an allegation of academic dishonesty. Examples of Academic Dishonesty. Examples of academically dishonest behavior include, but are not limited to, the following: 1. Plagiarism - Submission of the words, ideas, opinions or theories of another that are not common knowledge, without appropriate attribution to that other person. Plagiarism includes, but is not limited to, the following acts when performed without appropriate attribution: a. Directly quoting all or part of another person's written or spoken words without quotation marks, as appropriate to the discipline; b. Paraphrasing all or part of another person's written or spoken words without notes or documentation within the body of the work; c. Presenting an idea, theory or formula originated by another person as the original work of the person submitting that work; d. Repeating information, such as hospital chart notes, statistics or demographics, which is not common knowledge and which was originally compiled by another person; and e. Purchasing (or receiving in any other manner) a term paper or other assignment that is the work of another person and submitting that term paper or other assignment as the student's own work. 2. Unauthorized assistance - Giving or receiving assistance, in connection with any examination or other academic work that has not been authorized by an instructor. During examinations, quizzes, lab work, and similar activity, students are to assume that any assistance (such as books, 8-15-13 33 | Page notes, calculators, and conversations with others) is unauthorized unless it has been specifically authorized by an instructor. Examples of prohibited behavior include, but are not limited to, the following when not authorized: a. Copying, or allowing another to copy, answers to an examination; b. Transmitting or receiving, during an examination, information that is within the scope of the material to be covered by that examination (including transmission orally, in writing, by sign, electronic signal, or other manner); c. Giving or receiving answers to a quiz or examination scheduled for a later time; d. Completing for another, or allowing another to complete for the student, all or part of an assignment (such as a paper, exercise, homework assignment, presentation, report, computer application, laboratory experiment, or computation); e. Submitting a group assignment, or allowing that assignment to be submitted, representing that the project is the work of all of the members of the group when less than all of the group members assisted substantially in its preparation; and f. Unauthorized use of a programmable calculator or other electronic device. 3. Lying/Tampering - Giving any false information in connection with the performance of any academic or clinical work or in connection with any proceeding under this policy. This includes, but is not limited to, the following: a. Giving false reasons (in advance or after the fact) for failure to complete academic work. This includes, for example and without limitation, giving false excuses to an instructor or to any School of Medicine official for failure to attend an exam or to complete academic work; b. Falsifying the results of any laboratory or experimental work or fabricating any data or information; c. Altering any academic work after it has been submitted for academic credit and requesting academic credit for the altered work, unless such alterations are part of an assignment (such as a request of an instructor to revise the academic work); d. Altering grade, lab, or attendance records. This includes, for example and without limitation, the forgery of School of Medicine forms for registration in or withdrawal from a course; e. Damaging computer equipment (including removable media such as disks, CD’s, flash drives, etc.) or laboratory equipment in order to alter or prevent the evaluation of academic work, unauthorized use of another's computer password, disrupting the content or accessibility of an Internet site, or impersonating another to obtain computer resources; f. Giving or encouraging false information or testimony in connection with academic work or any proceeding under this policy; g. Submitting for academic advancement an item of academic work that has been submitted (even when submitted previously by that student) for credit in another course, unless done pursuant to authorization from the instructor supervising the work or containing fair attribution to the original work. 4. Theft - Stealing, taking or procuring in any other unauthorized manner (such as by physical removal from a professor's office or unauthorized inspection of computerized material) 8-15-13 34 | Page information related to any academic work (such as exams, grade records, forms used in grading, books, papers, computer equipment and data, and laboratory materials and data). Any behavior that constitutes academic dishonesty is prohibited even if it is not specifically listed in the above list of examples. Procedures for Resolving Matters of Alleged Academic Dishonesty If an incident of academic dishonesty is suspected, the instructor shall permit the student to complete all required academic work and shall evaluate and grade all work except the assignment(s) involved in the accusation of dishonesty. That instructor may, however, take any action reasonably necessary to collect and preserve evidence of the alleged violation and to maintain or restore the integrity of exam or laboratory conditions. Requests for a course withdrawal will not be approved unless it is determined that no violation occurred. When an instructor believes that an incident of academic dishonesty has occurred, the instructor should contact the Associate Dean for Student Affairs. The Associate Dean for Student Affairs will notify the student of the report and a meeting will be scheduled for a fair and focused discussion about what may have occurred. The instructor(s) who reported the matter, the student(s) believed to have violated the policy, and the Associate Dean (or his/her designee) are the only participants in this meeting. During this meeting, the instructor and student may reach an agreement about the matter and, if dishonesty is involved, may determine the appropriate consequence(s). If no resolution is agreed upon or if the Associate Dean for Student Affairs (or his/her designee) determines that the allegations are serious, the matter will be forwarded to the OUWB Student Performance Review Committee (SPRC) which will determine the outcome of the allegation. Notice of submission of the matter to the SPRC will require the delivery of a written notice from the Associate Dean for Student Affairs to the student and instructor. The notice shall include a brief description of the alleged dishonesty, and identify the date, time and place of the SPRC meeting. This notice shall be delivered by certified U.S. mail to the student. The notice will be deemed delivered when mailed even if the student fails or refuses to sign the return receipt for that notice. Action on Determination of Innocence. If it is determined that no violation has occurred, the instructor shall enter a final grade for that student determined without consideration of the alleged violation. That grade shall be entered on or before the later of: (a) the date on which grades for that class are required by OUWB policy to be submitted to the Director of Records and Registration; or (b) ten (10) business days following delivery to that instructor of a notice of that student's final determination of innocence. For this purpose, “final determination” means that agreement is reached. Multiple Violations. If the Associate Dean for Student Affairs believes that a subsequent violation has occurred or a student acknowledges a subsequent violation, the matter will be submitted for review by the SPRC. Notice of submission of the matter to the SPRC will require the delivery of a written notice to the student including a brief description of the alleged dishonesty. The notice shall state the date, time and place of the SPRC meeting and be delivered by certified U.S. mail to the student. The notice will be deemed delivered when mailed even if the student fails or refuses to sign the return receipt for that notice. 8-15-13 35 | Page Consequence(s) for Academic Dishonesty Violations A student found in violation by the SPRC, or who admits a violation as part of any meetings or consultations with the Association Dean for Student Affairs, must receive either a “zero” or the lowest possible grade on the academic work under the grading system for that course. In addition, one or more of the following consequences may be assigned by the Associate Dean (or his/her designee) or the SPRC: 1. 2. 3. 4. 5. Final course grade of “Fail”. Placement of dishonesty in the student’s record. Violation as determined by the Associate Dean for Student Affairs. Suspension. Dismissal. If the Associate Dean for Student Affairs or the SPRC find that extraordinary circumstances warrant the imposition of a consequence less than the minimums described above, they shall state in writing the reasons for the extraordinary circumstances and why the assigned consequence is considered appropriate. B. STUDENT PERFORMANCE AND PROMOTION 1. SATISFACTORY ACADEMIC PROGRESS The OUWB School of Medicine Student Performance Review Committee (SPRC) is charged with the responsibility of reviewing the academic performance of all medical students. Students are reviewed by the SPRC annually. On the basis of the annual review, the SPRC determines whether the student is to be promoted, not promoted, dismissed, graduated, or graduated contingent upon completion of all academic requirements. The academic progress of every medical student will also be monitored by the Associate Dean for Students Affairs and Associate Dean for Medical Education monthly throughout the academic year. Time Frame for Completion The normal time frame for completion of required course work for the M.D. degree at the OUWB School of Medicine is four (4) academic years. The maximum number of years allowed for matriculation at the OUWB is six (6) academic years. Students must complete the M1 and M2 preclinical curriculum in no more than three (3) academic years and sit for USMLE Step 1 within three (3) months of the completion of the M2 year, unless a test date at later time is approved in advance, in writing, by the SPRC. Even if a delay is granted, students must still obtain a passing score on USMLE Step 1 within twelve (12) months of the completion of M2 year. 8-15-13 36 | Page Students must complete the M3 and M4 clinical curriculum in no more than three (3) years after receiving a passing score on USMLE Step 1. Students must also obtain a passing score on USMLE Step 2-CK and Step 2-CS within thirty-six (36) months of receiving a passing score on USMLE Step 1. Finally, students must complete all academic requirements for the awarding of the M.D. Degree in no more than six (6) consecutive academic years. Satisfactory academic progress is based on satisfactorily completing all course and clerkship requirements. All course grades of “Fail” must be remediated and/or repeated prior to the student being promoted into the next year. M1 and M2 curriculum years - Students in the M1 and M2 curriculum years who have received final grades of “Honors” or “Pass” in all courses will be recommended for promotion. Students with a grade of “Fail” in any course will not be allowed to enroll in the next curricular year without successful remediation. When students receive a failing grade in a course or clerkship and are permitted by the SPRC to remediate their failing grades, they will be considered to be making satisfactory progress while undertaking the approved remediation. Upon successful remediation of any failed courses, students may be recommended by the SPRC for promotion. Students who fail to successfully complete remediation of any failed courses will be referred to the SPRC for possible dismissal or repeat of the entire year or other action. M3 and M4 curriculum years - Students who have received final grades of “Honors” or “Pass” in the Core Clinical Clerkships of Family Medicine, Internal Medicine, Obstetrics / Gynecology, Pediatrics, Psychiatry, and Surgery, as well as a grade in all other enrolled clerkship electives will be recommended for promotion from the M3 to M4 year. Students who have failed a clinical clerkship may be referred to the SPRC or given an opportunity to remediate. Students who have failed two clinical clerkships must appear before the SPRC and may be recommended for dismissal or other action. All of the required Clinical Core M3 Clerkships must be completed within two (2) years. Financial Aid Eligibility - Students are not eligible to receive Federal Title IV financial aid for more than five (5) academic years. No more than three (3) years of Title IV financial aid eligibility can be granted to support completion of the first two (M1 and M2) academic years and passage of the USMLE Step I examination. If a student requires three (3) years to complete the M1 and M2 curriculum and pass USMLE Step I, the latter two (2) curriculum years (M3 and M4) must be completed in two (2) years. Students who are promoted to the M3 year by the end of their second chronological year have no more than three (3) additional years of Title IV eligibility to complete the M.D. Degree. A student may be granted an approved LOA. That period of leave 8-15-13 37 | Page time shall be excluded from the six (6) year matriculation determination and the six (6) years of Title IV financial aid eligibility. Students attending beyond five years must seek alternative funding options such as Private Educational Loans to pay for their final year. Withdrawal - A student may withdraw or be requested to withdraw for academic, medical or personal reasons. If this student is allowed to return, the student's remaining Title IV financial aid eligibility will be based on the number of years the student received Title IV financial aid prior to the withdrawal. The six (6) year maximum for financial aid eligibility will apply, regardless of the time it takes the student to complete the program. Leave of Absence - Students on an approved Leave of Absence (LOA) are not eligible for financial aid or other enrollment benefits such as loan deferments. To view the complete LOA policy, refer to the LOA policy below. Reinstatement - The OUWB Financial Services Office will be notified if a student is placed on an LOA. If a student loses financial aid eligibility because he or she is determined not to be making satisfactory progress, that student may regain eligibility once the standards for removal of an LOA or probation, as established by the SPRC standards, are met by the student. 