Office of the Dean

O’Dowd Hall, Room 428
586 Pioneer Drive
Rochester, MI 48309-4482
(location map)
(248) 370-3634

Office Hours:
Monday – Friday: 8:00 a.m. – 5:00 p.m.

Examinations

Examinations

 

Authorizing Body:

Curriculum Committee

Author:

Robert Noiva, Ph.D.

Date Issued:

August 1, 2011

Last Update:

March 27, 2014

Scope and Applicability:

All students enrolled in the School of Medicine

Standard Practice Guideline:

Most courses and clerkships require one or more assessment exercises (papers, quizzes, OSCE examinations, etc.). At the beginning of each course or clerkships, the director will describe the manner in which students will be assessed and will distribute a schedule of major examination dates and times.

Rationale:

To ensure that all students are evaluated in a manner that is consistent with the School of Medicine’s educational objectives.

Procedures:

Absence from an examination

Students are expected to be present at all examinations and are asked to reschedule personal events to avoid being absent from an examination.

In the event that an emergency situation interferes with a student’s ability to take an examination, the student must contact the appropriate curriculum coordinator immediately. The curriculum coordinator, with input from the course or clerkship director will consider the situation and decide on an appropriate course of action regarding postponement of the examination.

In a nonemergency situation, the student must petition the curriculum coordinator at least three weeks prior to the examination. The curriculum coordinator will confer with the course and clerkship director and the Associate Dean for Medical Education and consider the reason for the proposed rescheduling, any history of prior requests, and the feasibility of rescheduling. Rescheduled examinations will usually precede the regular examination.

Any unexcused absence from an examination will result in failure of the examination.

Failure of USMLE Examinations

In order to be licensed to practice medicine in the United States, all physicians must pass the United States Medical Licensing Exam (USMLE), Step 1, Step 2 Clinical Knowledge (CK), Step 2 Clinical Skills (CS) and Step 3. Graduation from OUWB School of Medicine requires students to receive passing scores for Step 1, Step 2 CK and Step 2 CS. All OUWB School of Medicine students must sit for the USMLE Step 1 exam before beginning any third year clerkships, ideally prior to Art and Practice of Medicine 5. All OUWB School of Medicine students should sit for the USMLE Step 2 CK exam before September 30 of the M4 year in order to be prepared for the NRMP match process. Be aware that many residency programs will want to see the results of Step 2 CK and Step 2 CS before ranking an applicant.


USMLE Step 1

First Attempt
Students notified of a first time USMLE Step 1 failure after beginning an M3 year clerkship, will be allowed to complete the clerkship in progress. 

Students may, in consultation with the Associate Dean for Medical Education, Associate Dean for Undergraduate Clinical Education or the Associate or Assistant Dean for Student Affairs, elect to withdraw from the clerkship in which they are enrolled at the time of notification of failure.

Students who withdraw from a clerkship due to a Step 1 failure will be required to repeat the entire clerkship. 
Students will not be allowed to begin another M3 year clerkship until they have retaken the USMLE Step 1 exam. 
The Associate or Assistant Dean for Student Affairs and the Associate Dean for Undergraduate Clinical Education will coordinate necessary scheduling changes.

Students notified of a first time USMLE Step 1 failure prior to beginning an M3 year clerkship, will not be allowed to participate in clerkships until after they have retaken the USMLE Step 1 exam.

In order to ensure the necessary guidance and access to resources, students will be enrolled in the Directed Independent Studies in Medicine (DISM) course while preparing for a second attempt at the Step 1 exam. Credit in the DISM does not apply to the four (4) electives required for completion of the M.D. degree.

Students must take the second attempt at the Step 1 exam by November 30th of the current academic year. 

Second Attempt
Students who fail a second attempt will be immediately withdrawn from their current clerkship and will not be permitted to participate in any additional clerkships until they obtain a passing score on the USMLE Step 1. 

Students who withdraw from a clerkship due to a USMLE Step 1 failure will be required to repeat the entire clerkship. 

In order to ensure the necessary guidance and access to resources, students will be enrolled in the DISM course while preparing for a third attempt. 

Passing the DISM course is contingent upon passing the Step 1 exam. Students failing to achieve a passing score on the second attempt of the USMLE Step 1 exam will receive a grade of “No Progress” in the DISM course. 

The remediation of a DISM “No Progress” grade will be re-enrollment in the course. 

Students achieving a passing score on the second attempt of the USMLE Step 1 will receive a grade of “satisfactory progress” in the DISM course.

Third Attempt 
The School of Medicine limits students to three (3) attempts at the USMLE Step 1 exam.

Students who do not pass the Step 1 examination after three attempts will receive a grade of “no progress” in the DISM course and be referred to the SPRC for dismissal.

Students achieving a passing score on the third attempt of the USMLE Step 1 will receive a grade of “satisfactory progress” in the most recent instance of the DISM course. 


USMLE Step 2

First Attempt
Students who do not achieve a passing score on either component of the USMLE Step 2 exam will be allowed to complete the clerkship in progress. 

Students will not be allowed to begin another clinical experience until they have retaken the failed component of the USMLE Step 2 exam.

The Associate or Assistant Dean for Student Affairs and the Associate Dean for Undergraduate Clinical Education will coordinate necessary scheduling changes.

Passing the DISM course is contingent on passing the previously failed USMLE Step 2 component(s). 

Second Attempt
Students failing to achieve a passing score on a second attempt on a component of the USMLE Step 2 exam will be required to withdraw from in-progress clerkships and enroll in the DISM course for 4 weeks.

Students failing to achieve a passing score on the second attempt on a USMLE Step 2 component(s) will receive a grade of “No Progress” in the DISM Course. 

The remediation of a DISM “No Progress” grade will be re-enrollment in the course.
 
Students achieving a passing score on the second attempt of a USMLE Step 2 will receive a grade of “satisfactory progress” in the DISM course. 

Third Attempt
The School of Medicine limits students to three (3) attempts at each component of USMLE Step 2 exam. 

Students who do not pass a Step 2 examination component after three attempts will receive a grade of “no progress” in the DISM course and be referred to the SPRC for dismissal in accordance with the OUWB Student Grading and Promotions Policy.

Students achieving a passing score on the third attempt of a USMLE Step 2 component will receive a grade of “satisfactory progress” in the most recent instance of the DISM course.

usmle step 1

usmle step 2

usmle 3

 

Definitions:

Related Policies and Forms:

Standards for Graduation

Student Performance Review Committee

 

Appendix: