Student Handbook for the Indiana University School of Medicine



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Introduction The Student Manual is the official document on policies, procedures, and resources of the Indiana University School of Medicine. It is important that each student becomes familiar with its contents. While every effort is made to provide accurate and current information, the School of Medicine reserves the right to change without notice policies, procedures, programs, and other matters when circumstances dictate. top A Message from the Dean Dear Colleague: You have joined a profession with a long tradition stretching back over the centuries to a time lost to the mists, when physicians had no understanding of disease, science, or even basic anatomy. Today we have opportunities to apply the best biologic science to the solution of human problems. The future will be even better. You have come to the door of the profession at a time of great opportunity. Your passage through the next four years should be approached one day at a time. Learn carefully the lessons of the day without concern for the mass of information yet to come. Each of you is capable of great achievement. We ask that you work toward that end. Be curious, be thorough, and remember that you are learning to work with fellow humans, splendid creatures who deserve the best. Sincerely, D. Craig Brater, MD Dean, Indiana University School of Medicine Core Values and Guiding Principles Mission and Vision Professionalism IUSM Core Values Excellence that is reflected in the innovative conduct and advancement of education, research, and patient care. Respect for individuals who are affiliated with, or come in contact with, Indiana University School of Medicine: students, residents, fellows, faculty, staff, employees, partners, communities, patients and families. Integrity that embraces the very highest standards of ethical behavior and exemplary moral character. Diversity that is reflected in actions that appreciate all individuals. Cooperation that is manifested by collegial communication and collaboration. IUSM Guiding Principles IUSM is committed to maintaining an academic and clinical environment in which faculty, fellows, residents, students and employees can work together to further education and research and provide the highest level of patient care, whether in the classroom, the laboratory or the clinics. The School's goal is to train men and women to meet the highest standards of professionalism and work in an environment where effective, ethical and compassionate patient care is both expected and provided. To this end, the School recognizes that each member of the medical school community must be accepted as an individual and treated with respect and civility. http://www.adobe.com/products/acrobat/readstep.html Diversity in background, outlook and interest is inherent in the practice of medicine, and appreciation and understanding of such diversity is an important aspect of health care and scientific training. As part of that training, the School strives to inculcate values of professional and collegial attitudes and behaviors in interactions among members of the School community and among School members and patients, their families and community members at-large, that accommodate difference, whether in age, gender, sexual orientation, disabilities, social, cultural, religious or ethnic values. Certain behaviors are inherently destructive to any educational or professional relationship. Behaviors such as violence, sexual harassment or inappropriate discrimination based on personal characteristics must never be tolerated. Other behavior can also be inappropriate if the effect interferes with professional development. Behavior patterns such as making demeaning or derogatory remarks, belittling comments and destructive criticism fall into this category. On the behavioral level, abuse may be operationally defined as behavior by medical school faculty, residents, students or employees that is consensually disapproved by society and by the academic community as inappropriate, exploitative or punishing. Examples of such behaviors are physical punishment or physical threats, sexual harassment, discrimination of any type, episodes of psychological punishment (e.g., public humiliation, threats and intimidation, removal of privileges), grading used to punish rather than to evaluate objective performance, assigning tasks for punishment rather than to evaluate objective performance, requiring the performance of personal services, and intentional neglect or intentional lack of communication. Such behaviors are not tolerated at IUSM. top Mission and Vision Introduction In May 1999, members of Indiana University School of Medicine (IUSM) initiated a strategic directions process for the Year 2000 and beyond. Articulated in that process were the IUSM Mission and Vision as follows: Mission: It is the mission of the Indiana University School of Medicine to advance health in the State of Indiana and beyond by promoting innovation and excellence in education, research, and patient care. Vision: The Indiana University School of Medicine will be one of the premier medical schools in the nation based on our education, scientific investigation, and health care delivery. The fulfillment of our mission and vision requires an environment that enables the members of our academic community to be successful. The free and ongoing exchange of ideas is central to all academic communities, and the care and attention to the welfare of others is central to the academic medical community. An environment that incorporates all of these characteristics is grounded in professionalism. Professionalism embodies the attitudes and behaviors consistent with high standards of excellence required in achieving success in one's work. The purpose of this document is to articulate the Core Values and the Guiding Principles that provide the foundation for a culture of professionalism that direct the daily activities at IUSM. It is our intention that by announcing these Core Values and Guiding Principles, members of IUSM will demonstrate their public commitment to the attitudes and behaviors such values engender. top Professionalism The Embodiment of Professionalism The history of medicine and science is replete with calls for professional conduct. Increasing attention is being focused on professionalism as the health care system adapts to a number of societal, scientific and financial stresses. Many professional groups are renewing their emphasis on and measurement of professionalism. The American Board of Internal Medicine², the Accreditation Council for Graduate Medical Education³ and IUSM Curriculum Council with identification of professionalism as one of the nine competencies⁴ are among the groups that have published statements on professionalism. In Academic Medicine, Swick⁵ identifies desirable behaviors to include conduct that demonstrates an individual: Subordinates their own interests to the interests of others. Adheres to high ethical and moral standards. Responds to societal needs, and their behaviors reflect a social contract with the communities served. Evinces core humanistic values, including honesty and integrity, caring and compassion, altruism and empathy, respect for others, and trustworthiness. Exercises accountability for themselves and for their colleagues. Demonstrates a lifelong commitment to excellence. Exhibits a commitment to scholarship and to advancing their field. Deals with high levels of complexity and uncertainty. Reflects upon their actions and decisions. Swick also states that professionalism must be grounded in what individuals actually do and how they act, both individually and collectively. He asserts that professionalism consists of "those behaviors by which we demonstrate that we are worthy of the trust bestowed upon us by our patients and the public, because we are working for the patients' and the public's good." Members of the IUSM community echo and affirm these principles. To be recognized as a premiere medical school requires exceptional and committed individuals. A working and learning culture that is based upon our articulated core values and guiding principles is a key element in realizing our mission and vision. Moreover, it is critical to attracting, retaining, and nurturing the members of the IUSM community. For this reason, and to warrant the trust bestowed upon us by patients, families and society at large, all members of the IUSM community are committed to fostering and embodying professionalism as engendered by adherence to our core values and guiding principles. Ratified by IUSM Faculty Steering Committee 9/01, Student counsel 10/01, Residents Forum, 11/01, and IUSM Executive Committee 11/01. LJM/ 11/26/01 ¹ See IUSM Web site, http://www.medicine.iu.edu/strategic_plan/ ² http://www.professionalism.org/ ³http://www.acgme.org/outcome/ ⁴ http://meded..iusm.iu.edu/ ⁵ Swick, HM. (2000). Toward a Normative Definition of Medical Professionalism. Academic Medicine 75, 612-616. top Dean's Office DEAN'S OFFICE FOR MEDICAL STUDENT AFFAIRS The Dean's Office for Medical Student Affairs is responsible for coordinating, monitoring, and supporting students' progress through the curriculum. Services coordinated by the Dean's Office for Medical Student Affairs have been designed to assist students in achieving their educational goals, and include financial aid counseling and processing; registration and course scheduling; personal, academic, and career counseling; and residency application assistance. DEAN'S OFFICE FOR MEDICAL EDUCATION AND CURRICULAR AFFAIRS The mission of the Dean's Office for Medical Education and Curricular Affairs is to provide services that improve teaching and learning in an environment of excellence. The office collaborates with faculty, staff, and students on curricular issues; plans and implements educational development opportunities; evaluates curricula and programs; and supports the highest attainment of medical education, scholarship, and professionalism in accordance with the educational mission of Indiana University School of Medicine. The office is located in the Education & Research Institute, 714 N. Senate Ave., EF 200. For more information, please visit the Medical Education and Curricular Affairs website at http://meded.iusm.iu.edu or call (317) 274-4556. top Academic Policies Specific Links Academic and Professional Standards, Policy Statement Class Attendance, Exam Postponement Dress Code Evaluation of Students with Disabilities Requirements for Graduation, USMLE Cheating, Plagiarism Withdrawal, Suspension, Dismissal Vacation, Leave