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Student Hand Book

Windsor University School of Medicine


Brighton's Estates: St. Kitts

Student Academic Policies and Procedures Handbook


2015
The
The contents of this handbook succeed and replace any policy or procedure previously in place at
Windsor university school of medicine.

"Application
Application to Windsor University School of Medicine (WUSM or the University) by a student constitutes agreement to comp
comply
ly with this Handbook, including
the Honor Code, the Technical Standards, the Non-Discrimination
Discrimination Poli
Policy
cy and any other of the Universitys policies and procedures, rules, regulations or amendments
thereto. Students are held responsible for complying with the terms of any revised or updated Handbook from the revision or eeffective
ffective date if specified or otherwise
otherw on
the date they are first distributed to the student body or published on the Universitys website"

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Table of Contents:
Introduction
Objectives
Mission, Vision, Goal
Registration
New Students
Returning Students
Basic Science Students
Clinical Students.
Transfer Students
Tuition Fee
Financial aid and information
Withdrawal Refund Schedule

Academic performance
Curriculum outline
Maximum Time Frame
Examination Format
Grading and Posting of Grades
Transcripts
Assessment, Examination and Grading
Examinations
Basic Science Examinations
Clinical Evaluations and Grading

Academic Policies
Basic Science Students
Clinical Science Students
Scheduling clinical clerkships
USMLE Step 2 CK Policy
Leave of absence
Family Educational Rights and Privacy Act (FERPA)
Withdrawing From a Course
Withdrawal from the program
Requirements for Graduation
Academic Probation
student records
ECFMG Certification

Windsor University Committees


The Curriculum Committee
The Grievance Committee
Student Promotion Committee (SPC)

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Non-Academic Policies
Student Non-Academic Standard of Conduct
Non-Discrimination Policy
Anti-Bullying Policy
Anti-Hazing Policy
Health Insurance
Random Drug Testing and Criminal Background Checks
Campus Smoke-Free Policy
DRESS CODE:
Student Conduct and Discipline
Disciplinary Action
Protection from Discrimination or Harassment
Appeals against decisions by the Committees
Patient Rights under HIPAA
Religious/Ethical Matters
Student Duty Hours Policy
EXHIBIT A: Administrative Resources and Services for Students
EXHIBIT B: Health Care Policies and Knowledge concerning On Campus Coverage and Blood Borne Pathogen
Procedures:
EXHIBTC: Windsors Concepts of the Honour Code and on Professionalism

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Introduction
This handbook provides information on the policies and procedures in place for the Academic Program of Windsor
University School of Medicine.

MISSION
The mission of Windsor University School of Medicine is to prepare a diversified population of dedicated students for entry
into primary care postgraduate medicine residencies so that our medical students can display enabling skills toward their
patients while still pursuing answers to challenging medical questions.
This will be accomplished by defining the latest strategies for teaching and learning and then provide experiences for the
treatment and management of patients in a broad range of social and economic settings; focusing upon concepts and
methodologies of primary care, including the promotion of wellness from pre-natal through geriatric care; providing
experiences with different healthcare delivery systems; promoting community service with emphasis on quality training in
the principles of allopathic medicine, primary care, research, community service and scholarship.

The objectives of Windsor University School of Medicine are:

To provide a foundation in medical sciences basic to the study of medicine;


To provide exposure to the clinical skills and knowledge fundamental to medical practice;
To progressively acquire and extend allopathic philosophy, ethics, medical concepts and techniques to the practice
of medicine;
To understand how deviation from proper health, needs to be recognized and appropriately managed;
To use health prevention and health education to help the patient to care for themselves;
To use technology to update information and make effective medical decisions;
To produce research that pertains to medicine and to the health care delivery system;
To ensure an awareness of the psycho-social and economic-legal context in which the practice of medicine occurs;
To provide faculty and administrative leadership committed to creating an optimum educational environment for the
students and medical profession.

Activities that the Windsor University School of Medicine include:

Methodologies to maintain a skilled academic and clinical faculty and staff devoted to the mission statement who
work in concert using contemporary educational and clinical facilities and innovative methodologies of education
and research;
Adequate faculty and administrative leadership committed to creating an optimum educational environment for the
students, faculty and medical profession;
Faculty development programs to ensure academic growth, teaching proficiency, evaluation strategies, scholarly
performance both to the student and needs of the community with collaboration of ministry of health and education

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Attributes that the Windsor University School of Medicine intends to provides:
To assure that Windsor University School of Medicine students attain the desired level of competence prior to graduation,
the Curriculum Committee has adopted the following attributes for eligible graduates.
A. WUSM graduates will be knowledgeable. By the time of graduation students will have demonstrated relevant and
sufficient knowledge in these broad areas:
1. Knowledge of the structure and function of the major organ systems, including the molecular,
biochemical, and cellular mechanisms for maintaining homeostasis
2. Knowledge of the pathogenesis of diseases, interventions for effective treatment, and mechanisms of
health maintenance to prevent disease
3. Knowledge of basic clinical skills to meet the skills objectives, including interviewing, physical diagnosis,
communication, and clinical reasoning processes
4. Knowledge of population health, epidemiology principles, and the scientific basis of research methods
relevant to healthcare
B. WUSM graduates will be skilful. By the time of graduation, WUSM students will demonstrate:
1. The ability to competently conduct a medical interview and counselling to take into account patient health
beliefs, patient agenda, and the need for comprehensive medical and psychosocial assessment
2. The ability to competently perform a complete and organ-system-specific examination including a mental
health status examination
3. The ability to articulate a cogent, accurate assessment and plan, and problem list, using diagnostic
clinical reasoning skills in all the major disciplines
4. The ability to search the medical literature, including electronic databases and to locate and interpret up-todate evidence to optimize patient care
5. The ability to practice effective preventive medicine by identifying, addressing and advocating for
Strategies to maintain health and well-being, to identify and treat disease early where appropriate, and to
advise on lifestyle practices
C. WUSM graduates will be altruistic, developing and demonstrating professionalism and commitment. By the time of
graduation demonstrate attitudinal learning and behaviours in these domains:
1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients,
families and professional organizations
2. Professional behaviours reflecting compassion and respect for patient privacy, altruism and a commitment to
comprehensive, holistic medical care
3. Sensitivity and awareness of diverse cultures, health beliefs, and social factors impacting patient health and
illness
4. The commitment to seek knowledge and skills to better serve the needs of the underserved in their
communities

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D. WUSM graduates will be dutiful. By the time of graduation students will show:
1. A commitment to lifelong learning and independently seeking new knowledge and skills in their own
recognized areas of learning deficit
2. A commitment to patient care and to the well being of patients and colleagues
3. A commitment to serve their community
4. A commitment to personal well-being and the well-being of family.
E. Technical Standards for the WUSM School of Medicine graduate to be
E.1. Intellectual Abilities:
WUSM candidate for the MD degree (a prospective or enrolled student) must have sufficient intellectual cognitive
capacities to assimilate a large volume of technically detailed and complex information presented through formal
lectures, small group discussions, individual teaching sessions, clinical teaching sessions and independent learning
activities. He/she must be able to critically analyze such information, to identify relevant material and appropriately
apply such material: to solve problems in a timely and effective manner. A candidate must be able to measure,
calculate, analyze and, synthesize data, appreciate three-dimensional spatial relationships among structures and
logical sequential
E.2. Commitment:
WUSM graduates will be dutiful. By the time of graduation students will show:
A commitment to lifelong learning and independently seeking new knowledge and skills in their own
recognized areas of learning deficit
A commitment to patient care and to the well being of patients and colleagues
A commitment to serve their community
A commitment to personal well-being and the well-being of family and friends
E.3. Communication:
A candidate for the MD degree must be able, after a reasonable period of training abilities and
experience, to communicate in an effective and sensitive manner with patients. The candidate must also be
able, after a reasonable period of training and experience, to communicate with other health care providers
effectively and efficiently in both oral and written forms and to in turn receive and understand oral and
written communications.
E.4. Motor abilities:
A candidate for the MD degree must after a reasonable period of training and
Experience, possess the capacity to perform physical examination and diagnostic manoeuvres' including but not
limited to palpation, percussion auscultation, digital rectal examination, pelvic examination and obtaining blood
urine and other basic body fluid or tissue samples. He/she must be able to respond to emergency situations in a
timely manner and provide general emergency care such as airway management, CPR, placement of intravenous
catheters, simple wound repair, and basic obstetrical procedures. Such activities require physical mobility,
coordination of both gross and fine motor neuromuscular function and balance and equilibrium.

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E.5.Behavioral and social abilities:


A candidate for the MD degree must possess the emotional health, maturity, discipline, and professional attributes
necessary for the competent practice of medicine. Certain characteristics are particularly crucial to the attainment of
his competence. They include but are not limited to integrity, honesty, attendance, conscientiousness, empathy, and
professionalism. Concern for the safety of your patients.

Goal
The goal of the Windsor University School of Medicine is to provide a broad medical education that produces qualified
graduates eligible to meet residency requirements and other healthcare program standards.
In addition, this goal is extended to those international students who wish a medical education experience which may satisfy
the entrance requirements to their respective countries.
Registration
All students must officially register for classes before the first day of each semester. It is important that a student have all
identification documents in possession at registration. Submission of all official transcripts is a requirement for continued
attendance at the University. Outstanding documents may result in Administrative Withdrawal.
New Student: In person registration takes place at the St Kitts campus. New students must have appropriate documentation
and the acceptance letter in possession at registration.
Evidence of academic qualifications
Letters of Acceptance
Proof of Identification
Financial Clearance
Health Care records and updated immunization
Passports or visa paperwork

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Returning Students
Basic Sciences students
Students will be required to register for the published curricular course load each semester unless they have
dropped or failed a course or have obtained prior written consent from the Associate Dean for student Affairs.
Students who have failed or dropped a course or otherwise obtained written consent from the Dean of student
Affairs to deviate from the published curricular course load of the particular semester as determined in the
course curriculum by the school curriculum committee.
No medical science student may register for more than academic semesters courses determined by the
curriculum committee.
All courses required in the first four academic semesters must be successfully completed before students may
register for the fifth semester Introduction to Clinical Medicine (ICM) courses and review program.
Clinical Sciences students
Students undertaking clinical rotations must register for a minimum of eight weeks of clinical experience
including didactic activity in clinical care per term of enrollment to be considered full time. However, all
clinical students should be aware that the Universitys promotion policy quantitative standards require students
to complete a minimum of 30 -48. Weeks per Academic Year and that failure to do so may result in loss of
financial aid eligibility and academic dismissal.
General Regulations for Registration
Students are required to register (make payment of tuition, deposits and any fees, including Student
Government Association (SGA) Fees) on or before the first day of the semester. Payment of tuition and fees
is considered a financial condition of enrollment. Therefore:

any basic science student who registers after first day of formal instruction as noted in the Academic
Calendar will be charged late fee of $100;
any clinical science student who registers after commencement of clinical rotations will be charged a $100
late fee;
any student with a delinquent account will be notified by the second week of the term that he or she must
pay any outstanding balance by the end of the fourth week of the term;
any student who fails to pay all outstanding amounts be financially cleared* by the Accounts Office by the
end of the fourth week will be involuntarily withdrawn from enrollment and his or her transcript will
reflect a W grade for courses undertaken in that term. The Universitys standard cancellation and refund
policies will apply to the balance of any account due.
Students are allowed to add an individual course during the first week of the term when given permission
to do so by the appropriate dean.
No medical science student may register for more than published curricular course load of each semester
unless prior written consent of the Medical Science Dean, nor may any medical science student register for
two classes that meet simultaneously.

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Students are allowed to drop an individual course within the timeframe specified in the semester schedule
released by the Curriculum Committee. Semester long courses must be dropped during the first eight
weeks of the semester so long as the student will maintain full-time enrollment with the reduced course
load and has been given permission to do so by the appropriate dean. No student will be allowed to drop
any particular course more than once. Medical sciences student must complete dropped course within the
next successive semester. Clinical sciences students must complete dropped courses within a specified
time as designated by the hospital.
Any student who is indebted to the University will be required to settle his or her account before receiving
diplomas, degrees, official transcripts and other official recognition of work done at the University. Such
debts include, but are not limited to, amounts owed in satisfaction of tuition, loan agreements, fees and
charges. No student may withdraw from enrollment with the University in good standing or graduate from
the University unless all financial obligations are paid in full.

Transfer Students
Students transferring from another medical school may be required to take a comprehensive entrance
exam. The purpose of the exam is to determine the appropriate placement for each student. Unofficial
transcripts and/or grade reports will be acceptable for initial evaluation, pending receipt of the official
transcript.
In order to obtain credit from Windsor University, the student must score a 65% or higher in
comprehensive entrance exam.
The requirement to take the comprehensive entrance exam will be evaluated on an individual basis by
the Windsor university Student promotion committee.
It is recommended that students review the course material from their original institution in order to
prepare for this exam. Any student who may be required to take this exam will be notified by the
Academic Committee as soon as possible after the Admissions Committee makes its
recommendations.
Required Documents
All required documents, if originally in a foreign language, must be accompanied by a notarized English
translation. All transcripts documenting post-secondary coursework completed in institutions outside the
United States or Canada must also be evaluated by an approved international credential evaluation service.
Letters of Recommendation must also be in English.
Acceptance letter . Proof of Identification, Financial Clearance, Evidence of academic qualifications.
Windsor University does not accept transfers directly into the third or fourth year Clinical Science
Program.

Tuition and fees 2015-2016


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Tuition and fees may be changed at any time without prior notice.
Application fee
$75
Acceptance deposit (non-refundable)
$500
Late registration fee
$200
Late payment fee
$100
Lab fee
$250
Student activity fee
$45
Student health counselling services fee
$531
Student health insurance fee (annual) 1st yr
$406
2nd-4th yr
$369
Student disability insurance fee (annual)
$72
Malpractice fee for clinical rotations per year
$100.00
Curriculum fee/Tuition Fee md1-md5 semester
$4,995.00
Clinical addition fee for core rotations per week for each core rotation $175.00
Clinical fees for each Clinical Science Semester MD6-MD10 as of 2015 $ 6,495.00
Commencement fee (Fourth year students only)
$175
Exit Comprehensive WUSM Exam $300.00
Financial aid and information
Financial aid: At this time there are no Student Loans but students can ask for the flexible payment plan with
Account office.
Withdrawal Refund Schedule
Students who officially withdraw from enrollment with Windsor University or take an Official Leave for the
remainder of the term will be credited for tuition and refundable fees in accordance with the following
schedule:

before the first day of class: 100%;


within the first 5 days of the enrollment period: 90%;
between the first 6-15 days of the enrollment period: 50%; and
between the first 16-28 days of the enrollment period: 25%.
after 28 days of the enrollment period: 0%

ACADEMIC PERFORMANCE
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Curriculum outline
The Academic Basic Medical Sciences Program MD1-MD5 is currently offered in five semesters, each
semester lasting for 15 weeks. The Academic Clinical Medical Sciences Program MD6-MD10 is currently
offered on St. Kitts or at North America with another set of five semesters, each semester lasting 15 weeks
totalling 48 weeks of core rotations and 24 weeks of electives.
Only after passing the USMLE Step1 or the equivalent NBME Basic science comprehensive exam windsor
students are eligible to enter clinical clerkships, in rotation, in specific fields. There are 48 weeks of required
clinical core clerkships and 24 weeks of electives.
The required core clerkships are:
Medicine 12 weeks
Obstetrics/gynecology-6 weeks
Pediatrics-6 weeks
Psychiatry-6 weeks
Surgery-12 weeks
Family medicine-6 weeks
Electives
The 24 additional weeks are spent in elective clerkship rotations; these must include twelve additional weeks of
medicine, which may be spent in general medicine or in medical subspecialties, four additional weeks of
surgery, which may be spent in general surgery or in surgical subspecialties, four weeks /research, four weeks
in ambulatory care.
Maximum Time Frame
The maximum timeframe for completion of the entire medical education program is 7 academic years,
comprising of 14 semesters of enrollment. The Maximum Time Frame is divided between the two curriculums
of the medical education program:
Students have 7 semesters (less approved Leave of Absences) to complete the medical sciences curriculum.
Students have 7 semesters (less approved Leave of Absences) to complete the clinical sciences curriculum.

Examination Format
All examinations in the Basic Sciences Program will be comparable in format and content to NBME Student
Self Assessment Comprehensive and the USMLE Step One examination.
Each faculty member is responsible for the course content, setting the length of each examination and ensuring
its suitability.
All examination papers must be checked by at least one other member of faculty after drafting by the Course
Lecturer.

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Grading and Posting of Grades


At the conclusion of each examination, all question papers and all answer sheets are remitted to the Senior
Proctor of the examination. The corrected answer sheets are then verified by the Course Lecturer. Any
discrepancies in the marking must be brought to the attention of the Dean of Basic Medical Sciences for a final
decision.
Grades

Quality points

90100%:Honors

4.0

A+

8089%:High Pass

3.0

70- 79% Pass

2.0

6569% : Pass

1.0

Below 65%:Failing

00

Absence from examination


Any student who does not attend an examination will be deemed to have an unexcused absence from that
examination, unless:
The Student has become ill or injured; in such cases students must provide an official medical
certificate from a medical practitioner. Students, who are ill or injured immediately prior to the
examination, and thus unable to study effectively, will also be granted an excused absence
provided appropriate medical certification is available.
A family emergency will be deemed as a legitimate excuse as long as the emergency is verifiable
by telephone and in writing.
In any situation that a student cannot have his/her, absence verified the student would be deemed to have failed
the examination. The course record will note a failing grade.

Transcripts
Windsor University School of Medicine provides transcripts for all students who are currently or have
previously been registered with the School.
Transcripts represent the official record of a students performance while at the School.
Transcripts contain the following information:
Student name
Student date of birth
Date of Enrolment
GPA Standing
Courses taken and grades achieved
Date of Conferral of Degree
Record of Transfer Credit & Institution
Degree Awarded
Permanent Address
Registrars Signature & Seal of Windsor University School of Medicine
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The transcripts are graded as follows:


Grades

Quality points

H-90100%: Honors

4.0

A+

HP-8089%: High Pass

3.0

P - 70- 79% Pass

2.0

SP-6569%: Pass

1.0

F-Below 65%: Failing

00

Withdrawal

VO

Void Grade****

Students may request official copies of their transcript to be sent to other educational establishments, including
the ECFMG, as required. There is a charge of $30 for this service. Students should refer to the Annual
Prospectus for update information regarding transcript fees.
Students in good financial standing may request unofficial student copies of their transcripts for their own
reference. Students must complete a Student Transcript Request Form, which are available from the Registrar,
to whom completed forms should be returned. Student Transcripts will be issued approximately 3-5 days after
receipt of a completed request form.

Assessment, Examination and Grading


The School holds two Block examinations and a final semester ending exam for each course in each Basic
science semesters( MD I-MD V). Each examination counts towards the final grade for a course.

Examinations
Basic Science Examinations
Final examinations are held at the end of each course. Other examinations are held in the middle of the
semester.
Windsor University School of Medicine will produce the examination timetable, which will be displayed in the
School buildings.
Students failing to attend at the specified date and time of examinations for any reason will be treated as having
failed that examination, unless a medical certificate is provided to confirm illness.
Windsor University School of Medicine will not change examination timetables for the convenience of
students.
Students who are unable to attend the examination due to personal reason have to submit a written application
to the course director in advance.

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Basic Science written examination regulations
Basic Science candidates are required to arrive at least thirty minutes prior to the beginning of the examination.
Each examination will be invigilated by members of the School staff.
Proctors will arrive thirty minutes prior to the beginning of the examination to set up seating arrangements and
required documentation.
The Course Director will assign the time for the examination, taking into account the number of examination
questions, and the rules and regulations set forth by the School administration.
Students will be required to sit at assigned seats.
Students are permitted to bring the following materials into the examination hall: pencils, erasers, eyeglasses
and hearing aids. The intention to wear a hearing aid during an examination must be notified to the Associate
dean for student Affairs in advance of the examination.
Students are requested to place their bags at the front or back of the examination hall as directed.
Electronic devices are not permitted in the examination hall.
Students will be issued with a question paper and an answer sheet. Students must print their names; ID
Numbers, the date of the examination and the subject attempted on both the question paper and answer sheet.
Students may write on the examination paper but must enter their answers on the answer sheet, as only the
answer sheet will be used for grading the examination. Students are to make their selection by selecting one,
and only one letter on the answer sheet for each question.
The Proctor will announce the start and finish time of the examination and will inform Students when the
examination has begun. If no clock is displayed in the examination room, the Senior Proctor will ensure that
the time remaining is displayed on the whiteboard or by other means, and it updated no less frequently than
every 10 minutes. At the end of the examination, the Students will be instructed to stop writing. Students must
remain seated until the proctor has collected all the question papers, answer sheets and scrap paper. After an
examination, students are not permitted to keep the examination paper or notes written on scrap paper during
that examination.
Fifteen minutes after the examination has commenced no candidate will be permitted to enter the examination
room to sit for the examination. Students who arrive more than fifteen minutes after the commencement of the
examination will be deemed to have an unexcused absence from the examination.
Students are not permitted to leave the examination room during the first twenty minutes or the last ten minutes
of the examination. Students who leave the examination room are not permitted to return, for any reason.
No communication between students is permitted during the course of an examination. Students found in
communication by whatever means, whether or not the communication is relevant to the examination, will be
deemed to be using unfair means and will be required by the Proctor immediately to leave the examination
room. Such students may be subject to disciplinary proceedings. The decision of Dean's office is final in this
matter, subject only to the approval of the promotion Committee. The Dean or Associate Dean may
recommend to the promotion Committee certain disciplinary action, up to and including dismissal from the
School. The decision of the Curriculum Committee is final and is only subject to appeal to the Board of
Directors.

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Students may not leave their seats without the express permission of a Proctor. A student who has a problem
or question during the course of an examination must raise his/her hand to obtain the attention of a Proctor who
will come to the students desk. No requests for clarification of the content of examination questions will be
entertained during the examination.
Students who have any specific concerns about an examination they are eligible to sit should inform the office
of the Dean in writing no less than one week prior to the date of the scheduled examination.
Clinical Evaluations and Grading
A. The Formative Mid-core Evaluation
All clerkship directors must arrange for formative mid-core evaluations with all students. These consist of
individualized face-to-face meetings with each student and completion of the mid-core evaluation form
(Appendix D .). This form is not part of students' permanent record and can be kept on file at the hospital. The
purpose of this evaluation is to provide students with informal, qualitative feedback early enough in the
clerkship to allow time for remediation of deficiencies. This meeting also gives the clinical preceptors an
opportunity to help students recognize their strengths. The mid-core evaluation also gives medical students the
opportunity to measure their progress in learning.
B.

The Summative Final Evaluation

1. Grading Policy for the Clerkships


The Clinical preceptor completes a final evaluation form for each student in a core clerkship. The form requires
narrative comments, grades in individual components and a final summative grade (Appendix C ). The
narrative comments summarize the student's clinical performance, professional behavior including attendance,
rapport with patients and staff and the extent to which the students developed the required competencies for
that core. This narrative section offers the faculty the opportunity to provide additional evaluative information
beyond the letter grade. Students should make every effort to review these comments as soon as possible after
completion of a rotation. The opinions of the physicians who have worked with a student are critical for self
improvement on the part of the student. In particular, constructive criticisms can help a student develop into a
more competent physician. Students should attempt to review these comments at the hospital, either from the
clerkship director or from the medical education office. Alternatively, students can request a copy of the
evaluation form from their clinical student coordinator in the Office of Clinical Studies.
The final grade in the clerkship represents a semi-quantitative average of four components:
(1) 40%: Faculty/Preceptor Evaluations and Midway Faculty/Student Assessment Meeting
(2) 30%: Core Rotation/ NBME Exam Score
(3) 20%:( Electronic patient encounter log, SOAP Notes and 2 case write ups and feedback forms)
(4) 10%: OSCE /Oral Examination.
The final grade calculation= Cumulative of above > 65 % to pass.

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Grading:
H=Honors: If you get an A in all 4 areas of evaluation.
IP=In progress: Failure of one area but pass all other areas of evaluation.
F=Failure: Fail two or more areas of evaluation.
Remediation In progress:
-

Clinical evaluation: successfully repeat 4 weeks of rotation


Clinical Log: successfully complete all logs
OSCE/Oral: successfully repeat the OSCE
Written Exam: successfully pass exam, up to three attempts

The final grade will be calculated using the new data and will be downgraded one letter grade unless that grade
is a C.
Failure: The student must repeat the entire clerkship.
2.

Clinical Performance (60%)

The teaching physicians who work with the student during the rotation evaluate the student's clinical
performance in six competency areas, medical knowledge, clinical skills, professional behaviour, Interpersonal
and Communication Skills, Practice based learning and systems-based learning. The more feedback the
evaluator gets from different members of the medical staff that instructed the student, the more objective
grades can be. The faculty evaluates the extent to which the student has developed the competencies required
for that rotation. The following general goals form the basis of all evaluations. A more comprehensive list of
competencies appears in Outcome Objectives of Medical education above.

a. Medical Knowledge - students are evaluated on knowledge of basic, clinical and social
sciences; the pathophysiology of disease; clinical signs, symptoms and abnormal laboratory
findings associated with diseases and the mechanism of action of pharmaceuticals.
b. Clinical Skills - students are evaluated on diagnostic decision making, case presentation,
history and physical examination, communication and relationships with patients and colleagues,
test interpretation and therapeutic decision making. Students must be observed and evaluated at
the bedside.
c. Professional Behaviour-students are evaluated on their interaction with staff and patients,
integrity, sensitivity to diversity and attendance, as well as their commitment to lifelong learning
and independent study.

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d. Interpersonal & Communication Skills- Assessed based on how the student establishes
relationships with patients/families, educates and councils patients/families, maintains
comprehensive, timely, legible medical records.
e.

Practice Based learning- How the student self assesses, uses new technology, accepts
feedback.

f.

Systems based practice- Based on how student assists patients in dealing with system
complexities, coordinates various resources.

A mid-core meeting with each student is required in order to discuss the student's performance. Students must
print a copy of their Electronic Patient Encounter Log and present it at the mid-core meeting for review by the
Clinical Preceptor. The Clinical Preceptor discusses the log and the student's performance. This discussion
should include encouragement if the student is doing well or a warning with constructive criticism if the
student is doing poorly. The mid-core evaluation is formative and requires documentation on the WUSM
Midcore evaluation form (see Appendix D).
3.

End of Clerkship Examinations


a. OSCE(s),Oral Examination (10%)
Each department has a form for the end-of-clerkship oral exam (appendix J ). The end-ofclerkship oral exam should last at least 20 minutes and requires a one-on-one format involving the
student and clinical faculty member. It is used to evaluate independent study and patient log
documentation but is primarily a Step 2 CS-type exam.
The first part of the exam requires the examiner to review the portfolio which each student brings
to the exam. This portfolio consists of the patient log and the web-based exams. The examiner
first confirms that the student has completed all assignments and has shown a commitment to
documentation in the log. The portfolio can be used to evaluate the extent to which the student
has studied actively and independently.

After the review of the patient log, the exam should proceed as a Step 2 CS OSCE exam, this has two partsI. The integrated clinical encounter (ICE). This is the "classic" exam. The examiner could
choose a case, from the student's log for example, and ask the student to "integrate the history,
physical findings, lab results, imaging studies, etc. into a reasonable discussion of path
physiology, differential diagnosis, further work-up and management, etc".
II. Communication skills and interpersonal relationship (CS/IR). This is new and may require
some creativity and play-acting on the part of the examiner. Departments could develop a list of
"challenging" questions involving ethical issues, e.g., end-of-life decisions, informed consent,
delivering bad news, etc. Evaluations here may be difficult and subjective. One way to look at
this would be for examiners to ask themselves "If this was an interview, would I take this student
into my residency program?" If the answer is negative, we would like to know, in order to
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remediate the student. The exam form should have a section for such comments. These students
may be at high risk for a Step 2 CS failure and/or for not getting a residency because of their lack
of interviewing skills. To a certain extent, this can be a formative as well as a summative exam.
b.

NBME Exam (30%)

The NBME Clinical Subject (Shelf) Exam must be taken by all students toward the end of the core
rotation and determines 30% of the final grade. Scheduling for this exam is done by Deans office.
Hospitals should excuse students for the entire day in order to take these exams. While the oral exam
is based on the student's clinical experience during the rotation, the shelf exam is not. Instead the shelf
exam tests students' understanding of the subject as, for example, it might be presented in a concise
textbook.
Students must sit the shelf exam before starting their next rotation.
c.

Examination Policies and Procedures


I.

All students must attend the Oral Exam as scheduled. No excuses are permitted
unless approved by the Clinical Preceptor or AHD (Associate Hospital Dean).

II.

All students must attend the NBME exam as scheduled. With rare exception and
only after approval by a Dean, a student can take a separate WINDSOR written
exam.

III.

Students who are too ill to take the exam as scheduled should refer to the "Medical
Excuse" policy in the Student Manual.

IV.

If for any reason a student misses an oral exam, a make-up exam must be
scheduled within 2 weeks with the Clinical Preceptor or AHD. If for any reason a
student misses an NBME exam, a make-up exam must be scheduled within 2
weeks by contacting Deans office.

4.

Other Rotations

Electives, sub internships, and primary care rotations are graded on a pass-fail basis and also required narrative
comments. These narrative comments will also be used in the MSPE. The grade is based on a student's daily
performance in terms of knowledge, skills and professional behavior. Credit can be given only after receipt of
the student's Certificate of Completion of Elective Form (Appendix ).

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5. Inadequate Performance A student will not be given credit for any rotation if there is an F in any of the
areas. An F in any area requires a discussion between the student Clinical Preceptor or AHD and the Dean. If a
student is judged to have failed a rotation because of inadequate clinical performance, that rotation must be
repeated in another hospital. Such students are formally discussed by the Clinical Committee on Academic
Progress and Professional Standards. If a student fails the oral examination, remedial work can be mandated by
the clerkship director. Credit for a core rotation can be given only after the evaluation is received by the
University and the student has passed all parts of the evaluation.
A formal mechanism exists for identifying and helping a student whose achievement is not up to standard. If
preceptors or attending physicians judge a student to be marginal. The student shall be informed as early as
possible during the core clerkship and given assistance and counseling. Depending upon the seriousness of the
problem, the Clinical Preceptor or AHD and a dean may be involved.
Thus, a three-tiered system for dealing with student problems exists at all clinical sites. Initially a student's
preceptor and/or clerkship director discusses a student's behavior or attitude with the student. This is done at
the time of the mid-core evaluation or at any other time that is appropriate. Many times counseling the student
is sufficient. If the problem recurs, a pattern develops or a single problem appears serious, the Clinical
Preceptor notifies AHD. The AHD meets with and counsels the student. If the problem is serious enough, the
AHD notifies the deans' offices. The Dean of Students and the Dean of the School of Medicine have the
ultimate responsibility for dealing with students' problems

Academic Policies
Basic Science Students
Attendance at classes held outside Windsor's and at all laboratory classes in-house is mandatory.
Students are encouraged to attend all of their classes. Attendance records are kept by the School and are
released to licensing authorities or government bodies if requested. It is Mandatory that an attendance level of
at least 90% is maintained as some north American states may request this information prior to offering a
licence.
If a students attendance record falls below 80%, they will be interviewed by the Dean and unless a satisfactory
explanation is forthcoming, a disciplinary note recording their poor attendance will be placed in their file.
If the students attendance falls below 80%, they will Not be allowed to sit for the final exam and will obtain
the grade of F for that class. They will have to repeat that class again next semester with 80% class attendance.
Attendance is expected for the whole period of class. Students must make sure they are present at the
commencement of class and remain until the class is concluded.
Use of mobile phones is not permitted within the lecture rooms or laboratories. Turn off or put phones in
silent mode all the time.
Personal computers are permitted in the lecture rooms as long as students using personal computers do not
disturb their fellow students. To open the computers, permission must be granted first by the
professor/instructor in charge.
Food, verbosity, and drink are not permitted in the lecture rooms at any time. Penalty for violation: first
offence - verbal warning; 2nd offence written letter with copies to student record; 3rd offence removed
by security which results in one week suspension.
Video or audio recording of classes is not permitted
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Clinical Science Students


The following sets out the policies and procedures that Windsor University students must follow to obtain
Clinical core clerkship and clinical elective clerkships. These procedures are in place to ensure clinical
experiences are properly structured, monitored and managed by the Windsor University, and increase student
satisfaction. Unapproved core clerkships and elective rotations other than Windsor approved clerkships will
not count toward graduation and will not be paid for by the University. Only clinical experiences established by
the University and the students in accordance with these procedures will be recognized by the Windsor
university.

Required Total Clerkship Weeks


A total of 72 weeks of clerkships are needed to complete the clinical clerkship requirement.
Required Core Clerkships
A minimum of 48 weeks of core clerkships, including 12 weeks of Internal Medicine, 12 weeks of Surgery, 6
weeks of Psychiatry, 6 weeks of family medicine ,6 weeks of Pediatrics and 6 weeks of Obstetrics /
Gynecology must be taken in Windsor affiliated hospitals.
Elective Rotations

A minimum 24 of weeks of elective rotations may be taken, but total clinical weeks cannot exceed 72
weeks.

The maximum length of time that a student may take any elective clerkship in any one subject area is
eight weeks. An elective clerkship may be taken through a non-affiliated institution in the United
States that is ACGME accredited in the elective subject area after approval by office of the Clinical
Dean.

Any student wishing to take an elective rotation at an institution that does not sponsor or participate in
an ACGME-residency program in the same subject area (not listed on the ACGME web site) must
obtain prior written approval from the Clinical Dean. Written approval is required whether the
rotation is requested at an affiliated institution or non-affiliated institution. Certain documentation will
be required to support the application, such as a proposed curriculum, schedule, preceptor CV and
criteria for evaluation. If approved, the student may be required to pay the site directly and will be
reimbursed at the rate notified by clinical dean's office.
A maximum of twelve weeks of electives may be taken through an institution in Canada

Students seeking to apply for residency opportunities in Canada must send a written request to the
Clinical Dean for consideration and written approval.

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Scheduling clinical clerkships
students must follow these guidelines before they start their clinical clerkships
Students must send the front and back of their USMLE Step 1 test result report to office of the clinical
dean by email to clinicals@windsor.edu.

Student wishing to go to the clinical clerkships outside US must Pass Comprehensive NBME
examination before the placement of their clinical clerkships.

His/her Immunization Records to WUSM if he or she has not done so previously or if more than one
year will have passed at the clinical start date since the student last submitted them to WUSM. Failure
to submit required Immunization Records to WUSM

Letter of Good Standing

Malpractice Insurance Certificate

Student Transcript

Student Immunization Records

Clinical Student Evaluation Form

Background Checks and all other current documentation that may be required by the hospital site or
mandated by third parties.

Windsor University USMLE Step 2 CK Policy


Effective the September, 2015 semester, all students are required to pass the National Board of
Medical Examiners (NBME) Clinical Comprehensive examination in order to take the USMLE Step 2
CK examination.

Students must complete all core clerkships prior to taking the NBME Clinical Comprehensive
examination. Students may request to take the NBME Clinical Comprehensive examination before all
core clerkships are completed .

Students are required to attain a score result of at least 70 on the NBME Clinical Comprehensive
examination in order to take the USMLE Step 2 CK examination. WUSM will review the passing
score for the NBME Comprehensive Exam on an semester basis and make changes as needed.

Students who fail the NBME Clinical Comprehensive examination may retake the exam, for a total of
three attempts. After the third failure, the student will be subject to academic dismissal. Students have
the right to appeal the final decision.

Students who fail the NBME Clinical Comprehensive examination will be contacted by the Associate
Dean for Clinical Student for counseling and to assist with resolving issues related to the
examination.

Students who take the NBME Clinical Comprehensive examination prior to completing all core
clerkships are permitted one attempt at the examination. Students who receive a passing score will be
granted clearance to take the USMLE Step 2 CK examination. Students who receive a failing score
must wait until all core clerkships are completed in order to retake the NBME Clinical
Comprehensive examination. Students are permitted a total of three attempts to pass the NBME
Clinical Comprehensive examination.

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Students who take the USMLE Step 2 CK examination prior to completing the NBME
Comprehensive examination will be considered to have violated the Student Code of Conduct and
will be subject to an Administrative Review which could ultimately result in further disciplinary
action or academic dismissal. Students have the right to appeal the decision .
(Rest of the Clinical Clerkship Guidelines can be obtained in the Windsor university
website:www.windsor.edu)

Leave of absence
Windsor University School of Medicine recognizes that extensive interruptions of a students medical
education are undesirable, but nevertheless acknowledges that it may be necessary for students to take a leave
of absence at certain times. Students may apply for a leave of absence from the Academic Program for one of
the following reasons:
financial hardship resulting in the need for a student to take time off to find funds to continue his or
her medical education;
illness or injury of a student which affects the ability to study;
illness or injury of a dependent or family member which affects the students ability to study;
to study for the United States Medical Licensing Examination(USMLE), once he or she has
successfully completed the required Academic Program.
Students may request a leave of absence for a maximum of 6 months. Requests for leave of absence must be
made in writing to the Dean of Basic Sciences who will forward them to the office of the Registrar. A request
for a leave of absence will be refused if it is considered that a students academic performance is not strong
enough to allow the student a reasonable chance of resuming their studies effectively on return to School.
Students who wish to take a leave of absence for a period longer than 6 months may have to apply for readmission to the School. The student will have to pay the registration fee again at this time.
Students who take unauthorised leave of absence may have to apply for re-admission to the School.
Students Taking USMLE (Step 1)
Students who have completed the Basic Sciences Curriculum of the educational program and
intend to take a leave to study and for the USMLE Step 1 must submit an Official Leave Request form and
required supporting documentation to the Office of the Registrar on the campus.
Every Basic Science student can go on an Academic Official Leave to sit for the USMLE Step 1 examination.
Those students who underperform or who do not pass the USMLE Step 1 will be referred to the Student
Promotion Committee, in the event that the Student Promotion Committee and students will work jointly to
develop an academic plan for the USMLE Step 1 examination for a second time. The student must take a
second academic leave for an additional semester.
A student who intends to request an Academic Official Leave for a second term to study or sit for the USMLE
Step 1 must also submit the following documentation with the Official Leave Request Form:

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a copy of the USMLE receipt as proof of attendance and completion of each Step 1 examination taken during
the prior Academic Official Leave period;
a copy of the USMLE result sheet, front and back, for each Step 1 examination taken during the prior
Academic Official Leave period;
a detailed action plan with timeline setting out the students strategy for passing USMLE Step1; and failure to
comply with any condition may result in denial of a further leave request ,and if the student has not taken the
USMLE Step 1 examination or otherwise does not comply as agreed, the student will be subject to dismissal.
If a student fails the USMLE Step 1 for the second time, he/she will be academically dismissed with the right
to appeal to the Student Promotion Committee. Should students be reinstated, a third academic leave may be
required. Under no circumstances can a student take more than three academic leaves.
A student who intends to request a Long Term Academic Official Leave for the third term to study or sit for the
USMLE Step 1 must also submit the following documentation with the Official Leave Request Form: a copy of the USMLE receipt as proof of attendance and completion of each Step 1 examination taken
during all prior Official Leave periods;
a copy of the USMLE result sheet, front and back, for each Step 1 examination taken during all prior official
Leave periods;
Any other records confirming compliance with the prior Academic Official Leave action plan.
The students agreement to comply with an approved action plan will become a condition of the Academic
Official Leave, if approved. Failure to comply with any condition may result in denial of a further leave request
and, if the student has not taken the USMLE Step 1 examination as agreed or otherwise not complied, the
student will be subject to dismissal.
If any student has not reported a passing USMLE Step 1 score by the end of the third term of Academic
Official Leave, he or she will be dismissed from WUSM on academic grounds. Such student will have a right
of appeal. Students who have not passed the USMLE Step 1 and who wish to apply for an Official Leave for
medical or personal reasons must submit their completed Official Leave Request Form to Windsor University
School of Medicine. The maximum cumulative time period for medical or personal leave for medical students
who have not passed USMLE Step 1 is two semesters .
Students contemplating an Official Leave on personal or medical grounds should note the Criteria for
Dismissal in the Student Hand Book.
Students Taking USMLE (Step 2)
Students who are requesting to take a leave to study and sit for the USMLE Step 2 must
submit a completed Official Leave Request Form and required supporting Documentation to the Clinical
Science Coordinator. Upon receipt, the students completed Official Leave Request
form and supporting documentation will be forwarded to the appropriate Dean (or designee) for review.
Students should anticipate that two weeks may be necessary to process an Official Leave Request .The
approval or denial of the students Official Leave Request will be confirmed by email from the Deans Office.
A student who intends to submit a first time request for an Academic Official Leave to study or sit for the
USMLE Step 2 must also submit the following
Documentation with the Official Leave Request Form: -

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a signed copy of the Clinical Orientation Form recording his or her agreement to take USMLE Step 2
at least one month before his/her leave expires; and
a copy of his or her Prometric final test date confirmation for taking USMLE Step 2 within the
proposed leave period.

The students agreement to take the USMLE Step 2 on or before the date specified will become a condition of
the students Academic Official Leave, if approved. Failure to comply with this condition will result in denial
of any further leave request and the student will be subject to dismissal.
A student who intends to request an Academic Official Leave for a second term to study or sit for the USMLE
Step 2 must also submit the following documentation with the Official Leave Request Form at least one month
prior to expiration of the current Academic Official Leave period:
a copy of the USMLE receipt as proof of attendance and completion of each Step 2 examination taken
during the prior Academic Official Leave period;
a copy of the USMLE result sheet, front and back, for each Step 2 examination taken during the prior
Academic Official Leave period;
a copy of his or her Prometric final test date confirmation for taking USMLE Step 2 before the end of
the leave period;
a detailed action plan with timeline setting out the students strategy for passing USMLE Step 2; and
an official ECFMG transcript must be provided to the Deans Office prior to expiration of the second
leave period, if approved.
If any student has not reported a passing USMLE Step 2 score by the end of the second term of Academic
Official Leave, he or she will be dismissed from Windsor University School of Medicine.

Family Educational Rights and Privacy Act (FERPA)


The Windsor University adheres to the mandates of the United States Family Educational Rights and Privacy
Act(FERPA):

The student has the right to inspect and review his educational record within 30 days of the
University receiving a written request for access. Students must submit this written request to the
Associate dean of student affairs identifying the records they wish to inspect, who will then notify the
students of the time when the record may be inspected.
Students have the right to request an amendment to his/her educational records. Students may write
to the Associate dean of student affairs to identify the part of the record they wish to have corrected
and specify why it is inaccurate.
If the University decides not to make the requested amendment , it notifies the student
and advises the student of his/her right to a hearing. The University provides additional information
about the hearing with the notification.

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The student has the right to consent to disclosures of personally identifiable information contained in
his/her educational record, except to the extent that FERPA authorizes disclosure without consent.
One exception is disclosure to school officials with legitimate educational interest. A school official is
a person employed by the University in an administrative, supervisory, academic, research or support
position (including law enforcement personnel and health staff); a person or company with whom the
University has contracted (such as an attorney, auditor, or collection agent); a person serving on the
Board of Trustees; or a student serving on an official committee, such as the Professional Standards or
Grievance Committee, or assisting another school official in performing his/her tasks.
A school official has a legitimate educational interest if she/he needs to review an educational record
in order to fulfill his/her professional responsibility. Upon request, the University may disclose
directory information from educational records without consent to officials of another school in which
a student seeks to enroll or attend.
Information to be Disclosed: The University may disclose the following directory information
without prior approval from the student: Name, address and telephone number; date and place of
birth; dates of attendance, and honors and awards.
A student who does not wish to have the above information released must advise the school in
writing accordingly. A FERPA form must be filed with the Registrars Office.

Withdrawing From a Course

Students who wish to withdraw from one or more of the courses for which they are registered in a
given semester must complete a request form. Request forms are available from the Assistant
Registrar to whom completed forms must be returned.
Any student who obtains an approved Short Term Official Leave for a period of greater than fifteen
days from the University prior to the end of the 12th week of a term shall receive a grade of W in
all enrolled courses for that term. The student must retake and complete those courses during the next
term of enrollment. No student may receive a W grade for any one course more than once (unless
the student was previously withdrawn for non-payment of tuition fee)Failure to successfully pass the
course by the end of that term will result in a "F" grade

Withdrawal from the program


Students who wish to withdraw from the School should contact the Registrar. Students will be required to
complete a withdrawal form, a copy of which will be kept in the students file.
A proportion of the students fees may be returned to them on withdrawal from the School, subject to the
following policy:

Students who withdraw from the School before any of the classes for which they were registered
have taken place, will receive a full refund of tuition fees. Students may have to pay
accommodation expenses;

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Students who withdraw from the School before 28 of their classes for that semester have taken
place (regardless of whether they attended those classes) will receive a pro rata refund. The
calculation of this refund will be based on the number of weeks that the student has completed at
the School. Students may have to pay accommodation expenses;
Students who withdraw from the School after 60% of their classes for that semester have taken
place (regardless of whether they attended those classes) will not receive a refund. Students may
have to pay accommodation expenses. Students will only be officially withdrawn from the
School if they are in good financial standing with the School. Transcripts only are sent to other
institutes after any outstanding payments have been received.

Students who withdraw from Windsor University School of Medicine must re-apply if they wish to return to
the Program. Students who are re-admitted to the Program will be subject to the policies and procedures then
in place, and not those in place at the time that the student was previously registered at the School.

Requirements for Graduation


To be eligible to receive the M.D. degree, the student must have complied will all of the following aspects of
the medical program:
o
o
o

o
o
o
o
o
o

Satisfactorily completed the Basic science curriculum;


Satisfactorily completed all required 72 weeks of clinical rotations:
Completion of a rotation includes the following:
Submission of clinical evaluations;
Submission of case logs; and
Submission of hospital surveys;
Passed all NBME Subject and Comprehensive exams;
Passed USMLE Step 1, Step 2 CK and Step 2 CS exams:
Passed Windsor exit exam :
Fulfilled all financial obligations to Windsor University, including payment of a graduation fee:
Completed and submitted all required forms for graduation as requested by the Office of the
Registrar: and
Fulfilled all attributes of professionalism such as integrity, altruism, and working for the public good.

To be eligible to participate in the graduation commencement ceremony, students must successfully complete
the aforementioned requirements of the medical education program. Students that do not fulfill all
requirements, with the exception of pending evaluation submission, will not be allowed to participate in the
commencement ceremony without seeking conditional approval from the Chief Academic Officer or From the
Academic Dean. Students requesting conditional approval based on not meeting requirements (i.e.final
rotation ends after commencement ceremony) must submit their request to the Office of the Registrar. The
Office of the Registrar will then send the request along with any other pertinent information to the Chief
Academic Officer or the deans office for review. Students that are granted approval will be provided with
conditional terms of approval that must be met per the specified date. Failure to meet the terms of a conditional
approval will result in the student being removed from the ceremony. Students will also not be refunded any
for expenses incurred should they not meet the conditional terms of approval.
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Academic Probation
Students who do not achieve satisfactory results may be placed on Academic Probation. The purpose of
Academic Probation is to ensure that all students successfully progress through the Academic Program.
Students who do not achieve a passing grade on all of the courses for which they were registered will be placed
on Academic Probation. This applies whether or not students took the examinations, i.e. students who
automatically fail a course due to non-attendance of the required number of classes or examinations will be
placed on Academic Probation.
Students on Academic Probation may be required to undertake to any or all of the following:
presentation in the class;
tutoring
submission of extra work;
extra examinations;
Academic counselling sessions.
Students will be placed on Academic Probation for a minimum of one semester. The length of Academic
Probation is at the discretion of the promotion committee .
Students placed on Academic Probation will receive written notice to this effect, detailing the length of
probation, the reasons for the probation, and the extra work that they will be required to undertake.
Students who fail a course taken during a period of Academic Probation may be recommended for dismissal
from the School due to academic inadequacy. The School Promotions Committee will review these students
on an individual basis and make recommendations to the Academic Dean's office, who will decide whether the
student is to be dismissed.
Students of Windsor University School of Medicine have the right to appeal against being placed on Academic
Probation. Students wishing to appeal against being placed on Academic Probation must follow the appeals
procedure.
Windsor University School of Medicine reserves the right to change any of the policies contained herein
at any time without prior notification.

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STUDENT RECORDS
Student records are kept with the Registrar Office on campus at St. Kitts. Files may contain the following:





Acceptance letter; picture; college transcript; application questionnaire


Applicants written composition about himself/herself
Copy of Visa and the passport- information-page; marriage certificate
Birth certificate and Health records




Police record as to student being a good community member


WUSM contracts for housing





Grievance or Discipline Committee minutes


Transfer transcript from another medical school/ college
Grades for MD1-MD5









UMLE Scores or NBME Equivalent scores


Rotation assessment filled out forms
Core rotation grades
USMLE Step One and USMLE Step Two scores or NBME Equivalents
Final Exit Exam Scores
Exit interviews and forms
Student Promotion Graduation

ECFMG Certification
The Educational Commission for Foreign Medical Graduates (ECFMG) is the agency that registers foreign
medical students for the purpose of taking the USMLE Steps 1 USMLE Step 2 CK, CS and USMLE Step3.
Passing USMLE Steps 13 is a requirement for licensure in the United States. To qualify to sit for the USMLE
exams, students must be certified by Windsor University as officially enrolled.
On the ECFMG certification form, students must authorize ECFMG to provide examinee-specific USMLE
performance data to Windsor University, including whether the examinee passed the exam and the examinees
numerical scores on the two-digit and three-digit scales. Windsor has an interest in receiving accurate and
timely student performance data for accreditation, state approvals and licensure and curriculum evaluation.
Therefore, each student must authorize ECFMG to deliver his or her examination results to Windsor University
School Of Medicine as condition to Windsor university certifying the student as officially enrolled.
Students, who meet ECFMG requirements, will be certified to take the USMLE Step 2 CK examination prior
to satisfying the WUSM USMLE Step 2 CK Policy. Certification will allow clinical students an appropriate
length of time to select an examination date with the Prometric Test Centers. Students who fail to satisfy the
WUSM USMLE Step 2 CK Policy and take the examination will be considered to have violated the Student
Code of Conduct and will be subject to an Academic Review, which could ultimately in disciplinary action or
dismissal from Windsor University School of Medicine. Students have the right to appeal the decision.

