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Student Handbook 2006

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Section 2: Curriculum and Calendar


 

ATTENDANCE POLICY


Students are expected to attend all regularly scheduled class sessions. Instruction in basic science laboratories and in clinical case discussion sessions involves acquisition of specific visual or manual skills which must be experienced and performed by the student, often on a repetitive basis. The faculty believes these skills cannot be acquired adequately without class participation.

Laboratory sessions and small group clinical discussion sessions are designed to accomplish several objectives. These sessions are built around visual materials; i.e., microscope slides, gross specimens, biological cultures, kodachrome slides, videotapes, etc. The purpose of these sessions goes beyond viewing or presentation of visual information; the information is designed to develop skills in three-dimensional and microscopic analysis. Techniques and thought processes involved in the analyses of clinical and laboratory data that lead one to a diagnosis are learned by observing, listening, and doing. These skills are impossible to master via reading, and it is often very difficult to test these skills by means of conventional written, multiple-choice examinations. These experiences and training are viewed as extremely important by the faculty; therefore, participation in such sessions is expected of all students on an on-going and regular basis.

The attendance policy for Introduction to Clinical Medicine and Professionalism and the Practice of Medicine are discussed in the course manuals. The attendance policy for students on clerkship assignments in Years III and IV is discussed in Section 6 (Medical Center).


* Attendance requirements for specific activities will be distributed throughout the year.


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THE CURRICULUM FOR MEDICAL STUDENTS
AT THE UNIVERSITY OF SOUTHERN CALIFORNIA

The mission of a general medical education at the Keck School of Medicine of the University of Southern California is to enable students to acquire the scientific knowledge, clinical reasoning skills, humanistic skills, and values required to make decisions concerning the diagnosis, care, and management of patients within their family and community; and to lay the foundation for graduate medical education while providing sufficient flexibility for students to pursue individual interests in research and specific clinical areas.

The teaching faculty recognizes that in four years of medical school, the student cannot be taught all the knowledge and skills that will be adequate for the practice of medicine. Therefore, the student is expected to acquire a basic core of concepts, skills, and patterns of behavior that will lead to the acquisition of knowledge continually throughout the student's medical career. To a far greater degree than in the past, the student must be an active participant in the educational process.

In the curriculum, both basic and clinical sciences are taught throughout the four years of undergraduate medical education. Close interaction between individual faculty and students is emphasized.

The student is involved progressively in direct patient care, beginning with patient contact during the first semester of the first year. The student's assumption of responsibility increases as knowledge and skills develop. In the fourth year, the student is assigned responsibility equivalent to that of a first year graduate resident.

Years I-II Continuum (77 instruction weeks)

The first year of the Year I-II continuum begins with 19 weeks of Core Principles of Health and Disease followed by 51 weeks of organ system review ending with a seven-week Integrated Case Study section. There is an eight-week summer break between the first and second years. Students also take Introduction to Clinical Medicine and the Patient and Professionalism and the Practice of Medicine.

Each week of the academic year is composed of approximately 20 hours of lecture and small group sessions with an additional 20 hours of independent directed study, Introduction to Clinical Medicine and the Patient or Professionalism and the Practice of Medicine. Examinations in all systems throughout the first two years are graded Pass/Fail. Dean’s recognition is awarded on the basis of year-end comprehensive examinations

Core Principles of Health and Disease

This 19-week introductory system provides the student with the fundamental knowledge necessary for the integrated study of the basic and clinical sciences in the 10 human organ systems. Included in this section are these major themes: cell structure and function; the human organism; disease and the body’s responses; prevention and treatment of disease, including evidenced-based medicine; and introduction to clinical medicine and the patient. This section is taught in an integrated fashion and includes the use of clinical case studies.

