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Miscellaneous Policies

Official Communication

Official School information is communicated through the use of electronic computer messaging sent to each student’s assigned WSUSOM email address (studentname@med.wayne.edu). Students are responsible for checking and reading their emails on a regular basis. Failure to read an official email communication is not a basis for not complying with or being up to date with medical school policies and procedures.

For communication from Wayne State University on emergencies or weather closures students can register for automatic alerts. If you wish to receive emergency alerts from Wayne State via text to your cell, register your cell phone number and select your Broadcast Messaging preferences. Click on the link below for further instructions.
http://www.med.wayne.edu/elab/ElabWeb_09/accessidinfonewstdnts.pdf

Appropriate Use of Electronic Communication

Listserves for each of the four program years have been created to facilitate official communication between the School administration and faculty and medical students. Guidelines for use of the listserves shall be limited to information relevant to the educational mission of the School. Professionalism is expected. Appropriate communication includes examination logistics, schedule changes, meeting and event information, and questions and answers related to coursework. Inappropriate communication includes personal communication, product endorsements, and messages that insult, malign, or are disrespectful to individuals.

Within the WSUSOM email directory, groups have been created for each class (e.g., Class of 2015). These email groups are to be used for student-to-student communication. The appropriate use of the email groups is expected.

Student Evaluation of the Curriculum

Evaluation of the curriculum by students is a Wayne State University School of Medicine (WSUSOM) requirement, and is considered both a privilege and a responsibility. Wayne State University requires that students evaluate all faculty using a standard question form. All students are required to evaluate each course. School of Medicine course directors, instructors, and administrators are provided summary data, which is devoid of any identifying information. All course and faculty evaluations are conducted in the E*Value curriculum management system. Students will be provided a schedule of their required evaluations at the start of the academic year. Additionally, students will be notified via email each time an evaluation requiring their action is posted to the E*Value website. If an email is not received for a scheduled evaluation, it is the responsibility of the student to log into E*Value and check for pending evaluations.

Once an evaluation has been posted, students have two weeks (14 calendar days) to complete the evaluation. Failure to complete the evaluation will result in an incomplete in the course and the possibility of a referral to the Professionalism Committee, which may be part of a student’s MSPE letter. Students not completing the evaluation within the two-week period will be re-assigned the evaluation and have an additional two weeks (a total of 28 calendar days) to complete the evaluation. Once the evaluation is completed, students will be given a grade in the course assuming that all other requirements (e.g., exams, assignments) have been met; Students who repeatedly (2 or more times) fail to complete evaluations within the two weeks will be referred to the Professionalism Committee.

Students not completing an evaluation after 4 weeks (28 calendar days) will NOT be reissued the evaluation. They will receive a grade in the course and will be referred to the Professionalism Committee, which may be part of a student’s MSPE letter. Since evaluations are course requirements, failure to complete them is considered unprofessional behavior.

Course Waivers

Course waivers for prior coursework may be granted at the discretion of the Department responsible for the course. Generally, course waivers are restricted to the basic science courses. A student must apply in writing to the Associate Dean for Undergraduate Medical Education, requesting that a particular course be waived. The request should include appropriate documentation (e.g., transcripts, course syllabi, etc.). Once received, the request will be forwarded to the appropriate department. The Department determines the method by which a student is granted a waiver, whether due to the completion of a certain level of training (e.g., having a doctorate in Anatomy), or due to passage of a comprehensive examination. Students who are granted course waivers are ineligible for either tuition reduction or reimbursement.

Pre-clerkship Academic Workload Policy

The faculty of a medical school must ensure that the medical curriculum includes self-directed learning experiences and time for independent study to allow medical students to develop the skills of lifelong learning. Self-directed learning involves medical students’ self-assessment of learning needs; independent identification, analysis, and synthesis of relevant information; and appraisal of the credibility of information sources. Medical students must have unscheduled time available in their week to engage in self-directed learning and independent study. Additionally, the School of Medicine is an advocate of health and wellness and is committed to reducing the excessive demands that may impact a student’s health.

In order to succeed in providing more self-directed learning and a reduction in excessive demands, the medical school has limited the number of contact hours during the pre-clerkship phase of medical school. Specifically, during the pre-clerkship phase, the maximum amount of scheduled required activities during any given week cannot exceed an average of 24 hours. This includes lecture, small group, lab and other required learning activities.

Duty Hours and Working Environment

The following was adapted from the ACGME Duty Hours and Working Environment recommendations and apply to WSUSOM medical students doing clinical training at all of our clinical sites.

