Remediation Process, as defined by the SEPC:

All students must take and pass the Comprehensive Clinical Competency Examination (CCCE) prior to graduation. The examination is administered at the end of the third year. Students who are unable to take the CCCE at that time may take the exam later by prior approval and arrangement with the course director.

Grading: The exam is listed as a Pass/Fail item on the transcript. All students will receive a letter regarding their performance on the examination.

REMEDIATION PHASE 1

First Attempt

· If a student does not pass on the first attempt:

o CCCE Committee will notify the Office of Student Affairs and the SEPC.

o No grade is issued.

o The student will receive a letter from the CCCE Committee.

§ The student is required to view the videotape of the exam encounters in a supervised environment; viewing of this videotape must occur within one week of the date on the notification letter.

§ The student is required to meet with a CCCE Committee Member about the deficiencies identified; the meeting with the CCCE Committee Member must occur within 4 weeks of the date on the notification letter.

Second Attempt

· If a student does not pass on the second attempt, the exam will be listed as a Fail grade on the transcript.

o The Student Evaluation and Promotions Committee will determine the appropriate action in the context of the student's overall performance and record in medical school.

REMEDIATION PHASE 2

If the failing student is allowed by the SEPC to remediate the deficiency, the following procedure will be followed:

• The student will meet with a CCCE Committee Member.
• The student will be assigned to a faculty preceptor, chosen by the course director, for additional clinical skills training, which will include twice weekly meetings for a total of 8 sessions.
• After the remediation process, the student will be observed by a faculty member performing a complete history and physical on a real patient.
• The remediation must be completed by December 31 following the submission of the initial Fail grade.
• Students who pass the test receive a Pass/Fail grade on their transcript as is normally noted for remediated courses.
• The remediation may not take place during any required or elective fourth-year course and may not interfere with the duties and obligations of the student during any concurrent fourth-year elective or other activity. Remediation is to take place during vacation or off months and must be complete by December 31.
• Students receiving a failing grade after this remediation process meet the criteria for dismissal from school.

Policy regarding timing of the CCCE

The CCCE is administered in May during the MSIII year, with a remediation session scheduled during the following August. UTMS-H students will take the CCCE during May of the MSIII year as specified below:

• UTMS-H students, including MD/PhD students, who progress through the third-year clinical clerkships on a regular schedule, will take the CCCE in May during their required third-year clinical clerkships.

Students who delay the start of their third-year or are off-track by three months or more for any reason will take the CCCE during August or the following May depending on which exam administration falls closest to the conclusion of the required third-year clerkships.