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Windsor University Committees


The Curriculum Committee
curriculum comotte objectives
 To promote excellence in education for students of Windsor university School of Medicine
 To provide strategic policy recommendations for development of course and the programs offered by the
WUSM
 Develop a prioritization plan for prerequisite implementation.
 Develop and implement a process to ensure that curriculum is in compliance with new Requirements as
directed by the different Accreditation standards.
 Developing and implementing policies regarding hours of the curriculum, curricular design and
content. Policies are recommended to the Dean for approval and dissemination


Establishing curricular content and design, including undergraduate program curriculum objectives.

Overseeing curricular implementation and ongoing management. Managing the ongoing evaluation
and revision of the curricular content.

Providing content material for accreditation reports as evidence to support the School of Medicines
compliance with the above accreditation standards.

Develops procedures and mechanisms to accomplish the committee objectives which will be approved
from time to time by simple majority vote of members present at a regularly scheduled meeting.

Sets policy for all actions related to student academic status including graduation,(Academic) dismissal,
extended programs, student requests to deviate from academic regulations, and other academic related
activities consistent with procedures and policies of the Windsor University School of medicine.

The Grievance Committee


The Grievance Committee is responsible for supervision of the integrity and ethical implementation of the
academic program of the medical School. The committee is responsible for hearing appeals as filed by
students regarding any academic difficulties or in the case of a student having failed a course for two
consecutive academic terms. It is The Grievance Committee, which holds the authority to dismiss a student
from the program, or they may request a remedial program be developed for that student. The Grievance
Committee is available through the Student affairs Department and meetings are scheduled when needed.
Windsor University School of Medicine expects all students to adhere to the highest standards of conduct and
ethics in every aspect of their medical education. Failure to do so will result in disciplinary action and may
result in probation, suspension or dismissal from the Academic Program.
Disciplinary action may be taken against any student who does not adhere to the policies and procedures laid
down in this handbook.
Students should be aware at all times of the need for professionalism, even at this stage of their medical
education. As such, students should act and dress in a way appropriate to a health care professional.

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The Student Promotions Committee


These Student Promotion Committee Guidelines have been developed by the Windsor University School of
medicine to provide students with pertinent information about the academic and professional standards of the
School and about the process and procedures used to review student performance.
These Student Promotion Committee Guidelines shall be the principal standard used in determining the status
of each student. Approved motions shall constitute recommendations to the Dean through the Associate Dean
for Medical Education.
Student Promotion Committee (SPC)
The SPC is composed of faculty members and a chairperson. One representative shall be included from each
of the Basic and Clinical Science departments. A committee member may designate a substitute adhoc
member from the same department. The Chairperson of SPC shall be the Associate Dean or his/her designee.
Committee members shall serve for a year (initial terms to be staggered to provide continuity). If a position
becomes vacant, a representative shall be selected from that department to complete the unexpired term related
to that position.
The Promotion Committee (SPC) shall function:
1.
2.

To review the academic progress of all Windsor University School Of Medicine students;
To make recommendations to the Dean for:
a. students in real or potential academic difficulty, or
b. students who have demonstrated outstanding ability, and;

Student Promotion Committee (SPC) Meeting Procedures


All proceedings of the SPC are considered to be highly confidential.
The SPC shall meet so that the Advisory Groups can provide input to the SPC on student progress in the
curriculum to that point in time.
The Advisory Group(s) will then depart and the SPC will deliberate and make recommendations to the Dean
regarding but not limited to:
1. Promotion
2. Directing student counseling
3. Remedial work based on departmental recommendation(s)
4. Repetition of a Semester or part of a Semester
5. Probation
6. Dismissal
7. Leave of Absence
8. Modification or development of Academic Policy

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Quorum
A majority of members of the SPC (At least 4 persons) shall constitute a quorum.
Academic Status Report
A student academic status report shall be distributed by the Associate Dean for Medical Education to
department chairmen, the department SPC member, and All the Chair of the WUSM. It is the responsibility of
the department chairperson to confidentially notify all necessary faculty of the academic status of students.

Review of Student's Academic Performance


Promotion of Students
"Promotion" refers to academic progression through consecutive semesters as well as consecutive academic
years.
Determination of Grade
The following grade point scale is utilized for all courses in the WUSM curriculum:
Grades

Quality points

90100%: Honors

4.0

A+

8089%: High Pass

3.0

70- 79% Pass

2.0

6569%: Pass

1.0

Below 65%: Failing

00

All courses are assigned credit hours by the Curriculum Committee. By multiplying the credit hours for each
course by the grade points earned in the course, the total number of academic points for the semester's course
work is determined.
"F" Grades
1.
2.
3.
4.

5.

The "F" grade indicates failure to achieve at an acceptable level.


A student may not graduate without passing all required courses including electives in which they are
enrolled.
A student cannot receive "DEAN'S LIST" or "DEAN'S SCHOLAR" recognition for a term in which
an "F" grade is received.
The mechanism (procedures, schedule, completion deadlines, etc.) permitted for the remediation of an
"F" grade shall be determined by the course director and department chair, subject to the approval of
the Dean.
A course taken at another institution to remediate an "F" grade must be approved in advance by the
director of the course in which the failure occurred.

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6.

A course director may not average old and new final grades in developing and reporting a new final
grade for a student who is remediating an "F" grade. The new grade must be based entirely upon the
student's performance in the "new" course.

D.

Interception and Prevention of Academic Difficulties


The Associate Dean for Medical Education shall request progress reports from each Department
Chairs. Each progress report shall list all students' progress and identify those who are in academic
difficulty and, to the degree possible, the reason(s) for the problem(s). The offices of the Associate
Dean for Student Affairs provide counseling and tutoring services to the degree possible.

G.

1.

2.

3.

Criteria for Honors


The SPC shall identify students who are worthy of recognition for academic excellence at the end of
the Basic Science and Clinical Science Course. The following guidelines shall be followed in making
recommendations to the Dean.
The SPC shall recommend that each student who has an A+ on All the Basic Science subjects, be
placed on the DEAN'S LIST for that term and receive a congratulatory letter from the Office of the
Dean.
The SPC shall recommend that each student who has an A+ on All the Basic Science subjects and
Clinical Science courses be designated as a DEAN'S SCHOLAR and receive a congratulatory letter
from the Office of the Dean commending him/her for this exceptional level of scholarship.
In order to be eligible for recommendation for DEAN'S LIST or DEAN'S SCHOLAR recognition, a
student may not have an "F" grade, or a "W" (administrative withdrawal) in a required course during
the term just completed.

G.

Criteria for Graduation

1.

The student must have completed all required courses including electives in which he/she enrolled
and have no outstanding "F" grades.
The student must be formally recommended for the degree by the WUSM Faculty Assembly and by
the Dean, and must be approved for the degree by the Board of Trustees.

2.

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G.

Criteria for Academic Probation


1. A student shall be placed on probation if he\she: (a) receives an "F" .grade. And have
exhibited Academic insufficiency. (Academic insufficiency of the student shall be
determined by the Advisory to SPC)
2.

A student on probation shall be:


a.
b.
c.
d.

H.

required to attend all classes/clinics;


required to attend regular remediation sessions if appropriate;
expected to remove himself/herself from probational status within one semester or be
subject to a performance evaluation hearing; and
restricted by the Associate Dean for Student Affairs from serving as a class officer or
representative on school committees.

Dismissal
a.

SPC recommends the Dean on Dismissal of the student on the advice of the advisory board.

NON-ACADEMIC POLICIES
Student Non-Academic Standard of Conduct
A student enrolling at Windsor University assumes an obligation to conduct him or herself in a
manner compatible with the Universitys function as an institution of higher education preparing its
students to enter into a profession with high standards of conduct. Each student:
Is expected to make choices and conduct him or herself in a manner that fosters and preserves a safe
and secure environment in which students, faculty and staff are able to pursue their academic
endeavors without unreasonable risk to their health, safety and wellbeing.
Is expected to practice responsible citizenship and to respect the rights of others.
Is responsible for his or her own actions.
Is responsible for the conduct of his or her guests. All guests are required to sign in with the security
services at the gate on arrival at WUSM and sign out when leaving. When signing in, each guest must
provide valid photo identification (drivers license or passport) to security services and provide the
name of the occupant whom he or she is visiting. Guests are required to wear their visitor nametag at
all times when on campus. No guests are allowed to attend classes, lectures or labs without prior
permission of the professor and/or administrator concerned.
Failure to uphold University policies, procedures, or standards of conduct or violation of the laws of
any applicable jurisdiction may result in disciplinary action pursuant to the WUSM Administrative
Review and Grievance Procedures. The health and safety interests of the WUSM community will be
considered an important factor in any such action.
For the avoidance of doubt: verbal threats, intimidation, stalking or harassment may be grounds for
dismissal even if such conduct does not result in bodily harm.

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Non-Discrimination Policy
The University maintains a policy of non-discrimination regardless of race, color, religion, age,
gender, disability, national origin, sexual orientation or gender expression.
Because the University places such importance on its Non-Discrimination Policy, separately
published procedures have been developed, which are incorporated by reference in this Student
Handbook. The Non-Discrimination Policy is available from the office of the Dean, the Registrar, or
the Office of Clinical Student Affairs.
To assist a prompt and appropriate response, complaints alleging violation of the Non-Discrimination
Policy should be made in accordance with the Universitys published and Grievance Procedures (GP)
which are available from the office of the Dean, the Registrar, or the Office of Clinical Student
Affairs.
Any questions concerning WUSMs Non-Discrimination Policy should be directed to the appropriate
designated Student Affairs Dean. On the medical science campus, questions should be directed to the
Assistant Dean of Student Affairs and at clinical sites, questions should be directed to the Associate
Dean of Clinical Student Affairs. If a student is not comfortable bringing a complaint or concern
forward through the GP, anonymous reporting is available.
For any allegation made that a student has violated a provision of this Student Handbook that is
subject to the Administrative Review and Grievance Procedures, the Grievance Committees
determination shall be made on the basis of whether it is more likely than not that the accused party
violated the applicable Handbook provision or other rule or requirement.
Anti-Bullying Policy
Bullying fosters a climate of fear and disrespect that can seriously impair the physical and psychological health
of its victims and create conditions that negatively affect learning, thereby undermining the ability of students
to achieve their full potential.
Bullying is defined as conduct that:
Places a person in reasonable fear of harm to the persons body, reputation or property;
Has a substantially detrimental effect on a persons physical or mental health; or
Has the effect of substantially interfering with a student's academic performance
The Anti-Bullying policy shall apply to an electronic act, whether or not it originated on University
property or with University equipment, if it is directed specifically at one or more people and is
maliciously intended for the purpose of disrupting the Universitys environment and has a high
likelihood of succeeding in that purpose

Any complaints of bullying conduct by a student or employee of the University will be addressed in
accordance with the published Administrative Review and Grievance Procedures, which are available
from the office of the Dean, the Registrar, or the Office of Clinical Student Affairs. This is also
available for students to download from the Universitys website.
Bullying conduct that comes to the attention of the University may also be considered for potential
violations of the Universitys Non-Discrimination Policy.