2. SHARING INFORMATION Students with persistent academic or behavioral deficiencies benefit from having information shared with clerkship directors in subsequent clerkships. The purpose of this policy is to support student development through closer supervision of patient care, additional academic or behavioral assistance, and closer monitoring of the student's progress. Performance evaluations and other pertinent information will be reviewed by the clerkship directors, the clinical optimization specialist, school officials and others on a need to know basis. This information will not be shared with any other faculty, residents, or students except as permitted by law or by School of Medicine policies and procedures. 3. STANDARDS FOR GRADUATION Candidates must have satisfactorily completed all required courses and clinical clerkships or their equivalent as determined by the SPRC within six years of admission to the School of Medicine. Exceptions to this rule will be made only with the consent of the SPRC. All students must pass Step 1, Steps 2CK and 2CS before graduation. Violations of any policies, procedures, rules, regulations ordinances and other requirements of OU, Beaumont and the School of Medicine, including without limitation policies regarding professional or ethical behavior, may result in disciplinary action up to and including denial of graduation. 8-15-13 38 | Page 4. OUWB Student Performance Review Committee (SPRC) The OUWB Student Performance Review Committee (SPRC) is a standing committee of the faculty and has as its duty to consider, among other things, students with academic difficulties, students who have allegedly violated any policies, procedures, rules, regulations ordinances and other requirements of OU, Beaumont and the School of Medicine, leaves of absence, as well as those students where suitability for the practice of medicine needs to be evaluated. The SPRC, which reports to the Associate Dean for Medical Education, consists of ten (10) faculty members from basic science and clinical departments, appointed by the Dean. The Associate Deans for Student Affairs, Academic and Faculty Affairs, Undergraduate Clinical Education and Medical Education serve as non-voting ex-officio members of the SPRC. The SPRC meets monthly. In considering each case, it will take into consideration prior academic performance, recommendations by the departments in which the academic deficiency exist, extenuating circumstances, and other factors cited by the students. Decisions of the SPRC may include a plan for remediation, appropriate disciplinary action, or possible dismissal from the program. All SPRC decisions shall require no less than a majority vote of the SPRC members who hear the relevant matter. The SPRC will inform the Dean, in writing, of all SPRC decisions with regard to students. Dismissal decisions are transmitted to the Dean. When the SPRC is considering an adverse action regarding a medical student, the following will apply: Before the SPRC meeting, the SPRC will provide the student a written explanation of the issues that are under consideration. It is recommended that the student meet with the Associate Dean for Student Affairs prior to the SPRC. The student is notified of the time and place of the SPRC meeting and is invited to appear before the SPRC and/or to submit a written statement to the SPRC. The Associate Dean for Student Affairs will review the process with the student and assist the student in preparing for the SPRC meeting. As stated above, the Associate Dean for Student Affairs is a nonvoting member of the SPRC and acts as the student advocate in all SPRC proceedings. If the student chooses to appear before the SPRC, the student may be accompanied a faculty or student advocate, who may make a brief presentation on behalf of the student to rebut evidence or provide additional information. The advocate must be affiliated with the School of Medicine and cannot be a member of the SPRC. Legal counsel may not attend the SPRC meeting. 8-15-13 39 | Page Under no circumstances should a student who is scheduled to appear before the SPRC contact members of that SPRC to discuss their appearance. The student and accompanying advocate must leave the room during SPRC deliberations. Within ten (10) business days after the SPRC meeting, the student will receive written notification of the decision. The student is allowed to inspect all of the material in his or her file related to academic performance and evaluation, and may read that portion of the minutes of the SPRC responsible for the decision which pertains to him/her, subject to the restrictions and requirements of the Family Educational Rights and Privacy Act and related regulations as they are amended from time-to-time. The Associate Dean for Medical Education will notify the Dean if any situation arises that poses a threat to patient safety, the safety of others, or behavior disruptive to the learning environment. In those cases, the Dean may suspend the student immediately. Such a decision shall be communicated in writing by registered letter or in person. The SPRC may impose any disciplinary action that it deems to be appropriate up to and including dismissal. Disciplinary action may include, among other things, a reprimand or LOA as described below: Reprimand In some cases in which a first offense has been judged to merit a minor penalty/sanction, the student will be allowed to repeat the exercise or complete an alternative assignment, as determined jointly by the instructor-of-record and the SPRC. A letter of reprimand from the SPRC will be written to the student. A copy of the letter will be placed in the student’s academic folder. Responsibility for evaluation of the student’s work in the course remains with the instructor-of-record. The following will normally accompany a reprimand: 1) record entry in the student’s internal academic folder; and/or 2) if the student later requests an institutional letter of support, it may be provided but will refer to the incident. In exceptional cases, the SPRC may vote to remove the letter of reprimand from a student’s folder after a specified time pending good behavior. Leave of Absence (LOA) A serious offense may result in a student’s involuntary LOA from the School of Medicine for a period of time to be determined by the SPRC. The following will normally accompany an involuntary LOA: 1) permanent record entry in the student’s internal academic folder; and/or 2) withholding of an institutional letter of support or discussion of the offense in the letter (If the offense occurs after such a letter has already been written, the letter may be withdrawn or supplemented, with appropriate explanation). 8-15-13 40 | Page Review of the Decision A student has the right to request that the Dean of the School of Medicine review the decision of the SPRC. That request must be made in writing to the Dean within ten (10) business days of the notification of the SPRC decision and must indicate the basis for the review. There are two grounds on which a decision of the SPRC may be reviewed and/or overturned: 1. Substantial new evidence, which was not available at the SPRC hearing and/or; 2. Procedural error that significantly affected the outcome of the case. New evidence cannot be considered if a student refused to attend a hearing. Neither the severity of the sanctions imposed nor an alleged error in academic judgment or evaluation is grounds for review of an SPRC decision. The Dean will arrange for an ad hoc committee to review the student’s written appeal. The ad hoc committee will be comprised of faculty members and or senior administrators (assistant, associate, or vice dean). The review will begin no later than ten (10) business days after the date the written request for review was submitted. The ad hoc committee will make a recommendation to the Dean. A final decision will be rendered by the Dean and communicated to the student in writing within five (5) business days following the completion of the review by the ad hoc committee. The Dean can choose whether or not to meet with the student. The decision by the Dean is final. Disclosure of SPRC Findings and Actions The School of Medicine will not conceal from residency program directors, or others to whom the student requests evaluations or recommendations be sent, any SPRC findings and/or actions. 5. ACADEMIC PROBATION A student with significant academic deficiencies as determined by the SPRC shall be considered on academic probation. Academic probation is, as the name implies, a probationary status that still allows a student to enroll and attend classes, but requires that a student take steps towards remediating academic deficiencies and improving academic performance. Students placed on academic probation are informed that there is serious concern about their academic performance and that they may be subject to discipline and/or other requirements up to and including dismissal should their unsatisfactory academic performance continue. Students shall be notified in writing by the SPRC why they have been placed on probation and the requirements for removal from probationary status. Students on probation may not register for, or receive credit towards the M.D. for courses (including clerkship) at other 8-15-13 41 | Page institutions. Students on probation may also have conditions placed upon their probation by the SPRC including mandatory tutoring and limitations on participation in school-sponsored activities. Criterion for placement on probation 1. Failure of two (2) or more courses within a semester. 2. Failure of a single required clerkship. 3. Failure to pass the United States Medical Licensing Examination (USMLE), Step 1 within one (1) year of completion of M2 coursework. 4. Any medical student deemed by the SPRC to demonstrate deficiencies that the SPRC, in the sole and exclusive exercise of its discretion, determines to be significant. Removal from probation A student shall remain on academic probation until all academic deficiencies have been made up and any other requirements established by the SPRC have been met. Requirements for removal from academic probation during the pre-clinical years shall include, but not be limited to, the successful remediation of all failed coursework plus one (1) additional semester with no additional course failures or incompletes. During the clinical years, removal from academic probation shall include, but not limited to, the successful remediation of the failed clerkship plus successful completion of all additional clerkship rotations for the remaining semester. 6. WITHDRAWAL Withdrawal is a voluntary termination of enrollment by a medical student without the intention to return. Prior to withdrawal, students must meet with the Associate Dean for Student Affairs to discuss the request for withdrawal and must fill out the petition for withdrawal form. The student must submit a short statement outlining the reason why withdrawal is necessary at that time. Any student wishing to return following withdrawal must reapply to the School of Medicine as a new applicant. 7. DISMISSAL Dismissal is the permanent administrative termination of a student’s enrollment in the School of Medicine. If a student fails to maintain the expected acceptable ethical, professional, technical, academic, or clinical standards, and/or fails to comply with any of the policies, procedures, rules, regulations ordinances and other requirements of OU, Beaumont and the School of Medicine, the SPRC may dismiss the student from the School of Medicine. Examples of conduct that will result in a referral of a student to the SPRC for a recommendation of dismissal include, without limitation, the following: 1. Unsatisfactory Academic Performance - Failure to meet the School of Medicine Standards of Academic Progress as described in this Handbook. Failure to meet these standards includes, without limitation, the following: a. Outstanding failures in the M1 or M2 year courses. An outstanding failure is a failure which remains after a student has not successfully completed a course’s remediation opportunities by 8-15-13 42 | Page the end of the academic year; b. A second failure in a required clerkship; c. A failure in a second clerkship, even though one may have previously been remediated; and d. Removal from a clinical placement/clerkship at Beaumont. 2. Inadequate Academic Progress - The SPRC may make the determination that it is impossible for the student to complete the requirements for the M.D. degree within six consecutive years as specified in this Handbook. 3. Repeated USMLE Step 1 or 2 Failure - Students who do not pass the United States Medical Licensure Examination (USMLE Step 1, 2CK or 2CS) examinations after three (3) attempts. 4. Unprofessional Behavior - Failure to maintain the professional standards of the School of Medicine, as described in this Handbook. Any behavior or pattern of behavior that indicates insufficient aptitude, emotional stability, or moral character to successfully practice medicine may be reviewed by the SPRC. At any time, the SPRC can review the overall academic performance and professional behavior of a student and recommend appropriate action, up to and including dismissal. A student who has been dismissed may not be considered for readmission to School of Medicine. 8-15-13 43 | Page 8. LEAVE OF ABSENCE (LOA) Voluntary LOA Definition: A voluntary LOA is a student initiated temporary suspension of studies granted to an eligible student at the discretion of the School of Medicine. AN LOA may be granted by the SPRC for up to one (1) year and by the Associate Dean of Student Affairs for less than four (4) weeks. The school cannot guarantee that students who take a leave will be able to graduate on time. Reasons for a Leave: An LOA may be requested for the following reasons: Health Personal or family crisis Research/Fellowship Failure of a USMLE examination The SPRC may request supporting documentation before approving the request. Involuntary LOA The SPRC may mandate an LOA in situations where it is felt that the student is not able to satisfactorily complete the curriculum because of academic, professional or other relevant concerns. When a student is placed on an involuntary LOA, the SPRC will specify the length of leave, not to exceed one year. Students will be reinstated upon demonstrating to the satisfaction of the SPRC that they can make satisfactory academic progress. A student at risk of being placed on an involuntary LOA due to unsatisfactory academic progress will be invited to appear before the SPRC in accordance with the SPRC policies and procedures as outlined in the SPRC section of this handbook. If any situation arises that poses a threat to patient safety, the safety of other students, or behavior disruptive to the learning environment, the Dean, or an Associate Dean, may place a student on an immediate involuntary LOA and have the student removed from the campus or affiliated clinical facilities pending final decision of the involuntary leave by the SPRC. A decision to place a student on an immediate involuntary leave shall be communicated in writing by registered letter or in person. A student placed on an immediate involuntary LOA is not entitled to appear before the SPRC and will be notified in writing of the SPRC’s decision regarding the leave. A student placed on an involuntary non-emergency LOA by the SPRC may appeal the decision to the Dean of the School of Medicine for review in accordance with the student appeal policies and procedures as described in the SPRC section of the handbook. 8-15-13 44 | Page Policies and Conditions Concerning an LOA Students must apply for an LOA in writing using the appropriate LOA form. This form is available from the Associate Dean for Student Affairs. A student who is considering a voluntary LOA should confer with the Associate or Assistant Dean for Student Affairs. An LOA is not a form of registration. Tuition will not be charged for semesters for which an LOA is approved provided that the request is received prior to the start of the semester. Financial obligations, such as repayment of loans may come due. It is strongly recommended that students considering a voluntary LOA meet with the Associate Director for Financial Services. The SPRC will determine whether a voluntary leave will be granted, whether eligibility for readmission will be subject to reevaluation by the SPRC, and whether there will be any conditions for return. The student’s transcript will show a permanent “I” for all courses that were not completed or from which the student did not withdraw, at the time of the leave, unless otherwise specified by the SPRC. Since an LOA is not a registration, a student on leave many not use OU or Beaumont Hospital facilities, including libraries, housing, the recreation center, health services, the student center, the medical student lounge(s), nor receive financial aid. All leaves of absence will be documented in the Medical Student Performance Evaluation. Students who go on a leave must return their OU and Beaumont Health System ID cards along with their OUWB issued laptop computers and iClickers to the Associate or Assistant Dean for Student Affairs. With the exception of leaves based on a call to active military duty, or unless specifically exempted by the SPRC, time spent on LOA will count towards the requirement that students complete the M.D. degree within six consecutive years. Returning from an LOA: At least 60 calendar days before the desired return date, a student on a leave must make application, in writing, to the SPRC for reinstatement or to extend the LOA. Reinstatement is not guaranteed. A request to extend an LOA is subject to the same review and approval process as the original leave. If an extension is not granted, the student is expected to return on the date specified in the original SPRC notification. Students who are not granted an extension will be dismissed from the School of Medicine if they do not return on the scheduled date. Please understand that the SPRC reserves the right to deny any petition to return to school or other request to resume medical studies if the committee determines, for any reason, a student cannot meet the academic rigors and technical standards of the school. If the SPRC determines a student is not fit or not prepared to return to the school and resume medical studies for any reason, including, without 8-15-13 45 | Page limitation, an inability and/or failure to satisfy any competencies, standards, or curriculum requirements, the student may be dismissed from the school. A student on a health-related voluntary leave may be required to provide “A Statement of Readiness to Return” signed by the health professional who cared for the student during the leave, before being allowed to reenroll. Students on a leave during the M1-M2 years cannot return until the beginning of an academic year. Returning students will not receive any partial credit for incomplete courses. Students on an LOA during the M3-M4 years may return during the academic year at the start of a clinical rotation. 9. STANDARDS AND PROCEDURES FOR DISCIPLINARY ACTION Medical students are expected to adhere to the school’s Professional Code of Conduct. In case of a violation, the SPRC is authorized to enact the disciplinary action it judges to be appropriate: Reprimand In some cases in which a first offense has been judged to merit a minor penalty/sanction, the student will be allowed to repeat the exercise or complete an alternative assignment, as determined jointly by the instructor-of-record and the SPRC. A letter of reprimand from the SPRC will be written to the student. A copy of the letter will be placed in the student’s academic folder. Responsibility for evaluation of the student’s work in the course remains with the instructor-ofrecord. If the student later requests an institutional letter of support, it may be provided but will refer to the incident. In exceptional cases, the committee may vote to remove the letter of reprimand from a student’s folder after a specified time pending good behavior. C. ATTENDANCE AND CLASS PARTICIPATION The School of Medicine requires every student pursuing the degree of Doctor of Medicine to be responsible for meeting the school's expectations regarding attendance in all aspects of the curriculum. When the school confers the M.D. degree, the faculty is attesting not only that the student has achieved a level of competency as measured by performance on tests, but the student has shown a commitment to professional responsibility and has also participated in the entire educational experience that is defined by the curriculum. Attendance and participation are necessary components of our interactive curriculum and therefore are considered professional responsibilities. Students are obligated to complete all assigned course work and to attend class on a punctual and regular basis. Absences, 8-15-13 46 | Page whether excused or unexcused, do not absolve the student of these responsibilities. Students are expected to contribute to the learning process by being an integral part of the team-approach, sharing expertise and problem solving. Attendance and participation are expected in all educational activities, and are required for all assessment activities, laboratory sessions, sessions with patients, small group and team-based learning sessions, as well as other sessions as specified by the course and clerkship directors. Course and clerkship directors must identify any specific attendance requirements in the course or clerkship syllabus. Course and clerkship directors have the prerogative to exact a grade penalty for excessive absences. Accountability, reliability and class participation will be among the non-cognitive attributes assessed in the student evaluations for each course and clerkship. Consequently, attendance will be a significant component of the non-cognitive evaluation for each student. Excessive tardiness will also be considered as part of a student’s non-cognitive performance evaluation. Students should be notified if their attendance falls below expectations with enough time to make behavioral changes before any summative evaluation is completed. Unsatisfactory class attendance may be considered adequate reason for an instructor to file a Physicianship Evaluation Form (PEF) for that student. Again, students should receive feedback prior to any written PEF evaluation being issued, as the importance of the policy is to encourage change in behavior rather than punitive. Professionalism issues, including significant recurring attendance issues and/or excessive tardiness, may be reflected in the Medical School Performance Evaluation (MSPE). Electronic devices should be used judiciously and for academic purposes only during educational experiences, including lectures. When patients are part of a learning experience, students are required to dress professionally and arrive early or on time. Students must refrain from eating, drinking, using laptops, cell phones or other electronic devices when patients are present. Excused Absences In some cases absence from class is both unavoidable and justified. Examples of circumstances where an excused absence may be granted include: An acute medical illness. Documentation may be requested from a treating physician (cannot be a relative) for absences longer than 2 consecutive days. An authorized presentation of scholarly work at an academic conference (limitations to the number of days missed will be reviewed at the discretion of the course or clerkship director). Serving in an official capacity as a representative of the School of Medicine. An anticipated significant family ceremony that requires the student’s attendance. A family crisis that requires the student’s presence. 8-15-13 47 | Page An anticipated religious ceremony or observation. Inclement weather. Unforeseen extenuating circumstances beyond the student’s control Unanticipated Absences Absences or tardiness for any scheduled academic assignment during the M1 and M2 years (examination, mandatory class, Medical Humanities and Clinical Bioethics, PRISM, or Art and Practice of Medicine class or clinical assignment) due to a personal illness, or an unanticipated crisis are to be immediately reported to Student Affairs. Every effort should be made to leave notification of an absence or tardiness by calling the OUWB School of Medicine Student Affairs at 248-370-2767 and leaving a message with the Associate Dean for Student Affairs or Assistant Dean for Student Services that includes a phone number where they can be contacted. Verification of receipt of the student’s message and the granting or denial of the student’s request for an excused absence will be communicated to the student as soon as possible (before the end of the next business day). If an excused absence is granted due to a medical illness prior to an examination the student will be given forty-eight (48) hours (during regular days of school operations) from the original time of the scheduled examination to take the test or make up the assigned work. If for medical reasons the student cannot take the test or make up the work within the above mentioned 48 hour timeframe, then a written physician’s note must be submitted to the Office of Student Affairs in order reschedule the examination/work. Anticipated Absences Requests for all anticipated absences, including religious holidays or observances, must be submitted in writing to the Associate Dean for Student Affairs at least thirty (30) days prior to the event if an excused absence is to be authorized. Verification of receipt of the student’s message and the granting or denial of the student’s request for an excused absence will be communicated within one week of the student’s request. It is the responsibility of the student to arrange for the completion of any missed academic assignments in an appropriate mutually agreed upon timeframe by contacting the course coordinators as soon as notification that an excused absence has been granted. The request may not be granted without at least one (1) week notice. Unexcused Absences Any student who is absent from an academic assignment and has not been granted an excused absence from the Office of Student Affairs will be classified as an unexcused absence and the student will receive a ZERO for any scheduled academic activity that is missed. 8-15-13 48 | Page The course directors or course coordinators should not be asked for an excused absence. The Office of Student Affairs will notify course coordinators of the excused absence, who will then notify appropriate course directors. Course directors are not able to grant excused absences or override decisions made by the Office of Student Affairs. Absences During Year-3 Clerkships Clerkships provide both education and supervised experiences in a variety of medical specialties. Students must attend all scheduled activities during each clerkship. Absences from a scheduled clerkship activity due to personal illness or a family crisis will be handled individually by the clerkship director or his/her designee. Students are responsible for notifying the clerkship director and the student coordinator’s office at Beaumont Health System immediately of the student’s reason for absence. If the absence exceeds two days, the student must speak directly to the clerkship director (or designee) to arrange to make up the lost time. If the absence is due to illness and exceeds two (2) days, the student may be asked to submit a statement from their physician. Absences for any other reason (e.g., a conference or to attend a family function) will be considered unexcused, unless written approval is received from the clerkship director at least thirty (30) days prior to the event. In any case, the student must make up all time lost. An unexcused absence will be reflected unfavorably on the student’s written record and may adversely affect the student’s clerkship grade. Until the time missed is made up, the student’s grade will be recorded as an Incomplete. Absences During Year-4 Clerkships and Electives Absences from scheduled elective rotations occur occasionally. For planned absences, inform the clerkship/elective director and the student coordinator or their designee at least 30 days in advance or at the time of unanticipated absences. If the absence is health-related and exceeds two days, the student should obtain a written statement from their physician. Students are permitted to take three days during a 4 week elective or clerkship for the purpose of attending residency interviews. Proof of interviews must be submitted to the clerkship/elective director and Associate Dean for Undergraduate Clinical Education. Permission to take more than three days must be obtained in advance from the clerkship/elective director and approved by the Associate Dean for Undergraduate Clinical Education. Additional days (a maximum of six days in total for the rotation) must be made up during a student’s unscheduled time. For example, if a student misses 6 days of a clerkship/elective rotation, three of the days will have to be made up during a student’s unscheduled work time. 8-15-13 49 | Page Students will be discouraged from taking time off during a clerkship or elective that is less than 4 weeks. If a student feels the need to take time, he/she must obtain prior permission from the clerkship/elective director and Associate Dean for Undergraduate Clinical Education in advance of making plans. Religious Observance School of Medicine is committed to supporting faculty, staff, and students in observing religious holidays of significance to them. We do not observe all religious holidays, however it is the University’s policy that every reasonable effort will be made to help students avoid academic consequences when their religious obligations conflict with academic requirements. Absence from classes or examinations due to religious observance does not exempt students from the responsibility of completing the work. Students who find that their classes or examinations involve conflicts with their religious observances are expected to notify their instructors well in advance so that alternative arrangements as suitable as possible may be worked out. It is the obligation of the student to provide to faculty with two (2) weeks’ notice of the dates of religious holidays in which they will be absent. Students who are absent on days of examinations or class assignments shall be offered an opportunity to make up the work, without penalty, unless it can be demonstrated that a make-up opportunity would interfere unreasonably with the delivery of the course. Should disagreement arise of any aspect of this policy, the parties involved should contact the Associate Dean for Medical Education. It is the responsibility of the student to make arrangements in advance of any absence by contacting the Associate Dean for Student Affairs during Years 1 and 2 and the clerkship director during Years 3 and 4. D. GRADING Students will be assessed using standards that are course and clerkship-specific as identified in each course and clerkship syllabus. Assessment of student learning is based on an Honors/Pass/Fail grading system. Students will be assessed on their performance as the ability to meet stated competencies and not by comparison of performance to their classmates. Students must receive a passing grade in each course and clerkship in order to receive the M.D. degree. Therefore, any grade of “Fail” for a course or clerkship must be successfully remediated prior to graduation. Honors, Pass, and Fail Grades Criteria for assigning Honors, Pass and Fail grades are established by the faculty responsible for individual courses and clerkships and will be clearly stated in the course syllabi. Nevertheless, criteria for assigning Honors, Pass and Fail grades follow parameters recommended by the OUWB School of Medicine Curriculum Committee and may include (but are not be limited to) performance on quizzes, examinations, small group and team-based learning activities, laboratory reports, laboratory practical examinations, OSCE-type clinical skills examinations, papers, reflective writing assignments, attendance at required sessions, as well as faculty and peer evaluation. 8-15-13 50 | Page Students who have received a failing grade for a course or clerkship may be allowed an opportunity to remediate the failure by means of a retest of a failed examination or remediation of the entire course. If a student is offered an opportunity for a retest of a failed examination, the retest of the failed examination must occur within three weeks of the end of the semester and requires the student to pass a content-similar examination. Preparation for the retest is the responsibility of the student, but should be undertaken in consultation with the course co-directors. Successful remediation of a failing grade on any course through a pass on a retest will result in a grade of “Pass” being recorded. Failure of the retest will result in the grade of “Fail” remaining on the student’s record. A grade of “Honors” can never be awarded to a student for any course or clerkship completed through the remediation process. If the student does not successfully remediate a failure by retest within the three week time period at the end of a semester, the student may be offered the opportunity to remediate the failure prior to July 1 of the same academic year. The decision to allow a student to remediate a failure will be the responsibility of the SPRC and will be based upon the academic standing of that student. Academic performance in other courses and clerkships, failure of other courses and clerkships, and lapses in professionalism standards may all be used in determining whether a student is given the opportunity to remediate a failure prior to the next academic year. Since remediation at this later date will most often represent the second opportunity a student has had to remediate a deficiency, it is essential that a formalized study plan with a tutor and/or formal course be formulated by the student and the course director. This study plan may require daily interaction between the student and a faculty member, mandated study periods, as well as assigned formative assessment activities or worksheets Guidelines for remediation have been prepared with the understanding that extenuating circumstances such as external situations or illness may affect performance on a particular test. However, repeated failures on tests and/or very low test scores strongly suggest that a student is not studying effectively, is not prepared to handle the workload in School of Medicine, or is experiencing other situations that adversely affect their performance. The faculty of the OUWB School of Medicine are committed to identifying these underperforming students as early as possible in order to initiate an appropriate remediation plan, provide help with studying, counseling, or any other necessary interventions, or for consideration of dismissal from School of Medicine. Progress towards successful remediation of identified deficiencies and continued academic progress will be an important goal for these students and will be carefully monitored by the Associate Dean for Student Affairs, the Associate Dean for Medical Education and the OUWB Student Performance Review Committee. Students who consistently underachieve academically as evidenced by multiple failures and/or unsuccessful remediation are at risk for dismissal from the program by the OUWB School of Medicine Student Performance Review Committee (SPRC). 8-15-13 51 | Page Clinical clerkships will be graded on an Honors /Pass/Fail system. Student performance in the third and fourth year clinical clerkships is based on a combination of faculty members’ qualitative impression of a student’s clinical knowledge, skills, and attitudes and quantitative measures such written and/or oral tests (such as NBME subject examinations) and objective structured clinical examinations (OSCEs). Students must successfully complete all required M3 clerkships before promotion to M4. Incomplete A grade of “Incomplete” is given when extenuating circumstances beyond the student’s control have prevented him/her from completing the work by the official ending dates of the course or taking a retest. To obtain a grade of “Incomplete”, a student must arrange with the course director, before the end of the course, how and when the coursework will be completed. The Associate Dean for Medical Education must validate extenuating circumstances before the course director may grant a grade of incomplete. All grades of incomplete must be completed prior to the end of the academic year or the “Incomplete” will be replaced with the grade of “Fail”. Good Academic Standing Good academic standing is the designation given when a student has either received "Pass" or "Honors" in all coursework. Any unremediated "Fail" or an "Incomplete" on a student record in any academic year will disqualify a student from being in good academic standing. Good academic standing is required for most internship, research, school-sponsored travel and class leadership opportunities. 8-15-13 52 | Page Academic Concerns An academic concern must be submitted to the Course Director no later than sixty (60) calendar days after the student became aware of the situation. The School of Medicine reserves the right, in its sole discretion, to investigate and act on complaints involving incidents that have occurred beyond the 60day filing reporting period. Such acceptance is not intended to, nor shall it waive timeliness defenses the School of Medicine may otherwise have available to it in any judicial or administrative proceedings. The concern must be submitted via written request listing the specific concern and the reason(s) for the concern and the relief requested. Students must then arrange a mutually convenient time with the Course Director to review the concern. If the Course Director makes a decision that is unfavorable to the student, the student has the right to appeal this decision to the Associate Dean for Medical Education. The appeal to the Associate Dean must be submitted within fourteen (14) business days. The Associate Dean will decide whether corrective action will be taken and notify the student within twenty-one (21) business days. The Associate Dean’s decision is final. E. EXAMINATIONS Most courses and clerkships require one or more assessment exercises (papers, quizzes, OSCE examinations, etc.). At the beginning of each course or clerkships, the director will describe the manner in which students will be assessed and will distribute a schedule of major examination dates and times. The following guidelines apply during every written or practical examination: Proctors will be present during every examination. Students are also expected to police themselves and report any inappropriate behavior during the examination. All personal items, including books, newspapers, jackets, hats, book bags are to be removed from desk tops during examinations. Cell phones, laptops or other electronic devices may not be brought into the testing room. Brief breaks are allowed during examinations, however, time is not extended. No examination question will be changed, interpreted or deleted during an exam. Students will not be allowed to ask questions of proctors or faculty once the exam has begun. If the student feels a question is written incorrectly, is ambiguous, or has other flaws, he/she can make a note of the concern on the cover of the examination. All concerns will be reviewed by the course director. The beginning and ending times for the exam will be strictly enforced. Should a student arrive late for an exam, the student will not receive additional time to complete the exam. In the event of a mandatory building evacuation during an exam, all students must place both exam and answer sheet face down and exit the building immediately. Upon return, the course director will announce the revised ending time. 8-15-13 53 | Page Special accommodations may be provided for students with documented disabilities. Please refer to the OUWB Disabilities Accommodations Policy. Absence from an examination Students are expected to be present at all examinations and are asked to reschedule personal events to avoid being absent from an examination. In the event that an emergency situation interferes with a student’s ability to take an examination, the student must contact the Associate Dean for Student Affairs immediately. The Associate Dean for Student Affairs, with input from the course director will consider the situation and decide on an appropriate course of action regarding postponement of the examination. In a nonemergency situation, the student must petition the Associate Dean for Student Affairs at least three weeks prior to the examination. The Associate Dean for Student Affairs will confer with the course director and the Associate Dean for Medical Education and consider the reason for the proposed rescheduling, any history of prior requests, and the feasibility of rescheduling. Rescheduled examinations will usually precede the regular examination. Any unexcused absence from an examination will result in failure of the examination. Retest See the grading policy above. Remediation See the grading policy above. Failure of USMLE Examinations In order to be licensed to practice medicine in the United States, all physicians must pass the United States Medical Licensing Exam (USMLE), Step 1, Step 2 Clinical Knowledge (CK), Step 2 Clinical Skills (CS) and Step 3. Graduation from OUWB School of Medicine requires students to receive passing scores for Step 1, Step 2 CK and Step 2 CS. All OUWB School of Medicine students must sit for the USMLE Step I exam before beginning any third year clerkships, ideally prior to Art and Practice of Medicine 5. All OUWB School of Medicine students should sit for the USMLE Step 2 CK exam before September 30 of the M4 year in order to be prepared for the NRMP match process. In order to graduate with their M4 class, students must receive a passing score on the Step 2 CK and Step 2 CS by February 15 of their M4 year. USMLE Step 1 First Attempt 8-15-13 54 | Page Students notified of a first time USMLE Step 1 failure after beginning an M3 year clerkship, will be allowed to complete the clerkship in progress. Students may, in consultation with the Associate Dean for Medical Education, Associate Dean for Undergraduate Clinical Education or the Associate or Assistant Dean for Student Affairs, elect to withdraw from the clerkship in which they are enrolled at the time of notification of failure. Students who withdraw from a clerkship due to a Step 1 failure will be required to repeat the entire clerkship. Students will not be allowed to begin another M3 year clerkship until they have retaken the USMLE Step 1 exam. The Associate or Assistant Dean for Student Affairs and the Associate Dean for Undergraduate Clinical Education will coordinate necessary scheduling changes. Students notified of a first time USMLE Step 1 failure prior to beginning an M3 year clerkship, will not be allowed to participate in clerkships until after they have retaken the USMLE Step 1 exam. In order to ensure the necessary guidance and access to resources, students will be enrolled in the Directed Independent Studies in Medicine (DISM) course while preparing for a second attempt at the Step 1 exam. Students must take the second attempt at the Step 1 exam by November 30th of the current academic year. Second Attempt Students who fail a second attempt will be immediately withdrawn from their current clerkship and will not be permitted to participate in any additional clerkships until they obtain a passing score on the USMLE Step 1. Students who withdraw from a clerkship due to a USMLE Step 1 failure will be required to repeat the entire clerkship. In order to ensure the necessary guidance and access to resources, students will be enrolled in the DISM course while preparing for a third attempt. Passing the DISM course is contingent upon passing the Step 1 exam. Students failing to achieve a passing score on the second attempt of the USMLE Step 1 exam will receive a grade of “No Progress” in the DISM course. The remediation of a DISM “No Progress” grade will be re-enrollment in the course. Students achieving a passing score on the second attempt of the USMLE Step 1 will receive a grade of “satisfactory progress” in the DISM course. 