Lcme clerkship requirements Additionally, the LCME requires institutions to have Additional responsibilities of CDs include the recruitment of new faculty and sites, faculty development, addressing student mistreatment reports, attending departmental and medical school curriculum meetings, ensuring compliance with LCME standards, training and managing additional faculty leaders such as site clerkship faculty and co The LCME Standards & Elements are listed below. Definitions From the LCME Structures and Functions of a Medical School, the following standards have been provided: Longitudinal Integrated Clerkship (LIC) 2. Students who do not meet all of the passing criteria fail the clerkship and will be referred to SPC. No more than 20% of medical students in a required clerkship should be using alternate means to satisfy clinical experience requirements. Standards and Elements Effective July 1, 2024. Jul 1, 2024 · LCME Standards and Elements Functions and Structure of a Medical School. PK !2‘oWf ¥ [Content_Types]. Certain clinical experiences are critical to clerkship learning objectives and cannot be satisfied through alternate means. hMonitor students’ experience during clerkship. LCME 8. Supply the percent of clerkship time in the ambulatory setting. Jul 1, 2023 · LCME’s sponsoring organizations. Individual Course/Clerkship Reviews and Phase Reviews • CD’s will provide information regarding their internal processes within the course/clerkship for ensuring the procedures within this document are followed by all individuals providing clinical supervision of students within the course/clerkship. Describe what to know about LCME’s interaction with SOM & how it affects clerkship 3. Edwards School of Medicine, we are proud to be fully accredited by the LCME, which is sponsored by the Association of American Medical Colleges (AAMC) and the Nov 12, 2016 · •Individual dedicated to monitoring compliance of LCME standards/elements, including: on-going central monitoring of clerkship logging with real time reporting back to deans, clerkship directors and coordinators, and eventually to the Clinical Education Subcommittee regarding the status of logging. Clerkships must provide students with adequate exposure to a variety of learning opportunities. Set the expectation with clerkship directors that they should edit the clerkship narratives for length and succinctness and that this editing should be done before the narrative is sent to the MSPE author(s). LCME Standard: Monitoring Student Time (1a) LCME Standard 8. ED-9. 5 hours Psychiatry 4 8 hours Surgery 8 4-10 hours Emergency Medicine 2 0 hours Choose one Sub internship Family Medicine 4 1. Changes to existing standards and elements that impose new or additional compliance requirements are reviewed by LCME’s stakeholders and are considered at a public hearing before being adopted. School of Medicine Policies pertinent to clerkship education • Definition of Medical Student Practice Role • Respectful Educator and Mistreatment Policy • Student Duty Hours and the Work Environment This is the fourth article in a series that will address various aspects of the LCME accreditation process, 1 which JABSOM is scheduled to undergo in early 2017. Each student should discuss any outstanding clinical experiences with the supervising attendings and residents along the way during the rotation, and with the site/course director. Describe several problematic “ED’s” for LCME Standard 6. A medical school ensures that its medical education program meets all eligibility requirements of the LCME for initial and continuing accreditation, including receipt of degree-granting authority and accreditation by a regional accrediting body by either the medical school or its parent institution. Supporting Documentation Programs will select candidates to interview only from among the pool of eligible applicants, evaluating each applicant on the basis of their preparedness, ability, aptitude and academic background (to include clerkship grades, standardized test scores, communication skills and humanistic qualities such as motivation, honesty and integrity). For students in Year 1 and Year 2 prior to the first core clerkship or clinical elective, the goal for maximum number of academic work hours per week, averaged over 2 weeks, is 35 hours per week. E. For surveys in the 2024-25 Academic Year. Oct 26, 2009 · 1. S. 3: A medical school ensures that medical students in clinical learning situations involving patient care are appropriately supervised at all times in order to ensure patient and student safety, that the level of responsibility delegated to the student is appropriate to the student’s level of training, and that the activities supervised are within the scope of practice To outline the requirements and processes to be followed with respect to affiliation agreements with non-UC Davis teaching site. These processes align with LCME standards 6. Before any student clinical rotations can begin, there must be an affiliation agreement exectuted between the clinical clerkship site and the School of Medicine. Prior to the LCME accreditation requirement, 1 a national survey of internal medicine (IM) clerkship