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Anti-Hazing Policy
The University prohibits students and other persons associated with any WUSM organization from
engaging in any activity that can be described as hazing.
Hazing includes but is not limited to any brutality of a physical nature such as whipping, beating,
branding, forced calisthenics, exposure to the elements, forced consumption of any food, liquor, drug
or other substance or any other forced physical activity which could adversely affect the physical
health or safety of the individual and shall include any activity which would subject the individual to
extreme mental stress, such as sleep deprivation, forced exclusion from social contact, forced conduct
which could result in extreme embarrassment or any other forced activity which could adversely
affect the mental health or infringe on the rights of an individual. Any activity as described above
upon which initiation or admission into or affiliation with a University organization is directly or
indirectly conditional shall be presumed to be a "forced" activity, the willingness of an individual to
participate in such an activity notwithstanding.
For each registered student organization, the organization president and faculty sponsor must sign a
statement every semester certifying that they have been informed of and understand this policy.
Organizations found to have violated this policy shall at a minimum be prohibited from utilizing
University facilities for an academic term and at a maximum be
required to have the organizational charter revoked and be permanently removed from the campus. Nothing
herein shall preclude the University from taking disciplinary action against individual members participating in
any activity considered to be hazing.
Health Insurance
The government of St. Kitts requires all students to obtain locally global health insurance coverage to
obtain a student visa. In addition, WUSMs hospital affiliation agreements require students to
maintain health insurance coverage during clinical rotations. WUSM has negotiated health insurance
policies to cover basic medical science students and clinical science students.
All students will be enrolled in the applicable WUSM student health insurance policy when
registering for classes each semester.
A flat rate health insurance fee will be charged per semester at the time of registration
Although it is not required, it is highly recommended that students maintain health insurance coverage
while on Long Term Official Leave to avoid a lapse in coverage and potential exclusion for a preexisting condition when enrolling in the next semester.
Random Drug Testing and Criminal Background Checks
Students should be aware that hospitals require current criminal background checks and drug
screenings to be submitted prior to accepting them for clinical rotations. A students criminal
background will constitute grounds for dismissal from WUSM if he or she does not meet a hospitals
background check and drug screening requirements and is thus not able to progress in the medical
education program. Students should note the Criteria for Dismissal.
Additionally, the University and the hospitals routinely require students rotating for clinical clerkships
to consent to random drug tests. Failing a random drug test may result in disciplinary action, up to and
including dismissal from the medical education program.
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Any student that is the subject of disciplinary proceedings while enrolled at the University may be
subject to an additional background check and drug screening conducted by the school. For all
students, a finding that the student has made a false or misleading statement on any document
submitted to the University will constitute grounds for dismissal.
The University reserves the right to conduct random drug tests at any time on any enrolled student.

Campus Smoke-Free Policy


Scientific findings, as summarized by the United States Surgeon General and the Environmental
Protection Agency indicate that the simple separation of buildings into smoking and nonsmoking
sections does not do enough to eliminate environmental tobacco smoke. In light of the health hazards
associated with tobacco smoke for smokers and non-smokers alike, WUSM has adopted the smokefree policy set forth below.

All buildings, including academic, administrative, dining, residential service and mixed-use facilities
and all vehicles, which are owned, operated or leased by the University, will be entirely smoke-free.
The smoke-free policy will apply to all indoor air space, including all common areas and assigned
spaces. Smoking is not permitted on the exterior breezeways or within 50 feet of an entrance or
window of any building. Smoking is permitted only in designated smoking areas. All cigarette butts
should be appropriately extinguished and disposed of in a receptacle provided for that purpose.
Violations of this policy may result in disciplinary actions or terminations pursuant to the Universitys
Administrative Review and Grievance Procedures. Students who cause damage to University property
in violation of the smoking policy will be charged for necessary repairs including refinishing,
repainting and reupholstering.

DRESS CODE:
The students are required to adhere to the regular dress code. Any student who fails to adhere to the dress code
with be marked absence for that class.
Check with Dress Code Regulations posted at the main desk and with Safety & Security Office,
The dress code for all WUSM students on St. Kitts campus, USMLE Centre in Carbondale, Illinois; clinical
ACGME Hospitals and research centres throughout the world is as follows:
1) All Students must wear and display-in a visible spot around your neck or clipped on your shirt-the issued
WUSM student ID.
2) Male students are required to wear clean, pressed dress pants, shirts with collar, polo shirts and dress
shoes. Ties are encouraged.
3) Female students are required to wear clean, pressed dress pants, dresses or knee-length skirts, shirts with
collar, polo shirts and dress shoes. Open toed heels and Capri pants of non-denim material are permitted.

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4) The following are NOT PERMITTED:

5)
6)

Leggings/Tights/Spandex
Shorts
Mini-skirts
Crew neck shirts/round neck shirts/ V-neck shirts
Shirts with slogans of any form of writing/print
Sleeveless blouses/ blouses with straps/backless blouses
Tops with deep necklines
Sheer see-through- clothing
Flip flops, rubber shoes
Sportswear (e.g.: jogging pants and tank tops)
Jeans or pants made of denim material, regardless of color
Tight jeans or pants

Students who violate the dress code will NOT be allowed on campus, and will be marked absent for
the day.
DISCIPLINARY ACTION
First Offense: Verbal Warning
Second Offense: Written reprimand which goes to file.
Third Offense: Suspension for 1

Student Conduct and Discipline


Windsor University School of Medicine expects all students to adhere to the highest standards of conduct and
ethics in every aspect of their medical education. Failure to do so will result in disciplinary action and may
result in probation, suspension or dismissal from the Academic Program.
Disciplinary action may be taken against any student who does not adhere to the policies and procedures laid
down in this handbook.
Students should be aware at all times of the need for professionalism, even at this stage of their medical
education. As such, students should act and dress in a way appropriate to a health care professional.
The following activities will be subject to disciplinary action (this list is not exhaustive):
Harassment or discrimination against fellow students on the grounds of gender, sexual harassment,
sexual orientation, race, nationality, religion or ethnic origin. Information on what constitutes
harassment or bullying is contained on Page 34 of this Handbook.
Victimisation of students.
Bullying of students.
Cheating in examination, either by communication with other students during the examination or by
the use of outside materials during the examination.
Plagiarism.
Theft or damage of School property or the property of another student.
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Use of any tobacco products in non-designated areas.


Persistent late arrival or early departure from classes.
Rudeness or inconsideration towards administration, faculty or fellow students.
Taking of illegal or proscribed drugs on School premises.
Drinking alcohol on School premises.
Persistent use of foul or inappropriate language.
Any deliberate action, which hinders the progress and education of another student or a group of
students.
Violations of expected affiliate hospital protocols
Causing commotion and. or damages to living area quarters
Unprofessional or inappropriate behaviour, which may jeopardise the standing of the School and any
relationships that the School may have with other educational establishments.
Disreputable behaviour in the academic community
Any violation of the Honor Code employed by the School.

Disciplinary Action
The School Disciplinary Committee deals with matters of student discipline. The Committee has the power to
subject students to the following disciplinary action:

Dismissal from the School.


Suspension from the School.
Probationary period of up to 12 Calendar Months
Find for the student that the allegations against the student were not valid or reliable .

The School Grievance Committee may also subject students to more informal disciplinary action, such as
making a written or verbal apology.
A hearing of the School Grievance Committee will be convened to discuss any case where a student is found to
have breached any of the policies or procedures contained in this Handbook. The student will be required to be
present at this meeting but may request to be accompanied by another person, provided this does not create a
conflict of interest.
Following the hearing, the School Disciplinary Committee will meet in camera to decide on any disciplinary
action to be taken. The student will then be informed in writing of the decision of the School Disciplinary
Committee. All decisions of the Disciplinary Committee are subject to the approval of the Board of Directors
of Windsor University School of Medicine.

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Protection from Discrimination or Harassment


Windsor University School of Medicine undertakes to protect students from being bullied, sexually molested,
discriminated against or harassed on the grounds of gender, sexual orientation, race, nationality, religion or
ethnic origin.
Harassment can be defined as a hostile act or expression or a series or combination of hostile acts or
expressions against a person relating to gender, sexual orientation, race, nationality, religion or ethnic origin.
This may include derogatory name-calling, jokes, verbal abuse, unwanted or abusive written communication,
e-mail harassment, physical attacks and ridicule. Harassment on the grounds of gender may also include
suggestive looks, compromising invitations, or aggressively foul language.
Students who feel that they have been the victim of discrimination or harassment on these grounds - whether by
administration, faculty or students should contact their Faculty Advisor, Associate Dean for Student Affairs
or their Student Government Association Representative, who will take the matter to the appropriate senior
member of staff. Students are advised to keep a written log of any actions that they feel were discriminatory or
constitute harassment and to provide details of any witnesses to these actions.
Students are advised that any allegation of harassment or discrimination will be dealt with sympathetically.
The School Disciplinary Committee will investigate allegations against students; the Staff Disciplinary
Committee will investigate allegations against administrative staff or faculty. Students who allege
discrimination or harassment may be required to attend an investigative hearing of either the School
Disciplinary Committee or the Staff Disciplinary Committee to provide details of the alleged harassment or
discrimination.
Students who are found to have harassed or discriminated against fellow students may be subject to immediate
dismissal from the School. Administrative staff or faculty members who are found to have harassed or
discriminated against a student will be disciplined in accordance with the procedures laid down in the Windsor
University School of Medicine Handbook for Employees.

Appeals against decisions by the Committees


All Windsor medical students are given every effort by the administration to insure that student are accorded
due process. All students have a right of appeal against being placed on Academic Probation, decisions of the
Academic Review Board or Students Promotions Committee, or any disciplinary action that may be taken
against them.
Students wishing to make an appeal should contact the Associate Dean for Academic Affairs in writing. The
Associate Dean must receive this letter no more than ten working days after the student has received notice of
the decision against which he or she wishes to appeal. Students are advised to provide as much information as
possible regarding their appeal. It is essential that the student be clear regarding her/his reasons for appealing
the decision.

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The Board or Committee in question will then reconvene to discuss the matter, taking into account the
information received in the appeal notice. If, following this procedure, the Board or Committee uphold their
previous decision, the appeal
Will, in the case of decisions made by the Students Promotions Committee, be passed to the Academic Review
Board. In the case of decisions made by the Academic Review Board of the School, the appeal will be passed
to Dean's office who may wish to have his decision affirmed or changed by President . for a final decision.
Windsor University School of Medicine reserves the right to change any of the policies contained herein
at any time without prior notification.

Patient Rights under HIPAA


In addition to information concerning the HIPAA Privacy, Confidentiality of Patient-Related Information,
students must read and be familiar with a type of publication entitled Affiliate Hospital Notice of Information
Practices brochure distributed to all patients at the time of their first clinical visit, students must also read and
be familiar with the privacy notices of all other clinical sites visited for clinical experience. HIPAA requires
that written notice be presented to patients to inform them, among other things, of their privacy rights and to
make them aware of how the Medical Center and its affiliates can use and disclose their protected health
information. It also includes a point of contact for answering questions or receiving complaints.
Patient rights afforded by HIPAA include:

Right to Access (inspect/copy) Designated Record Set.


Right to Amend Designated Record Set.
Right to Accounting of Disclosures of Protected Health Information.
Right to File a Complaint regarding alleged Privacy Violations.
Right to Request Restrictions on Uses and Disclosures of Protected Health Information.
Right to Confidential Communications.
Right to having a patient advocate on their behalf
Right to the Notice of Privacy Practices.
Right to Revoke Authorizations for the disclosure of Protected Health Information.

Religious/Ethical Matters
Requesting accommodation for religious holidays and activities Principle: The purpose of this policy is to
acknowledge respect for the religious diversity of WUSM students by providing opportunities, where possible,
for accommodation in cases where genuine conflicts exist between students religious beliefs/practices and
educational activities. Such accommodations must honour the primacy of our commitment to patient care and
not unduly burden faculty or disproportionately affect the general student population involved in the affected
educational activity.

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Applicability: This policy applies to any WUSM student who, because of religious beliefs or practice, believes
that s/he is unable to attend a class, participate in any examination, or in other ways fulfil an educational
requirement of any course, clerkship or other required activity.
Policy: Recognizing that the religious diversity of its students may result in conflicts between students
religious beliefs/practices and certain educational activities, Windsor University staff will attempt to make
accommodations that honour the primacy of its commitment to patient care and do not unduly burden faculty
or disproportionately affect the general student population involved in the affected educational activity.
Students who believe they have a need for religious accommodation during any course, clerkship or other
required educational activity shall notify the relevant instructor/preceptor as soon as possible after an
impending conflict becomes apparent preferably prior to or at the beginning of the course, clerkship or other
activity.
If it is established that there is a legitimate need for the affected student(s) where possible, shall be provided
reasonable accommodation, including the opportunity to make up the activity in conflict if this is indicated.
Requesting exemption from participating in certain educational and/or patient care activities for
religious/ethical reasons.
Purpose: To allow students under certain circumstances, to exercise their rights not to participate in certain
aspects of care or treatment of patients while still continuing their academic requirements.
Policy: Windsor Medical School believes that all patients, without regard to diagnosis, disability, race, color,
religion, creed, gender or gender orientation are entitled to comprehensive and individualized quality care.
The Medical School recognizes the right of students in special or unusual circumstances to decline to
participate in certain aspects of patient care which are in conflict with their ethical or religious beliefs only if
the following conditions are met:
a) The student notifies his/her course/clerkship director and the Associate Dean for Clinical Clerkships (or the
Associate Dean for Student Affairs) of the request not to participate in an aspect of the curriculumwith a
stated reason
b) The written notification is dated and includes the aspect of the curriculum the student is requesting not to
participate in and the reason for the request.
c) The notice is signed by the student as well as the course/clerkship director.
d) The course/clerkship director reviews the notice and discusses any potential problems with the student, the
Associate Dean for Clinical rotations ( or the Associate Dean for Student Affairs) and the appropriate Affiliated
Hospital Medical Education Evaluation Board if necessary and places the request in the students file where it
will be maintained.

