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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.

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.

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 http://www.medschool.umaryland.edu/osa/handbook/School-Policies/Statement-of-Ethical-Principles-Judicial-Review-System--By-Laws-of-the-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)

The participation grade component of the final course grade will be earned by tabulating the top 80% 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 20% of each student’s accumulated participation points will be discarded. Earning less than 80% 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.

Preclerkship Attendance

*Note: This section applies to the Class of 2023 only. For the Renaissance Curriculum, see above.*

Students are expected to attend all formal educational activities, both lecture and non-lecture sessions, in all courses during the preclerkship curriculum. Lectures 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. Therefore, students are required to attend all non-lecture sessions in each course in the preclerkship curriculum. Attendance at these sessions will be documented. Students must attend a minimum of 80% of all non-lecture sessions to pass the course.

If a course includes attendance in its grading rubric, it will count for no more than 5% of the final grade. This percentage of the final grade will be earned by attending each session beyond the mandated 80%. Introduction to Clinical Medicine I, II, and III are exceptions; please refer to their course guidelines.

Students may use 1 day per course for personal reasons. Students must inform the course director and OSA of their use of a personal day within 24 hours after the session. Personal days cannot be used the last course day before an exam.

If a student is absent for any reason, they are responsible for the material covered during the missed session. The student should review any posted materials and confer with classmates to understand what was missed during the absence.

The course director in conjunction with the Associate Dean for Student Affairs will consider excusal from required activities under the following circumstances:

  1. Observance of religious holidays
    • Documentation from a formal leader of the student's faith, with no familial relationship, must be delivered to OSA at least 1 week in advance of the anticipated absence
  2. Presenting research conducted as a UMSOM student at a recognized national or international meeting
    • Confirmation of the presentation with location, dates and times must be delivered to OSA at least 2 weeks in advance of the anticipated absence
  3. Seeking urgent medical care during class; Scheduled medical care which is available only during class
    • Documentation from the health care provider must be delivered to OSA on the first day the student returns to school
  4. Significant medical issues
    • Documentation from the health care provider indicating the need to be absent from class must be presented to OSA as soon as practical
    • Students may use a maximum of 2 days each academic year for medical absences recommended by their health care provider
  5. Bereavement
    • Documentation requesting the absence, including dates, must be presented to OSA as soon as practical
    • Students may use a maximum of 2 days each academic year to attend funerals, memorials, or other related services
  6. Jury duty
    • A copy of the student’s jury duty summons must be delivered to OSA at least 1 week in advance of the anticipated absence
  7. Special circumstances
    • Students may be granted additional excused absences by joint agreement of the course director, the Office of Medical Education, and the Office of Student Affairs

Tardiness is disruptive to the learning environment. Students are tardy if they arrive any time after the scheduled start time of class. Recurrent tardiness may be cause for issuance of a Professional Conduct Evaluation. Students will be deemed absent if they arrive more than 15 minutes after the scheduled start time of class and will not receive credit for attendance.

 Clinical Attendance

Attendance and punctuality during all aspects of clinical clerkships and rotations are expected and considered an important part of a student's evaluation. Students, like house staff, are expected to fulfill their educational responsibilities and their patient care responsibilities; they are accorded real roles and form an integral part of the hospital team.

In order for a student to be approved for missed days from a clinical rotation, the following guidelines apply:

  1. For anticipated absences, students must request an excused absence from the respective clerkship or rotation director in writing prior to the absence. This should be preceded by consultation with the clerkship/rotation director to discuss appropriateness and urgency of the request for approval to miss time from the clerkship/rotation. Ideally this should be done well in advance to avoid disappointment if the request is not granted. The written request should, at a minimum, include the time requested off, a general reason for the request and the date of the request.
  2. If a student experiences an unexpected emergency, he/she must immediately notify the clerkship/rotation director and the Office of Student Affairs.
  3. The clerkship/rotation director can choose to either approve/ disapprove the request for an excused absence at his/her discretion.
  4. If approved by the clerkship/rotation director, a student may not miss more than one day per 2-week block. Absences beyond this will result in remediation of work at the clerkship/rotation director’s discretion and may include the assignment of additional shifts or the need to remediate the entire rotation.
  5. If approved by the clerkship/rotation director, a student may not miss more than three days per rotation except for interview season when two additional days may be granted for electives (for a total of 5 days) at the discretion of the clerkship/rotation director. Absences beyond this will result in remediation of work at the clerkship/rotation director’s discretion and may include the assignment of additional shifts or the need to remediate the entire rotation.
  6. Absences will be reviewed in an ongoing manner by the Office of Student Affairs. Excessive absences will result in either individualized educational plans for the student or discussion by the advancement committee.

 

History

Approved: CCC, August 10, 2020