8-15-13 55 | Page Third Attempt The School of Medicine limits students to three (3) attempts at the USMLE Step 1 exam. Students who do not pass the Step 1 examination after three attempts will receive a grade of “no progress” in the DISM course and be referred to the SPRC for dismissal. Students achieving a passing score on the third attempt of the USMLE Step I will receive a grade of “satisfactory progress” in the most recent instance of the DISM course. USMLE Step 2 First Attempt Students who do not achieve a passing score on either component of the USMLE Step 2 exam will be allowed to complete the clerkship in progress. Students will not be allowed to begin another clinical experience until they have retaken the failed component of the USMLE Step II exam. The Associate or Assistant Dean for Student Affairs and the Associate Dean for Undergraduate Clinical Education will coordinate necessary scheduling changes. Passing the DISM course is contingent on passing the previously failed USMLE Step 2 component(s). Second Attempt Students failing to achieve a passing score on a second attempt on a component of the USMLE Step 2 exam will be required to withdraw from in progress clerkships and enroll in the DISM course for 4 weeks. Students failing to achieve a passing score on the second attempt on a USMLE Step 2 component(s) will receive a grade of “No Progress” in the DISM Course. The remediation of a DISM “No Progress” grade will be re-enrollment in the course. Students achieving a passing score on the second attempt of a USMLE Step 2 will receive a grade of “satisfactory progress” in the DISM course. Third Attempt The School of Medicine limits students to three (3) attempts at each component of USMLE Step 2 exam. Students who do not pass a Step 2 examination component after three attempts will receive a grade of “no progress” in the DISM course and be referred to the SPRC for dismissal in accordance with the OUWB Student Grading and Promotions Policy. 8-15-13 56 | Page Students achieving a passing score on the third attempt of a USMLE Step II component will receive a grade of “satisfactory progress” in the most recent instance of the DISM course. 8-15-13 57 | Page 8-15-13 58 | Page F. OU DISABILITIES ACCOMMODATIONS OU adheres to Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 (ADA) in prohibiting discrimination against any qualified person with a disability. Students with specific questions regarding policies governing students with disabilities may contact the OU Office of Disabilities Support Services (DSS) by phone at (248) 370-3266, located at 103A North Foundation Hall. Students who warrant accommodations based upon the functional effects of a physical or learning disability should adhere to the following procedure. Please read each step of the procedure thoroughly. Student meets with a representative of the DSS, provides documentation of a disability, and requests accommodations. A definitive diagnosis of a disability must be identified in the documentation. Details regarding the required documentation for each disability can be found at the DSS website: http://www.oakland.edu/dss/. Note: if a student does not have documentation and requires testing, the testing process could take a minimum of six to eight weeks to complete. For entering students, it is best to arrange accommodations prior to orientation. Students who do not meet with DSS before classes begin should meet with DSS, with their documentation, at least one month prior to the date when accommodations will be instituted. It is the student's responsibility to register with DSS and request accommodations! DSS staff will review the student's supporting documentation to determine sufficiency and eligibility for accommodations. If additional testing is required, temporary accommodations may be granted while documentation is completed. DSS staff will complete and sign the Faculty Notification Letter. The student will be asked to sign the letter indicating agreement with suggested accommodations and understanding of his or her responsibility. Prior to the start of each academic year, students must obtain a new, updated Faculty Notification Letter from DSS and give a copy of this letter to the OUWB Director of Academic Success. The Faculty Notification Letter will not be part of the academic record of the student and will be shared only on a need-to-know basis. Two copies of the notification letter will be given to the student: one for the student and one for the student to give to the OUWB Director of Academic Success. (The DSS Office will retain a copy of all records and meeting notes). 8-15-13 59 | Page The student is to schedule an appointment with the OUWB Director of Academic Success to submit a copy of the Faculty Notification Letter and discuss how accommodations will be facilitated. Failure to meet this requirement will release the OUWB School of Medicine and DSS from the responsibility of providing accommodations. The OUWB Director of Academic Success will review the letter, determine appropriateness of all requests based on School of Medicine requirements, and discuss concerns with the student and/or call DSS when appropriate. The OUWB Director of Academic Success, in collaboration with the M1, M2 and M3/M4 Curriculum Coordinators, will coordinate the provision of accommodations. A special situation arises with the NBME subject or comprehensive examinations. Since these examinations need to be ordered well in advance of the test date, students who are requesting to take an NBME examination under special accommodations should complete the Alternative Testing Sign-up Sheet at least FOUR WEEKS prior to the date the exam is to be administered. G. ASSESSING STUDENTS EXPERIENCING ENVIRONMENTAL DIFFICULTIES IN THE LABORATORY ACTIVITIES Students experiencing environmental difficulties in laboratory activities (i.e. allergies) will be referred to the School of Medicine Office of Student Affairs for initial triage. Students will follow the necessary steps to obtain disability services (refer to the School of Medicine Disabilities Accommodations policy). H. DISCRIMINATION Students and employees are protected against discrimination in all aspects of education and employment. Illegal discriminatory conduct occurs where individuals are treated differently on the basis of race, sex, gender identity, gender expression, sexual orientation, age, height, weight, disability, color, religion, creed, national origin or ancestry, marital status, familial status, veteran status, or any other characteristic protected by federal or state law. Discriminatory conduct detracts from the educational and work climate of the campus and will not be tolerated. Any student who believes she/he has been discriminated against is encouraged to contact the Associate Dean for Student Affairs by phone at 248-370-2909 or email nuzzarel@oakland.edu, Dean of Students Office, or the Office of Inclusion and Intercultural Initiatives at OU. 8-15-13 60 | Page I. COURSE AND FACULTY EVALUATION In order to encourage meaningful program evaluation and improvement and to meet accreditation requirements, medical students must submit course and faculty evaluations for all courses completed in the M1 and M2 years. Email reminders for online evaluation will be sent to students when evaluations are available for completion. All students are required to complete a course evaluation for each course completed. Students are also required to complete at least 70% of faculty evaluations for faculty in M1 and M2 courses. However, students should never feel obligated to provide an evaluation of a faculty member for a course session that they did not attend or cannot remember. In that case, students are encouraged to select the option on the evaluation form indicating they did not attend or cannot remember the session. Evaluations so marked will be counted towards the 70% completion rate requirement for faculty evaluations. Completion of faculty and course evaluations is a requirement for course completion. Failure to complete all course evaluations and 70% of faculty evaluations in any individual course will result in a grade of “Incomplete” for that course. If the “Incomplete” grade is not remediated within two weeks following course completion, the grade will revert to a grade of “Fail” and the course must be repeated. The goal of this policy is to require student responsibility to provide valid and honest feedback in a professional and timely manner. Completion of faculty and course evaluations are considered to be an essential component of a student’s professional growth. Failure to complete these evaluations in a timely manner indicate a lack of professional responsibility and will be reflected in the student’s noncognitive evaluation. J. HARASSMENT Harassment based on a person's race, sex, gender identity, gender expression, sexual orientation, age, height, weight, disability, color, religion, creed, national origin or ancestry, marital status, familial status, or veteran status is generally prohibited by law and, therefore, is a form of prohibited discrimination. Sexual harassment also includes conduct of a sexual nature that has the purpose or effect of unreasonably interfering with an individual's work, academic performance, or use of OU services, or which creates an intimidating, hostile, or offensive working, educational or service environment. Examples of sexual harassment include, but are not limited to, sexual assault and unwelcome: sexual propositions, sexually graphic comments about a person's body, touching, patting, pinching, leering, persistent sexual jokes or comments, and displays of sexually graphic pictures. To learn more about sexual harassment and prevention visit the Office of Inclusion and Intercultural Initiatives (https://www.oakland.edu/Default.aspx?id=59&sid=66&CWFriendlyUrl=true). Any form of discriminatory harassment is against the law and University policy. Any student who believes she/he has 8-15-13 61 | Page been harassed by a University employee is encouraged to contact the Associate Dean for Student Affairs by phone at 248-370-2909 or email nuzzarel@oakland.edu, Dean of Students Office, or the Office of Inclusion and Intercultural Initiatives at OU. The Director of the Office of Inclusion and Intercultural Initiatives also serves as OU’s Title IX Coordinator. OU policies 710 and 711 address Administrative Guidelines Prohibiting Discrimination and Guidelines for Handling Discrimination Complaints (Complaint Process). 8-15-13 62 | Page K. EDUCATIONAL RECORDS OU’s Administrative Policy and Procedure No. 470 (Release of Student Educational Records http://www.oakland.edu/policies/470/), as it is amended from time-to-time, applies to School of Medicine student records except as follows: School of Medicine faculty and staff who need assistance with Policy No. 470 should contact OUWB’s Director of Records and Registration at 248-370-2067; School of Medicine students who wish to opt-out of directory information should submit a completed request for Nondisclosure Form of Directory Information for to the Office of the Director of Records and Registration. This form is also available from the Director or Records and Registration and may be submitted at any time during the academic year. The student may rescind the request at any time by submitting a new Request for Nondisclosure of Directory Information Form to the Office of the Director of Records and Registration; A School of Medicine student may request inspection of his or her Education Record by submitting a written, dated request to the School of Medicine Director of Records and Registration. Examples of offices that maintain Examples of School of Medicine Education Records include grades, scores, narrative evaluations that were collected as part of a course, registration, attendance, disciplinary actions that were handled internally by the School of Medicine, and admissions records. When an inspection request is received, the School of Medicine Director of Records and Registration will make the Education Record available to the student within forty-five (45) calendar days. Upon reasonable request, the School of Medicine Director of Records and Registration will provide an explanation and interpretation of the Education Record; A School of Medicine student who believes that information in his or her Education Record is inaccurate, misleading or violates his or her privacy rights may request the Education Record be amended by submitting a written, dated and signed request to the School of Medicine Director of Records and Registration. The School of Medicine Director of Records and Registration will initiate an investigation and make a written recommendation to the Associate Dean for Medical Education within thirty (30) calendar days. The Associate Dean will make a decision and notify the student within fourteen (14) calendar days. If the