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A student may not refuse to participate in the care or treatment of a patient based solely on the patients
diagnosis (e.g. HIV/AIDS or other sexually transmitted diseases, tuberculosis or other contagious diseases) or
behaviour. Such a refusal may result in a disciplinary action up to and including termination. a) An exception
will be made when a student has been directed in writing by a personal physician to avoid patients with certain
diagnoses because of danger to an existing health condition of a student. b) The student will provide the written
directive to his/her course/clerkship director and the Associate Dean for Student Affairs. c) The
course/clerkship director will review the physicians directive and discuss any potential problems with the
Associate Dean for Student Affairs. The Associate Dean for Student Affairs will place the notice in the
students file where it will be maintained. d) A student will not be subject to any adverse action or evaluation
for exercising his/her rights under this policy. However, the students ongoing performance evaluation process
may consider whether the request to participate can be appropriately justified based on ethical or religious
beliefs.
In accordance with Windsors Curriculum Committee, no medical student shall be required to participate in an
elective abortion or sterilization procedure if their objection is on moral or religious grounds and they state this
objection in writing to the Associate Dean for Clinical Clerkships. This exclusion from participation does not
excuse the student from responsibility for understanding basic science, methods, rationale or counselling
related.

Snow, Hurricanes, and Other Weather Emergencies


Notification:
If classes are cancelled during the day, announcements will be made over by e-mail as well as by media public
service announcements.
1. Non-clinical settings:
In the event of delayed fifth semester class opening, the schedule for the day will be posted and/or announced
at the beginning of first class. In the event of a full-day closure, course coordinators will agree on adjustments
for such an exigency with alternate schedules.
Medical students should be aware that makeup classes for the fifth semester may be scheduled during
Independent study afternoons.
2. Clinical settings:
Students in Clinical rotations at affiliated sites and teaching hospitals, MUST FOLLOW THE WEATHER
POLICIES OF THEIR CLINICAL SITES.
If the outpatient or inpatient service at an affiliated hospital is open, students are expected to come in. The sole
exception is that if the whole hospital is closed because the Governor of that state has declared a state of
emergency and has asked all nonessential personnel to stay off the roads. In this case, sixth-tenth semesteryear students doing a clerkship know if this happens and would at a later more favourable time make every
effort to rejoin your affiliated clerkship-team as soon as possible.
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Student Duty Hours Policy
As working significant numbers of hours continuously has been shown to contribute to reduction in
performance and increased incidence of significant errors in work, the clinical faculty-preceptors of the
Affiliate Hospitals with WUSM require the following:
In order to allow medical students to perform maximallyto effectively assist in the clinical care of patients
and to learn from their patients, medical students will be expected to work no more than residents do, per
ACGME work hours restrictions. In general, this means that:
1. Students doing clinical will not be on duty more than 50 hours per week;
2. Students will be provided with 1 day free of all clinical and educational responsibilities in a 7 day
period, averaged over a 4 week period;
3. Call may not exceed once every third night;
4. Continuous on site duty should not exceed 24 consecutive hours. Students may be required to attend
educational activities or assisting to coordinate care for patients for an additional 6 hours.
5. On the day prior to other WUSM all day educational event, students who are on call will leave the
hospital by 6 PM the night prior.
Faculty, residents and students are expected to follow these requirements:
1) It is recognized that the primary role of medical students is to learn by providing care with assistance and
supervision. Medical students should be supervised closely by residents and faculty, and attention should be
given to ensuring that the vast majority of students time is spent in activities that will advance their education
and not only provide service to faculty, residents, and patient care.
2) Students in the clinical semester-years must follow the holiday schedule at their affiliated medical health
centre clinical sites. Overnight call is to be expected. WUSM clinical clerk students are expected to follow the
call schedules assigned to them at their clinical site.

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EXHIBIT A: Administrative Resources and Services for Students
DEAN OF ACADEMIC AFFAIRS OFFICE
To advance the educational mission of the School of Medicine, by providing the following services and
resources;

Institutional reporting and quality tracking for educational programs.


Institutional accreditation
Oversees Curriculum Committee
Evaluation, assessment and research in medical education.
Initiating a Standardized Patient Program
Workshop programs on possible technology and simulation based programs
Educational development through Affiliation Grants and Special Project.
Promoting curriculum innovation and enhancement in the teaching of a variety of subject as used for
Faculty Development Workshops

(Note: In the past decade, topics enhanced through these initiatives have included: health communication,
complementary and alternative medicine, sexuality and sexual health, geriatric care; managed care;
professionalism; prescription drug abuse; community outreach to underserved populations; and medical
education research.)
Disabilities Act
In compliance with the with Disabilities Act , the following activity is initiated: Once admitted, the student is
responsible for notifying the Student affairs office coordinator of their disability, requesting academic
accommodations and providing appropriate documentation of the disability. Student may request
accommodations at any time during matriculations.
Ethics
Under the direction of the associate dean, an environment exists in which students are encouraged to consider
the ethical issues implicit in caring for patients. The Division is committed to providing high quality ethical
consultation for on campus class course offering. medical students, Associate dean for Clinical clerkships,
patients and medical staff, as well as clinically relevant educational programming for both the Clinical System
and the Medical School. The Office also maintains an extensive library of journals, articles and videos with an
emphasis on ethical decision-making.

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Student Affairs Office


The major goal of the Office of Student Affairs is to provide advocacy for and support to medical students in
pursuing their major role, which is to learn both the science and the art of medicine. Medicine is one of the
most interesting, frustrating, responsible, and complex professions to enter. Our goal is to help medical
students to develop into empathic, compassionate, knowledgeable physicians who have a life-long enthusiasm
for their profession and who reflect the goals and ideals set forth in the Mission Statement for the school.
The Office of Student Affairs strives to be a supportive and responsive place where students can find help in
coping with the academic and personal demands of medical school. The Associate Dean for Student Affairs
shares these roles with the Associate Dean for Clinical Clerkships and with the Associate Dean for Academic
Affairs. The office seeks to be sensitive to the needs of all majority and minority students, including less
traditional medical students such as married students, students challenged by learning, physical, emotional or
economic issues, students who have had prior careers or advanced degrees, gay and lesbian students, PhD/MD
students, and students who are also parents.
The Office of Student Affairs also provides support for a variety of student activities, such as assignment of
semester 6-10 clinical clerkships, administration of the NRMP (National Residency Matching Program),
Electronic Residency Application Service (ERAS), VSAS (Visiting Student Application Service),
MSPE/Deans Letters, orientations to inform and prepare you for all four years of medical education,
commencement, and graduation activities. Student Affairs also coordinates the Basic Science and Clinical
Science Promotion Committees,, administrative support for all student-run group and organizations as well as
the Student Council Committee (student governance group).
1.

Advisors/Career Development
Each WUMS student is assigned to a faculty advisor who provides mentorship on many issues
ranging from academic achievement, career guidance, professionalism, lifestyle, personal issues, etc.
Students are assigned to their faculty advisors in the middle of their first year, based on input by the
students regarding their preferences, if any. This assignment will typically remain in place until
graduation. Students and/or faculty members do have the option to change assignments through the
Assistant Dean of Advising.

It is recommended that there be at least two to three meetings per year between the student and his/her faculty
advisor. Copies of students evaluations, grade reports, and administrative letters are sent to the students
faculty advisor. The responsibility of the faculty advisor includes general support, periodic review of the
students academic performance, assistance/advice in developing the students education plan (i.e., scheduling
the third-year clerkship blocks and selecting fourth-year electives). The students advisor will also offer
guidance in career choice and residency selection, including the provision of letters of recommendation.
In addition to their faculty advisor, students are encouraged to consult with specialty mentors as they
approach the residency application process. Any faculty member in the students chosen field may serve as a
specialty mentor. A book of faculty who have volunteered to serve in this role is distributed to third-year
students.

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2. diversity and minority affairs.
3. financial loan matters
The Office is also responsible for various aspects of academic, professional and social life of underrepresented
minority medical students. The support includes advice and assistance with academic, social and personal
issues as well as career counselling.
The office assists in supporting gay, lesbian, bisexual and transgendered students, and Asian students. The
Assistant Dean provides advocacy for the minority students at the Basic and Clinical Science Evaluation
boards. The Office plans networking events with minority faculty, residents and students which are designed to
build professional and mentoring relations. Assistant Dean with the help of other minority faculty organizes
annual social events. .

EXHIBIT B: Health Care Policies and Knowledge concerning On Campus Coverage and Blood Borne
Pathogen Procedures:
Nagico Student Insurance

Basic Medical Insurance plan. This does not include dental, vision, or disability insurance. These are upgrades
and are an elective add-on for a higher premium. Students will be able to choose these coverage add-ons in the
future. The only exception to dental and vision coverage is due to something "medically necessary" with the
eyes or mouth, such as injury, trauma, etc

For more information as to health coverage, please check with Associate Dean of student affairs:

The insurance is purely reimbursement. There is never a co-pay. Everything must be paid up front and then
patient can submit claim form with attached receipts. Because it is set up as reimbursement, patients may see
any doctors (both in and out of network).

Coverage for medications/diagnostic tests/lab work: there is no tiered coverage. If the


medication/diagnostic test/lab cost is what is usual for the rest of the market it will be covered at
100% up to $3,000 EC. After the $3,000 EC is met then NAGICO pays for 80% and patient pays for
20%.

PCP and OB/GYN visits are covered yearly up to $300 EC. Once that amount is met NAGICO pays
for 80% and patient pays for 20% Specialists are covered upon a consultation basis. Chiropractor
visits are now covered but restricted to $50 EC/visit and capping annually at $600 EC.

Medical Air Transportation: Patients are covered up to $10,000 EC. This is reasonable, not great.
Per the NAGICO agent this amount should be able to get a student to Puerto Rico.

If patient is off island, and there is an emergency, the patient will still receive some coverage. It is
advised for patient to contact NAGICO as soon as possible. Coverage will be compared to coverage
provided in St. Kitts. This is still on the reimbursement policy so all bills must be paid up front.

Exclusions: dermatology treatment (unless medically necessary), allergy testing, cosmetic surgery,
learning disabilities, sleep disorders, expenses for preventative medicines/vaccines where no injury or
sickness is involved, injuries due to misuse of drugs/alcohol, smoking cessation.

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To receive maximum coverage, patient must begin receiving services, supplies, or treatment within 30
days from time of accident in order for it to be considered a covered injury. Claim should be filed
within 30 days of first treatment or sick visit. Claims should be submitted to clinic where a NAGICO
representative will collect.

Patients will now receive annual coverage starting in September. NAGICO will be notified of the
student enrollment changes per semester.

Borne Pathogen Exposures: (HIV/Hepatitis B/C & Needle stick)


Procedure following Blood/Body Fluid Exposure:
Students who experience a critical exposure such as blood, visibly bloody fluids, or other body fluids e.g.
cerebrospinal, synovial, peritoneal, pleural, amniotic, semen, vaginal secretions from a needle stick/ cut or
splash to eyes, mouth, nose, or open cut:
1. Gently bleed, wash, flush affected area with soap and water.
2. Page the Infection Control Director:
3. Notify your supervisor/supervising resident (if there is one) and Associate Dean/ Clerkship Director.
4. Obtain initial evaluation. -DONT DELAY - It is important to be evaluated within 2 hours of exposure. You
may need immediate treatment.
GO to the appropriate place for evaluation and treatment:
If after hours, go to the Emergency Department
DO NOT go to Student Health for any immediate attention for a needle stick/body fluid exposure.
At all other sites (rotation/clinical), students should follow the protocol at that site for initial treatment and
follow-up will be provided through affiliate hospital or other referred medical facility..
5. Fill out incident report (available in each department) and keep a copy for legal and financial reason send a
copy to the Deans Office. Continue treatment at affiliate hospital.

6. All medical students with exposures will go to assigned Health Centre for Follow-up after initial visit in the
ER or with Employee Health.
Employee Health Services will work and advise WUSM Associate Clinical Clerk Dean regarding any
necessary follow-up treatment and counselling for that medical student.