Gross Anatomy

Cadaver dissection remains a unique teaching tool by which the three dimensional organization of the human body is studied. Gross anatomy will begin in the Core Principles of Health and Disease system with the dissection of the body wall and major body cavities followed by head and neck dissection in the Neurosciences system, limbs, dissection during the Musculoskeletal system and pelvic cavity dissection in Reproduction system. Continued study of gross anatomy by use of prosected anatomical specimens as well as computer programs, selected review lectures, and so on, continues throughout the integrated organ systems.

Organ System Review

A sequence of study presenting integrated basic and clinical science instruction involving 10 human organ systems — Hematology and Clinical Immunology, Neurosciences, Musculoskeletal, Cardiovascular, Renal, Respiratory, Endocrine/Metabolism, Reproduction, Skin, Gastrointestinal/Liver — follows Core Principles of Health and Disease.

Integrated Case Study

This section completes the second year of the Year I-II continuum and will emphasize patient-centered problems that integrate the basic and clinical science presented in the preceding organ systems. Students will explore the multi-organ effects of disease processes and reinforce diagnostic reasoning skills. In addition, concepts of pathophysiology, evaluation and management that can be applied to any organ system will be included. This section will also reinforce the appropriate use of medical information resources, effective self-directed learning skills, and interpersonal and group communication skills.

Separate review sessions of the important basic science and clinical concepts covered during the previous two years also occur during this seven-week section. These sessions will assist students in preparing to take the United States Medical Licensing Examination (USMLE) Step 1 examination.

University of Southern California
Keck School of Medicine
Literature Search Project
Class of 2010

Objectives

  • Learn to retrieve the full body of literature in Ovid/MEDLINE on a topic based on a clinical scenario
  • Learn to formulate a searchable question based on a clinical scenario
  • Learn to select relevant articles from your search results
  • Understand the role these skills play in life-long learning

Phase I

You will be presented with a choice of seven clinical scenarios that have pre-formulated questions. You will choose one out of the seven questions to search. After performing your search in Ovid/MEDLINE, you will submit your search strategy along with 5 relevant citations that are likely to answer your question.

Distributed: September 11, 2006
Due: September 22, 2006

Phase II

You will be presented with seven clinical scenarios. You will choose one scenario and formulate a searchable question. You will then submit the question by email to the Library for approval. Once the question is approved, you will perform a search, select relevant citations and submit them with your search history.

Distributed: January 29, 2007
Email due: February 5, 2007
Search due: February 26, 2007

Phase III

You will choose your own topic and searchable question and submit them to the Library for approval. Once they have been approved by email, you will perform a search and submit your search strategy and relevant citations.

Distributed: April 2, 2007
Email due: April 9, 2007
Search due: April 20, 2007

ALL ASSIGNMENTS MUST BE TURNED INTO THE CURRICULUM OFFICE: ROOM 314 OF THE KEITH ADMINISTRATION BUILDING.


YEAR II REQUIRED STUDENT PROJECT (RSP)

All students in Year II are required to do a student project during the academic year. These projects can be varied in their nature: community or medical outreach projects, basic or clinical science research or educational research. One of the recommended objectives of the second year project is to provide experience to our students in a setting beyond the established curriculum. Linking your RSP to your selected pathway is highly recommended but is not a requirement.

Procedures for identifying the project:

  1. Describe the project that you are interested in undertaking during this academic year. Please develop a brief proposal that includes your goals and aims in undertaking this project, and how you will carry out your idea. Projects should be linked to one or more of the Educational Objectives of the Keck School of Medicine. You may find these goals on the Curriculum Office web site at http://curriculum.usc.edu. In addition, you must identify a faculty member who will serve as your sponsor. If you are interested in doing a project with someone other than a USC faculty member (e.g. a community-based project), please indicate who that individual is and include a brief biographical sketch. The individual you select must agree to sponsor you, to provide you with supervision, laboratory equipment and supplies if you are doing a research project or other guidance and supplies if you are doing a community or educational project. The Curriculum Office, taking into account the academic standing of the proposed sponsor and the educational potential of the proposed project, will review your project proposal and notify you of acceptance.
  2. Return the completed form to the Curriculum Office (KAM 314) or email it to
    curriculum.office@usc.edu no later than 5:00 p.m., September 29, 2006.
    ent.

