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Section II: The Clinical Education Program and Policies

Procedure When a Clinical Experience is Discontinued

I. Student medical or family emergency

The clinical experience may be discontinued if the student has a medical or significant family emergency that prohibits continuation of the clinical rotation.  The plan to complete the clinical practicum will be determined by the ACCE and Division Director with input from the CI, CCCE and division faculty. The individual student reassignment will be based on the timing of the emergency and the student’s historical performance (both clinically and academically). Provisions in the individualized plan may not require further clinical experience or may require a specified time period at the same or different facility. Completion of the clinical experience will be scheduled as soon as possible based on the nature of the emergency and availability of clinical reassignment.

II. Ethical or legal concern

The clinical experience may be discontinued if the student reports substantive concerns about safety, legal or ethical issues. The procedures to complete the clinical experience are:

  • The ACCE will advise the student and investigate as deemed appropriate.
  • The ACCE will determine a course of action that is in the best interest of the student, the division and the clinic.
  • The student will be reassigned to a quality clinical facility in a timely manner. The specifics of the reassignment will be determined by the ACCE and the Division Director with input from the division faculty after careful consideration of all pertinent factors.

III. If the student behaviors are unsafe or unacceptable

If a clinical faculty (CI or CCCE) identifies concerns about student performance, the following procedures will be followed:

  1. The CI/CCCE contacts the ACCE immediately when the concern involves a red flag item (CPI items 1-5), particularly those related to safety, legal or ethical issues.
  2. The ACCE and/or division faculty will consult with the clinical faculty and student.  Outcomes of the meeting may include a comprehensive remedial plan or immediate termination of the clinical experience.
  3. A remedial plan will include a written academic warning to the student with a requirement to improve his/her performance as specified above.
  4. The student will be removed from the clinical experience if behaviors are such that the CI deems patient safety is impaired, voices frustration and unwillingness continue, or reports that the student’s behavior is interfering with the CI’s ability to meet professional responsibilities.
  5. If the experience is terminated, the division faculty will determine an appropriate plan of action.
  6. The CCCE at the next assigned facility will be informed of the general nature of the concerns about the student by the previous clinical facility.
  7. The student must revise goals for the next clinical rotation based on the areas of weakness identified at the unsuccessful clinic, and this information must be shared with the CI prior to the first day of the experience.

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