Associate Dean for Medical Education does not agree with the request, the student will be offered the opportunity to have a hearing on the matter, which the Student may accept by submitting a written request to the Associate Dean for Medical Education within thirty (30) calendar days. The student will be given reasonable notice of the date, time and place of the hearing. The Associate Dean for Medical Education will designate an individual outside of his reporting line as the Hearing Officer. The Hearing Officer will conduct the hearing. The student will have the opportunity to present relevant evidence and may be assisted or represented at the hearing by an individual(s) of the student’s choosing, at the student’s expense, including an attorney. The student will be notified of the hearing officer’s 8-15-13 63 | Page decision within a reasonable period after the hearing. The decision will be in writing, based solely on the evidence presented at the hearing, and include a summary of the evidence and basis for the decision. If the decision in favor of the student, the Education Record will be amended. If the decision is not in favor of the student, the hearing officer will inform the student of his or her right to place a statement in the Education Record commenting on the contested information or stating why s/he disagrees with the hearing officer’s decision. The statement will be maintained in the Education Record for as long as the contested information is maintained and disclosed whenever the contested information is disclosed; and There are certain OU student records that are maintained by OU offices outside of the School of Medicine. Examples of these records are OU transcripts and financial services (financial aid and student employment records). The Associate Dean for Student Affairs is available to assist Students in identifying the appropriate office(s) to which their request should be made. L. TUITION REFUND Students desiring to withdraw from the School of Medicine must give notice in writing (Leave of Absence Form) to the OUWB Associate Dean for Student Affairs.. The effective date of the withdrawal will be the date the Associate Dean receives the completed paperwork from the student. Students will be billed for tuition and program fees on a semester basis. Students who officially withdraw from the School of Medicine are entitled to a refund of tuition and program fees according to the following schedule: 100% refund within the first 2 weeks of the semester 50% refund before the end of the 7th week of the semester 0% refund at the end of the first 7 weeks of the semester The School of Medicine will follow all Federal guidelines regarding refunds of financial aid in the event that a student withdraws or is dismissed. The School of Medicine financial aid staff will provide students with details of their earned and unearned federal Title IV financial aid. Students are provided with instructions related to repaying the funds to OU or to the federal government. Students are strongly encouraged to contact the School of Medicine financial aid staff prior to withdrawing from classes to obtain information on the financial effects of withdrawing. Students experiencing serious personal illness or receiving an involuntary order to active military duty will have an option to request an exception to the refund policy by filing a request and providing documentation to the Associate Dean for Student Affairs at the School of Medicine before classes end for the affected term. Federal regulations governing the return of federal Title IV financial aid funds will be followed in all cases. 8-15-13 64 | Page Students who are required to repeat a year of school must pay full tuition for the repeated year. M. IMMUNIZATIONS AND PROCEDURES The School of Medicine follows the Center for Disease Control and Prevention Guidelines for Health Care Providers. All students matriculating at the OUWB School of Medicine are required to submit the immunization form to OU’s Graham Health Center for it to be reviewed and approve the student’s immunization status of the following: Adult diphtheria/tetanus (Tdap). Boosters MUST be Tdap. This vaccine must have been administered within the last ten years. MMR (measles, mumps, rubella). MMR (measles, mumps, rubella). Evidence of immunity by serological titers of antibodies to these three viruses must be documented. In the event of any negative titer, two doses of MMR at least twenty-eight (28) calendar days apart is required. Hepatitis B vaccine. If the entire series is not administered before matriculation, the immunizations must be completed within six months of matriculation, and a titer proving immunity (or a second series of vaccine + repeat titer) must be in place. At least two doses of vaccine must be completed before patient contact. PPD intradermal skin test. A one-step PPD is required of all students except those who have a positive reading. PPD-negative students must renew annually with a one-step PPD. Students with positive results must make an appointment at Graham Health Center for chest x-ray (if not yet obtained) and completion of tuberculosis symptom screening questionnaire is required annually. All students must update their PPD status annually or complete the tuberculosis symptom screening questionnaire. Varicella titer. Evidence of immunity by serological titers must be documented. In the event of a negative titer two doses of varicella vaccine at least twenty-eight (28) calendar days apart is required. Childhood immunization record documenting completion of: o Primary DPT series o Polio series Influenza vaccination is required by Beaumont and will be administered by Beaumont Health at no cost to the students. Follow-up counseling and testing at the hospital site or with the Primary Care Provider may be required. Students without documentation of appropriate immunizations will not be permitted to proceed to patient contact situations, such as preceptorships or Introduction to Clinical Medicine. This policy is enforced to prevent outbreaks of vaccine-preventable communicable diseases among the students and to prevent or reduce the risk of transmission of vaccine preventable and other communicable diseases 8-15-13 65 | Page between student and patients and other persons at OU or Beaumont and other clinics and hospitals associated with School of Medicine. Follow-up counseling and testing at the hospital site or with the Primary Care Provider may be required. N. TECHNICAL STANDARDS Candidates for the MD degree must perform all essential functions in each of the categories that follow in order to achieve, the levels of physical, cognitive, and emotional abilities necessary to successfully complete the full curriculum and meet the institutional learning objectives of the School of Medicine. Observation: All candidates are expected to use vision, hearing, and sensation to observe Instructional demonstrations, and Patients at a distance and close at hand. Communication: All candidates are expected to Communicate effectively both orally and in writing, Comprehend written communications, Assess non-verbal communications (such as mood, activity, and changes in posture) that are fundamental components of the patient interview and physical examination, and Demonstrate communication skills that are essential for the formation of effective professional relationships with teachers and colleagues, and therapeutic relationships with patients. Motor Coordination: All candidates are expected to use motor and sensory functions to Perform components of the physical examination such as palpation, auscultation, and percussion, Perform routine invasive procedures including the use of universal precautions to avoid posing risks to patients or themselves, Perform basic laboratory tests and evaluate routine diagnostic tools such as EKGs and imaging studies, Respond and perform with precise, quick, and appropriate actions in emergency situations, and Participate effectively in physically taxing duties over long hours, and 8-15-13 66 | Page Complete timed demonstrations of skills. Cognitive: All candidates must demonstrate cognitive functions and effective learning techniques that indicate the ability to meet the School of Medicine institutional learning objectives. Candidates must be able to Measure, calculate, and analyze data, Synthesize information and apply reasoning to reach conclusions based on evidence, Comprehend three-dimensional relationships and understand the spatial relationships of structures, Draw inferences from the logical sequential relationships of events, Understand the legal and ethical aspects of the practice of medicine, Be fully alert and attentive at all times in clinical settings, and Solve problems effectively. Professional: All candidates are expected to demonstrate the attributes that would satisfy the School of Medicine institutional learning objective of professionalism. Compassion, integrity, interpersonal skills, interest, and motivation are personal attributes that are considered in the admissions process and throughout School of Medicine. All candidates are expected to Demonstrate sound judgment and emotional stability, Demonstrate the perseverance, diligence and consistency required to complete successfully the rigorous curriculum of the School of Medicine, Function effectively under stress, Display flexibility and adaptability to changing and uncertain environments, Demonstrate evidence of the personal attributes of honesty, altruism, empathy, and concern for others, Contribute to the learning environment and receive and act upon constructive feedback from faculty members and peers. Individuals with questions or who need reasonable accommodations to successfully meet the technical standards are encouraged to contact the Associate Dean for Student Affairs. 8-15-13 67 | Page O. DRUG SCREENING Faculty and students working in patient areas may be subjected to drug testing if there is reasonable suspicion of drug use or reasonable suspicion that the individual is impaired. Positive results will be referred to the SPRC and may result in dismissal from the School of Medicine. The following conditions are signs of possible alcohol or drug use (not all-inclusive): Abnormally dilated or constricted pupils Slowed reaction rate Glazed stare, redness of eyes Dulled mental process Excessive, unexplained absences Flushed face Change of speech (i.e. faster or slower) Difficulty walking Constant sniffing Slurred speech Increased absences Smell of alcohol Constant fatigue or hyperactivity Redness under nose Sudden weight loss Needle marks Change in personality (i.e. paranoia) Increased appetite for sweets Forgetfulness Performance faltering 8-15-13 68 | Page Poor concentration Borrowing money from co-workers or seeking an advance or any other unusual display of need for money P. TECHNOLOGY USE RATIONALE: OU provides computing, networking, and information resources to its students in support of OU’s mission of teaching, research, and public service. OU requires that all members of the OU community use OU’s Computing and Network Resources in a responsible and ethical manner. As such, students’ computer usage is governed by OU’s broad Information Technology Policies (see University Administrative Policy #890; Use of University Information Technology Resources at http://www2.oakland.edu/audit/Policy890.doc). In addition to OU’s Computing and Network Resources, the School of Medicine also provides students with computers and software compatible with electronic courseware and computer technology used only by the School of Medicine. Therefore, this Medical Student Computer Policy sets forth those specific requirements that are in addition to Administrative Policy #890 and that govern the use and management of computers assigned to students. SCOPE AND APPLICABILITY: All students. DEFINITIONS: “Computing and Network Resources” means OU’s entire computing, network and all OU information technology resources and includes all data and information in electronic format or any hardware or software that makes the processing, transmission, storage or use of such information possible. Some examples are access identity accounts and login processes; communications devices; computers; terminals; peripherals; data; databases; digital images; digitized information; electronic mail; messaging; networks; network electronics and access points; servers; software; storage devices; web sites, blogs and public information services; and workstations. “Medical Student Computer(s)” means OU owned computing devices such as laptop computers assigned to individual students. “Protected Health Information” means health information that: (a) is created or received by a health care provider, health plan, employer or health care clearinghouse; (b) relates to an individual’s past, present or future physical or mental health or condition, provision of health care to an individual; or payment for the provision of health care to an individual; and (c) identifies the individual, or with respect to which there is a reasonable basis to believe that the information can be used to identify the individual; that is maintained or transmitted in any form or medium. POLICY: Generally: Students shall use Computing and Network Resources and Medical Student Computers primarily for activities relating to instruction, research, and curriculum related community service 8-15-13 69 | Page activities, and only secondarily for limited personal use. Students must also comply with the respective informational technology policies of the School of Medicine’s clinical affiliates when participating in clinical assignments. In all cases, students must respect the rights of other users and the integrity of the systems. Students shall not use or attempt to use Computing and Network Resources or Medical Student Computers without authorization or to display, print, store, or transmit electronic information by text, image, video, or sound that: interferes with the academic progress of an OU student; accesses or uses another person’s password, account, files, or e-mail without the owner's permission; allows unauthorized use by other persons; could be offensive or harassing to a reasonable person; violates another person’s reasonable expectation of privacy; is Protected Health Information; misappropriates intellectual property owned by others such as copyrighted materials; violates an OU code of conduct; interferes