    If you need counseling on possible faculty sponsors and/or help in selecting a project, you may contact Dr. Joel Schechter, Assistant Dean for Curriculum and Student Affairs, Basic Science Education or the Curriculum Office at (323) 442-1763, KAM 314.

  3. Students and Sponsors will be required to complete a mid-year evaluation and an end of the year evaluation. At the end of the year, you are required to submit a paper on the project you have completed. The length of your summary paper should be at least 2 pages, but can be longer as you deem appropriate i.e., length is left to your discretion. Sponsors must receive a copy of your two-page summary prior to signing your end of the year evaluation. Your PPM mentors will also review your final summary paper.

  4. Time spent on these projects may vary dependent on many factors. However, the minimum overall time commitment expected for satisfactory completion of the RSP should be no less than 1-2 hours/week over the academic year.

    Examples:


    A. Student designs an educational project working with students at Bravo High, meets with them on a regular basis to monitor their progress throughout the project, and evaluates the success of the project through criteria established at the beginning of the project. Sponsor would be expected to be a teacher or administrator at Bravo High, with whom the medical student would consult with throughout the project.


    B. Student shadows an ER physician to gain experience in the medical demands and professional issues facing the physician throughout the academic year. Student does follow-up and evaluations with selected groups of the patients seen. The ER physician would be the sponsor. Note, students undertaking projects involving patients or patient records must satisfy the following:


    • Take the on-line HIPPA certification at www.usc.edu/compliance.
    • In addition, some clinical studies MAY require submission of an IRB protocol form for approval, which may be obtained at http://ccnt.hsc.usc.edu/irb/. Consult with the Curriculum Office for guidance on your specific project proposal.


    C. Work with a basic or clinical scientist sponsor on a topic of interest to the student, meet with the sponsor and have specific responsibilities with respect to the research project.


    D. It is acceptable for students to plan their RSP so as to link it to their selected pathway, i.e., RSP may be a continuation or expansion of a project begun in the summer after Year I.

Eligibility for promotion to Year III requires successful completion of the Year II RSP.

INTRODUCTION TO CLINICAL MEDICINE (ICM)


The Introduction to Clinical Medicine course is a required interdisciplinary course which spans the first two years of medical school. It is designed to emphasize the patient-centered orientation of the curriculum. A group of five to seven students spends from four to eight hours each week with an instructor from the clinical faculty who remains with the group for the full academic year. Throughout the two-year continuum, interviewing skills, physical examination, and physical diagnosis are taught in a coordinated manner within each organ system.

The patient encounter is the primary vehicle for teaching and learning in ICM. Students are introduced to patients and are involved in patient care activities from their first day in the course. Students are introduced to the principles of patient care and management, and examine what it means to become a physician. Students acquire skills and attitudes of self-directed learning that will serve them throughout their professional lives.

ICM emphasizes the doctor-patient relationship and professional growth and development, as well as the systematic acquisition of the clinical skills of interviewing, history taking, physical examination, and elementary clinical problem solving. The program is designed to encourage the student to focus on communication in the setting of illness, and to apply basic and behavioral sciences knowledge within the role of student-physician. The focus on the unified concept of health and disease enables the student to come to a better understanding of the patient as a person, a dynamic individual struggling with various issues related to or impacted by his/her illness, rather than as a human organism representing a summary of physical problems and findings. This orientation also helps the student progress in self-awareness and develop a professional role as student-physician, utilizing newly acquired knowledge, skills, attitudes, and values.