of Absence Student Promotions Committee Student Evaluation NRMP, Medical Licensure ACADEMIC AND PROFESSIONAL STANDARDS Medical students are preparing for a career that demands the highest standards of honor, ethics, and professional behavior and appearance. It is expected that medical students will conduct themselves according to these standards. Any individual who enrolls in the Indiana University School of Medicine voluntarily places himself/herself under the rules and regulations of the University, the School, and affiliated hospitals, and agrees to abide by them. Therefore, students should familiarize themselves with the rules and regulations affecting them. The School of Medicine faculty has established policies and procedures in compliance with the Accreditation Standards of the Liaison Committee on Medical Education. Policies on professional standards have been adopted by the School of Medicine in place of IU Code of Student Ethics, Parts II, III, and IV. Students should refer to the following resources, available in the Dean's Office for Medical Student Affairs, for additional information regarding academic and professional standards: School of Medicine Bulletin; IU Code of Student Ethics, Parts I and V (the School of Medicine is exempt from Parts II, III, and IV in accordance with Faculty Council and Board of Trustees action on May 4, 1990); and the Indiana University Academic Handbook. Assessment of student achievement of academic and professional standards is an academic decision; therefore, legal representation for any party is not permitted during faculty consideration. POLICY STATEMENT ON MEDICAL STUDENTS AND CARE OF PATIENTS Indiana University School of Medicine (IUSM) develops physicians committed to a lifetime of service to the health needs of individuals. Such service demands adherence to the highest standards of professional conduct and behavior. In this context, 1. Faculty, medical students, and graduate medical students have a responsibility to provide care to all assigned patients, regardless of diagnosis. 2. Faculty members have a special responsibility to set an example for the standards of ethical behavior and attitudes related to the practice of medicine. 3. Medical students will be properly trained in Standard Precautions and Transmissions-Based Precautions prior to providing care, under proper supervision, to all assigned patients. 4. Failure to accept such responsibility is contrary to the ethics inherent in the practice of medicine. IUSM has the responsibility to help address fears and prejudices that faculty, students, and other personnel in the School of Medicine may have. Thus, to carry out this responsibility, IUSM will 1. Provide accurate information to applicants regarding personal risks inherent in the practice of medicine. 2. Provide training in accepted measures to prevent exposure to or transmission of infectious agents in health care settings. 3. Provide additional education and counseling to those individuals apprehensive about participating in educational programs or patient care activities. 4. Provide appropriate equipment to minimize the risk of infection with infectious agents. 5. Ensure that policies exist to monitor adherence to institutional guidelines for prevention and infection control. 6. Ensure that procedures are established in the event of accidental exposure. CLASS ATTENDANCE During medical school, certain lessons are experiential and require attendance. Each faculty member has responsibility and authority for matters pertaining to the attendance and classroom/clinic conduct of students. During the clinical years, time off is given at the discretion of the course director and may or may not be granted. Time off from course work in a fourth-year elective for any reason (except national examinations and commencement day) may not exceed three days. Duty hours for medical students while on clinical rotations will conform to the same restrictions mandated by the ACGME for residents and fellows. Medical students cannot be assigned clinical duty of more than 80 hours per week. Students at Indianapolis should notify the Dean's Office for Medical Student Affairs, (317) 274-1965, of illness, deaths in the immediate family, or other unusual circumstances that may necessitate extended absence from regularly scheduled classes, laboratory work, or clinical duty. Students at other sites should notify their respective Assistant Deans in the event they are unable to attend classes. DRESS CODE Each course/clerkship director has the authority to set the dress code requirement at his/her discretion. REQUESTING EXAMINATION POSTPONEMENT Occasionally, circumstances may interfere with students' ability to complete an examination at the scheduled time. Students may request an extension or delay when health or life circumstances would preclude effective performance on an examination. Such circumstances might include death in the immediate family, serious illness, or trauma. Students are required to talk with course directors if they believe circumstances might justify a postponement. The course director will have discretion to reschedule the examination or to deny the student's request. GUIDELINES FOR EVALUATION OF STUDENTS WITH DISABILITIES Committee on Students with Disabilities The Indiana University School of Medicine Disabilities Accommodations Committee (DAC) reviews all requests for accommodations for a disability. The Committee membership includes the following: Medical Student Affairs Director of Mentoring and Student Development, the Learning Specialist, the Associate Dean for Medical Student Affairs, a representative from clinical faculty, a neuropsychologist, the IUPUI Director of Adaptive Educational Services, and legal counsel. Meetings of this committee are confidential. The DAC reviews all requests for accommodation. They determine 1) whether or not a student is to be considered "disabled" at IUSM under the Americans with Disabilities Act, 2) whether or not the student seems otherwise qualified for medical school, based on our standards for capacity, 3) whether or not the student is entitled to accommodation, based on documentation, and 4) what specific accommodations, if any, would be most reasonable. The committee approves policy revisions related to disability issues as necessary. In order to maximize confidentiality, only members of the DAC have access to students' full diagnostic information. Accommodations for Students with Documented Disabilities Section 504 and the Americans with Disabilities Act require the School to provide certain kinds of reasonable accommodation (to qualified students), when necessary to provide an equal learning opportunity. Under the law, "reasonable" must be individually determined after a student requests accommodation. Qualifying To qualify for accommodation, a student must identify him/ herself to the Director, Medical Student Affairs Office for Mentoring and Student Development (OMSD) and to the IUPUI Office of Adaptive Educational Services; declare the disability (or suspected disability) in writing; and request accommodation. It is also the student's responsibility to obtain a thorough written evaluation from an appropriate professional, documenting the presence, extent, and ramifications of the disability. In addition, the documentation should explain what specific types of accommodation the evaluator believes might be most helpful in offsetting the effects of the disability to an acceptable extent in a medical school environment. Our goal at IUSM is to provide equal opportunity without undermining the integrity of any course, clerkship, or program. The student must obtain this evaluation at his/her own expense and arrange to have the evaluation form and all supporting documentation forwarded to the Director, Office of Mentoring and Student Development. If an evaluation has already been conducted in the past, the Director will determine if it is recent enough. An evaluation performed more than three years earlier may not be acceptable, and there are instances in which an evaluation must have been completed within a few months or even weeks. Disabilities Accommodations Committee (DAC) Review After receiving acceptable documentation, the Director will convene the DAC to review the documentation and consider the student's requests. If appropriate, they will approve a plan for accommodating the student. If the DAC determines that the documentation provided does not meet its established standards, additional information will be requested. If further evaluation is required, it remains the student's responsibility to arrange for that evaluation, at his or her expense. Implementation When a disability has been acknowledged, and a specific accommodation plan is approved by the DAC, the Director will meet with the student to discuss implementation of the plan. At that time, she will give the student a signed form outlining the approved accommodations. The student may then share a copy of this form with individual course and/or clerkship directors, or with other staff who have relevant responsibilities. Sharing this information is typically at the discretion of the student, and is his or her responsibility in order to arrange for accommodations. There may, however, be occasions on which the Director communicates directly with faculty or other administrators, on a need-to-know basis, about a student's functional limitations. A student is not entitled to accommodation in any course, clerkship, or activity if the form is not presented before specific accommodations are needed. Course/clerkship directors provide approved accommodations to all students who have shown their forms, provided the forms are presented in a timely fashion. (Presenting the form as early as possible is recommended, and individual courses or clerkships may have deadlines.) If a student's accommodation plan includes assistive devices or extensive supplemental aid, additional time may be required to make arrangements, and the Director will help to make those arrangements directly. Appeals Any student wishing to appeal an accommodation decision made by the DAC should first appeal to the DAC itself. The student should explain in a letter why he or she believes the prior decision was unfair or unreasonable, and should include any available corroborating information with the letter. The Director of OMSD will accept the letter and schedule a meeting of the DAC as soon as possible. It may be necessary for the student to meet with the Committee to answer questions. If a student disagrees with the DAC's decision after an appeal has been presented, that student may make a final appeal to the Dean of