Duty Hours

  1. Duty hours are defined as all educational activities in clerkships and electives during the third and fourth years of the medical school curriculum, including inpatient and outpatient care, administrative activities related to patient care (charting, discharge planning, transfer planning, etc.), and scheduled educational activities such as conferences, rounds, etc. Duty hours do not include reading and preparation time spent away from the duty site.
  2. Both students and their supervising attending faculty and residents are reminded that medical students are here in an educational capacity. They are not on the floors, clinics, etc. to provide indispensable patient care. Consequently, there may be times when the educational requirements of the program dictate that patient care time be curtailed; in order to allow students to attend scheduled conferences, lectures and other required educational activities. An example of this would be to provide students the opportunity to sleep at night to allow them to attend scheduled required lectures the next day. It is also emphasized that the 16-hour continuous duty rule allows for up to 20 continuous hours of duty as long as 16 are limited to patient care, with the other 4 hours only for educational activities. There must be 10 hours between shifts.
  3. Duty hours must be limited to 80 hours per week, averaged over a four week (one month) clerkship or elective. These 80 hours include in-house call activities.
    1. For example, a student may work 90 hours in one week, 60 hours in the next week, and two 75-hour work weeks during a 4 week (one month) clerkship. The average of 75 hours per week satisfies the above rule.
    2. Two 90-hour work weeks and two 70 hour work weeks also satisfy the above rule.
  4. Students must be provided with 1 day off in 7, free from all educational and clinical responsibilities, averaged over a four week (one month) clerkship or elective, inclusive of call.
    1. For the purposes of this Policy, four week periods of a clerkship are treated the same as a one month elective.
    2. For two month clerkships, the rules stated herein apply to each of the four-week (one month) portions of the clerkship.
    3. One day is defined as one continuous 24-hour period free from all clinical, educational and administrative activities.
    4. For example, a student is required to work from Monday through the following Friday 12 days and then gets the entire following weekend is off. The two days off that weekend satisfies the requirement that the student has one day off in 7.
  5. Adequate time for rest and personal activities must be provided. This should consist of a 10-hour time period provided between all daily duty periods and after in-house call.

On-Call Activities

The objective of on-call activities is to provide medical students with continuity of care experiences and additional patient care experience that would not be available during a regular work day. On-Call activities that do not meaningfully provide for this objective should be critically evaluated and terminated from the medical school schedule. In 2014, the American Board of Surgery started the Flexibility In duty hour Requirements for Surgical Training (FIRST) Trial, which is co-sponsored by the ACGME, resulting in a change in “On-Call” Duty Hour recommendations for WSUSOM medical students on Surgery clinical rotations. In 2015, the Henry Ford Health System Department of Internal Medicine began participating in a similar national trial for internal medicine residents, resulting in more overnight call opportunities for WSUSOM medical students rotating in that department.

  1. In-house call is defined as those duty hours beyond the normal work day when students are required to be immediately available in their assigned institution.
  2. In-house call must not occur more often than once every 7 days.
  3. Continuous in-house call does not have a limit of number of hours per on-call event. Rather, the policy of a maximum of 80 hours/week averaged over 4 weeks and one day off every 7 days averaged over 4 weeks must be followed.

Reporting of Duty Hours Violations

Responsibility for reporting of Duty Hours Violation lies with the student. Students should report a violation of duty hours by logging into E*value and going to the “On-the-fly” tab. The duty hour violation form is located there. The form should be filled out when the duty hour violation occurs. The report is automatically sent to the Clerkship Director and the Assistant Dean of Clinical Education at the time of student submission. The Clerkship Director and/or Assistant Dean of Clinical Education will address the violation at the time of occurrence and record results in E*value.

Responsibility for Monitoring and Enforcing

The primary responsibility for monitoring and enforcing these regulations rests with the Clerkship Directors and Elective Coordinators/Preceptors and reviewed through the Clerkship Directors Committee. These physicians, in turn, are expected to promulgate these Duty Hours to all faculty and resident physicians who supervise and interact with medical students. At each clinical site, the site coordinators in the clerkship have this responsibility on a day-to-day basis. The Assistant Dean for Clinical Education has ultimate responsibility for all aspects of these regulations.

Mandatory Attendance at Clerkship and Clinical Site Orientations

Students are required to attend all clerkship and clinical site orientations. Any student who does not attend may be prohibited by the Clerkship Director from participating in the clerkship and may have their entire schedule revised by the Assistant Dean for Clinical Education.

Clinical Readiness Assessment

The Clinical Assessment Course (CRA) was created to ensure that students who have been away from Physical Diagnosis training for more than two months before beginning a Year 3 clerkship will perform equal to or above the clinical skill level of students who proceeded directly to Year 3 clerkships after finishing Year 2.