PROFESSIONALISM AND THE PRACTICE OF MEDICINE (PPM)

Professionalism and the Practice of Medicine (PPM) is a course that was established as part of the new curriculum implemented in fall 2001. The PPM course runs throughout the first two years of the medical curriculum, meeting on selected afternoons for two hours per session. The students meet in groups of 24 with two faculty members who serve as their mentors throughout the two years of the pre-clinical education; one mentor is a clinician and one is a basic scientist.

The purpose of the PPM course is to create a community and social context to provide, identify and facilitate learning with professional role models for students as well as to help students gain skills and competence in the areas of communication, social and community context of health care, ethical judgment, self-awareness, self-care and personal growth, professionalism and life-long learning. Students are prepared to work collaboratively and increase their small group skills to improve participation in Introduction to Clinical Medicine (ICM), Gross Anatomy, MDL laboratories and large group sessions.

The PPM course provides students with an opportunity to build professional identity and make specialty choices and encourages them in their learning from study strategies to case problem solving to independent study. Students are introduced to the nature of professionalism and the ways it is manifested in their own lives. The PPM course encourages self-initiative and leadership in the process of learning and presenting within the cohort group and encourages greater professional maturity as demonstrated through behavior within the mentored cohort course and increases sensitivity and skills in relation to professional issues in medicine. Finally, students are prepared for a transition into the clinical years of the medical curriculum.

YEARS III AND IV


The last two year continuum starts in early July following Year 2 and continues to graduation, providing approximately fifteen weeks of vacation time during the two-year continuum. Flexibility is provided for the student to schedule required clerkships, to make arrangements for elective clerkships in this area or out of the area, and to further develop a knowledge of basic science. The curriculum for the junior/senior continuum is reviewed continuously and is subject to change.

The required curricular material for the junior/senior continuum of medical school is described in detail in the Student Curriculum Handbook of the Junior/Senior Continuum. A current copy of the handbook is distributed to members of the Year II class annually in December; it also contains several forms for scheduling the continuum (see the section which follows for a brief description of the continuum). Students work individually with the Clerkship Coordinator in the Student Affairs Office to schedule components of the continuum to suit their career pathway (Keith Administration Building, Room l00-B; 442-2418).

Each student must satisfactorily complete ALL required curricular work to be eligible for graduation, including the following:

  1. The basic six-week clerkships in General Surgery, Specialty Surgery, Medicine (Part I), Obstetrics/Gynecology, Pediatrics, Psychiatry and Family Medicine.
  2. Four-week clerkships in Neurology and Medicine (Part II).
  3. Take the USMLE Subject Examinations in each of the required clerkships.
  4. A 16-week selective clerkship program to be taken at the Medical Center or other USC-affiliated hospitals.
  5. 16 weeks of electives, which may be taken off-campus. (Note: Unsatisfactory performance receives no curricular credit).
  6. Take the USMLE Step 2 Examination.
  7. Take and pass the Clinical Performance Exam (CPX) scheduled at the end of the junior year.

The Clinical Curriculum Committee also recommends that out-of-town electives, especially clinical clerkships abroad, be delayed until a student has completed most basic clerkships to maximize such an experience. Most clerkships abroad expect a higher level of clinical skills than students possess at the beginning of the third year.


SELECTIVE/ELECTIVE POLICY


Selective Program – Junior/Senior Continuum

Each student is required to schedule sixteen weeks of selectives from the approved Selective Program List during the junior/senior continuum. Each student must schedule a four-week clerkship from the Selective A list and a four-week clerkship from the Selective B list. The remaining selective requirement can be met by scheduling TWO additional four-week clerkships from the Selective B list or the Selective C list. Selectives are four weeks in length and are under the direction of full-time USC faculty members at USC affiliated hospitals. Students may take a given selective only once for a duration of 4 weeks. Students must submit a signed petition form to the Office of Student Services no later than six weeks before the selective commences. Detailed descriptions of all of the selectives are available for student review in a catalogue located in the Office of Student Services (KAM 100-B) and online at medweb.usc.edu. Selectives may also be offered for elective credit although priority will be given to students scheduling for selective credit.