directors (CDs) in 2009, showed that only 19% of the core IM clerkships had a formal IPE curriculum and 57% of the CDs believed IPE should become part of the undergraduate clinical curriculum; scheduling conflicts, time in the existing Download Data (Excel) Survey Item: 2018-2019 through 2020-2021: Check if the topics listed are included in one or more required courses in the pre-clerkship phase of the curriculum and/or in one or more required clerkships 2021-2022: Check the topics that currently are included in the curriculum as part of a required course in the pre-clerkship and/or clinical phases of the curriculum. g. Additionally, published LCME standards require ongoing Students should report any concerns about possible violations of this policy (e. It is important that the clerkship provide the students with a list of suggested surgical textbooks, reading materials, and/or on-line resources, to help them prepare for cases, lectures, and examinations. Glossary of Terms for LCME Accreditation Standards and Elements. The standards that LCME will apply during a review process are those in effect for the year in which the institution will be reviewed. If your state does not explicitly require that medical license applicants have completed a Neurology clerkship, then your school may not feel the need to have one as a requirement. xml ¢ ( Ä–OO 1 Åï•ú V¾VY h BÙph˱E*•¸:ölbÕÿdO€|ûŽ³É A Âj/‘v=ï½ßŒ“h&W Ö ÷ “ö®b'å˜ à¤WÚÍ+ö÷öztÁŠ„Â)a¼ƒŠ­ ±«éçO“ÛU€T Ú¥Š- Ã%çI. Documentation Requirements . Job Description of the Clerkship Coordinator 1 2. Clerkship and Assistant Clerkship Director presentations (curricular interventions, national meeting updates) Chair: Assistant Dean for Clinical Development of formative feedback in all courses and clerkships. Once approved, new or revised standards are published in the Functions This National Clerkship Curriculum is a resource, not a requirement. IPCS 3: Work effectively with others as a member of a health care team or other professional group. or at the bedside This documentation assures the requirements of the clerkship are met by each student and builds the student’s portfolio. There are different accreditation agencies for the Caribbean and foreign medical schools. asynchronously (see Non-Clerkship Student Attendance Policy for details on attendance requirements). Unlike the Accreditation Council for Graduate Medical Education [ 29 ], the LCME has opted to not make specific recommendations for protected time for clerkship directors. UA COM Procedure for Student Assignments to Instructional Sites Feb 13, 2018 · Students who do not pass a core clerkship examination on the second attempt but otherwise pass the clerkship clinically receive an E (incomplete) for the clerkship. Performance Assessment in Required Clerkships 3. , inadequate or inappropriate supervision) through mistreatment reporting, direct reporting to a clerkship/course director or coordinator and may also document concerns in clerkship/course evaluations or the learning environment survey at the end of the clerkship Our Mission. Sample weekly schedules that illustrate the amount of time in the pre-clerkship year(s) of the curriculum that medical students will spend in scheduled Estimated total workload for each course block in the pre-clerkship curriculum should not exceed 60 hours per week. Students must log their experiences in MedHub Procedures in an ongoing manner throughout the clerkship based on clerkship requirements. Simulation in the Emergency Medicine Clerkship 20 5. , the Liaison Committee on Medical Education (LCME) accreditation standards give guidance to US MD schools while the Commission on Osteopathic College Accreditation (COCA) accreditation standards cover the DO curriculum. Provide the total number of weeks required of every medical student. The Liaison Committee on Medical Education (LCME) Annual Questionnaire, Part II, which includes curriculum policy and structure data from all U. Attest that you will have completed a 4 week EM clerkship at your home school or another institution prior to the Emory EM elective. Procedures may include, but are not limited to SAFE reporting (to report mistreatment or negative learning environment), direct reporting to a clerkship or course director or coordinator, and documenting concerns in course or clerkship evaluations at the end of the course or clerkship. Medical Student Documentation: Paper Charts and Electronic 28 Medical Records (EMRs) during each required course or clerkship to allow sufficient time for remediation. Documents below are organized by type: Standards, Guidelines & Procedures, Guide, Self-Study Guide, DCI, Survey Team Documents, Forms, White Papers, and Articles. The LCME requirement states that grades must be available within 6 weeks of the end of a clerkship. Procedures 1. and Mary B. This standard outlines the requirement for all students to receive formative feedback at a point within each course and clerkship that allows sufficient time for remediation of any deficiencies. Because of year-to-year changes in the questionnaire, not all data points in the reports below are available for all years. In the course/clerkship objectives above, there are