A student is required to participate and pass the CRA if the following three conditions are true:

  1. If more than 2 months has elapsed since the end of Year 2 in June and the start of the clerkship (e.g., cannot begin a Year 3 clerkship by the September rotation)
  2. If he/she scored below the mean on the Physical Diagnosis practical examination
  3. AND If he/she has sat for USMLE Step 1

For Condition #1, the amount of time away from Year 2/Physical Diagnosis, would apply to the following situations:

  1. A student on a leave of more than 2 months after completing Year 2
  2. A student who has been given extra Step 1 preparation time and who is unable to begin a Year 3 clerkship by the September rotation
  3. A student who successfully completed Physical Diagnosis in a prior year but who is repeating Year 2 coursework

Further, any student who has been out of school for greater than one year and all MD/PhD students returning from the PhD portion of training are required to complete the CRA prior to beginning a Year 3 clerkship, regardless of how they did on the Physical Diagnosis practical.

Snow Day Policy

Year 1-2 Students

In the event of a University Closure because of a snow day Year 1 and 2 students observe all snow day closures posted by the University. If the University is closed, Year 1 and 2 students do not come to school.

Year 3-4 Students

Year 3 and Year 4 students will observe official WSU closures for snow. In the event of a WSU Snow Closure, Year 3 and 4 students should not report to their clinical site but should personally notify their team that they will not be in due to a university snow closure.

WSU closures for other reasons, such as power outage or cold temperatures, will not be observed by Year 3 and Year 4 students.

For severe snow storms occurring on days that the University is not open (weekends, holidays), students should directly contact their faculty supervisor/rounding team to notify them that they will not be in due to hazardous weather conditions. Students should obtain an excused absence from their counselor for any missed days other than official WSU snow closures.

Year 3 and Year 4 students may be required to make up clinical time that is missed at the discretion of the WSU clerkship director.

Streaming Previous Years Lecture Policy

Administrative copies of streamed lectures are maintained for one year in the event of an emergency. They can be posted in the event of a snow day, school closure, or lecturer illness. The faculty must give their permission to post a previous year’s video.

Scott Hall Fitness Room Guidelines

  1. Observe all posted signs and equipment warnings.
  2. Safe and proper use of equipment is required at all times.
  3. Actions that threaten the safety and well-being of yourself or others will not be tolerated.
  4. Shirt and athletic shoes must be worn at all times. For health and safety reasons sandals, spiked shoes, work boots, flip flop shoes, belts, jeans, clothing with rivets and wallet chains are not permitted.
  5. Neither Wayne State University (WSU) nor the School of Medicine (SOM) is responsible for personal belongings lost in or stolen from the fitness room.
  6. Use of the Fitness Room is restricted to WSU SOM students who have completed the WSU SOM waiver form on file in the Office of Medical Education.
  7. Please report any equipment problems to: Scott Nelsen @ 7-1431 or snelsen@med.wayne.edu.
  8. Absolutely no food is allowed in the Fitness Room.

International Travel

The administration of the Wayne State University School of Medicine (WSUSOM) has the ultimate decision-making authority regarding all international clinical experiences. Participation in international clinical experiences, including international electives and student organization sponsored trips, require the approval of the Director of Global Health and Education. Refer to Student Affairs website for further details about international clinical experiences.

Prohibition from Participation in International Clinical Experiences: Students who are on academic probation, on leaves of absence, or in special matriculation cannot participate in school-approved clinical experiences.

Professionalism: All students on school-approved international travel are expected to adhere to the Professionalism standards as outlined elsewhere in the Policies and Procedures manual. In addition, students are expected to adhere to all local laws and customs when travelling in foreign countries.

The WSUSOM takes seriously the health, safety and security of all students. The Office of Student Affairs and the Director of Global Health and Education monitor health, safety and security issues of students traveling abroad utilizing the U.S. Department of State’s travel alerts and warnings, and the Center for Disease Prevention and Control’s (CDC) travel health precautions and travel health warnings.

With the exception of the WSUSOM program in Israel and the West Bank and approved travel to Haiti, international experiences in locations under a Travel Warning or a Travel Health Warning will be suspended for the duration of the warning. This includes the possibility that an international experience in progress would be cancelled. Decisions regarding Travel Alerts and Travel Health Precautions will be made on a case by case basis, in consultation with our foreign sponsors, the U.S. Department of State, the CDC, and appropriate WSUSOM administrators.

Co-Curricular Credit: Co-Curricular credit for international clinical experiences for Years 1 and 2 students will be evaluated on a case by case basis in collaboration with the Director of the Co-Curricular program.

Important Wayne State University Policies

All students should be aware of the following university policies, located at the websites listed below.

Student Code of Conduct (Formerly the Student Due Process Policy)

Computing

Acceptable Use of Information Technology

Sexual Assault

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