Students must complete a critique form of the selective to receive credit. Forms are available on MedWeb or in the Office of Student Services. The evaluations will be available in the Office of Student Services for review by other students.

Elective Program – Junior/Senior Continuum

Each student is required to schedule sixteen weeks of electives during the junior/senior continuum. The electives may be chosen from the selective program sheet, or may be scheduled away from the medical school with proper approvals. No electives will be approved for less than three weeks duration or more than 6 weeks duration. Students who have academic difficulty may not take an off-campus elective.

Students must obtain the signature of the preceptor and their clinical adviser prior to submission of the petition to the Office of Student Services. (Please note that parents, spouses and siblings are not allowed to serve as elective preceptors.) The petition will be screened by the Office of Student Services and will be subject to review by the Assistant Dean of Student Affairs, or the Associate Dean of Student Affairs. The student may be asked to supply additional documentation. Students must complete a critique form evaluating the elective to receive credit. Forms are available online at medweb.usc.edu or in the Office of Student Services. The evaluations will be available in the Office of Student Services for review by other students.

Research will be considered for elective credit. It is recommended that research be scheduled for a minimum of 6 continuous weeks. However, with proper approval from the preceptor and a faculty adviser, 4 weeks of credit will be given for a continuous block of research. No more than 8 weeks of elective credit will be given research. Students must submit their petition to the Office of Student Services for approval of their project at least six weeks prior to beginning the research and the proposal must include a detailed description defining the project including hypothesis, methodology and the role of the student during the project.

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THE M.D./PH.D. PROGRAM


A joint M.D./Ph.D. degree program is available to medical students who wish to receive specialized training in basic science, in preparation for careers in academic medicine or medical research institutes. All of the basic science departments offering graduate work participate in the joint M.D./Ph.D. degree program. Requirements for the Ph.D. degree for students enrolled in this program are the same as for students enrolled only in the Ph.D. program, but some time-saving can be achieved by granting graduate school credit for approved medical school work when appropriate to the student’s graduate training.

In addition to the USC M.D./Ph.D. program, the University of Southern California and the California Institute of Technology have established a joint program for the granting of the M.D./Ph.D. degree. Students complete their Ph.D. work with any member of the CALTECH faculty, including the biology, chemistry, engineering and applied sciences divisions. A general description regarding the joint M.D./Ph.D. degree program, as well as additional information from the individual departments participating in the program, is available in the University Catalogue. For more information, contact the M.D./Ph.D. Program Office at (323) 442-2965, KAM 314.

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THE M.D./M.B.A. PROGRAM

The Keck School of Medicine and the Marshall School of Business jointly offer an innovative program for students seeking knowledge in both medicine and business administration. The program prepares graduates with knowledge and skills to assume leadership in business and health care.

The M.D./M.B.A. programs spans five and one-half years. Interested students may apply during their second or third year of medical school, and begin core M.B.A. courses following successful completion of at least the first two years of medical school. At the conclusion of the program, students will have completed 48 units in the Marshall School of Business, and four years of courses in the Keck School of Medicine. Additional information about the application process and business curriculum is contained in the Marshall School’s application, available from the Marshall School of Business on University Park Campus, (213) 740-7846.

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THE M.D./M.P.H. PROGRAM THE M.D./M.P.H. PROGRAM

The joint MD/MPH Program at the Keck School of Medicine is designed for individuals who envision a medical career that combines public health and medical disciplines. Many individuals entering careers as medical doctors or public health practitioners wish to acquire not only medical practice competencies, but also an understanding of the history, organization, goals, and philosophy of public health. The joint MD/MPH program offers a broad-based orientation to public health while a student completes medical school requirements. The Master of Public Health degree provides increased knowledge of and sensitivity to the political, historical, economic, and social environments of health promotion and health services delivery.