abbreviations that link to the overall program objectives. The content is designed to help you, but you are not required to use it. •Clerkship Goals and Objectives developed with site faculty •DME monthly meetings •Regular CD visits to sites, plus calls, emails, videoconferences with each site Number of Medical Schools with Methods Used for Clinical Knowledge and/or Skills Assessment in Clinical Clerkship Experiences by Topic Area and Academic Year The LCME is recognized by the U. Programs are required to demonstrate that their graduates exhibit general professional competencies On each required clerkship each student must obtain 3 Core EPA assessments per week. Clerkship Night Call Requirements; Clerkship Requirements by Discipline; Clerkship Week Requirements by Curriculum Year; Clinical Course Required Weeks by Discipline; Combined Degrees or Early Acceptance Programs; Content Documentation as Independent Course or Part of an Integrated Course; Curriculum Change in Medical Schools program. Oct 17, 2023 · Purpose. xml ¢ ( Ä—ËnÛ0 E÷ ú ·…E'} (,gÑDz Ð è–&G2 ¾@Ž“øï;²l!HíH‰CxcÀæ̽ç !a»¸·¦¸…˜´w ;+§¬'½Ò®©ØŸ« “ϬH(œ Æ;¨Ø »˜¿}3»Z H u»T±%bøÂy’K°"•>€£“ÚG+ ¾Æ† !oD ü|:ýÄ¥w 'Øj°ùì Ôbe°ø~O?w$סaÅ×®®µª˜¶mÿu€†ñ½- LzÔ#B0Z ¤s~ëÔ#°É ª¤ÎMMZê ÞQÁ ‡öä°Á¶ï M3j Å Jan 11, 2020 · However, the LCME Standards are devoid of recommendations for dedicated time for clerkship directors to meet these requirements. This installment provides an overview of pre-clerkship education at JABSOM and related LCME standards. For issues identified after the clerkship, the clerkship director will gather information and propose a response plan for approval to the Associate Dean for Curriculum. Students will be assigned required To achieve and maintain accreditation, a medical education program leading to the MD degree in the United States and Canada must meet the LCME accreditation standards contained in the LCME document Functions and Structure of a Medical School. Policy. You may adapt this log to fit your individual needs, specifically reflecting the educational priorities of your clerkship and Jun 3, 2024 · 2. APPLICATION PROCESS AND DEADLINES The 2006 curriculum incorporated in its design requirements of the LCME as contained in the “Functions and Structure of a Medical School. Satisfaction of the requirements of paragraphs (1), (2), and (3) of subdivision (a) of this section shall be in lieu of the completion of any foreign internship and/or social service requirements, and no such requirements shall be a condition of licensure as a physician in this State. A course or clerkship less than four weeks in length provides alternate means by % % % % Discuss the LCME requirements as they pertain to the implementation of the clerkship objectives and curriculum. For non-anonymous work hour violations, the clerkship director will alter the student’s schedule to bring the student’s work hours into compliance, where possible. Department of Education and WFME as the notable authority for the accreditation of medical education programs leading to the MD degree. Fourth year full time medical students who identify as black, Latino, women, and LGBTQ+, are in good standing at LCME-accredited United States medical schools, and who are United States citizens should consider applying. Standards for Accreditation of Medical Education Programs Leading to the MD Degree. 9. PROGRAM REQUIREMENTS Applicants must meet the following criteria to be considered: Be accepted for a visiting student clerkship at the Keck School of Medicine of USC Be a 4th year medical student in good academic and professional standing at an LCME accredited medical school. ” (LCME Element 9. II. ÀŠTúŽNj ­@zŒs „ü'æÀOÇãs. , quarterly) review and validation that required data from clerkship evaluations (overall clerkship and site), learning environment evaluations, student clinical experience log fulfillment, and mid-clerkship feedback delivery have been entered into a central monitoring database as required by LCME Accreditation ensures that medical schools meet rigorous standards for education, faculty qualifications, student support and institutional resources. Academic advising: The process between the medical student and an academic advisor of reviewing the services and policies of the institution, discussing educational and career plans, and making appropriate course selections. Aug 20, 2021 · In the U. These can be obtained by a preceptor who is a resident or faculty. Total workload hours include all scheduled in-class activities, required out-of-class activities, and an estimate of the time needed to achieve learning goals each week and on exams. Medical schools differ greatly based on their missions and characteristics: whether they are private or state-supported or free-standing or a The Clerkship Director and the LCME Barbara J. 4: Affiliation Agreements. ” 6 The revised syllabus presented in this article further facilitates how EM clerkships, and thereby medical schools, can meet many of these standards. 