Clerkship Phase & Advanced Training Period Policies, Procedures & Guidelines

These policies, procedures, and guidelines apply to the Clerkship & ATP phases of the MD Program, and this list is provided for attestation purposes. You can also view all policies, procedures, and guidelines by topic.

Applies to Clerkship Yes No	Applies to ATP No Yes	Topic Curriculum Education Administration Professionalism and Academic Learning Environment Assessment, Remediation and Appeals Forms Academic Progress, Advancement, and Graduation Registrar Professionalism and Academic Learning Environment Attendance Assessment, Remediation and Appeals	Policy Title & Link Assessment- Clerkship Exam Policy Clerkship Evaluations Policy Performance Assessment Appeals Policy Procedure for Tracking: Clerkship, Elective, or Sub-internship Grade Appeal Statement of Free Expression and Non-Discrimination Policy Conflict of Interest (COI) Policy for Medical Student Education Didactic Sessions Elective & Sub-Internship Evaluations Policy Elective Policy for Visiting Medical Students Student Access and Use of Electronic Health Records Policy Medical Student Clerkship Evaluation Form Medical Student Clinical Work Hours Policy Medical Student Elective/Sub-Internship Evaluation Form Mid-Course, Clerkship, Elective, and Sub-internship Assessment and Feedback Policy Narrative Assessment Policy Non-Involvement of Providers of Student Health Services or Family Members in Student Assessment Policy Flow of Information for Suboptimal Student Behavior or Performance Procedure Student Review and Challenge of the Educational Record Policy Mistreatment and Harassment Policy and Procedure for Reporting Mistreatment and Harassment Standards of Professionalism Policy Re-Entry to the Wards for MD-PhD Students Taking Time Away From Clinical Work Policy Re-Entry to the Wards for MD Students Taking Time Away From Clinical Work Policy Remediation Policy Required Attendance on Electives and Sub-internships Policy Teaching Preparation for Residents, Graduate Students and Post-Doctoral Fellows Policy Timeliness of Evaluations, Courses, Clerkships, Electives, Sub-Internships and Research Policy Cause for Removal from Courses, Clerkships, Electives and Sub-Internships Policy Clinical Supervision of Medical Students Policy Review of Students, Adverse Actions, and Appeals Policy Advancement and Graduation Requirements Policy Exposure to Infectious and Environmental Hazards Policy Student Review and Challenge of the Medical Student Performance Evaluation (MSPE) Policy Assignment of Clerkship Component Rotations Procedure Failure to Adhere to Research Guidelines Required Attendance on Clinical Clerkships Policy Satisfactory Academic Progress Policy	Short Summary Clerkship directors provide comprehensive and challenging knowledge assessments as part of the clerkships Faculty are responsible for meeting with students at the beginning, middle, and end of the rotation to set performance expectations and provide feedback before submitting the final evaluation. Students have a right to appeal a failed course assessment, unsatisfactory remediation, or narrative commentary. Procedure once a student expresses concern about or appeals an evaluation or narrative. YSM is dedicated to maintaining an environment which places the highest priority on collegial relationships, mutual respect, and sensitivity among students, faculty, staff, and patients. Faculty must disclose to students any personal or financial conflicts of interest involving the topics they are presenting when teaching. Details of elective & sub-internship evaluations. Note the grading rubric is not the same as clerkships. Visiting student eligibility criteria and registration process. Guidelines for student use of EHR. Students may access the charts of their team's patients for purposes of patient care and educational assignments, only. Outlines restrictions. RESEARCH access must be in accordance with IRB-approved protocol. Example of the Faculty Evaluation of a medical student evaluation form. Students must adhere to the same Work Hours limits put forth by the ACGME for interns. Link in policy. Faculty are required to provide feedback to students at the half-way point of each clinical rotation. Specifies the course & clinical narrative requirement. No faculty member who is ever involved in a student's personal health care should be in a position to evaluate them. Process for addressing case of suboptimal student behavior/performance and the flow of information to medical education leadership. Procedure for students to challenge their educational record. YSM does not tolerate mistreatment or harassment, takes allegations of such behavior seriously, and will investigate and respond to reports of mistreatment or harassment. Procedure describes multiple options for reporting such incidents. This policy outlines in detail the expectations for student professionalism at YSM. After any period of longer than one year in which a student has not engaged in meaningful clinical activity, students must engage in a clinical “warm-up” elective prior to entering clerkships. Students who have not engaged in clinical experience for longer than one year, and students who are absent for any significant period of time prior to starting third year,must engage in a clinical “warm-up” period prior to entering clerkships. Procedure when a student is struggling with clinical reasoning, communication or professionalism. Attendance on clerkship, elective, and sub-internships is required. This includes both clinical activities and didactic seminars. Outlines criteria for acceptable absence. Faculty must train all graduate students and post-doctoral fellows to teach in the pre-clerkship