the Medical School. Once again, the student should submit a letter describing the situation and indicating why the DAC's decision does not appear to be fair or reasonable. The Dean will then consider the need and method for further review and study. The Dean's decision is final. Confidentiality Disability information is considered private. Faculty, with the exception of those on the DAC, do not have the right to access students' diagnostic information. Ordinarily, faculty members and other relevant staff need know only the accommodations that are necessary to provide an equal opportunity for students. There are times, however, when certain faculty members and/or administrators may have a legitimate educational need to know about a student's functional limitations, as well. In such cases, the Director of OMSD may speak directly with those individuals to ensure appropriate planning. This kind of direct communication by the Director happens if the DAC has decided that members of the IUSM community have an educational need to know about a student's limitations, or if an issue arises that may involve the safety and well being of patients, students, or staff. Students are also encouraged to speak with faculty as openly as possible to facilitate better understanding and support. Faculty and/or staff to whom accommodation forms are presented may copy these forms for their records, but they should take care to keep the information private. The accommodation information conveyed on the forms should be communicated only to other faculty and/or staff who have an educational need to know (for instance, those who are involved in providing the accommodations, or those who are responsible for the educational environment). If a faculty member or a student has any questions about specific accommodations, he/she may contact the Director of OMSD. All documentation and correspondence concerning a student's disability are kept in a separate file in the Office for Mentoring and Student Development. Clinical faculty (e.g. clerkship directors) who have occasion to write student evaluations at the end of clerkships must be careful not to breach the confidentiality afforded students with disabilities. Written evaluations, which may be excerpted in the Dean's Letter or seen by others outside the IUSM community, should not mention disabilities or accommodations for disabilities in any way. Once a student has been approved for specific accommodations by the DAC, and has subsequently received those accommodations, that student should be held to the same essential performance standards as all other students. Therefore, clinical faculty should focus strictly on the student's performance in all these evaluations. With regard to letters of reference solicited by students, faculty members may mention a disability IF the student gives prior permission for them to do so. Indiana University School of Medicine does not notify potential residency programs or other employers about student disabilities without specific permission from the student. Because students with disabilities, once accommodated, are held to the same standards as other students, we do not make notation of any kind on the transcript or in the official Dean's letter. REQUIREMENTS FOR GRADUATION Medical students not participating in a combined degree program must complete graduation requirements within six years of matriculation. The MD degree will be conferred by Indiana University upon persons who have complied with the following requirements as determined by the faculty. 1. Filed satisfactory evidence of having complied with the requirements for admission. 2. Attended eight regular semesters (or equivalent) of medical instruction in four separate years, the last two years (or equivalent) of which must have been spent in the Indiana University School of Medicine. 3. Attended the practical instruction in all departments and satisfactorily completed all competency requirements, course work and examinations. Students must achieve all nine competencies at Levels 1 and 2 and three different competencies at Level 3. 4. Achieved passing scores on the National Board of Medical Examiners USMLE Steps 1 and 2 (CK and CS). 5. Successfully completed the Objectively Structured Clinical Examinations (OSCE). 6. Maintained acceptable academic ethics and professional behavior. 7. Paid all fees in full. 8. Completed evaluations of all elective courses completed during fourth year. 9. Returned all materials/school property provided to student. 10. Attended the required Exit Interview for medical student borrowers. In order to participate in Commencement activities in May, all graduation requirements must be expected to be completed no later than August 31 of that year. Combined degree students will be included in the IUPUI and IUSM Commencement Programs, class composite, and yearbook in the same year in which they expect to complete all requirements for the MD degree. Graduation Hooding Policy Fourth-year class officers are given the opportunity to determine a process for selecting IUSM faculty they believe are most worthy of hooding members of the graduating class. In only one circumstance is someone other than faculty chosen by the officers allowed to hood a graduating son/daughter: a parent who is a full-time IUSM faculty member. No other family members/friends are eligible. Requests for approval must be made at least 4 weeks prior to graduation, and can be submitted via email to Mary Alice Bell (mbell@iupui.edu), Director, Office for Mentoring and Student Development, Dean�s Office for Medical Student Affairs. If approved, the parent must order academic regalia (if not owned) through the IUPUI Office of Alumni Relations. There are NO EXCEPTIONS to this policy. UNITED STATES MEDICAL LICENSING EXAMINATION (USMLE) The following guidelines have been established for the USMLE required by the School of Medicine. 1. All students must take the USMLE Step 1 examination before beginning third-year clinical clerkships. Students must take the USMLE Step 2 CK and Step 2 CS examinations by January 31 of their fourth year. 2. The tests fulfill curricular requirements of the School and, in addition, meet part of the medical licensing requirements of state licensing boards (see Medical Licensure section on page 19). 3. A student who fails to meet national passing levels generally will be permitted to complete the clerkship or elective in which he/she is currently enrolled. 4. The Student Promotions Committee will review the complete academic records of students who fail to meet the national passing levels on these examinations. 5. Neither the National Board of Medical Examiners nor Indiana University School of Medicine will release numeric scores without authorization from the student. Numeric scores will not appear on the official school transcript. Current USMLE policies and procedures are provided on the World Wide Web at http://www.nbme.org/index.html. CHEATING "Dishonesty of any kind with respect to examinations, course assignments, alteration of records, or illegal possession of examinations shall be considered cheating. It is the responsibility of the student not only to abstain from cheating but, in addition, to avoid the appearance of cheating and to guard against making it possible for others to cheat. Any student who helps another student to cheat is as guilty of cheating as the student he or she assists. The student also should do everything possible to induce respect for the examining process and for honesty in the performance of assigned tasks in or out of class." Faculty Council, May 2, 1961; University Faculty Council, March 11, 1975; Board of Trustees, July 11, 1975 PLAGIARISM "Honesty requires that any ideas or materials taken from another source for either written or oral use must be fully acknowledged. Offering the work of someone else as one's own is plagiarism. The language or ideas thus taken from another may range from isolated formulas, sentences, or paragraphs to entire articles copied from books, periodicals, speeches, or the writings of other students. The offering of materials assembled or collected by others in the form of projects or collections without acknowledgment also is considered plagiarism. Any student who fails to give credit for ideas or materials taken from another source is guilty of plagiarism." Faculty Council, May 2, 1961; University Faculty Council, March 11, 1975; Board of Trustees, July 11, 1975 WITHDRAWAL, SUSPENSION, DISMISSAL Withdrawal can be initiated by a student for personal reasons. Requests for withdrawal must be presented in writing to the Associate Dean for Medical Student Affairs. The faculty reserves the right to recommend the suspension or dismissal of any student whose conduct, health, or academic performance would be judged to render the student unfit for the practice of medicine. Suspension or dismissal must be recommended by the Student Promotions Committee or the Associate Dean for Medical Student Affairs. An administrative suspension may be instituted by the Associate Dean for Medical Student Affairs when a student is confronted with a personal issue that could interfere with appropriate medical school study. Final approval of a suspension or dismissal is made by the Dean of the School of Medicine. VACATIONS First- and second-year vacation schedules vary by Center. FIRST YEAR During the first year, Indianapolis students will have a fall break, Thanksgiving break, term break, and spring recess. There is a summer recess between the first and second years of studies. SECOND YEAR During the second year, Indianapolis students will have a fall break, Thanksgiving break, term break, and spring recess. There is a summer recess of approximately one month between the second and third years. Normally, students will sit for the USMLE Step 1 during this recess. THIRD YEAR A holiday break is scheduled approximately midway through the third year. Third-year students have the option of choosing a one-month break or an elective. FOURTH YEAR Students are required to enroll in and pass three months of core clerkships and seven months of electives to satisfy academic requirements for the fourth year. Students may arrange vacation months as desired within these requirements. LEAVE OF ABSENCE A student wishing to request a leave of absence should discuss this matter with the Associate Dean for Medical Student Affairs. A leave of absence may be granted to enable a student to resolve personal or health problems. A recommendation from the student's physician and/or counselor may be required. A request for a leave of absence must be presented in writing. In general, a personal leave will not be granted