Phase 2-3 Participation Expectations
Expectations for Participation in Phase 2 and Phase 3 Clinical Experiences Heading link
Approved by College Committee on Instruction and Appraisal (CCIA) on April 7, 2021
Duty hours considerations
Students on clinical rotations are considered active working members of the patient care team, and one goal of the clinical rotations is to prepare students for their postgraduate role as residents, providing direct patient care under the supervision of faculty attending physicians. As such, the College of Medicine policies for students’ participation in and absences from clinical educational experiences parallels those policies in effect for residents, under the aegis of the Accreditation Council on Graduate Medical Education:
- The maximum number of required hours at clinical sites (hospital, clinic, nursing home, etc.) should not exceed 80 hours per week, on average over a month’s time.
- Students should not work longer than 16 continuous hours.
- Students should have an average of at least 24 continuous hours each week free of clinical responsibilities (including lectures, seminars, clinic, and rounds). Students must have eight hours free of duty between scheduled duty periods.
- In addition, students will be provided a full day for study prior to the administration of the clerkship final examination.
The above limitations do not include independent study time apart from clinical duties or optional activities in which the student voluntarily participates.
Expectations for weekend duties and attendance on university holidays will be at the discretion of the clerkship director.
Scheduled and unscheduled absences
With prior approval, students may have up to four days of excused absence within an eight‐ week clerkship before being subject to any need to make up the missed time; likewise three days for a six‐week clerkship, two days for a four‐week clerkship and one day for a two‐week clinical experience. Beyond this threshold, the need for a student to make up missed time will be at the discretion of the clerkship director, and dependent upon the student’s access to opportunities to fulfill all clerkship learning objectives within the time remaining.
During Phase 2/3 non‐clinical courses, either in‐person or online, students may seek excused absence from up to 10% of total classroom time. Beyond this 10% threshold, any need to make up missed experiences will be at the discretion of the course director. In any case, all structured course assignments must still be completed and submitted in order to obtain course credit.
These absence thresholds are expanded for students, on elective clerkships and courses only, between October and January of their M4 year, who may accrue up to one day of excused absence per week of total clerkship time, or up to 20% of scheduled class time, to help accommodate residency interviewing.
This policy is also intended to accommodate students’ needs for regularly scheduled appointments that require absence at a defined time each week. An appointment schedule that results a full half‐day absence each week will accrue absence time according to the above limitation.
College of Medicine‐required student meetings and educational activities are excused absences that do not count when calculating the amount of time a student is allowed to miss within a clerkship.
Outside of illness or unexpected urgency/emergency, other absences require advance notice, without which an absence would be considered unexcused. Unexcused absences may have an impact on the student’s grade and ability to progress through the curriculum. These procedures
will be detailed at the point of orientation to Phase 2 and are available on each campus web page.
Examples of absence requests that are typically approved:
- Illness of student, significant other or immediate family member
- Health care appointment for student
- Funeral of family member
- Religious holidays
- Presentation at a medical conference
- Own wedding
- Jury duty or court date (provide notice immediately upon receipt of summons)
- Residency interviews
- USMLE Examinations
Examples of absence requests that may be approved at the discretion of the Clerkship/Elective Director:
- Illness of extended family member or friend
- Funeral of a friend
- Wedding of a family member or participation in a wedding of a non‐family member
- Teaching Electives
- Attendance at a medical conference (not presenting)
COVID Absence Procedure for Phases 2 and 3 Heading link
As above, students are permitted one excused absence day for every two weeks of rotation length, except during interview season when one day of absence is allowed per week. Policies related to how long an individual must be isolated may vary between clinical sites, and a student should always abide by the COVID isolation policies of their current clinical site
- Work that a student completes asynchronously or remotely can offset time missed up to a maximum of 10 days, but no longer than the required isolation period of their clinical site.
- After a student is cleared to return to clinical work, asynchronous work is no longer allowed.
- Asynchronous work is only allowed for students with a positive COVID test, not for other types of absences. Documentation of the COVID test results may be required.
- Asynchronous work is only allowed for COVID-related absences, not other types of absences.
- Absences that exceed the allowed number of excused absences must be made up.
- If a clerkship has a minimum number of in-person days as part of its syllabus, and COVID absences do not allow for the student to meet those minimum days in-person, the student may be required to make up days in person.
- Students on their required subinternship may not complete work asynchronously or remotely. Missed clinical work (exceeding allowed excused absences) must be made up in person.