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Medical Education
Medical Student Education

Physicianship Evaluation Forms and Policies

Professionalism is a core competency for UCSF medical students and is fundamental to the practice of medicine. Students are expected to demonstrate adequate professional and personal attributes both within and outside the boundaries of a course or clerkship. A Physicianship Evaluation Form indicates that a student needs help developing physicianship skills.
First and Second Years

First and Second Year Physicianship Form

A faculty member and a course director who are concerned about a student's behavior should give feedback to the student and make suggestions for improvement. If the behavior is repeated or is initially serious enough, then a Physicianship Evaluation Form will be completed, reviewed with the student, and then forwarded to the Associate Dean for Students.

The following are examples of some behaviors that would warrant a physicianship evaluation:

  • a student repeatedly does not show up for a patient-related activity, such as a preceptorship

  • a student is repeatedly tardy to small group meetings

  • a student exceeds the number of excused absences

  • a student demonstrates disruptive behavior in lecture

Third and Fourth Years

Third and Fourth Year Physicianship Form

Students who do not demonstrate adequate professional and personal attributes (all who receive ratings of 1 or 2 on their final evaluation in Professional Attributes and Responsibilities, Self Improvement and Adaptability, Relationships with Patients, or Interpersonal Relationships with other members of the Health Care Team; or, at the discretion of the course or clerkship or site director, those who receive ratings between 2 and 3 in any of the above categories) will be evaluated further by the clerkship or site director, who will complete a Physicianship Evaluation Form to document the areas in which improvement is needed.

Rapid turnaround of feedback to students whenever information becomes available is a goal of this evaluation process. The clerkship or site director is encouraged to meet with a student who does not meet physicianship standards as soon as concerns are raised prior to the end of the rotation. The purpose of this meeting is to discuss ways in which performance can be improved, thus allowing the student adequate opportunity to make appropriate changes. Such feedback meetings during the clerkship, though strongly encouraged, are not required in order to submit a Physicianship Evaluation Form.

A Physicianship Evaluation Form can be filed up to eight weeks after the student's start of the subsequent rotation. The clerkship or site director should meet with the student to review the form. To document this process, the student can sign and date the form and may respond to the evaluation by providing additional information. The Associate Dean for Students will be informed that a Physicianship Evaluation Form has been filed and generally meets with the student to review the issues and explore remediation strategies. Students may also be given the provisional non-passing grade of E in the clerkship for failing to demonstrate appropriate personal and professional attributes required for a physician.

Institutional Physicianship

Institutional Physicianship Form

If inadequate professional behaviors are noted outside of course work or clinical experiences, students may receive an Institutional Physicianship Evaluation from the central educational administration. Concerns will be summarized and the form will be completed by a Medical Student Education Associate Dean, rather than course or clerkship directors. Therefore, this category of physicianship evaluation is called "Institutional Physicianship." The evaluation describes areas in which improvement in professional performance is needed, and is parallel to and includes the standard physicianship evaluation criteria: ability to meet professional responsibilities; ability to improve and adapt; and ability to establish adequate relationships with faculty and administrative personnel.

The following examples describe the kinds of behavior that would warrant an institutional physicianship evaluation:

  • a student does not respond in a reasonable manner to multiple communications from Medical Student Education;
  • a student falsifies financial information in order to procure student loans.

Rapid feedback to students is a goal of this evaluation process and will be prioritized whenever information becomes available. An Institutional Physicianship Evaluation Form will be completed and submitted after attempts to give the student feedback about these issues have been unsuccessful. Such feedback, though strongly encouraged, is not required in order to submit an institutional physicianship evaluation. A Medical Student Education Associate Dean may meet with the student to discuss ways in which unprofessional behavior can be improved, thus allowing the student adequate opportunity to make appropriate changes. To document this process, the student can sign and date the form and may respond to the evaluation by providing additional information

Policy on References in the Medical Student Performance Evaluation

If a first- or second-year student receives one or more Physicianship Evaluation Forms, the student generally meets with the Associate Dean for Students to review the issues and explore remediation strategies. Reference to these sessions is not made in the Medical Student Performance Evaluation (MSPE).

If a third- and fourth-year student receives one Physicianship Evaluation Form it will not be referred to in the Medical Student Performance Evaluation (MSPE).

However, if a student receives two or more Physicianship Evaluation Forms in the first two years and subsequently receives a Physicianship Evaluation Form in the third and fourth years, or if a student receives two ore more Physicianship Evaluation Forms in the third and fourth years, then issues concerning the student’s professional behavior are mentioned in the MSPE. Should a student receive a second Physicianship Evaluation Form in the third and fourth years after the MSPE has been transmitted, the school will notify residency program directors of the ongoing concerns about performance in the domain of professionalism.

Students who receive two or more Physicianship Evaluation Forms in the first two years and subsequently receive a Physicianship Evaluation Form in the third and fourth years, or two or more Physicianship Evaluation Forms in the third and fourth years will be placed on academic probation and can be referred by the Screening and Promotions Committee to the Academic Standards Committee (ASC) for review of the deficiencies. The ASC can recommend dismissal.

Policy on Appeal of a Physicianship Evaluation Form

Students who receive a Physicianship Evaluation Form but do not feel that its issuance was merited can ask for clarification or review from the faculty member. If the issue is not resolved after this informal discussion, the student can review the Physicianship Evaluation Form with the Associate Dean for Students who will determine whether its issuance should stand or be retracted. The student has up to four weeks after being notified of the issuance of the Physicianship Evaluation Form to review its issuance with the faculty member and/or the Associate Dean for Students.

Grievances are not the same as disagreements. A student cannot grieve a Physicianship Form merely because the student disagrees with its issuance.

The student cannot further appeal the Physicianship Evaluation Form unless:

  1. the student feels that it was based on discrimination (for example, that bias or wrongdoing by a faculty member has occurred).
    -or-
  2. the student feels there was an infringement of the student’s academic freedom. An example of possible infringement of academic freedom is when a student alleges that the Physicianship Form was submitted by a faculty member based upon the student's expression of opinions or academic positions that differed from that of the faculty member's opinions or positions. An example might be where a student wrote an opinion piece in the student paper with which the faculty member expressed disagreement.

A student’s grievance of an alleged act of discrimination as expressed through a Physicianship Evaluation Form will be heard by the Ad Hoc Committee appointed pursuant to the UCSF Academic Senate Divisional Procedure for Student Grievance in Academic Affairs: http://senate.ucsf.edu/0-bylaws/stugr.html

A student’s grievance of an alleged infringement of academic freedom as expressed through a Physicianship Evaluation Form will be heard by the Committee on Student Welfare pursuant to the UCSF Academic Senate Bylaws, Regulations, and Procedures of the School of Medicine Bylaws of the Faculty of the School of Medicine: http://senate.ucsf.edu/0-bylaws/somb.html

Questions

If you have any questions about Physicianship Evaluation Forms or policies, please contact Associate Dean for Students.

Approved by Faculty Council, 2/27/03. Modification approved by the Committee on Curriculum and Educational Policy, 4/15/09 and 6/16/10. Updated June, 2016.

 

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