curriculum. Clinical evaluations of students are expected to be completed within 30 days of the completion of the clerkship. Faculty responsibility to report any activity that could be a potential harm to other people that occurs in the context of a person's professional, medical or academic duties. Yale School of Medicine provides supervision of medical students in all clinical areas to ensure quality education as well as patient and student safety. The Progress Committee annually reviews student performance and receives reports of unprofessional behavior or instances of poor academic achievement. Based on its review of a student’s record, the committee can change the status of the student to help them meet the expectations of the school. The Progress Committee will systematically review all medical students at four intervals on their progress towards completing the MD degree. Yale School of Medicine seeks to prevent medical student exposure to infectious and environmental hazards though education and use of appropriate procedures and engineering controls and provides prophylaxis therapy if students are exposed to infectious agents. The purpose of this policy is to provide students with the opportunity to ensure the accuracy of the information presented in their Medical Student Performance Evaluation (MSPE). If a student identifies any discrepancies or inaccuracies, they have the avenue to challenge these through a formal request to the head of advisory house responsible for compiling the MSPE. The assignment of rotations for clerkship students by the clerkship administration prior to the start of each clerkship component should be done in a transparent, consistent, fair, and equitable manner. Procedure for missing a research deadline with an acceptable reason, procedure when a student misses a research deadline without an acceptable reason, and the role of the Progress Committee. The policy defines what is considered acceptable attendance, including excused and non-excused absence and the consequences if the student is unable to satisfy the requirements of the clerkship due to the length of the absence. Federal regulations for Satisfactory Academic Progress (SAP) require that medical schools have reasonable policies for determining whether otherwise eligible students are meeting the requirements for SAP in their educational programs and may receive assistance under the Title IV, Higher Education Act (HEA) programs.
Yes	No	Curriculum	Assessment- Clerkship Exam Policy	Clerkship directors provide comprehensive and challenging knowledge assessments as part of the clerkships
Yes	No	Curriculum	Clerkship Evaluations Policy	Faculty are responsible for meeting with students at the beginning, middle, and end of the rotation to set performance expectations and provide feedback before submitting the final evaluation.
Yes	Yes	Curriculum	Performance Assessment Appeals Policy	Students have a right to appeal a failed course assessment, unsatisfactory remediation, or narrative commentary.
Yes	Yes	Education Administration	Procedure for Tracking: Clerkship, Elective, or Sub-internship Grade Appeal	Procedure once a student expresses concern about or appeals an evaluation or narrative.
Yes	Yes	Professionalism and Academic Learning Environment	Statement of Free Expression and Non-Discrimination Policy	YSM is dedicated to maintaining an environment which places the highest priority on collegial relationships, mutual respect, and sensitivity among students, faculty, staff, and patients.
Yes	Yes	Education Administration	Conflict of Interest (COI) Policy for Medical Student Education Didactic Sessions	Faculty must disclose to students any personal or financial conflicts of interest involving the topics they are presenting when teaching.
No	Yes	Curriculum	Elective & Sub-Internship Evaluations Policy	Details of elective & sub-internship evaluations. Note the grading rubric is not the same as clerkships.
No	Yes	Curriculum	Elective Policy for Visiting Medical Students	Visiting student eligibility criteria and registration process.
Yes	Yes	Education Administration	Student Access and Use of Electronic Health Records Policy	Guidelines for student use of EHR. Students may access the charts of their team's patients for purposes of patient care and educational assignments, only. Outlines restrictions. RESEARCH access must be in accordance with IRB-approved protocol.
Yes	Yes	Assessment, Remediation and Appeals Forms	Medical Student Clerkship Evaluation Form	Example of the Faculty Evaluation of a medical student evaluation form.
Yes	Yes	Curriculum	Medical Student Clinical Work Hours Policy	Students must adhere to the same Work Hours limits put forth by the ACGME for interns. Link in policy.
Yes	Yes	Assessment, Remediation and Appeals Forms	Medical Student Elective/Sub-Internship Evaluation Form	Example of the Faculty Evaluation of a medical student evaluation form.
Yes	No	Curriculum	Mid-Course, Clerkship, Elective, and Sub-internship Assessment and Feedback Policy	Faculty are required to provide feedback to students at the half-way point of each clinical rotation.
Yes	No	Curriculum	Narrative Assessment Policy	Specifies the course & clinical narrative requirement.
Yes	Yes	Education Administration	Non-Involvement of Providers of Student Health Services or Family Members in Student Assessment Policy	No faculty member who is ever involved in a student's personal health care should be in a position to evaluate them.
Yes	Yes	Academic Progress, Advancement, and Graduation	Flow of Information for Suboptimal Student Behavior or Performance Procedure	Process for addressing case of suboptimal student behavior/performance and the flow of information to medical education leadership.