1 Preparation of Resident and Non-Faculty Instructors. Summarize the roles and activities of course/clerkship faculty and the curriculum committee and its subcommittees in making and reviewing this linkage. In order to comply with University and LCME requirements, there is a process in place to acquire new sites/preceptors that must be completed prior to a student placement. What is the LCME looking for? Evidence that faculty: hHave defined the clinical experience needed to assure that all students can meet the objectives for the clerkship. Describe LCME origin & role in med ed 2. The LCME further requires this feedback to occur at least at the midpoint of each course or clerkship. Jul 23, 2021 · Regular (e. For electives within the Advanced Doctoring year: Informed by LCME requirements, ‘medical schools must collect and use a variety of outcome data, including national norms of accomplishment, to demonstrate the extent which medical students are achieving program objectives and to enhance the quality of the medical education program as a whole. 8 ! 3" Tab1:(ClerkshipCoordinator(Responsibilities"" A. 2. The course/clerkship leadership should review student evaluations of their experiences at alternative sites to identify any persistent variations in educational experiences or evaluation methods. PK ! ›®NÓ ã [Content_Types]. Simulation Center The Russell D. 2 Required Clinical Experiences, 8. At the Marshall University Joan C. Oct 28, 2021 · Describe the status of linking course and clerkship learning objectives to medical education program objectives. Formal feedback occurs at least at the midpoint of the course or clerkship. In compliance with LCME accreditation standards, every required course and clerkship has its objectives mapped to the overall objectives to allow the school to be certain the overall objectives are met. Provide the number of required clerkship weeks in the 2nd year, 3rd year, 4th year, or either the 3rd or 4th year. 1. Oct 24, 2019 · b. The faculty of a medical school define the competencies to be achieved by its medical students through medical education program objectives and is responsible for the detailed design and implementation of the components of a medical curriculum that enable its medical students to achieve those competencies Feb 13, 2020 · LCME accreditation has 12 standards that are divided into 94 elements. BCM School of Medicine related information can be found below each standard and element Clerkship Requirements by Discipline; Source:LCME Annual Medical School Questionnaire Part II, 2001-2002 through 2012-2013 and 2016-2017 through 2019-2020. If a clinical discipline is presented as a block clerkship, provide the total number of weeks required of every medical student during the 2021-2022 academic year. ½Cp8ÂìÁ¦“ P‹¥Áâç#½nH‚›³â{S—£*¦mÖç÷|§"‚IÏ$" £¥@:ç÷N=ã m˜JR®kÒB‡ô… ö$ä“ý Ýo fÔ the Liaison Committee on Medical Education (LCME) that all enrolled medical students are provided information regarding the JCESOM grading systems, assessments and narrative summaries. For all required clerkships, the University of Washington School of Medicine, in compliance with LCME standards, requires that a grade be reported to the student within four weeks and never more than six weeks after the end of the clerkship. 6 requires that “A medical school has in place a system with central oversight that monitors Clerkship Total Weeks Typical Hours per Week of Formal Instruction Family Medicine 8 8 hours Internal Medicine 8 8 hours Obstetrics & Gynecology 8 8 hours Neurology 4 4 hours Pediatrics 8 8. Satisfactorily complete the clerkship logging requirements; The final grade for a clerkship is assigned by the Clerkship Director. 7 Formative Assessment and Feedback. EPA requirements will be reviewed on day 1 of each clerkship orientation. Policy Written agreements are necessary with clinical affiliates that are used regularly for required clinical experiences. Dec 31, 2019 · LCME Standards and the Clerkship Administrator: Career Choice: 6: Telling Your Story to Expand Your Professional Opportunities: Recognizing the Steps Needed for Improved Proficiency and Career Enhancement or Promotion: House Officer Evaluations: 6: Collaboration of the Interdisciplinary Team: Visiting Students: 2: Credentialing and Other Oct 4, 2019 · sponsoring organizations. As available, the formally approved policy relating to duty hours for medical students during the clerkship phase of the curriculum, including on-call requirements for clinical rotations. Standard 6: Competencies, Curricular Objectives, and Curricular Design. This policy outlines the attendance, participation and absence policy for pre-clerkship learning activities, aligned with the following Graduation Competencies: a. As a part of our LCME requirements for accreditation, all teaching faculty and resident Clerkship narratives should be edited at the clerkship level, not at the MSPE writer level. alternate means for meeting the required experience requirement(s). The LCME requires institutions to have a defined process for the provision of narrative assessment within required courses and clerkships, providing learners with written assessment The Liaison Committee on Medical Education (LCME) has established standards regarding the ongoing monitoring, review, and revision of the curriculum, including all curricular content, learning objectives, and instructional and assessment methods. Provide the number of weeks devoted to primary care. Review and report on SSOM policies pertaining to the clinical clerkships. PK !M Þ d [Content_Types]. Lectures and Laboratories: Content, Organization, and 14 Scheduling 4. 