to a student who has not yet completed at least one term in good academic standing unless he or she presents a compelling need. A non-medical leave will not be granted if requested within two weeks of the beginning of final examinations at the end of a semester. The maximum cumulative leave of absence for personal or health problems may not exceed 18 months. STUDENT PROMOTIONS COMMITTEE The Student Promotions Committee is appointed by the Dean to monitor student academic and professional standards as determined by the faculty. The Committee reviews student academic performance after each grading period and after each USMLE. The Committee review will determine a student's status as outlined in Sections I through VII. The Dean may also request the Student Promotions Committee to review any issue pertaining to a student's evaluation and/or performance. Students in good standing who have satisfactory grades and evaluation reports automatically advance to the next unit of instruction. The Student Promotions Committee recommends action to address the problem for each student not in good standing. I. Good Standing A student in good standing has: A. received a grade of Pass or better in all courses; B. achieved required competency levels; C. passed the appropriate national examination; D. maintained acceptable academic ethics and professional behavior. II. Academic Probation A student loses good standing if he/she: A. fails a course, clerkship, or elective; B. fails to achieve required competency levels; C. fails to maintain acceptable academic ethics and professional behavior; D. fails USMLE Step 1 or 2; E. is placed on academic probation. III. Remedial Programs The Student Promotions Committee will usually require one of the following programs for unacceptable professional behavior/ethics or for a student who receives a failing grade, or fails to achieve appropriate competency levels. A. Repeat the entire year; B. Repeat a regular course, clerkship, or elective; C. Enroll in a special and/or designated course, program, clerkship, or elective; D. Engage in independent study and/or take a special departmental examination and/or national examination; E. Suspension from school. IV. Reinstatement to Good Standing After the student has completed the required course(s) and/or competency and/or retaken the appropriate national examination, the Student Promotions Committee will again review the academic record of the student who is on academic probation. A. A student who is placed on academic probation for failing a course will remain on academic probation until such time as he/she has satisfactorily met course requirements. B. A student who is placed on academic probation for failing to achieve required competency levels will ordinarily remain on academic probation until such time as he/she has satisfactorily completed the required competency. C. A student who has been placed on academic probation for failing a national examination will be reinstated to good standing upon passing the examination. D. A student who has been placed on academic probation for failing to maintain acceptable academic ethics and professional behavior will be removed from academic probation after satisfactorily completing the program specified by the Student Promotions Committee. V. Dismissal A student may be required to meet with the Student Promotions Committee to show cause why he/she should not be dismissed from school when he/she: A. fails two basic science courses (one Step in the Northwest Center Curriculum) in the first and/or second year; B. fails a course, clerkship, or elective while on academic probation; C. fails two clerkships; D. fails two electives; E. fails an elective when he/she has previously failed a clerkship; F. has been cited for five academic deficiencies, thereby establishing a pattern of marginal performance; G. fails to achieve required competency levels; H. has been cited for lack of acceptable academic ethics or professional behavior. This criterion may be used for dismissal if it is determined that failure of the course or clerkship is not adequate action. The Student Promotions Committee will recommend either dismissal or an action (or actions) from Section III. A decision to recommend academic dismissal will prevent the student from continuing to attend classes unless the Student Promotions Committee determines otherwise. VI. Reconsideration A student may request further review by the Student Promotions Committee after receiving the Committee's initial decision. The student's request for reconsideration must be received, in writing, by the Chair of the Student Promotions Committee within 21 calendar days of Committee action. The student's presentation for reconsideration must provide new information not previously communicated to the committee. A Committee decision recommending dismissal is forwarded to the Dean of the Medical School for review and communication. The Dean�s decision is final and may not be appealed. VII. Student Appearance Before the Student Promotions Committee Under circumstances described in Sections V and VI, a student may be required to meet with or may request a meeting before the Student Promotions Committee. Legal representation for any party is not permitted at meetings of the Student Promotions Committee. STUDENT EVALUATION SYSTEM Grading Grade and evaluation reports are made available to each student as soon as practical after the completion of each basic science course and after each clinical rotation. The Indiana University School of Medicine evaluation system is based on Honors, High Pass, Pass, Isolated Deficiency, Incomplete, Withdraw, and Fail. The assignment and distribution of grades in a particular course will depend on the performance of each individual student in meeting the stated objectives of the course as determined by course faculty. Honors signifies exceptional and superior performance. High Pass signifies above average performance. Pass signifies satisfactory performance. Incomplete signifies that extenuating circumstances have prevented the student from completing the course requirements. The Incomplete must be removed before the student may proceed into the next year of study. Withdrawal signifies that the student withdrew before completing course objectives, and Fail signifies that the student has not performed satisfactorily. The Isolated Deficiency is used only for the clinical rotations and signifies that a student has performed adequately, except for a particular area of weakness in one of the nine competencies. The student must complete remedial work in the designated competency to pass the rotation. Grade Reconsideration In the event that a student has a question or problem with a course examination or evaluation, the student should discuss the matter with the course director. If the student and the course director cannot resolve the problem, the issue may be taken to the department chair. At a Center for Medical Education, if the student, the course director, and the Center Director cannot resolve the problem, the issue may be taken to the department chair. If the issue is not resolved in the meeting with the chair, either party may appeal the matter to the Academic Standards Committee. Legal representation for any party is not permitted during faculty reconsideration of grades. The Academic Standards Committee will make a recommendation to the Executive Associate Dean for Educational Affairs. The Executive Associate Dean�s decision is final and may not be appealed. Competency Reconsideration In the event that a student disputes the validity of an unsatisfactory competency evaluation (including an Isolated Deficiency), he or she should first discuss the matter with the Competency Director who assigned the unsatisfactory evaluation. In those instances where the competency was evaluated in the context of a specific course or clerkship, the discussion must include the relevant course or clerkship director. Center students should take their concerns to the local Competency Coordinator, who will consult with the appropriate Competency Director for guidance. Again, the relevant course director must be involved in the discussion. If the dispute cannot be resolved, either the student or Competency Director can refer the matter to the Academic Standards Committee. The Chair of ASC will appoint a special subcommittee to review the case and make a recommendation to the full committee. Legal representation for any party is not permitted during faculty reconsideration of competencies. The full committee�s decision to uphold or overturn the unsatisfactory evaluation will be forwarded to the Executive Associate Dean for Educational Affairs. The Executive Associate Dean�s decision is final and may not be appealed. EVALUATION OF CURRICULUM BY STUDENTS The Dean's Office for Medical Education and Curricular Affairs provides mechanisms for student evaluation of medical school courses and instructors. Because of the decentralized and diverse nature of the elective portion of the curriculum, student evaluations of all electives are required. All IUSM students are required to complete demographic surveys and program, course, faculty, and personal performance evaluations at the discretion of IUSM. The data from these surveys and evaluations may be used for research purposes in their aggregate form only. Examples of these data include such things as: location/time of course/program/rotation; supervising faculty and his/her effectiveness; whether objectives were clearly stated; whether there was adequate and effective feedback; identification of the most important sources of learning; understanding competency relevance; and standard demographic data: gender, age, place of birth, proposed area of practice/specialty. Confidentiality of records identifying the student will be maintained and the student's identity will be held in confidence, including reports in which the results of the study may be published. Students may choose to exclude their data from being used in the aggregate by writing a letter stating their wishes to Debra K. Litzelman, MD, Associate Dean, Office of Medical Education and Curricular Affairs, 714 N. Senate Ave., EF-200, Indianapolis, IN 46202-3297, Attn: Online Evaluations. NATIONAL RESIDENT MATCHING PROGRAM (NRMP) The National Resident Matching Program is responsible for administering an orderly and fair method of placement for most first postgraduate year (and, in some instances, later postgraduate years) medical residency positions. Positions in a few specialties (ophthalmology, urology, and child neurology) are typically filled via specialized matching services outside of the NRMP. Securing a