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Students Infected with a Blood Borne Pathogen
Windsor University is committed to a policy of non-discrimination and protecting the legal rights and privacy
of students infected with blood-borne pathogens while also protecting the health of the public. A student who is
infected may attend the University; however, certain restrictions may be imposed on the scope of the infected
students training. Actual recommendations and advice to the student will depend on current findings and
standards of practice.
All matriculated WUSM students will have their Hepatitis B immunity status confirmed as part of the Schools
affiliation- immunization policy. Although testing for hepatitis C and human immunodeficiency virus is not
required for attendance at WUSM, it is the professional responsibility of any student who has risk factors for
these diseases to make arrangements for serologic testing.
Students who are aware that they are infected with a blood-borne pathogen [including but not limited to
Hepatitis B virus (HBV), Hepatitis C virus (HCV), and Human Immunodeficiency virus (HIV)], if not
currently under the care of a personal physician, are strongly urged to contact the Hospital Affiliated Student
Health Service so that appropriate medical treatment may be instituted or continued.
Students infected with a blood-borne pathogen must avoid circumstances in which they could potentially
transmit their infection to others. They are required, therefore, to disclose their infection status to the Associate
dean for Clinical Clerkships and the Associate Dean for Student Advising in order to arrange any necessary
adjustments to practice. Such notification is considered a professional responsibility of the student, and failure
to disclose blood-borne pathogen infection status will be grounds for disciplinary action, up to and including
dismissal from the medical school.
The University reserves the right to restrict students who may transmit blood-borne pathogens from situations
that place others at risk. Reasonable adjustments will be made for any student who has tested positive for a
blood-borne pathogen to be able to continue medical education. Restrictions and adjustments will be
determined on a case by case basis by the Dean.. In addition, the Associate Dean for Student Affairs along with
the Associate Dean for Clinical Clerkships will provide career guidance and elective rotation oversight to all
students who have a blood-borne pathogen infection. Every reasonable effort shall be made to maintain
confidentiality regarding the blood-borne pathogen status of students. Nevertheless, before an infected student
begins a clerkship; directors and supervisors of that clerkship may be informed on a need-to-know-basis of
limitations imposed on the students activities.
Students infected with blood-borne pathogens should be aware that, based on current medical knowledge and
practice, they may be restricted from future residency training and specialty practices which require the
performance risk-prone procedures.

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Tuberculin Skin Testing Policy
All students are required to have a yearly tuberculin skin test (TST) previously called a PPD test. A 2-Step
screening is required for all new students entering the medical school, graduate school of nursing, or GSBS. A
2-Step TST is done to reduce the likelihood that a boosted effect will be misinterpreted as a recent infection
or new conversion. The booster effect is a delayed-type of hypersensitivity reaction. A positive reaction to
the second test probably is a boosted reaction (indicating past infection with tuberculosis - or very rarely an
infection with another related bacteria or a reaction to BCG vaccination). The 2-step policy is designed to
reduce the potential of overestimation of new infections. Therefore 2-Step testing is used for initial skin testing
of adults who will be periodically retested, such as health care workers. A 2-Step test is defined as 2 TSTs
done within 3 months of each other. Ideally the optimal time for new students would be within 1-4 weeks of
each other.
If you have had a 2-Step test in the past, then all you will need is yearly TST. If you have had a test greater
than 12 months, even if that was negative, than a 2-Step is required. If you have had a positive TST in the past
than no TST is required (contact SHS for details).
For all students who have had a clinical rotation in a healthcare setting in a high endemic area for tuberculosis
(contact SHS for a list of these countries) a TST between 8 and 12 weeks after return to the US is required. All
students who have had a known exposure to an individual with active tuberculosis within the preceding 6
months would require a TST performed between 8 and 10 weeks after the exposure.
Note that the BCG vaccination given to individuals in countries with a high endemic rate of tuberculosis boosts
the immunity of children to tuberculosis, but does not prevent infection with the organism. In countries where
tuberculosis is rare, individuals who receive a BCG vaccination usually stop having a positive TST reaction
after 5-10 years (even when tested with a 2-step TST). Consequently, an individual who received BCG in
childhood who has a positive TST as an adult very likely has latent tuberculosis infection, and should consider
receiving preventive therapy for this condition.
A student infected with HBV, HCV, or HIV may continue in the MD program as long as he or she is able to
carry out the physical and intellectual activities of all students as outlined in the WUSM Technical Standards.
Disability Insurance
The Medical School ensures that medical students are covered by disability insurance. This insurance is
required and is paid for by student fees. Benefits begin after 90 consecutive days of disability and include
coverage for blood-borne pathogens. Upon completion of medical school the coverage is portable to a
residency and then to medical practice at the option of the graduate. Details of the policy are available in the
Office of Student Affairs.
Read the brochure carefully to fully understand the benefits provided by the NAGICO Student Health
Insurance Plan.
If you have any questions visit the Associate Dean for Student Affairs.

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Student Counselling Service
THE STUDENT COUNSELLING SERVICE (SCS) provides counselling, psychotherapy, assistance with
stress management, and educational programs on emotional well being for graduate, medical, and nursing
students. People come to the Student Counselling Service seeking personal growth and greater selfunderstanding, as well as healthier psychological functioning. Many students using the service are people who
want to cope more effectively with difficult or stressful academic situations, while others seek counselling to
deal with broader life issues. Some medical students come because of more serious, troublesome, and/or
chronic difficulties in their lives. Students are seen individually or in couples therapy with their partners.
Arrangements are coordinated through the Associate Dean for Student Affairs.
While short-term counselling is most common, it is possible, when time permits, for students to be seen for an
extended period. The costs of these services are covered by the prepaid Student Health Plan fee; there is no
additional charge to students using the Student Counselling Service. Students are generally seen Monday
through Thursday
The Student Counselling Service maintains strict standards of privacy and confidentiality. Counselling records
are kept separately from students general medical records. No information about a students contact with the
service or information obtained in counselling is released to anyone outside the counselling service staff,
including school or hospital administration, faculty, family, or other students, without the knowledge and
written consent of the student, unless required by law or in the rare instance of an emergency situation
involving someones safety.
MENTAL HEALTH EMERGENCIES
If a mental health emergency arises, please go to the nearest Emergency Room at a hospital affiliated with the
WUSM.

EXHIBIT C : Windsors Concepts of the Honour Code and on Professionalism


Windsor University students are embarking on a career in a profession which requires of its members high
standards of ethical conduct and honesty. It is expected that each student will respect the academic
environment of the medical community, and make a personal commitment to abide by our honour code
exemplifying a standard of behaviour which will form a firm basis for future professional conduct. This
commitment implies avoidance of any form of dishonesty or misrepresentation as well as the demonstration of
respect for the rights and well-being of others including students, faculty, staff, patients as well as their families
and friends, student research, and members of the community. It also implies a responsibility to take positive
action to insure that failure of others to comply with these standards is not permitted.
Positive action may include speaking directly with the student or other person suspected of not complying with
these standards and/ or making an allegation of misconduct to the Associate Dean for Student Affairs
/Associate Dean for Academic Affairs/Associate Dean for the Clinical Clerkship or another faculty member
who may assist in bringing the allegation forward. Such allegations must be made in person and may not be
anonymous.

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The Associate Dean for Student Affairs may discuss options and procedures for responding to allegations of
misconduct with the reporting faculty person. All information concerning allegations of misconduct are
privileged and confidential and will not be discussed outside of the appropriate process.
Allegations of misconduct will also be discussed in person with the accused student by the Associate Dean for
Student Affairs. If the allegation originates with a faculty member, the faculty member is expected to have
discussed the matter directly with the accused student before making a decision to bring it forward.
The Faculty and Student Body of Windsor University School of Medicine will always take care of problems by
allowing any and all the right of due process. There are guidelines for professional procedures and there are
guidelines for professional conduct. These areas are derived from the
Works and beliefs of many academic institutions of merit.
Displaying honesty and integrity

Consistently displays ethical behaviour.


Does not misrepresent or falsify information and/or actions e.g. does not cheat.
Takes credit only for own work/contributions and impartially gives credit to others for their work.

Maintaining a professional demeanour

Treats peers, faculty, staff, and patients with respect in individual settings; e.g. not arrogant or
insolent.
Treats peers, faculty, staff and patients with respect in lecture and conference settings; e.g. turning
cell phone and pager to vibrate, refraining from disturbing others via text messaging, talking,
activities not related to class, etc.
Maintains professional demeanour even when stressed; e.g. not verbally hostile, abusive, dismissive
or inappropriately angry with peers, faculty, staff or patients.
Never expresses anger physically.
A rape victim has protection under Title IX of the Civil Rights Act
Abides by professionally accepted boundaries for interpersonal relationships; e.g. never uses his or
her position for personal gain or to engage in romantic or sexual relationships with patients or
members of their families.
Conforms to policies governing behaviour; e.g. confidentiality, sexual harassment, consensual
amorous relationships, hazing, use of alcohol, and any other existing policy of the medical school or
clinical system.
Appearance, dress, professional behaviour follow generally accepted professional norms.

Showing respect for patients dignity and rights

Makes appropriate attempts to establish rapport with patients or families.


Shows sensitivity to the patients or families feelings, needs, wishes, and diversity.
Demonstrates appropriate empathy.
Shows respect for patient autonomy.
Maintains confidentiality of patient information.

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Accurate self-reflection

Correctly estimates own abilities or knowledge.


Recognizes own limits; appropriately seeks help, eg from peers, faculty, tutoring services.

Responding to supervision

Accepts and incorporates reasonable feedback in a non-resistant and non-defensive manner.


Accepts responsibility for own errors.
Demonstrating dependability and appropriate initiative.
Completes tasks in a timely fashion without needing reminders; e.g. papers, reports, examinations,
appointments, patient notes, patient care tasks.
Assists and facilitates learning among peers.
Appropriately available for professional responsibilities; e.g. attends required classes and activities, is
available when on clinical service, responds to e-mail and pager.
Takes on appropriate responsibilities willingly; e.g. not resistant or defensive.
Takes on appropriate patient care activities; e.g. does not turf patients or responsibilities.

Interacting with other members of the team

Shows sensitivity to the needs, feelings, wishes of team members; e.g. lab, small groups, projects,
other members of the health care team.
Relates and cooperates well with members of the team.
Communicates with other members of the team in a timely manner.

Displaying honesty and integrity

Consistently displays ethical behaviour.


Does not misrepresent or falsify information and/or actions e.g. does not cheat.
Takes credit only for own work/contributions and impartially gives credit to others for their work.

Maintaining a professional demeanour

Treats peers, faculty, staff, and patients with respect in individual settings; e.g. not arrogant or
insolent.
Treats peers, faculty, staff and patients with respect in lecture and conference settings; e.g. turning
cell phone and pager to vibrate, refraining from disturbing others via text messaging, talking,
activities not related to class, etc.
Maintains professional demeanour even when stressed; e.g. not verbally hostile, abusive, dismissive
or inappropriately angry with peers, faculty, staff or patients.
Never expresses anger physically.
Abides by professionally accepted boundaries for interpersonal relationships; e.g. never uses his or
her position for personal gain or to engage in romantic or sexual relationships with patients or
members of their families.

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Conforms to policies governing behaviour;; e.g. confidentiality, sexual harassment, consensual


amorous relationships, hazing, use of alcohol, and any other existing policy of the medical school or
clinical system.
Appearance, dress, professional behaviour follow generally accepted professional
essional norms.

Showing respect for patients dignity and rights

Makes appropriate attempts to establish rapport with patients or families.


Shows sensitivity to the patients or families feelings, needs, wishes, and diversity.
Demonstrates appropriate empathy.
Shows respect for patient autonomy.
Maintains confidentiality of patient information.

Accurate self-reflection

Correctly estimates own abilities or knowledge.


Recognizes own limits; appropriately seeks help, e.g. from peers, faculty, tutoring services.

Responding to supervision

Accepts and incorporates reasonable feedback in a non


non-resistant and non-defensive
defensive manner.
Accepts responsibility for own errors.
Demonstrating dependability and appropriate initiative.
Completes tasks in a timely fashion without needing reminders; e.g. papers, reports, examinations,
appointments, patient notes, patient care tasks.
Assists and facilitates learning among peers.
Appropriately available for professional responsibilities; e.g. attends required classes and activities, is
available when on clinical service, responds to ee-mail and pager.
Takes on appropriate responsibilities willingly; e.g. not resistant or defensive.
Takes on appropriate patient care activities; e.g. does not turf patients or respons
responsibilities.
ibilities.

Interacting with other members of the team

Shows sensitivity to the needs, feelings, wishes of team members; e.g. lab, small groups, projects,
other members of the health care team.
Relates and cooperates well with members of the team.
Communicates with other members of the team in a timely manner.

Good Luck! Work Hard!


And lastly make a path that others can follow. You want people in your class and school to do well. It
will make it easier for you when residency comes around.
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