6 Eligibility Requirements A medical school ensures that its medical education program meets all eligibility requirements of the LCME for initial and continuing accreditation, including receipt of degree-granting authority and accreditation by a regional accrediting body by either the medical school or its parent institution. encounter was in the OR, clinic, . Relevant LCME Standards Standard 4: Faculty Preparation, Productivity, Participation, and Policies The faculty members of a medical school are qualified through their education, training, experience, and continuing professional development and provide the leadership and support necessary to attain the institution's educational, research, and In order to ensure a manageable workload and adequate time for self-directed and independent study during the pre-clerkship phase, this policy outlines the time expectations for in-class and out-of-class activities. If a student is unlikely to accomplish all of the clinical core experiences A narrative description of a medical student’s performance, including non-cognitive achievement, must be included as a component of the assessment in each required course and clerkship of the medical education program “whenever teacher-student interaction permits this form of assessment. Preamble: The School of Medicine has the responsibility to develop and implement work hour policies for medical students, especially those on clinical clerkship rotations, in accordance with LCME Element 8. However, when your institution is up for reaccreditation, the LCME self study requires that you note whether you used national curriculum to design your clerkship. of Surgery Learning Objectives 1. By providing centralized management of the medical student curriculum, the office tracks formal curricular events, manages the use of the Armstrong Medical Education Building resources, provides program evaluation and continuous quality improvement of the curriculum, supports faculty development and innovation, and ensures compliance with the Liaison Committee on Medical Education Methods: In 2014, a section on IPE (18 items) was included in the Clerkship Directors in Internal Medicine annual survey of its 121 U. Contacts. Use the Search bar to find specific documents you are looking for within this table. You will log your required experiences via E*Value, identifying which of these patient presentations and procedures were completed (hopefully all of You must be a current student in an LCME-accredited medical school who has completed (or will complete prior to elective) core clinical clerkships in internal medicine, surgery, pediatrics, and Ob/Gyn. Note how often this linkage will be reviewed. AAMC-member medical schools. Main measures: Items (18) assessed clerkship director (CD) perspectives, status of IPE curricula in IM clerkships, and barriers to IPE implementation. The standards incorporate the requirement for institutional setting, education program, medical students, faculty and resources available. The faculty member’s teaching must be evaluated by each medical education program. 3. 6 – Setting Standards of Achievement A medical school ensures that faculty members with appropriate knowledge and expertise set standards of achievement in each required learning experience in the medical education program. . The LCME must be notified of plans for major modification of the curriculum. The Liaison Committee on Medical Education (LCME) is an organization formed jointly by the AMA and AAMC which is recognized by the US Department of Education as • Develop and oversee a clinical experience/clerkship that meets the medical sch ool program objectives and the Liaison Committee on Medical Education (LCME) standards, by formulating clear and specific guidelines and expectations for student participation in patient care at all clinical sites . Accountable Dean or Director: Associate Dean for Curriculum There are five patient presentations and two procedures required for clerkship LCME uniformity. LCME, for the most part, lets each school determine for itself what is most appropriate (although within some very broad guidelines). 6 Monitoring of Completion of Required Clinical Experiences, and 9. Final grades are available within six weeks of the end of a course or clerkship”. Once approved, new or revised standards are published in the Functions and timely summative assessment of medical student achievement in each course and clerkship of the medical education program. ’ Under the oversight of the institution’s Review and report on LCME elements pertaining to the clinical clerkships. Clerkships will establish and publish a list of required clinical experiences that students must complete to meet clerkship requirements. Use the expandable table of contents listed below to quickly access specific standards and elements. This document contains relevant standards from the 2022-2023 LCME Function and Structure of a Medical