with OU operations; alters, reconfigures or masks a Computing and Network Resource; circumvents a security system or security mechanism; hacks into another network or another person’s computer; loads a computer virus, Trojan horse or worm; violates OU’s Technology or other policies; violates a license or other contractual obligation; is in support of a political campaign; is for profit or non-profit business or other commercial purposes; or is illegal under any Federal or State law or OU ordinance. Medical Student Computers: It is integral for the School of Medicine’s effective delivery of computerassisted education that all students use uniformly compatible computers and software with the distance learning, electronic courseware and other computer-related technology used by the School of Medicine. Therefore, all students must obtain a Medical Student Computer directly and exclusively from the School of Medicine, and use that Medical Student Computer throughout the medical student’s enrollment in the School of Medicine for all School of Medicine academic and clinical work. Medical Student Computers contain an encrypted-password protected file store that must be used for all data files, and only software approved by OU can be installed on the Medical Student Computer. Students are solely responsible for their Medical Student Computer and the data located on their Medical Student Computer. Students must use their best efforts to ensure that their Medical Student Computer and the data located thereon is not damaged, stolen, lost or otherwise harmed. Students are solely responsible for backing-up their data. Upon request, students may also back-up their data on OU servers. If a Medical Student Computer is stolen, lost, damaged or otherwise harmed, the medical 8-15-13 70 | Page student to whom the Medical Student Computer was assigned will be financially responsible for its replacement and/or repair. The School of Medicine manages all software installations, reinstallations and repairs to Medical Student Computers. Students must take all Medical Student Computers to the School of Medicine’s Helpdesk for installations and/or repairs and not to vendor facilities, repair entities, or attempt to make software installations or repairs themselves. Students must return their assigned Medical Student Computer to the School of Medicine immediately upon demand by OU and within three (3) business days of their: (a) withdrawal or dismissal from OU; (b) failure to pay tuition or fees when due; (c) commencing a leave of absence of more than two weeks duration. PROCEDURES: Students should direct all questions they have regarding what is, and what is not, appropriate and acceptable use of Computing and Network Resources and Medical Student Computers to the Associate Dean for Educational Information Technology and/or the Director of Research Training. Students must report suspected violations of this Medical Student Computer Policy to the Associate Dean for Educational Information Technology. All violations will be referred to the appropriate OU and School of Medicine official or law enforcement agency. A violation of OU’s Use of University Information Technology Resources Policy or this Medical Student Computer Policy may result in: losing privilege of using Computing and Network Resources and Medical Student Computers; sanctions imposed by other OU and School of Medicine policies including the Student Code of Professional Behavior; and/or prosecution under applicable law. RELATED POLICIES AND FORMS: University Administrative Policy #890; Use of University Information Technology Resources at http://www2.oakland.edu/audit/Policy890.doc. IV. HEALTH AND SAFETY A. INFECTIOUS AND ENVIRONMENTAL HAZARDS EXPOSURE Every student is taught prevention methods consistent with The Occupational Safety and Health Administration (OSHA) and MIOSHA (Michigan) Standards for Healthcare Workers. These protocols are integrated into coursework and workshops throughout the four years of medical education. The focus of prevention training is on universal precautions. Training addresses: Hand-washing hygiene. 8-15-13 71 | Page Required procedures when student has draining lesions or weeping dermatitis. Design and use of safe needle or needle-less systems. Personal protective equipment where exposure is possible. Conditions requiring use of gloves. Conditions requiring use of fluid-resistant, disposable clothing. Conditions requiring use of disposable masks, eye and face protection. Procedures for post-exposure care and treatment. B. BLOOD/BODY FLUID EXPOSURE Universal blood and body fluid precautions lessen the risk of exposure to such fluids, and the following precautions must be used routinely. However, students are in many situations during clinical clerkships where breaks in skin (“sharps” injuries) or mucosal contact may expose them to possibly infectious blood or body fluids. In all such situations students must take immediate action with no delays according to the following steps. Decontaminate (wash with disinfectant) the exposed or contaminated site immediately. Wash needle sticks and cuts with soap and water Flush splashes to the nose, mouth, or skin with water Irrigate eyes with clean water, saline, or sterile irrigants IMMEDIATELY go to the Emergency Department at Beaumont Health System immediately. Have the injury inspected and an incident report filled out by a supervisor (e.g., resident or head nurse). Make a note of the patient’s name, hospital number, attending physician and location. Notify the attending physician of the patient. Have blood drawn for baseline serologic studies (HBsAg, HBsAb, Anti -Hep C and with consent, HIV Ab) at the affiliated hospital. Reports of tests should be sent to the Graham Health Clinic Director and/or the student’s primary care physician for appropriate medical recording. If indicated, the student will be offered appropriate initial testing and post-exposure prophylaxis. If an exposure occurs in a private clinical office, the student should seek immediate post-exposure treatment at the closest hospital emergency room. If indicated, the student will be offered appropriate initial testing and post-exposure prophylaxis. 8-15-13 72 | Page Financial expenses for evaluation, risk assessment and chemoprophylaxis should be submitted to the student’s insurance carrier. Expenses that are not reimbursed will be covered by the School of Medicine and should be discussed with the Associate Dean for Student Affairs. Protocol for Accidental Exposure to Blood or Body Fluid If accidental exposure to blood or body fluids does occur, the immediate steps are: Decontaminate Immediately go to the Emergency Room Report the incident as per the reporting instructions (usually the attending physician/head nurse) at the site in which you are working and to attending physician of the patient. The next immediate steps: Complete an exposure report. Conduct baseline blood tests for HbsAg and anti-HbsAb, HCV Ab, and HIV Ab at the hospital site. Determine existing source patient serology and/or risk assessment. Where indicated, anti-retroviral post-exposure prophylaxis and Hepatitis B immune globulin should be administered as soon as possible. Send report details to the medical student's Primary Care Provider. C. OCCUPATIONAL INJURIES Students may be injured in the course of clinical duties. All injuries in hospitals must be documented with an incident report available at each nursing station. If the injuries are significant, students should seek medical attention from Employee/Personnel Health or the Emergency Room. In the event that the medical student’s insurance company does not provide reimbursement for treatment and follow-up the student should consult the Associate Dean for Student Affairs. Students who contract a serious or infectious disease must immediately seek appropriate medical care. The Associate Dean for Student Affairs may work with appropriate specialists to determine if the School of Medicine curriculum should be appropriately modified. If warranted, the Associate Dean for Student Affairs may also grant an LOA. Students who are positive for HIV or active carriers for Hepatitis B must discuss their status with their Primary Care Physician (PCP). Students may have limitations placed on their ability to perform medically 8-15-13 73 | Page invasive procedures. The limitations will be determined after an individualized assessment by their PCP. In the case of chronic active hepatitis B, students will also be counseled about the risks of exposure to hepatotoxic materials. It is the student's responsibility to inform attending medical staff at each hospital or institution about their positive status. The School of Medicine will attempt to help students infected with HBV or HIV to complete their MD requirements subject to considerations that it feels are appropriate to each individual case. The School of Medicine will coordinate services with Oakland’s Office of Disability Support Services (located in North Foundation Hall, Room 121) which helps ensure all qualified students with disabilities have equal access to education opportunities. The staff will work with the Assistant Dean for Student Services to provide and coordinate reasonable accommodations and will serve as a resource for students with disabilities. D. HEALTH AND WELLNESS 1. HEALTH SERVICES The Graham Health Center (GHC) is an outpatient clinic geared to the needs of OU and OUWB students. Nurse practitioners and physician assistants provide care with consultation from two physicians (not affiliated with OUWB). For prompt service, appointments are highly recommended. The center provides a complete range of primary health care for the prevention and treatment of illness and injury with a focus on health promotion. The Graham Health Center provides diagnosis and treatment of acute illnesses, minor injuries, chronic disease care, annual physical exams, woman’s health services, smoking cessation, HIV/STD screening, cholesterol screening, immunizations, allergy management, on site medications and a full range of lab testing. Over the counter products are for sale without an appointment. Visit the website for further details at www.oakland.edu/ghc. The Graham Health Center is conveniently located on the northwest corner of the campus. For hours of operation and to schedule an appointment, visit their website at www.oakland.edu/ghc. In order to provide privacy, the GHC is not located in the same building as other medical student resources. The Graham Health Center accepts most insurances and bills insurance companies directly. Students who purchase health insurance through OUWB are covered for the cost of office visits, laboratory testing and diagnostic tests at the Health Center. As the first point of service, deductibles and co-pays are waived for services although a small co-payment applies to medications. Except as permitted or required by law, no health records will be shared with OUWB without the written consent of the student. 8-15-13 74 | Page Crittenton Hospital (located less than two miles from campus at 1101 W. University Drive), is prepared to treat OUWB students for emergency care at night and on weekends and holidays at Crittenton Hospital’s emergency room or Urgent Care Center, which is located adjacent to Crittenton Hospital Emergency Room. Phone is (248) 652-5000. Crittenton Hospital is not a teaching site of the School of Medicine. 2. PERSONAL COUNSELING Students’ personal well-being is important to us. Any student can meet individually with the Associate Dean for Student Affairs, Assistant Dean for Student Services, or the student’s PRISM Faculty Mentor to discuss personal matters and for a referral to counseling. Personal counseling is available at OU’s Graham Counseling Center (www.oakland.edu/gcc). Licensed psychologists who have no role in the evaluation of students provide services to students and see clients in the Counseling Center to ensure confidentiality for students utilizing the services. The counseling center is within walking distance of the medical school, separated from academic and administrative buildings. The counseling center shares a building with the Graham Health Center; the private entrance and waiting room service both the health center patients and the counseling center clients. For hours of operation and to schedule an appointment, visit the website at www.oakland.edu/gcc. Strict rules of confidentiality are upheld. All counseling records will be kept separate from academic records. OU’s consulting psychiatrist will be available to students on a weekly basis at the counseling center. In addition, the Graham Counseling Center provides assessment, evaluation and follow-up for psychotropic medications (Monday through Friday from 8:00 a.m. to 5:00 p.m. and additional weekend hours by appointment). The first six sessions of counseling are free to OU registered students. The counseling center utilizes a short-term therapy model, typically 15 or fewer sessions. If a student is found to be in need of longer term treatment, the student may be referred to community mental health professionals who do not have a role in the academic evaluation or promotion of students. The counseling center provides individual and couples counseling in addition to psychodiagnostic testing for ADHD and learning disabilities. For after-hours psychiatric emergencies, students will be directed to Crittenton Hospital in Rochester, MI for appropriate care. Providers at Crittenton Hospital are not affiliated with the School of Medicine. Crittenton’s emergency services can be reached at 248-652-5000. In addition to the aforementioned services, students can also access the 24 hour Common Ground Crisis Hotline at 1.800.231.1127 for free and confidential counseling, information and referrals. http://www.commongroundhelps.org/ 8-15-13 75 | Page V. 3. INSURANCE Health Insurance OUWB provides students with Priority Health HMO insurance plan. Students can purchase a "buy-up" plan for an additional cost. Insurance coverage can be purchased for a spouse and dependents at an additional cost. Dental insurance is available for students to purchase. Those students opting out are required to complete the proof of insurance form. For more information on the student health insurance go to: http://www.oakland.edu/medicine/studenthealthinsurance. Long Term Disability Insurance Long Term Disability Insurance for OUWB students is provided through Guardian. This insurance is free of charge to all OUWB students. STUDENT RESOURCES A. RECREATION CENTER All OUWB students are members of the Recreation Center on the Campus of OU. The Recreation Center offers state of the art fitness equipment, an indoor track, an Olympic size pool with a spa, group fitness classes, intermural and club sports and locker rooms. Please visit www.oakland.edu/campusrec for more information. Please note: the Recreation Center is typically shut down the last week of August. B. ACADEMIC ADVISING AND MENTORING To ensure that every student reaches his/her peak academic performance, the School of Medicine offers an advising system that is made up of three separate but overlapping components: (1) Mentoring Teams led by Physician Faculty Mentors in the PRISM course, (2) faculty members and course directors, and (3) academic assistance offered by the Assistant Dean for Student Affairs and Career Development. Mentoring Teams / PRISM Program: The School of Medicine recognizes that the path to becoming a physician is enhanced through guidance and mentoring. The PRISM program (Promoting Reflection and Individual growth through Support and Mentoring) provides students with a multi-layered system of support that begins the first day of medical school and continues to graduation with both formal and informal mentoring. PRISM Program Components: Reflection - each month students are given prompts for a reflective essay. Readings - students choose an article to read each month. 