The MD/MPH program spans 5 years (4 years of medical school and 1 year of public health courses). Students begin the core MPH courses following the successful completion of the first two years of medical school. The last two years of the program are devoted to the clinical clerkships of the School of Medicine and to the completion of the elective courses and practicum (field experience) of the MPH Program. At the conclusion of the joint degree program, students will have completed 46 units in the Master of Public Health Program and four years of courses in the School of Medicine.

Students enrolled in the School of Medicine should apply to the Master of Public Health Program no later than January of their second year. All requirements for admission to the regular MPH Program must also be fulfilled by dual degree applicants.

The MD and the MPH degrees are awarded simultaneously upon completion of the School of Medicine and the Master of Public Health Program requirements. For more information, contact the MPH Program Office at (626) 457-6676.

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THE M.D./D.D.S. PROGRAM

Each year, the Keck School of Medicine accepts two Oral and Maxillofacial Surgery residents into the doctor of medicine program. They must meet the same Student Health requirements as the Year 1 entering students.

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TRANSFER STUDENTS

On occasion, the Keck School of Medicine may accept students from other U.S. medical schools accredited by the LCME. Requests for consideration to transfer into the Keck School of Medicine are made to the Office of Admissions, Keck School of Medicine. Accepted transfer students start their curricular requirements at the beginning of their third year. Transfer students are required to produce original documentation from the National Board of Medical Examiners demonstrating passage of the USMLE Step 1. The Keck School of Medicine also requires a final transcript from the student’s original medical school, sent directly from that Registrar’s Office, to the Office of Student Affairs. The MD/PhD Program does not accept transfer students. Questions regarding transfer students may be directed to the Office of Admissions, (323) 442-2552.

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GRADUATE STUDENT PROGRAM AT THE KECK SCHOOL OF MEDICINE

The Office of the Associate Dean for Scientific Affairs promotes the education of graduate students at the Keck School of Medicine. Our goal is to encourage graduate students, to foster the development of research, and to encourage the initiation and growth of interdisciplinary research. The office has oversight responsibility for the department-based M.S. and Ph.D. programs in the basic science departments of Biochemistry and Molecular Biology, Cell and Neurobiology, Molecular Immunology and Microbiology, Pathology, Physiology and Biophysics, and Preventive Medicine. The Department of Preventive Medicine offers curricula leading to Ph.D. degrees in Biostatistics, Epidemiology, and Health Behavior Research. Additionally, the Departments of Preventive Medicine, and Cell and Neurobiology, along with the School of Policy, Planning, and Development offer curricula leading to a Masters in Public Health. The office also administers the interdisciplinary and intercampus PIBBS Program (Ph.D. Programs in Biomedical and Biological Sciences), which provides faculty-wide opportunities for research experiences.

Requirements for graduate degrees and course offerings are described in detail in the University Catalogue, which can be viewed on the website www.usc.edu/schools/medicine. Graduate Assistant awards may also be available through individual departments.

For further information regarding graduate studies in the medical sciences, consult the specific department or contact the Associate Dean for Scientific Affairs, Keck School of Medicine, 1975 Zonal Avenue, KAM 110, Los Angeles, CA 90089-9023; (323) 442-1607, fax (323) 442-1610.

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STUDENT EVALUATION OF TEACHING AND QUESTIONNAIRES

Throughout the period of enrollment at the Keck School of Medicine, students will be asked to complete questionnaires and other data collection forms to provide information important to the School Administration. The Keck School of Medicine uses the information provided on these forms for consideration of faculty promotions and annual reviews.

MSQ and GQ

At the time of registration as first year students and at the time of graduation, students will be asked to complete detailed questionnaires designed and administered by the Association of American Medical Colleges (AAMC). These questionnaires are administered via AAMC websites to all medical students at all U.S. medical schools. The Matriculating Student Questionnaire (MSQ) and the Graduation Questionnaire (GQ) provide the school and the AAMC with background information, career plans, and opinions on various issues. These data are collected for research purposes, and are not used in any way that would identify the student without consent.

