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Medical Education
Medical Student Education

Physicianship Evaluation Forms and Policies

Purpose

To specify the process for documenting unprofessional behavior by a student.

 

Overview

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. Unprofessional behavior is documented and remediation is undertaken.

 

Related LCME Standards:

3.5 Learning Environment (Professionalism)

 

Principles

  1. Rapid turnaround of feedback to students whenever information becomes available is a goal of this evaluation process.
  2. A Physicianship Evaluation Form indicates that a student needs additional help developing physicianship skills.
  3. The Associate Dean for Students will provide support to the student in meeting competency expectations for professionalism.

 

Policy

  1. A course director or associate dean who is concerned about a student's behavior should give feedback to the student and make suggestions for improvement.
  2. If attempts to give the student feedback about these issues are unsuccessful, the behavior is repeated, or is initially serious enough, then a Physicianship Evaluation Form will be completed and reviewed with the student.
    1. The following are examples of behaviors that would warrant a physicianship evaluation:
      1. Student is repeatedly tardy or does not show up for patient-related activities
      2. Student exceeds the number of excused absences
      3. Student demonstrates disruptive behavior
      4. Student does not respond in a reasonable manner to multiple communications from the School
      5. Student falsifies information
  3. Physicianship Form should be filed as close to the incident of concern as is practical, out of fairness to the student.
  4. The completed form will be submitted to the Associate Dean for Students, who may meet with the student to review the issues and explore remediation strategies.
  5. Students may also be given the provisional non-passing grade of E in a course or clerkship for failing to demonstrate appropriate professional and personal attributes required for a physician.
  6. Repeated behavior of concern is reported in the Medical Student Performance Evaluation (MSPE).
    1. If a student receives one or more Physicianship Evaluation Forms during Foundations 1, the student meets with the Associate Dean for Students to review the issues and explore remediation strategies. Reference to these sessions is not made in the MSPE.
    2. If a student receives one Physicianship Evaluation Form during the clerkship years, it will not be referred to in the MSPE.
    3. 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 clerkship years, or if a student receives two or more Physicianship Evaluation Forms in the clerkship years, then issues concerning the student’s professional behavior are mentioned in the MSPE.
    4. Should a student receive a second Physicianship Evaluation Form in the clerkship years after the MSPE has been transmitted, the School will notify residency program directors of the ongoing concerns about performance in the competency of professionalism.
    5. Students who receive two or more Physicianship Evaluation Forms in the first two years and subsequently receive a Physicianship Evaluation Form in the clerkship years, or two or more Physicianship Evaluation Forms in the clerkship years will be placed on academic probation and are referred to the Committee on Academic Standards Committee (CAS) for review of the deficiencies. The CAS can recommend dismissal.
  7. 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.
    1. If the issue is not resolved after this informal discussion, the student can submit an appeal to the Associate Dean for Students; this appeal will be reviewed by the Physicianship Appeal Committee, who will determine whether its issuance should stand or be retracted.
    2. The student has up to two 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 and submit an appeal.
    3. Grievances are not the same as disagreements. A student cannot grieve a Physicianship Evaluation Form merely because the student disagrees with its issuance.
    4. 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 Evaluation 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.
    5. A student with a grievance of an alleged act of discrimination as expressed through a Physicianship Evaluation form may contact the Office for Diversity and Outreach for further information.
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 October 29, 2017.

 

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