"Nuts & Bolts 2" - A Guide to the Clinical Years Section 1: General Information Table of Contents Physicianship Students who do not demonstrate adequate professional and personal attributes (i.e., those who receive ratings of 1 or 2 on their final evaluation) will be evaluated further by the clerkship director, who will complete a "Physicianship Evaluation Form" to determine the areas in which improvement is needed. This evaluation covers these areas: ability to meet professional responsibilities; ability to improve and adapt; and ability to establish adequate relationships with patients, families, and members of the health care team. Rapid turnaround of feedback to students whenever information becomes available is a goal of this evaluation process. The clerkship or site director is encouraged to meet with a student who does not meet physicianship standards as soon as concerns are raised prior to the end of the rotation. The purpose of this meeting is to discuss ways in which performance can be improved, thus allowing the student adequate opportunity to make appropriate changes. Such feedback meetings during the clerkship, though strongly encouraged, are not required in order to submit a Physicianship Evaluation Form. A physicianship evaluation form can be filed up to eight weeks after the student's start of the subsequent rotation. The clerkship or site director will meet with the student to review the form. To document this process, the student can sign and date the form and may respond to the evaluation by providing additional information. The Associate Dean for Student Affairs will be informed that a physicianship form has been filed. If a plan is implemented for the student, the Associate Dean will ask the clerkship or site director to be directly involved. The student may discuss the evaluation with the Associate Dean; or ask for additional review of the physicianship form by his/her advisor; or may request a review by the Student Welfare Committee, an ad hoc committee of students and faculty appointed by the Faculty Council. In all cases, if the evaluation is found invalid, the issue will be dropped and the evaluation amended. Students may also be given the provisional non-passing grade of E in the clerkship for failing to demonstrate the appropriate personal and professional attributes required for a physician. If a student receives one physicianship evaluation it will not be referred to in the Medical Student Performance Evaluation (MSPE). Reports of subsequent physicianship evaluations will be mentioned in the MSPE, along with any teaching plans that were developed to assist the student. Students who receive two or more physicianship evaluations will be placed on academic probation and can be referred to the Academic Standards Committee (ASC) for review of the deficiencies. The ASC can recommend dismissal. Recommendations from the ASC are forwarded to the Vice Dean for final action. Dismissal appeals may be made to the Faculty Council, in accordance with School of Medicine policy. This policy was approved by the Faculty Council on February 27, 2003.