residency position through the NRMP results in a binding contract between the student and the residency program. At the end of the third year, instructions regarding the matching program and residency procurement are provided. Information regarding residency program application procedures is available in the Student Academic Records Office in the Medical Science Building, Rooms 124 and 159. Information received by the Dean's Office for Medical Student Affairs regarding specific residency programs is kept on file in the Student Resource Room, Medical Science Building, Room 118. MEDICAL LICENSURE The licensing process, fees, and granting of reciprocity vary among states. Prior to graduation, students should check with the appropriate state medical licensing board regarding the state process and law. The number for the Indiana State Licensing Board is (317) 232-2960. top Student Services Specific Links Office for Mentoring and Student Development Personal Counseling Teacher/Learner Advocacy Committee Campus Police and Safety Escort OFFICE FOR MENTORING AND STUDENT DEVELOPMENT The Office for Mentoring and Student Development (OMSD) works with faculty and staff to develop and coordinate programs that are designed to facilitate students' academic, personal, and professional development, and that enhance students' educational experience. These include academic support services such as advising, study skills improvement, time management, board exam preparation, and tutoring for students who are experiencing academic difficulty. Programs include career specialty selection workshops to assist students in making satisfactory choices about future careers, seminars to assist students with personal statements and curricula vitae for residency application, and mock residency interviews for students who wish to hone their job interviewing skills. OMSD coordinates programs such as first- and third-year orientations, the White Coat Ceremony, Match Day, Senior Banquet, and graduation, and is a resource and advisor for Medical Student Council and student organizations. In addition, the School�s Medical Student Mentor Program is coordinated by the OMSD. This vertical mentoring model allows sharing of information deemed important to students; enhances student-student and student-faculty communication; provides a support system for academic, social, fiscal, or other student problems; and encourages team building and problem-solving strategies. Staff in OMSD serve as a liaison between the Dean's Office for Medical Student Affairs and the IUPUI Office of Adaptive Educational Services to address accommodations for disabilities, and with IUPUI Student Health Services to ensure students' compliance with American Association of Medical College's health requirements. Students are encouraged to visit the Office for Mentoring and Student Development in Medical Science Building, Room 162 or to call (317) 274-7173. IUSM PERSONAL COUNSELING IUSM Counseling Services and Wellness 1111 W. 10th St. Room 230 Indianapolis, IN 46202 317-278-4750 Resources for confidential personal consultation and treatment are available for medical students on every campus. Students are encouraged to seek professional mental health consultation for personal growth or mental health symptoms interfering with medical school performance, and/or personal or professional relationships. Typical presenting concerns are: transitional adjustment, anxiety, depression, test anxiety, stress, burnout, relationship difficulties, conflict resolution, emotional response to physician responsibility, disordered eating, alcohol/substance concerns, self esteem, sexuality, sexual identity and suicidal thought. IUSM Counseling Services and Wellness has a full-time licensed psychologist on staff to support students� academic adjustment and psychological well-being. IUSM offers unlimited counseling services for students and their partners as part of their benefits program. At the time of the initial assessment, the psychologist and the student determine what course of counseling will be useful in addressing the presenting problem, and whether or not psychiatric consultation and medication will be necessary and/or desirable. Fees, location, hours: The IUSM Office of Counseling Services and Wellness is fully funded by the IUSM Dean�s office and there is no charge or billing for this service through the central office located on the Indianapolis campus. The office is located in the Psychiatry department at 1111 W. 10th Street, Room 230, one block from the Van Nuys Medical Science Building, the main educational facility, and away from the teaching rooms which allows for increased confidentiality. The Office of Counseling Services and Wellness is housed within a two-office suite. There is a private waiting area within the office suite. Flexible hours are available to accommodate student schedules. Scheduling an appointment: A meeting with the psychologist is typically available within one week by calling 317-278-4750. Walk-in and evening appointments are welcome but depend on counselor availability. Situations of an emergent nature are addressed immediately. When an emergency occurs after regular business hours, call 911 or the Access center at the hospital in closest proximity. One may also seek assistance at the Access Center for Clarian Health, 24 hours a day, 7 days a week at 317-962-2622. Identify yourself as a medical student or resident. The operator will direct your call to the appropriate emergency care. Confidentiality: Confidentiality is strictly maintained. All records and accounting of the identity of recipients and delivery of services remains confidential, except with the express written consent of the student or as required by law and in accordance HIPAA, JCAHO, and Clarian Hospital policies. All records are kept completely separate from the medical school, the university, and the hospitals. The records are stored within the office in Counseling Services and Wellness in a locked file cabinet. Regional campuses: The regional campuses around the state have either on-campus or community resources (see below for contact information) to assist with psychological/emotional well-being related to academic success and needs. Additionally, the staff psychologist is available for phone consults and referrals for the regional campus students. Regional students may also schedule appointments with the staff psychologist at the central office. Substance abuse/dependence screening: IUSM Counseling Services and Wellness offers brief substance abuse screenings but not treatment. We have an arrangement with the Indiana State Medical Association�s Impaired Physicians Program to provide further assessment, referral, and monitoring for medical students needing substance abuse treatment. We utilize community providers when treatment is needed. Psychiatric referrals: Psychiatric consults are available upon referral or request. Consults are available from community psychiatrists. When IUSM medical students are referred for psychiatric care, the psychologist will liaise with providers to facilitate the scheduling of the earliest available psychiatric consultation appointment. Emergency and after-hours coverage are provided by local hospitals/access centers (see below). Fees charged for psychiatric evaluations, medication evaluations, and long-term counseling provided by professionals outside of the IUSM Office for Counseling Services and Wellness are generally covered by the student health insurance policy offered by the school to all medical students. Students' mandated health insurance may pay for all or a portion of these independent evaluations. Students are responsible for any portion of the fee that is not covered by their insurance. Mental Health services are available as follows: All students may contact our IUSM staff psychologist for assistance or referral during normal business hours: Suzanne Kunkle, Ph.D. (see below). Your individual insurance providers for behavioral care. For those with IUSM Aetna student health insurance please check the following internet webpage http://www.aetna.com/docfind/home.do?site_id=studenthealth&langpref=en or see provider card for other details; or community resources listed below by campus. University identified providers or campus services as identified below. Mental Health services are available as follows: BLOOMINGTON Indiana University Student Health Services Michael Wenzler, MD. Kiply Myers, MD. 600 N. Jordan Ave. Bloomington, IN 47405 (812) 855-5711 After hours coverage: (812) 855-5711 to speak to a crisis counselor EVANSVILLE First and Second year students both Karleen A. Wink, PsyD 1501 N. Stockwell Rd. Ste A. Evansville, IN 47715 (812)473-7223 David Holajter, MD. 2015 Maxwell Ave. Evansville, IN 47711 (812) 422-7974 Second-year students only Elizabeth A. Kalb, Ph.D. 3900 Washington Ave. Mulberry Center, Inc 414 SE 4th Street Evansville, IN 47713 (812)423-4700 After hours coverage: Deaconess Hospital (812) 476-7200 FORT WAYNE Parkview Behavioral Health 1720 Beacon St. Ft. Wayne, IN 46805 260-373-7500 for 24 hours coverage. LAFAYETTE Counseling & Psychological Services provides counseling twice a week from 5-9 p.m. at Lynn Hall Harrison St. W. Lafayette, IN 47907 For appointments contact Counseling & Psychological Services: (765) 494-6995. Identify yourself as a medical student. After hours coverage: Purdue University Student Health Center, PUSH Urgent Care 601 Stadium Mall Drive, Room 246 W. Lafayette, IN 47907 (765) 494-1700 Lafayette Crisis Center Hotline 1244 N. 15th Street, Lafayette, In 47904-2114 (765) 742-0244 Toll Free: (877) 419-1632 MUNCIE Counseling Center 2000 University Ave Lucina Hall Rm 320 Muncie, IN 47306 Ball State University (765) 285-1736 After hours: (765) 747-7330. (The on call counselor will be paged) NORTHWEST Raymond Fontaine, Ph.D Counseling Services 3400 Broadway Sycamore 301 Gary, IN 46408 (219) 981-4235 Regional Mental Health Center/Stawhun Center 8555 Taft Street Merrillville, IN 46410 219-769-4005 After hours: Emergency Service Dept. (219) 769-7200 Porter Starke Services 601 Wall Street Valparaiso, IN 219-531-3500 After hours: phones are transferred to �The Caring Place� (219) 464-2128 SOUTH BEND Madison Center 403 E. Madison Street South Bend, Indiana 46617 24-HOUR HELP LINE: (574) 234-0061 Toll Free: (877) 234-0061 TERRE HAUTE Indiana State University Counseling Center 567 N. Fifth St. Terre Haute, IN 47809 (812) 237-3939 After hours: 911 in case of emergency Hamilton Center, Inc. 620 Eighth Avenue Terre Haute, IN 47804 (812) 231-8323 (800) 742-0787 After hours: (812) 231-8200 In addition to IUSM Counseling Services, IUPUI Counseling and Psychological