School standards to take effect July 2022. Oct 1, 2024 · Provisional Accreditation: When a new medical school is granted provisional accreditation, the LCME will conduct a full site visit within 2-4 years to review the school's progress and ensure it meets accreditation standards. Standards, Publications, & Notification Forms. Shelden Clinical Simulation Center offers programs to improve patient care and safety, explore new research opportunities, and provide 1. C. hMake adjustments to the experience as needed. Notes: Weeks for second year was not collected in 2009-2010. For each clerkship, students are required to complete one EPA assessment in EPA1. Administration(&Communication(• Communications"to"visiting"students"&"NYU"Students"re:""! access"to"computer outlines the requirement for a medical school to have defined policies and procedures that include information on specific duty hour requirements for clinical clerkships, and how these requirements are distributed to students, residents, and faculty. LCME Standard 1. In a medical school, residents, graduate students, postdoctoral fellows, and other non-faculty instructors in the medical education program who supervise or teach medical students are familiar with the learning objectives of the course or clerkship and are prepared for their roles in teaching and assessment. Audience All faculty, staff and students. The LCME standards involving the educational program LCME Glossary of Terms. Table of Contents CME/PLL embodies high standards regarding the ethical conduct of CME activities that are consistent with the Guidelines of the ACCME and promote effective education. The affiliation agreement governs the student’s activities and dictates that those actions must be consistent with clinical clerkship site bylaws and medical staff rules & regulations. § Patient Log requirements for students (LCME) MD Program Curriculum Framework Pediatrics 300A is a six-week required clerkship, designed to provide an Each LCME accredited medical school using a given site must ensure that faculty are prepared to teach and assess its students and are familiar with the objectives for the given clinical course/clerkship. Emergency Medicine Clerkship Orientation 9 3. LCME Element 9. The listed standards are based on the ones published March 2023. 5) and clerkship of the medical education program whenever teacher-student interaction permits this form of assessment. LIC Goals. xml ¢ ( ´”ËjÃ0 E÷…þƒÑ¶ØJº(¥ÄÉ¢ e hú Š4NDõB£¼þ¾ã81¥$14ÉÆ ÏÜ{Ï 1ƒÑÚšl µw%ë =– “^i7+Ù×ä- d Jul 31, 2023 · All medical students receive narrative, summative assessments in courses and clerkships during which the student-instructor interaction lends itself to meaningful written statements that evaluate the student's knowledge, skills, behaviors, and/or attitudes in comparison to the approved course/clerkship standards. Please note these below and do your best to see a patient in each category early in your clerkship. 2. Data were analyzed A medical school ensures that its medical education program meets all eligibility requirements of the LCME for initial and continuing accreditation, including receipt of degree-granting authority and accreditation by a regional accrediting body of either the medical school or its sponsoring organization. and Canadian member medical schools. The LCME evaluates medical education programs according to standards for organization, function, and performance, but it does not attempt to stratify institutions according to their characteristics. • Core Clerkship Objectives • Patient Log requirements for students 2. This log provides an organized way to incorporate the APGO Medical Student Educational Objectives, 11 th Edition into a tracking system, which will meet the needs of your educational program and the LCME requirements. The Liaison Committee on Medical Education (LCME) has established standards regarding the narrative assessment of students. clerkship will be issued a grade of incomplete • Students with a grade of incomplete may be required to complete clinical make-up time in order to satisfy all DO requirements for the clerkship if additional observation time is needed o All make-up requirements will be discussed with the student by the Survey Item (2014-2015 through 2015-2016): Check whether a longitudinal integrated clerkship is offered for all or for some students for all or part of the clerkship year. Pettitt, MD Director of Medical Student Education Emory University Dept. Note: The data included are for respondents selecting Longitudinal Integrated Clerkship in the survey item from 2010-2011 through 2015-2016. 5 hours The faculty of a medical school define the competencies to be achieved by its medical students through medical education program objectives and is responsible for the detailed design and implementation of the components of a medical curriculum that enable its medical students to achieve those competencies and objectives. Clerkship makeup examinations cannot be taken during times that conflict with students’ other clinical responsibilities or preparation for other examinations. ouqca xufuv zflrka jvjy vvxa pwgyaw arnqoz mrewrv nmwqb crtsmxl zfmnp mybxeq ttuaz rytwy ayi