Student Success Policy

The WrightCurriculum is a Pass/Fail curriculum, with a possibility of earning additional Honors designations in the Doctoring Phase and the Emergency Medicine Clerkship in Advanced Doctoring

  • Pass (≥70%)
  • Fail (<70%)

In the following sections are the milestones, policies for successful completion, appealing and repeating each component of the curriculum in accordance with LCME Element 10.3:

“The faculty of a medical school establish criteria for student selection and develop and implement effective policies and procedures regarding, and make decisions about, medical student application, selection, admission, assessment, promotion, graduation, and any disciplinary action. The medical school makes available to all interested parties its criteria, standards, policies, and procedures regarding these matters.”

BSOM Milestones in Foundations, Doctoring, and Advanced Doctoring

Students must meet or exceed all of the identified BSOM milestones in each module, clerkship, or rotation to pass the module, clerkship, or rotation.

  • Students may fail a module, clerkship, or rotation for professionalism violations regardless of their academic and/or clinical performance
  • Students who fail a module, clerkship, or rotation due to professionalism violations will be referred to Student Promotion Committee (SPC)

Policy for Pass/Failure of Module in Foundations Phase

For modules with final exams:

  • Students must have a cumulative passing score in the module to be eligible to sit for the final exam
    • Students who pass the final exam pass the module, and move on to the next module
    • Students who fail the final exam have one (1) opportunity to retake the final exam at a time to be determined by the Office of Medical Education (OME)
      • Students will move on to the next module while waiting to retake the final exam
      • Students will incur the cost of retaking an exam purchased from the NBME
      • Students who pass the retake final exam pass the module
        • Students who pass will receive the minimum passing grade, regardless of their actual score on the retake final exam
      • Students who fail the retake final exam fail the module, and will be referred to SPC
  • Students who do not have a cumulative passing score in the module are not eligible to sit for the final exam, and therefore fail the module and will be referred to SPC For modules without final exams, including longitudinal modules:
    • Students who have a cumulative passing score in the module pass the module
    • Students who do not have a cumulative passing score are eligible to address deficiencies as determined by the module director
      • Students who satisfactorily address the deficiencies pass the module
      • Students who fail to satisfactorily address the deficiencies fail the module, and will be referred to SPC

Due to their unique nature, there will be no option to complete repeat courses through other universities or colleges to replace modules in the WrightCurriculum.

Students must successfully complete all curricular requirements including any retakes/repeats to participate in summer BSOM-approved activities, electives, certificate or dual-degree programs.

Policy for Honors/Pass/Failure in Doctoring Phase

To Pass a clerkship, students must:

  • Have a cumulative passing score (≥70%) in all graded activities
  • Receive no more than 10% “below expectations” on total evaluation items
  • Meet expectations for professional behavior during the clerkship
  • Satisfactorily complete all activities such as mandatory workshops or skills sessions
  • Satisfactorily complete the clerkship logging requirements

The final grade for a clerkship is assigned by the Clerkship Director.

Students who do not meet all of the passing criteria fail the clerkship and will be referred to SPC.

To be eligible to receive an honors nomination from a clerkship for the Doctoring phase, students must exceed expectations for professional behavior and clinical performance during the clerkship.

To Pass Clinical Medicine Doctoring, students must:

  • Have a cumulative passing score (≥70%) in all graded activities
  • Have a cumulative score ≥70% on the three OSCE examinations
    • One Doctoring Bootcamp OSCE
    • Two mid-Doctoring phase OSCEs
  • Meet expectations for professional behavior during the module
  • Satisfactorily complete all activities such as mandatory workshops or skills sessions

The final grade for the module is assigned by the Module Director(s).

Students who do not meet all of the passing criteria fail the module and will be referred to SPC.

To be eligible to receive an honors nomination from this module for the Doctoring phase, students must exceed expectations for professional behavior and clinical performance during the module.

For longitudinal modules within the phase:

  • Students who have a cumulative passing score in the module pass the module
  • Students who do not have a cumulative passing score are eligible to address deficiencies as determined by the module director
    • Students who satisfactorily address the deficiencies pass the module
    • Students who fail to satisfactorily address the deficiencies fail the module, and will be referred to SPC

Honors in the Doctoring Phase

  • Nominations for Honors will be submitted to the Director of Assesment by Doctoring clerkship/module directors at the end of each clerkship block/module
  • The Director of Assessment will compile a list of students who have been nominated by honors by one or more clerkships/modules, sorted by students who have been nominated by the most clerkships/modules
  • Doctoring phase clerkship/module directors will meet at the end of Doctoring to review the students who have ben nominated by multiple clerkships/modules
  • An Honors designation for the Doctoring phase will be awarded to students who demonstrate sustained superior performance in the Doctoring phase
    • Honors in the Doctoring phase shall be awarded to no more than 20% of the class

Students who consistently perform below expectations in two or more clerkships may be referred by the clerkship/module directors of the Doctoring Phase to SPC to be considered for a repeat of the Doctoring Phase. Core areas of performance are knowledge, clinical skills, and/or professionalism as evaluated by clerkship evaluations, clerkship assessments, CCSE exams, and/or OSCE exams.

