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Attendance and Participation

COVID Addendum

Students who have been diagnosed with COVID-19, have had an exposure to someone with COVID-19, are experiencing symptoms consistent with COVID-19 and/or who have been directed by a healthcare provider or government official to self-isolate or self-quarantine, are required to consult with the UMB COVID Hotline. Students instructed by the hotline to self-isolate or self-quarantine may not come to campus and are required to participate in courses remotely. To receive full attendance/participation credit for remote courses in this situation, students must inform an OSA Dean and the course director in advance of the start of the session. If remote participation is not available for the sessions/courses in question, or the student is not able to participate, even remotely, the student must work with an OSA Dean and their course directors to determine available options to meet course requirements. Remote participation is intended only for students outlined above. Other students are expected to attend in-person and absences will result in 0 (zero) points for that session as outlined below. Students that feel they have other extenuating circumstances that would prevent them from attending in-person should discuss with OSA in advance of the missed session or as soon as possible for unplanned event. If permission is granted for them to attend remotely, they may earn in-session activity points as above. If permission is not granted, the student may attend the session remotely but will not be able to earn participation points.

University of Maryland SOM clinical years students, on a per clerkship basis, may opt-in to see known PUI and COVID+ patients. To ensure safety, students who opt-in must follow hospital COVID infection prevention policies, including wearing appropriate PPE. A student who has not opted-in by the start of the rotation cannot opt-in during the rotation, but may opt-in for subsequent rotations. If a student has opted-in but circumstances have changed during the rotation, they should discuss alternate plans with the clerkship/course director. The decision whether to opt-in or not will not negatively impact the student’s grade or evaluations.

LCME Standards

12.4 Student Access to Health Care Services

Scope and Purpose

Students are expected to attend all formal educational activities, both lecture and non-lecture sessions, in all courses during the pre-clerkship curriculum. Although students are not required to attend lectures, these are designed to provide foundational information that is augmented by a variety of non-lecture educational opportunities. The interactive nature and group dynamics of non-lecture components depends on the attendance and participation of all students.

Students are an integral part of the healthcare team and are expected to fulfill their educational responsibilities and their patient care responsibilities.

Attendance and Professionalism

Breaches of professionalism, including signing in for others, signing in without physically attending, or signing in and leaving (without permission) before completion of a small group or other activity requiring sign in are violations of the School of Medicine Statement of Ethical Principles, Practices and Behaviors and as such are reportable to the School of Medicine Judicial Board Sanctions from the Judicial Board become a permanent part of the student academic record and will be included in the portions of the Medical School Performance Evaluation dealing with professionalism and adverse actions by the medical school.

The School of Medicine has a zero-tolerance policy regarding academic dishonesty in any form. If a student is found by the Judicial Board to have engaged in academic dishonesty (cheating, plagiarism, misrepresentation of attendance/participation, etc.) in any class, for any reason, that student will receive an automatic grade of “F” for the course/activity in question per Judicial Board by-laws. The Judicial Board and/or Advancement Committee may recommend additional penalties, such as disciplinary probation or dismissal, to the Dean. There will also be a permanent notation in the student’s academic record and MSPE that an “F” was given because of academic dishonesty.

Policy Statement

Pre-Clerkship Phase

Each course in the pre-clerkship curriculum will indicate in advance those sessions which are required and at which attendance will be mandatory and documented. Students cannot switch their assigned meeting times or locations without permission from the course director.

Students must attend a minimum of 85% of required sessions to pass the course. If a student is absent for two or more consecutive days, they must notify the Office of Student Affairs and the course director. The Office of Student Affairs may waive the 85% requirement of attendance in extenuating circumstances. Students are responsible for material covered during missed sessions.

Participation will count for no more than 15% of the final grade. Participation opportunities are delivered during the session and cannot be completed at other times. The components of the participation grade will be determined by the course director in conjunction with the Office of Medical Education and made known to the students prior to the course. Potential ways to evaluate participation include:

  • Individual Readiness Assurance Tests (iRAT) for TBL (Team-Based Learning) sessions
  • Audience response questions during sessions
  • Quizzes reviewing content from assigned pre-work
  • Quizzes, questions, short answers or reflections at the conclusion of a session to assess what was learned
  • Faculty evaluations of participants where possible (e.g., dissection project)
  • Peer evaluations
  • Completion of required evaluations

The participation grade component of the final course grade will be earned by tabulating the top 85% of scored participation. Each required session will be worth a maximum of 2 (two) participation points. A student who misses a required session will earn 0 (zero) points for that session. The bottom 15% of each student’s accumulated participation points will be discarded. Earning less than 85% of all available points will decrease one’s participation grade proportionally.

Practice of Medicine and Introduction to Clinical Medicine have exceptions to this policy. Please refer to their respective course guidelines.

Clinical Attendance

Students are expected to attend every scheduled day. Students must notify the clerkship/rotation director in writing in advance of any anticipated absence or promptly for an emergency absence. The written request should include at a minimum the date of the request, the time requested off, a reason for the request, and any appropriate documentation. Anticipated absences should be preceded by consultation with the clerkship/rotation director to discuss appropriateness and urgency of the request.

Students may be required to remediate any missed time. Absences will be documented and are monitored by the Office of Student Affairs. Absences deemed to interfere with the goals and objectives of the rotation may require withdrawing from or repeating the rotation in its entirety (see Withdraw Policy and Incomplete Policy). Recurrent absences will be discussed by the Advancement Committee and may result in individualized educational plans or generation of a Professional Conduct Concern (see Professionalism Policy).


Approved: CCC, August 10, 2020

Approved: CCC, May 18, 2021 (Clinical Attendance)