8-15-13 76 | Page Faculty Mentoring groups - students meet in mentoring groups for one hour each month and meet individually with their mentor once each semester. Resident Mentoring program - this optional program matches each student with a resident mentor. Students meet one on one with their resident mentor in addition to group activities for all resident mentors and students. Big Sib program - this optional program matches each M1 student with an M2 student for informal support and mentoring. Career Development - PRISM Faculty mentors will provide feedback to students on their CVs and personal statements. Specialty Brown-bag lunches - students can choose to attend informal lunches highlighting physicians from diverse specialties. In the first year, students are required to attend formal monthly meetings with their mentoring team and faculty mentor. Attendance at these monthly gatherings is essential to forging strong relationships between the faculty mentor and the other members of the PRISM team. These sessions contribute to building rapport among students who are in the best position to support each other. Faculty Members and Course Directors: Students may contact faculty members and course directors for assistance through the on-line enterprise learning environment (currently Moodle), and may request personal meetings during office hours or as arranged by mutual availability. Students are strongly encouraged to seek assistance from faculty members and course directors. 1. TUTORING AND ACADEMIC WORKSHOPS: The demanding and difficult coursework of the M1 and M2 years requires that each student identify and use methods and strategies to achieve academic goals while maintaining a work-life balance. Tutoring is available to students at no charge. Students interested in being tutored are able to sign-up online or contact the Assistant Dean for Student Services. The Assistant Dean for Student Services conducts workshops on effective time management, test-taking skills, note-taking skills and other practical strategies. Students may set up individual meetings with the Assistant Dean for Student Services as needed. The Assistant Dean for Student Services can be reached by phone at 248-370-2766 to set up a meeting or by email at khmalley@oakland.edu. C. CAREER ADVISING Career Advising starts the first week of medical school with an introduction to the Careers in Medicine (CiM) program sponsored by the Association of American Medical Colleges (https://www.aamc.org/students/medstudents/cim/). During the M1 and M2 years, informal specialty brown-bag lunches highlight specialists from various fields giving students an opportunity to learn and ask questions. Specialty interest groups are also available for students to join. Sessions in the M3 year 8-15-13 77 | Page cover important topics such as choosing a specialty, writing a personal statement and a CV, and planning the M4 year. M4 students are taught how to navigate the residency match. The Career Corner is located in the Medical Student Lounge and provides various resources for students. D. FINANCING YOUR EDUCATION 1. FINANCIAL PLANNING SERVICES The Associate Director for Financial Services is the first point of contact for students at OUWB for any questions regarding financial aid or debt management. Located in the Center for Medical Student Services, the Associate Director is available in person, by telephone at 248-370-2769, on the Web at www.oakland.edu/medicine/financialservices, and through email at cardamon@oakland.edu. The Associate Director will: educate students about options for financial aid packages assist students with filing for financial aid provide medical school cost projections that will include tuition, living expenses, books and supplies, transportation expenses and personal/miscellaneous expenses for the entire program. research and identify financial resources to maximize assistance to students. Scholarships, grants, loans and work programs will be identified from federal, state, institutional and external sources. offer workshops on debt management, credit card management, financial planning, and financial literacy provide one-on-one financial counseling services provide annual individualized statements of debt 2. FINANCIAL AID To apply for financial aid of any sort, students are required to fill out the Free Application for Federal Student Aid (FAFSA) at http://www.fafsa.ed.gov/. Students must fill out the FAFSA each year that financial aid being requested. To learn all of the steps to apply for financial aid for a first time or when submitting a financial aid renewal application, visit Financial Services. Additionally, the Association of American Medical Colleges (AAMC) has created a very helpful document to walk you through the FAFSA/ financial aid process at AAMC Services First. If you are having difficulty understanding the terminology associated with applying for or receiving financial aid, you can visit www.oakland.edu/medicine/financialservices for a glossary of key terms. E. STUDENT LIFE 1. 8-15-13 HOUSING 78 | Page OUWB students have the option to live on campus in the Matthews Court Townhomes or off-campus in an apartment or home of their choosing. The Matthews Court Townhomes are 900 square feet with two bedrooms, one bathroom, a full kitchen and spacious living area. Students who wish to live on campus in the Matthews Court Townhomes will reserve their place and pay their rent through the OU Housing Department. For more information on OU Housing visit OU Housing or call 248-370-3325 to speak to Rebecca Wickham. There are 20 spaces reserved in the Matthews Court Townhomes for OUWB students. There are many areas students can live off campus that are in short commuting distances to both OU and Royal Oak Beaumont. Students can opt to rent apartments in Rochester, Rochester Hills, Birmingham, Troy, Bloomfield Hills or Royal Oak. Students can find one, two or three bedroom apartments in the area that are typically below national rental prices. You can access comprehensive housing information regarding apartment rentals and locations in close proximity to OU or Royal Oak Beaumont through the student affairs website at www.oakland.edu/medicine/studentaffairs then click on Living In The Community. Please note the School of Medicine has no involvement with the apartment/ rental options listed. 2. PARKING All parking on the campus of OU is free to students, faculty, staff and visitors. Because of this, parking can be very congested – particularly during fall and winter semesters. Students are encouraged to arrive for their classes early so they can locate a spot and have ample time for walking. Refer to the campus map at www.oakland.edu/map for all available parking. The Royal Oak Beaumont campus also offers free parking to its medical staff and visitors. Free parking can be found in both the south parking lot and west parking deck. The Troy Beaumont campus offers free parking to its medical staff and visitors as well in the visitor parking deck and the Sterling Heights Campus parking lot. Detailed information about each location, including directions and maps, can be found at http://www.beaumonthospitals.com/patients-visitors/locations. 8-15-13 79 | Page 3. TRANSPORTATION Most students, faculty and staff choose to have their own personal vehicle as public transportation is very limited. If using a personal vehicle is not an option, students are encouraged to work with their peers in the OUWB to carpool. Public transportation is provided through the SMART bus system. Information on routes and times can be found at http://www.smartbus.org/Smart/Ride+SMART/. Please note that the SMART bus system is very limited in terms of both routes and times. 4. ID CARDS All students are required to obtain an OU ID Card as well as a Beaumont ID Card. You will obtain an OU ID Card during orientation at the ID Card Office in the Oakland Center. The ID badge will provide access to the Student Lounge, Recreation Center, printing and copying services. Additionally, if students chose a campus meal plan they will use their ID badge to purchase meals at Vandenberg Cafeteria or in the Pioneer Food Court. Students can also add cash to the ID badge for use at any food, retail or printing location. Students will receive notice via email from the CMSS that the Beaumont ID Card office is ready to receive medical students for id card photo and production. Beaumont ID Cards must be worn at all times when at Beaumont. 5. LIBRARY The Medical Library provides the OUWB learning community with the spaces, resources, services and instruction that enable students to achieve the information mastery necessary for excellence in patient care, teaching and research. The Medical Library is housed within Kresge Library on the campus of OU. Within the library is the Medical Library Study Room, which can accommodate up to 50 students. The space is designed so that students can work collaboratively or independently. Students can access wireless internet, white boards and print copies of their textbooks for all of their study needs. In addition, a number of individual study rooms have been set aside for the School of Medicine. Students have badge access to these rooms. Kresge Library also boasts a newly renovated Learning Commons equipped with all of the latest technological updates. The Kresge Café is available for students to purchase food and beverages without walking back to the Oakland Center or leaving campus. Kresge Library is open extended hours (24 hours Sunday – Thursday, 7:30am-2:00am Friday and Saturday. The Medical Library’s collection is primarily electronic and includes thousands of online journals, books, and databases. For access, visit the Medical Library website at library.oakland.edu/medical. 8-15-13 80 | Page 6. LOCKERS Medical student lockers are available for students. All students are able to reserve locker space. The Center for Medical Student Services will allocate space and provide combinations locks for each locker. No personal locks can be used for the locker. Lockers and combinations for the locks will be given to each student at orientation. For any questions regarding lockers, contact the Center for Medical Student Services Office Assistant by phone at 248-370-2767, or stop in the office at 216 O’Dowd Hall. 7. PRINTING AND PHOTOCOPYING Printing and photocopying is available throughout campus. The cost of printing and photocopying is currently $.10 per page. Students can choose to add money to their OU ID Cards to access printing/photocopying privileges in the Oakland Center, Student Technology Center, Kresge Library and a variety of other locations on campus. Money can be added to OU ID Cards at machines in the Oakland Center and Kresge Library or at the ID Card Office in the Oakland Center. Students will receive 1000 prints from School of Medicine and 25 from OU that will be available on their ID Cards. The 1000 prints from the School of Medicine can be used at the School of Medicine GoPrint printers (one in O’Dowd Hall Student Lounge, one in Kresge Library Medical Student study room). The 25 prints from OU can be redeemed on any on-campus station with a student ID Card. 8. STUDY ROOM USE There are study rooms available for students to reserve in O’Dowd Hall. Study rooms can be accessed with the student’s OU ID Cards. Only OUWB students have access to the School of Medicine study spaces. To ensure fair use of the study rooms, the following guidelines have been set: Rooms are available on a first-come first-served basis. Rooms may only be used for class, formal tutoring, group meeting, or club meeting. Rooms must be left clean: garbage tossed, chairs pushed in, whiteboard cleaned. Rooms left unoccupied with items unattended will be considered open for use. F. STUDENT INVOLVEMENT 1. STUDENT ORGANIZATIONS Student organizations are a great means for personal and professional growth in the medical field. OUWB student organizations may include professional organizations (AMA, AMSA, AMWA and SNMA), specialty interest groups, and social organizations. For information on starting or joining a student organization, visit the student affairs website at www.oakland.edu/medicine/studentaffairs. 2. MEDICAL STUDENT GOVERNMENT The Oakland University William Beaumont Medical Student Government (MSG) is the governing body for students in the School of Medicine. MSG is the forum that allows students to express their ideas, opinions and concerns about their education and take an active role in shaping the future of medical education at OUWB. MSG is headed by a President, Vice President, Treasurer and Secretary as elected 8-15-13 81 | Page by their classmates. There will also be representatives from each class (M1 through M4) and committee appointees. To find out more about getting involved with MSG, visit their website at www.oakland.edu/medicine/studentaffairs or contact the Coordinator for Student Activities. 8-15-13 82 | Page