Students must successfully complete all curricular requirements including any retakes/repeats to participate in summer BSOM-approved activities, electives, certificate or dual-degree programs.

Policy for Honors/Pass/Failure in Advanced Doctoring Phase

Required clerkship and selective/elective requirements for Advanced Doctoring include:

  • 4 weeks Emergency Medicine clerkship
  • 34 weeks of electives, including:
    • One sub-internship in either Family Medicine, Internal Medicine, Pediatrics, Surgery, Women’s Health
    • Maximum of 1 longitudinal 4-week elective
    • Maximum 8 weeks (2 blocks) of non-clinical electives
    • Maximum 12 weeks (3 blocks) of identical electives
    • Maximum 16 weeks (8 blocks) of 2-week electives
    • Maximum 20 weeks (5 blocks) of out-of-town electives

To Pass the Emergency Medicine clerkship, students must:

  • Receive no more than 10% “below expectations” on total evaluation items
  • Meet expectations for professional behavior during the clerkship
  • Satisfactorily complete all activities such as mandatory workshops or skills sessions
  • Satisfactorily complete the clerkship logging requirements

The final grade for a clerkship is assigned by the Clerkship Director.

Students who do not meet all of the passing criteria fail the clerkship and will be referred to SPC.

To be eligible to receive Honors in Emergency Medicine, students must exceed expectations for professional behavior and clinical performance during the clerkship, as well as complete additional requirements as determined by the Clerkship Director.

  • Honors in Emergency Medicine shall be awarded to no more than 20% of the cohort

For other rotations within the phase:

  • Students who have a cumulative passing score in all components of the required or elective rotation pass the rotation
  • Students who do not have a cumulative passing score in the required or elective rotation fail the rotation, and will be referred to SPC

For longitudinal modules within the phase:

  • Students who have a cumulative passing score in all phase requirements for the longitudinal module pass the module
  • Students who do not have a cumulative passing score are eligible to address deficiencies as determined by the module director
    • Students who satisfactorily address the deficiencies pass the module
    • Students who fail to satisfactorily address the deficiencies fail the module, and will be referred to SPC

Students must successfully complete all curricular requirements including any retakes/repeats to participate in summer BSOM-approved activities, electives, certificate or dual-degree programs.

Appeal of Module, Clerkship, & Elective Grades

Grounds for appeal include: mathematical or clerical errors; arbitrariness, including discrimination based on race, gender, religion, age, physical disability, sexual orientation, national origin; and personal malice. An error in judgment by the student is not reason to be granted an appeal.

  • The first level of appeal of a module/clerkship/elective grade and/or written evaluation is to the module/clerkship/elective director and must be submitted in writing and received within seven (7) business days of the grade distribution
  • If evidence presented warrants a grade change, the module/clerkship/elective director will inform the student and OME of the change; if no change, the module/clerkship/elective director will inform the student in writing that the grade/evaluation stands
  • The final level of appeal for Foundations is to the Associate Dean of OME and must be submitted in writing and received within seven (7) business days of the module director decision
  • The final level of appeal for Doctoring/Advanced Doctoring is to the department chair of the clerkship/elective being appealed and must be submitted in writing and received within seven (7) business days of the clerkship/elective director decision
  • After reviewing all relevant information, the Associate Dean of OME/department chair will notify the student of the decision; the decision is final

Policy for Repeating in the Foundations Phase

The Foundations phase consists of four (4) components:

  • Component 1
    • Origins
    • Human Architecture 1
  • Component 2
    • Host & Defense
    • Staying Alive
  • Component 3
    • Human Architecture 2
    • Beginning to End
    • Balance, Control & Repair
  • Component 4 – Longitudinal Components
    • Clinical Medicine
      • Clinical Skills
      • Professional Skills
      • Upstream Medicine
    • Interprofessional Engagement (IPE)
    • Scholarship in Medicine

Students must pass all modules within a component to pass the component.

A student who fails a module will be referred to SPC. SPC may:

  • Allow a student to repeat the entire component containing the failed module, or
  • Recommend a student for dismissal

For repeating Foundations components:

  • Requires approval by SPC
  • Students will have a maximum of one (1) opportunity to repeat an entire component
  • Students who successfully repeat a component will receive the minimum passing grade in each module and final (if applicable), regardless of their actual scores

Students must complete all required Foundations components within three (3) academic calendar years

  • Students who are unable to meet this requirement will be referred to SPC

After successful completion of a repeat Foundations component:

  • Students who fail another module, necessitating a repeat of a second component, will be referred to SPC, as students would be unable to complete the required Foundations Phase in three academic calendar years

Due to the unique nature of each module, there will be no option to complete courses through other universities or colleges to replace modules in the WrightCurriculum. 