Yes	No	Registrar	Student Review and Challenge of the Educational Record Policy	Procedure for students to challenge their educational record.
Yes	Yes	Professionalism and Academic Learning Environment	Mistreatment and Harassment Policy and Procedure for Reporting Mistreatment and Harassment	YSM does not tolerate mistreatment or harassment, takes allegations of such behavior seriously, and will investigate and respond to reports of mistreatment or harassment. Procedure describes multiple options for reporting such incidents.
Yes	Yes	Professionalism and Academic Learning Environment	Standards of Professionalism Policy	This policy outlines in detail the expectations for student professionalism at YSM.
Yes	No	Registrar	Re-Entry to the Wards for MD-PhD Students Taking Time Away From Clinical Work Policy	After any period of longer than one year in which a student has not engaged in meaningful clinical activity, students must engage in a clinical “warm-up” elective prior to entering clerkships.
Yes	No	Registrar	Re-Entry to the Wards for MD Students Taking Time Away From Clinical Work Policy	Students who have not engaged in clinical experience for longer than one year, and students who are absent for any significant period of time prior to starting third year,must engage in a clinical “warm-up” period prior to entering clerkships.
Yes	No	Curriculum	Remediation Policy	Procedure when a student is struggling with clinical reasoning, communication or professionalism.
Yes	Yes	Attendance	Required Attendance on Electives and Sub-internships Policy	Attendance on clerkship, elective, and sub-internships is required. This includes both clinical activities and didactic seminars. Outlines criteria for acceptable absence.
Yes	Yes	Education Administration	Teaching Preparation for Residents, Graduate Students and Post-Doctoral Fellows Policy	Faculty must train all graduate students and post-doctoral fellows to teach in the pre-clerkship curriculum.
Yes	Yes	Assessment, Remediation and Appeals	Timeliness of Evaluations, Courses, Clerkships, Electives, Sub-Internships and Research Policy	Clinical evaluations of students are expected to be completed within 30 days of the completion of the clerkship.
Yes	Yes	Professionalism and Academic Learning Environment	Cause for Removal from Courses, Clerkships, Electives and Sub-Internships Policy	Faculty responsibility to report any activity that could be a potential harm to other people that occurs in the context of a person's professional, medical or academic duties.
Yes	Yes	Education Administration	Clinical Supervision of Medical Students Policy	Yale School of Medicine provides supervision of medical students in all clinical areas to ensure quality education as well as patient and student safety.
Yes	Yes	Academic Progress, Advancement, and Graduation	Review of Students, Adverse Actions, and Appeals Policy	The Progress Committee annually reviews student performance and receives reports of unprofessional behavior or instances of poor academic achievement. Based on its review of a student’s record, the committee can change the status of the student to help them meet the expectations of the school.
Yes	Yes	Academic Progress, Advancement, and Graduation	Advancement and Graduation Requirements Policy	The Progress Committee will systematically review all medical students at four intervals on their progress towards completing the MD degree.
Yes	Yes	Education Administration	Exposure to Infectious and Environmental Hazards Policy	Yale School of Medicine seeks to prevent medical student exposure to infectious and environmental hazards though education and use of appropriate procedures and engineering controls and provides prophylaxis therapy if students are exposed to infectious agents.
Yes	Yes	Registrar	Student Review and Challenge of the Medical Student Performance Evaluation (MSPE) Policy	The purpose of this policy is to provide students with the opportunity to ensure the accuracy of the information presented in their Medical Student Performance Evaluation (MSPE). If a student identifies any discrepancies or inaccuracies, they have the avenue to challenge these through a formal request to the head of advisory house responsible for compiling the MSPE.
Yes	No	Curriculum	Assignment of Clerkship Component Rotations Procedure	The assignment of rotations for clerkship students by the clerkship administration prior to the start of each clerkship component should be done in a transparent, consistent, fair, and equitable manner.
No	Yes	Professionalism and Academic Learning Environment	Failure to Adhere to Research Guidelines	Procedure for missing a research deadline with an acceptable reason, procedure when a student misses a research deadline without an acceptable reason, and the role of the Progress Committee.
Yes	No	Attendance	Required Attendance on Clinical Clerkships Policy	The policy defines what is considered acceptable attendance, including excused and non-excused absence and the consequences if the student is unable to satisfy the requirements of the clerkship due to the length of the absence.
Yes	Yes	Academic Progress, Advancement, and Graduation	Satisfactory Academic Progress Policy	Federal regulations for Satisfactory Academic Progress (SAP) require that medical schools have reasonable policies for determining whether otherwise eligible students are meeting the requirements for SAP in their educational programs and may receive assistance under the Title IV, Higher Education Act (HEA) programs.