Services (CAPS)�the student counseling center on the campus of Indiana University-Purdue University Indianapolis�provides counseling services to medical students as needed. When a medical student contacts CAPS, they are informed of the IUSM Counseling Services. However, in some cases, the student may decline this referral and request services from CAPS. CAPS does not offer services to residents or fellows, because they are considered employees of the University. While only one medical student has been seen at CAPS so far in the 2007-2008 academic year, 20 students were seen over the previous 6 years. CAPS provides individual, relationship, and group counseling to students on the IUPUI campus, including IUSM. The professional staff includes licensed psychologists and mental health counselors, as well as graduate-student counselors-in-training. Services are confidential, available to all IUPUI students, and available weekdays and by appointment during evening hours. CAPS offers 6 free individual counseling sessions after payment of an initial $15.00 fee. Additional sessions are provided at a charge of $10 per session. Couples intake sessions are free of charge and subsequent 90-minute sessions are $30 per session. Group participants are assessed a fee of $5 per session. Walk-in sessions are available for students in immediate need of attention. Psychiatric referrals are made to a psychiatrist co-located with CAPS. Testing and evaluation for learning disorders, Attention-Deficit/Hyperactivity Disorder, and Alcohol and Other Drug abuse and dependency are available at additional charges. CAPS operates according to the mandates of legal and ethical standards of the profession. All information is confidential, with the exception as required by law or at the written request of the student. Records are maintained within the confines of CAPS and are not part of any University record. Commitment to Diverse People: Indiana University School of Medicine and Counseling Services and Wellness has a strong commitment to meeting the needs of diverse people. In all counseling activities, programs, and outreach services we strive to create an environment where all people feel welcome. As a staff, we attempt to facilitate mutual respect and understanding among people of diverse characteristics such as age, color, ethnicity, gender, language, marital/parental status, mental and physical ability, national origin, race, religion, socioeconomic status, sexual/affectional orientation or veteran status. Teacher/Learner Advocacy Committee Even great institutions have challenges and occasional lapses in professionalism. Indiana University School of Medicine is always searching for new ideas to improve our learning environment and cultivate professionalism. TLAC�s mission is to foster and ensure a professional learning environment by assisting in conflict resolution and sponsoring programs to enhance communication and professionalism in all learning environments. Unsure how to resolve or address a conflict? Unsure if you have a voice or need an advocate? Do you have ideas for improving our learning environment, communication or professionalism? Please contact TLAC. We can help. Email the TLAC at TLAC@iupui.edu http://msa.iusm.iu.edu/StudentDevelopment/TLAC.asp Computer Support The Medical Student Affairs Computer Support office is located in the Daly Center, MS122G. To reach Myrna Gray, call (317)274-7163 or email mgray@iupui.edu. For additional computer assistance, see http://msa.iusm.iu.edu/Technology/support.asp. For technology questions of all sorts, including wireless access, computer lab locations, email and listserv FAQs, see http://msa.iusm.iu.edu/Technology/. Campus Police and Safety Escort The Indiana University School of Medicine is committed to maintaining a safe educational environment. Information regarding campus police and safety escorts is noted below for each Center for Medical Education. BLOOMINGTON Campus police (812) 855-4111 IU Women's Wheels/Walking Escort Service (812) 855-7233 EVANSVILLE Campus police and safety escort (812) 464-1845 FORT WAYNE Campus police/emergency (260) 481-6911 Safety escort (260) 481-6900 INDIANAPOLIS Campus police (317) 274-7911 Safety escort Personal safety escorts may be obtained by calling the police/security agency for the property from which the escort is being requested: VA Hospital VA Police Department (317) 554-0063 Wishard Hospital Wishard Security (317) 630-7071 Indiana University Hospital Clarian Security (317) 929-8000 Riley Hospital Clarian Security (317) 929-8000 IUPUI buildings or parking lots IUPUI Police (317) 274-SAFE (7233) LAFAYETTE Campus police (765) 494-8221 Escort service by the Purdue Student Security Patrol (765) 494-7233 MUNCIE Ball State University Campus police (765) 285-1111 Ball Memorial Hospital Security (765) 747-3360 Safety escort (765) 285-5005 NORTHWEST Campus police safety escort (219) 980-6501 SOUTH BEND Notre Dame campus police (574) 631-5555 Safety escort (available only during school year) (574) 634-2583 TERRE HAUTE Campus police (812) 237-5555 Safety escort provided by Indiana State University Student Operation (812) 237-5555 top Student Health Issues Specific Links Health Services Universal Precautions Immunizations Student Health Insurance Disability Insurance Impaired Medical Student Program Health Services Resources for medical consultation and treatment are available for medical students on every campus. Students are encouraged to seek health consultation if symptoms are interfering with life maintenance and/or medical school performance. Students who wish to seek services from providers who are not clinical faculty members may access this list of IUSM clinical faculty. BLOOMINGTON Student Health Center, 600 N. Jordan Avenue (812) 855-4011 Emergency Care: Bloomington Hospital, 601 W. Second St. (812) 353-6821 EVANSVILLE Student Health Center, 8600 University Blvd., Room HP091 (812) 465-1250 Emergency care: University of Southern Indiana (812) 464-7777 FORT WAYNE IPFW/Parkview Health and Wellness Clinic, WALB Union Building 234 (260) 481-5748 INDIANAPOLIS Primary Care/Pulmonary: IUPUI Student Health Services, Coleman Hall, 1140 W. Michigan St. (317) 274-8214 Fax: (317) 274-7657 Specialty Care: Medical Diagnostic Center, University Hospital 2180, 550 N. University Blvd. (317) 274-8660 Emergency care: Wishard Memorial Hospital Emergency Room (317) 630-7532 LAFAYETTE Purdue University Student Health Center, PUSH, 601 Stadium Mall Drive, Room 246, W. Lafayette (765) 494-1700 Urgent Care: Clarian Arnett Urgent Care, 2995 North Salisbury Street, W. Lafayette, (765) 448-8000 Urgent Care: Sigma Medical Express, 915 Sagamore Pkwy West, W. Lafayette (765) 463-6262 Urgent Care: Unity Immediate Care Center, 1321 Unity Place Ste B, Lafayette, (765) 446-1362 Emergency care: Lafayette Home Hospital Emergency Room, 2400 South St. (765) 449-5077 Emergency care: St. Elizabeth Medical Center Emergency Room, 14th and Hartford Streets (765) 423-6271 MUNCIE Ball State University Health Center (765) 285-8431 Family Practice Clinic, Ball Memorial Hospital (765) 747-4423 Emergency care: Ball Memorial Hospital (765) 747-3111 NORTHWEST Emergency care: Methodist Hospital, Northlake (219) 886-4710 Emergency care: Methodist Hospital, Southlake (219) 738-5500 SOUTH BEND Non-emergency Care: South Bend Clinic 211 N. Eddy Street South Bend, Indiana 46617 (574) 234-8161 Emergency Care: Memorial Hospital and Health System 615 N. Michigan Street South Bend, Indiana 46601 (574) 647-1000 St. Joseph Regional Medical Center - South Bend 801 E. LaSalle Avenue South Bend, Indiana 46617 (574) 237-7111 TERRE HAUTE Indiana State University Student Health Center (812) 237-3883 Emergency care: Union Hospital Emergency Center (812) 238-7523 UNIVERSAL PRECAUTIONS Universal precautions policies protect both students and patients from unnecessary health risks. Students must be aware of the recommendations outlined in the relevant teaching hospital's policies. Certain specific situations require a mandatory visit or telephone consultation with Student Health Services. Such situations include needle sticks or other contaminated injuries, exposure to active cases of tuberculosis, mucous membrane exposure to blood borne pathogens, exposure to enteral varicella, and active enteral infection with salmonella or shigella. A nurse or physician at IUPUI Health Services (Student Health Services) is available 24 hours a day on pager 312-OUCH (312-6824) to provide information regarding needle sticks and other contaminated injuries. Students who sustain a needlestick or other contaminated injury should page the OUCH pager immediately. Students exposed to or exhibiting signs and symptoms of contagious diseases, including but not limited to varicella and viral conjunctivitis, should go to IUPUI Health Services to be seen as soon as possible. If the situation occurs when IUPUI HS is closed, the student should page the OUCH pager. The Indiana University School of Medicine has established guidelines for the management of human immunodeficiency virus (HIV) seropositivity, and acquired immunodeficiency syndrome (AIDS) in students of the Indiana University School of Medicine. Individuals whose behavior, for any reason, significantly deviates from guidelines at the practice site, thereby placing patients, staff, or colleagues at risk of exposure to HIV infection, may be suspended from participation in the school curriculum pending prompt review by the Dean of the School of Medicine. The policy allows for serologic testing for all students who wish to know their HIV antibody status. Testing will be done confidentially, and results will be reported only to the individual tested and to any agency required by state and local health codes. This testing is done at the student's expense, and is available at the following locations. IUSM medical students receive online universal precautions training prior to their first and third years. BLOOMINGTON Center for Behavioral Health, 645 S. Rogers St. (812) 339-1691 EVANSVILLE STD Clinic, Vanderburgh County Health Department, Oak Park Professional Building, 420 Mulberry Street (812) 435-5683 FORT WAYNE IPFW/Parkview Health and Wellness Clinic, WALB Union Building 234 (260) 481-5748 INDIANAPOLIS IUPUI Student Health Services, Coleman Hall, 1140 W. Michigan St. (317) 274-8214 Bell Flower Clinic, 1101 W. 10th St., 2nd Floor (317) 221-8310, (317) 221-8307 (anonymous line) LAFAYETTE Purdue University Student Health Center, PUSH, 601 Stadium Mall Drive, Room 246, W. Lafayette (765) 494-1700 MUNCIE Mike Langona, Director of Epidemiology, Infection Control and Employee Health Services, Ball Memorial Hospital (765) 747-3396 