Policy for Repeating in the Doctoring Phase

A student who fails a clerkship, module, or longitudinal module phase requirements will be referred to SPC. SPC may:

  • Allow a student to repeat the clerkship, module, or longitudinal module phase requirements, or
  • Recommend a student for dismissal

For repeating Doctoring clerkships and longitudinal modules phase requirements:

  • Requires approval by SPC
  • Students will have a maximum of one (1) opportunity to repeat an individual clerkship, module, or longitudinal module phase requirements
  • Students who successfully repeat an individual clerkship, module, or longitudinal module phase requirements will receive the minimum passing grade in each clerkship or module, regardless of their actual scores
    • Students will not be eligible to receive Honors in the Doctoring phase

Policy for Repeating in the Advanced Doctoring Phase

A student who fails a rotation or longitudinal module phase requirements will be referred to SPC. SPC may:

  • Allow a student to repeat the rotation or longitudinal module phase requirements, or
  • Recommend a student for dismissal

For repeating Advanced Doctoring rotations and longitudinal modules phase requirements:

  • Requires approval by SPC
  • Students will have a maximum of one (1) opportunity to repeat an individual rotation or longitudinal module phase requirements
  • Students who successfully repeat an individual rotation or longitudinal module phase requirements will receive the minimum passing grade in each rotation or module regardless of their actual scores
    • Students will not be eligible to receive Honors in Emergency Medicine

Students must complete all required Doctoring and Advanced Doctoring components within three (3) academic calendar years.

Policy for Promotion

Students must receive a passing grade in all required modules, clerkships, rotations, and/or electives to be eligible for promotion to the subsequent phase.

Students must:

  • Pass all Foundations components and BSOM Milestones before advancing to Doctoring clerkships
  • Pass all Doctoring clerkships, longitudinal module phase requirements, and BSOM Milestones before advancing to Advanced Doctoring requirements and electives
  • Pass all Advanced Doctoring requirements, longitudinal module phase requirements, and BSOM Milestones to be eligible for graduation

All non-dual degree medical student curricular/graduation requirements must be completed within six (6) years of the student’s date of matriculation.

  • This timeframe includes any personal, academic or medical leaves of absence
  • Failure to successfully complete curricular/graduation requirements within six years after matriculation will result in a referral to the Dean of BSOM

Students must meet the minimum score on first administration of the NBME Comprehensive Basic Science Examination (CBSE) at the end of Year 1 of Foundations. The minimum score will be one standard deviation (S.D.) below the BSOM class mean.

  • Students who do not meet this minimum score will be required to retake the CBSE one week prior to the start of Year 2 of Foundations. If a student does not meet the minimum score on the second attempt, they will be referred to SPC for review and recommendations.

The second administration of the CBSE will be administered 2 weeks following the Balance, Control, & Repair final examination at the end of Year 2 of Foundations. Minimum score will be a 65.

  • Students who do not reach this minimum score will be required to retake the CBSE two weeks later. If a student does not meet the minimum score on the second attempt, they will be referred to the Associate Deans of Medical Education and Student Affairs & Admissions for review of the academic record to be considered to delay taking Step 1.

Students must take USMLE Step 1 before a date designated by BSOM to be eligible for promotion to the Doctoring Phase.

  • If a student does not receive a passing score, the student will complete the clerkship currently enrolled, but will not be eligible to complete the remaining clerkships until the student passes Step 1.
    • The student will be required to take a one month intensive Step 1 Prep course, approved by the Office of Medical Education, with the expectation that the student must take Step 1 by mid-block in order to receive a passing score and return to the Doctoring Phase after stepping out for one block.
    • If a student does not receive a passing score after two attempts, the student will be referred to SPC.

Step 1 Delay

  • Students who need to delay one Doctoring block in order to successfully pass USMLE Step 1 must be granted approval from both the Associate Dean of Medical Education and the Associate Dean of Student Affairs & Admissions. Students must receive a passing score prior to starting Doctoring Block 2.
    • Upon approval of delaying Step 1, students will be required to complete a learning contract in conjunction with the Associate Deans of Medical Education and Student Affairs & Admissions; meet with the Scholarship in Medicine module director about scholarly project; and be enrolled in an advanced study prep course.
  • Students needing to delay by more than one Doctoring block must have renewed approval from both the Associate Dean of Medical Education and the Associate Dean of Student Affairs & Admissions by 4 weeks into Doctoring Block 1.
    • Students who are unable to take USMLE Step 1 prior to the start of Doctoring Block 2 will be referred to SPC with a recommendation to repeat Year 2 of Foundations.

Students must take the USMLE Step 2 CK and CS before a date designated by BSOM to be eligible for graduation.

  • If a student does not receive a passing score after two attempts on either the Step 2 CK or CS, the student will be referred to SPC

To be eligible for graduation, students must pass all:

  • Foundations components within three (3) academic calendar years
  • Doctoring and Advanced Doctoring requirements within three (3) academic calendar years
  • BSOM WrightCurriculum Milestones for each phase
  • USMLE Step 1
  • USMLE Step 2CK
  • USMLE Step 2CS

The Doctor of Medicine (MD) degree is conferred on students who successfully complete all requirements for graduation.

Approved by FCC on June 28, 2017
Revised and to be approved by FCC on May 22, 2019

Last edited on 06/24/2019.