NORTHWEST Methodist Hospital, Northlake (219) 886-4710 Methodist Hospital, Southlake (219) 738-5500 SOUTH BEND South Bend Clinic 211 N. Eddy Street South Bend, Indiana 46617 (574) 234-8161 TERRE HAUTE Union Hospital www.uhhg.org 1606 N 7th St Terre Haute, IN 47804-2780 (812) 238-7000 HEALTH IMMUNIZATIONS For the protection of students and the patients with whom they will come in contact during training, all entering medical students must meet immunization requirements for the following: mumps, rubella, polio, rubeola, diphtheria, and hepatitis B. Additionally, students are required to obtain hepatitis B surface antibody testing at their own expense six weeks after completing the hepatitis B series. (Students who choose not to complete the hepatitis B series must contact Student Health Services on the Indianapolis campus to sign a declination and to be informed of the rights waived in case of infection.) Prior to the beginning of each year of medical school, documentation of tuberculosis status and immunization reviews are required of all medical students. All students at all Centers must file documentation of completion of these requirements with Student Health Services in Indianapolis. It is the student's responsibility to ensure that mailed or faxed documentation is received in Student Health Services. (Students are encouraged to keep photocopies of all documentation for their own records.) Advancing to the next year of medical school is contingent upon compliance with these requirements. STUDENT HEALTH INSURANCE PLAN All students are required to obtain health insurance for inpatient and outpatient care under a plan selected annually by the School. All medical students, except those who can meet comparable coverage standards, are automatically enrolled in the plan selected by the School. Waiving out of the School's health insurance plan requires submission of documentation proving the student meets waiver guidelines. The School's health insurance provider is Aetna Student Health, which is underwritten by Aetna Life Insurance Company. Information regarding the School's health insurance plan is available in the Medical Science Building, room 108-B, and is also available from Aetna Student Health at (800) 239-9691, or on their Web site: http://www.aetnastudenthealth.com. DISABILITY INSURANCE All medical students are covered by a group disability insurance policy. In addition, information on optional individual disability insurance can be found at www.iudisability.com. Discounted rates have been arranged for all IU Medical Students, Residents and Fellows. IMPAIRED MEDICAL STUDENT PROGRAM The Impaired Medical Student Program provides students with appropriate educational experiences relating to substance abuse problems. A treatment component of the program, administered by the Indiana State Medical Association's Commission on Physician Assistance, permits a student to seek help confidentially. Referrals to the Commission can be self-generated or made by concerned faculty, friends, or family members. A report to the School is made only in the event the student does not comply with the treatment plan. The program coordinator of the Physician Assistance Program is Candace Backer, ACSW. The phone numbers to call are (317) 261-2060 or (800) 257-4762 top Registration and Fees Specific Links Student Records Malpractice Insurance Coverage Fee Assessment Policy Academic Fees Other Fees Refund Policy Financial Services STUDENT RECORDS The Dean's Office for Medical Student Affairs maintains a record, including an academic file, for each student. The file contains admission material, evaluation forms, academic summaries, relevant correspondence, and all other information deemed necessary for the proper documentation of the student's progress through the School. The maintenance and use of the file are guided by the Indiana University Policy on Student Records and the Family Rights and Privacy Act (FERPA) of 1974. A student has the right to inspect his/her academic file. Before the file is opened for the student's inspection, it is reviewed and material that the student has previously waived access to is removed. The student wishing to review his/her record must submit a written request to the Director of Student Academic Records and make an appointment for a time to review the file. Any School of Medicine faculty member who has a legitimate need to know may review a student's academic file. A transcript may be sent from the Dean's Office for Medical Student Affairs. Requests for transcripts require authorization by the student, on forms provided by the records section (Medical Science Building, Room 160). A fee will be charged for each transcript. Current student addresses must be filed in the Dean's Office for Medical Student Affairs. It is the responsibility of the student to notify the records section of the Dean's Office for Medical Student Affairs (Medical Science Building, Room 124) each time a change in address occurs. A student is also encouraged to update his/her address with Indiana University through the student self-service portal available through OneStart (http://onestart.iu.edu). The Dean's Office for Medical Student Affairs registers all medical students into the appropriate Indiana University course work for each term of enrollment. Enrollment in courses outside those prescribed in the medical curriculum is permitted only when the student is participating in an approved combined degree program, or has secured the approval of the Associate Dean for Medical Student Affairs. Registration is not complete and enrollment may not occur until the student has paid all past due fees, been released from any university holds, and complied with immunization and health insurance requirements. Inquiries regarding registration should be directed to the records section of the Dean's Office for Medical Student Affairs, Medical Science Building, Room 124, (317) 274-1970. Malpractice Insurance Coverage All students registered with the University for the relevant term/semester are covered by the School�s malpractice insurance while engaged in any required clinical coursework. Indiana University is insured by the Old Crescent Insurance Company, a single-parent captive insurance company of Indiana University. School of Medicine students participate in the Indiana Patient Compensation Fund with statuatory limits of $250,000/$750,000. Students in School-approved electives at out-of-state institutions have coverage of $1,000,000 per incident and $3,000,000 aggregate, unless coverage is provided by the out-of-state institution through an affiliation agreement. The School�s malpractice insurance coverage is limited to registered students enrolled in approved clinical coursework required for degree completion. Because of the lack of malpractice insurance coverage, non-registration with the University for the appropriate term due to unpaid prior academic term fees or any other reason is grounds for removal of the student from clinical coursework. Guest students from other medical schools pursuing one or more clinical rotations at Indiana University cannot be covered under Indiana University�s malpractice insurance and must carry appropriate malpractice coverage through their home institution or through their own purchase. FEE ASSESSMENT POLICY Academic Fees Students are expected to pay the annual rate charged for the academic year regardless of the beginning and ending dates. School of Medicine fees, as approved by the Indiana University Board of Trustees, will be billed by the IUPUI Office of the Bursar and payment will be due on the following approximate schedule. FIRST- AND SECOND-YEAR STUDENTS One-half annual rate for fall (typically due in August) One-half annual rate for spring (typically due in December) THIRD- AND FOURTH-YEAR STUDENTS One-third annual rate for summer (typically due in May) One-third annual rate for fall (typically due in August) One-third annual rate for spring (typically due in December) Late payment of University obligations may result in the assessment of late charges and restriction of certain University services. Effective July 1, 2008 the late payment fee will increase to $25 assessed on a monthly basis. Fees for a student not taking all of the standard medical school courses during the academic year will be assessed at the current School of Medicine professional credit-hour rate, not to exceed the full-time annual rate for the number of hours to be taken. Students who are required to repeat any academic work previously attempted will be assessed at the appropriate rate for the repeat work. This may be the full annual rate or the credit-hour rate, depending on the extent of the work repeated. First- and second-year students participating in an approved combined degree program will be assessed for medical school course work at the School of Medicine's professional credit-hour rate. Regular medical school course work that will also be used to satisfy degree requirements for the student's graduate degree will be assessed at the graduate credit-hour rate if such dual credit is noted on the student's approved plan of study. Graduate course work taken solely to satisfy graduate degree requirements will be assessed at the graduate credit-hour rate. Other Fees The University and the School of Medicine assess other, non-academic fees. Fee bills for both fall and spring registrations will each include an assessment for one-half the annual premium for the required health insurance. Graduating seniors will have a pro-rated amount shown on their spring semester bill. All Indianapolis-based medical students are assessed a student activity fee and an athletic development fee. The microscope rental charge (if applicable) will be included with the fee statement. If a student wishes to provide his/her own microscope, the microscope must meet rigid standards and be approved by the Microscope Committee of the School of Medicine. Storage space for personal instruments is not provided in the teaching laboratories. Students entering the Indiana University School of Medicine are required to own and use computers. To support the use of technology in the curriculum, a technology fee is assessed on both the fall and spring bill. Third- and fourth-year students will also be assessed a technology fee in the summer term. These fees are subject to change based on University administrative action. Bills are ELECTRONIC. A notification is sent to the student's IUPUI email address letting them know a bill is ready for pick up. The balance of the student account, their current bill, plus their electronic bill history can be viewed by the student or their designated third party via the OneStart portal. For exact academic year rates, contact the Dean's Office for Medical Student Affairs at (317) 274-1970. REFUND POLICY Refunds to first- and second-year students will be made in accordance with the term attendance schedule. Refund dates will be governed by the official starting date of classes for each term based on the following schedule. FOR WITHDRAWAL DURING: 1st week of classes: 100% 2nd week of classes: 75% 3rd week of classes: 50% 4th week of classes: 25% 5th week of classes and after: No refund Refunds to third- and fourth-year students will be prorated according to the number of units taken prior to withdrawal. Refunds will be applied toward any outstanding account charges. Remaining credit balances may be refunded to the student. FINANCIAL SERVICES Student Financial Services in the Dean's Office for Medical Student Affairs offers financial aid services that include short-term loans, information on summer employment opportunities between first and second-year, apartment and mortgage letters, and other services related to the student's financial well-being. The office is located in the Medical Science Building, Room 119. Students can contact the office by calling (317) 274-8568 or by e-mailing Jos� Espada at jespada@iupui.edu. Financial aid information, including school and non-school sources of scholarships, can be found on the Dean's Office for Medical Student Affairs Web site: http://msaa.iusm.iu.edu/financialtxt.htm. Free scholarship searches are available on the IUPUI Financial Aid Web site: http://www.iupui.edu/~scentral. Also, information about billing and financial aid status can be found at: http://www.bursar.iupui.edu. top Student Activities Medical Student Council Class Officers IUSM Administration STUDENT ORGANIZATIONS Students are encouraged to participate in student organizations and activities, but should be careful not to compromise academic effort and performance. For this reason, students in academic difficulty are discouraged from assuming leadership roles in student government or organizations. In the event that a student who is not in good standing wishes to compete for a leadership position, it is strongly recommended that the student meet with a representative of the Dean's Office for Medical Student Affairs to discuss his or her candidacy. Many different student organizations are active on the Indianapolis medical center campus. Organizations wishing to request funding must register with IUPUI campus. All student organization funding is run through IUPUI and subject to their rules and regulations. Resources for and information regarding student organizations at IUPUI can be found on this website: http://life.iupui.edu/ccl/student-orgs/resources. Student organizations are encouraged to communicate with the MSC in order to maintain space on the student organizations calender. A list of student organizations can be found on the IUSM Student Organizations page. Medical Student Council The purpose of the Medical Student Council (MSC) is to discuss issues of interest to the students of the Indiana University School of Medicine, and to implement constructive courses of action arising from those discussions. The MSC is also responsible for appointing committee leadership to MSC committees as well as recommending students to sit on faculty and school committees. The MSC serves as student leadership for the student body and is given a prominent role in all faculty and school affairs. The Medical Student Council is composed of the class officers from all four medical classes and members of committees or organizations as defined in the MSC Constitution and Bylaws. Four voting members representing the Centers for Medical Education are elected to the MSC. All MSC meetings are open to all medical students. Minutes from all MSC meetings are distributed on the Indiana University School of Medicine listserv and are available on the MSC web page. The MSC functions through class committees as well as through school committees, and represents students in academic and other concerns. The Medical Student Council office is located in the Daly Student Center, room 188. Members can be emailed directly with questions or concern and those addresses are available at http://www.iupui.edu/~mscstaff/. Class Officers Each class elects class officers to conduct its affairs and to represent it in the Medical Student Council. Elections of officers for the third and fourth years are usually held during the preceding year. First- and second-year class elections are generally held within the first few weeks after the beginning of fall classes to allow students time to become acquainted. During the period prior to first-year elections, the MSC will assist the first-year class. --> top IU School of Medicine Administration D. CRAIG BRATER, M.D., Dean, and Director of the Indiana University Medical Center PAUL R. COOK, M.D., Executive Associate Dean for Clinical Affairs C. DUANE GAITHER, M.B.A., Executive Associate Dean for Administration and Finance ROBERT B. JONES, M.D., Ph.D., Executive Associate Dean for Strategic Planning, Analysis, and Operations STEPHEN B. LEAPMAN, M.D., Executive Associate Dean for Educational Affairs ORA H. PESCOVITZ, M.D., Executive Associate Dean for Research Affairs STEPHEN P. BOGDEWIC, Ph.D., Associate Dean for Faculty Affairs and Professional Development CHARLES M. CLARK, JR., M.D., Associate Dean for Continuing Medical Education HERBERT E. CUSHING, III, M.D., Associate Dean for Medical Student Affairs ROSE S. FIFE, M.D., Associate Dean for Research JOHN F. FITZGERALD, M.D., Associate Dean for Primary Care LISA E. HARRIS, M.D., Associate Dean for Wishard Affairs THOMAS S. INUI, M.D., Associate Dean for Health Care Research KENNETH E. KLOTZ, JR., M.D., Associate Dean for VA Affairs, and Chief of Staff of the Veterans Affairs Medical Center DEBRA K. LITZELMAN, M.D., Associate Dean for Medical Education and Curricular Affairs JULIE J. MCGOWAN, Ph.D., Associate Dean for Information Resources and Educational Technology, and Director of the Ruth Lilly Medical Library SHARON M. MOE, M.D., Associate Dean for Research Support VINCENT J. SHEEHAN, B.A., Associate Dean for Information Technology, and Chief Information Officer J. DAVID SMITH, Ed.D., Associate Dean for Development ERIC S. WILLIAMS, M.D., Associate Dean for Clarian Affairs WILLIAM F. BOSRON, Ph.D., Assistant Dean for Graduate Studies JAMES J. BROKAW, Ph.D., Assistant Dean for Student Affairs ROBERT M. EINTERZ, M.D., Assistant Dean for International Programs ELIZABETH A. ELKAS, M.F.A., Assistant Dean for Development MEREDITH T. HULL, M.D., Assistant Dean for Graduate Medical Education PATRICIA A. KEENER, M.D., Assistant Dean for Medical Service-Learning ERIC M. MESLIN, Ph.D., Assistant Dean for Bioethics PATRICIA A. TREADWELL, M.D., Assistant Dean for Cultural Diversity PAULA S. WALES, Ed.D., Assistant Dean for Medical Education CENTERS FOR MEDICAL EDUCATION PATRICK W. BANKSTON, Ph.D., Assistant Dean, and Director of the Northwest (Gary) Center for Medical Education TALMAGE R. BOSIN, Ph.D., Assistant Dean, and Director of the Medical Sciences Program, Bloomington GORDON L. COPPOC, Ph.D., D.V.M., Assistant Dean, and Director of the Lafayette Center for Medical Education ROY W. GEIB, Ph.D., Assistant Dean, and Director of the Terre Haute Center for Medical Education JOHN F. O'MALLEY, Ph.D., Acting Director of the South Bend Center for Medical Education BARTH H. RAGATZ, Ph.D., Assistant Dean, and Director of the Fort Wayne Center for Medical Education REX D. STITH, Ph.D., Assistant Dean, and Director of the Evansville Center for Medical Education T. STUART WALKER, Ph.D., Acting Director of the Muncie Center for Medical Education DEAN'S OFFICE FOR MEDICAL STUDENT AFFAIRS Herbert E. Cushing, MD, Associate Dean James J. Brokaw, PhD, Assistant Dean William Agbor-Baiyee, PhD, MPA, Director, Special Programs Mary Alice Bell, MS, Director, Office for Mentoring and Student Development Dennis W. Deal, MA, Director, Academic Records Millie A. Eaton, MS, Administrative Assistant/Office Manager Jos� R. Espada, Director, Student Financial Services Suzanne Kunkle, PhD, HSPP, Director, Counseling Services Myrna Gray, Database Specialist The Dean's Office for Medical Student Affairs (MSA) is located in Room 164, Medical Science Building, Indianapolis, IN, 46202-5120. For information call (317) 274-1965, or visit the MSA Web page at http://msa.iusm.iu.edu/. DEAN'S OFFICE FOR MEDICAL EDUCATION AND CURRICULAR AFFAIRS Debra K. Litzelman, MD, Associate Dean Paula S. Wales, EdD, Assistant Dean Stacey A. Keyton, MS, Associate Director, Curricular Evaluation and Assessment Ann Cottingham, M.A.R. Wilma S. Griffin, MS, Curriculum Development Specialist The Dean's Office for Medical Education and Curricular Affairs (MECA) is located at 714 N. Senate Ave., EF 200, Indianapolis, IN, 46202. For more information, please call (317) 274-4556, or visit the MECA website at http://meded.iusm.iu.edu. --> top		Core Values and Guiding Principles >Mission and Vision >Professionalism Dean's Office >Medical Student Affairs >Medical Education and Curricular Affairs Academic Policies >Academic and Professional Standards >Policy Statement >Class Attendance >Dress Code >Exam Postponement >Evaluation of Students with Disabilities >Requirements for Graduation, USMLE >Cheating, Plagiarism >Withdrawal, Suspension, Dismissal >Vacation, Leave of Absence >Student Promotions Committee >Student Evaluation >NRMP, Medical Licensure Student Services >Office for Mentoring and Student Development >Personal Counseling >Teacher/Learner Advocacy Committee >Computer Support >Campus Police and Safety Escort Student Health Issues >Health Services >Universal Precautions >Immunizations >Student Health Insurance >Disability Insurance >Impaired Medical Student Program Registration and Fees >Student Records >Malpractice Insurance Coverage >Fee Assessment Policy >Academic Fees >Other Fees >Refund Policy >Financial Services Student Activities >Medical Student Council >Class Officers IUSM Administration Click Here to Print:

The Student Manual is the official document on policies, procedures, and resources of the Indiana University School of Medicine. It is important that each student becomes familiar with its contents. While every effort is made to provide accurate and current information, the School of Medicine reserves the right to change without notice policies, procedures, programs, and other matters when circumstances dictate.

Committee on Students with Disabilities

Accommodations for Students with Documented Disabilities

Appeals

Confidentiality

STUDENT ORGANIZATIONS

Medical Student Council

Class Officers