Student Evaluation of Teaching

Students are asked to complete forms which evaluate the School’s teaching. The University requires these forms to be completed. The School of Medicine uses the information provided on these forms, which consist of numerical ratings and written comments. Ratings are provided to the individual instructor and to the Administration.

The written comments are sent anonymously and verbatim to the individual instructor, and are read by faculty in charge of teaching programs when the teaching is rated particularly strong or weak. Students will be asked, through their elected representatives, for input into this data collection program, and are asked to treat these forms as a serious attempt to monitor student opinion about the quality of teaching.


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LEAVE OF ABSENCE


A leave of absence, for whatever reason, may be arranged by the Associate Dean for Student Affairs.

Leaves of absence are handled differently depending upon the reason for the leave:

  1. LEAVES FOR HEALTH REASONS are obligatory and handled by the Associate Dean for Student Affairs.
  2. LEAVES FOR ACADEMIC REASONS are reviewed by the respective Student Performance Committees and recommended to the Dean.

    Conditions of return, extensions, etc., are handled by petition (in person or in writing) to that Committee.
  3. LEAVES FOR COMPLETING JOINT DEGREE OR RESEARCH PROGRAMS or for other reasons (i.e., financial, personal, etc.) are processed through the Office of Student Affairs and initiated by a student petition in writing. Such leaves are considered voluntary leaves.
  4. With the exception of the joint degree programs, leaves of absence will not normally be extended beyond one academic year. Exceptions to this policy must be granted by the Associate Dean for Student Affairs.

A petition for a leave of absence should include: the desired start date for the leave; the desired duration and/or completion date of the leave; a description of any activities to be pursued during the leave, including specific planned outcomes, if any; and, for leaves planned to pursue research or other educational programs, the name(s) of any faculty supervisor(s). Where applicable, supporting documentation should also be submitted, e.g., letter from treating physician, faculty supervisor, etc.

Before a decision is rendered, the Associate Dean for Student Affairs will discuss the petition with the student. A decision of approval will guarantee the student a return to school if the conditions of the leave are met and if there is an uncommitted space in the year to which the student will return. Assured space in a class applies only to students who have completed Year II. A review of compliance with the conditions will be made by the Associate Dean for Student Affairs prior to the return of the student. The basis for this review will be a written report from the student outlining his accomplishments.

Voluntary Leave of Absence

Voluntary leaves of absence are generally discouraged as an educationally unsound practice and because serious scheduling problems occur for the student in the junior/senior continuum as a consequence of the leave. Before deciding to file a petition for leave, students should consider whether:

  1. The leave requested will put the student at a disadvantage in scheduling postgraduate education (intern/resident matching plans).
  2. The leave will influence any loan commitments, i.e., eligibility, time of repayment.

The student must recognize that:

  1. Return after leave requires that the student has met all other requirements for progression to the level on which he/she is returning, whether or not such requirements change during the leave period. In the event of a change of policy, return to the Keck School of Medicine requires meeting the requirement(s) of the new policy.
  2. Responsibility for meeting deadlines which may occur during the period of leave, e.g., scheduling deadlines, USMLE exam dates, or NRMP deadline dates, are assigned to the student and not to the Office of Student Affairs.
  3. Students who have completed Year II and who are on a Leave of Absence for any reason must pass USMLE Step 1 before they may return to clerkships.

Students who are granted leave of absence should be aware that:

  1. A return to school earlier than the time allotted is contingent on whether the student’s clerkship requirements can be accommodated in the existing schedule.
  2. Extensions of leave must be reviewed and approved by the Associate Dean for Student Affairs annually. A status report will be required from the Guidance Committee advising the graduate student who is seeking the M.D./Ph.D. degree.
  3. Exceeding the leave time approved, without an approved extension, abrogates the Dean's authority to guarantee return and may be the basis for a student’s withdrawal or dismissal from the medical school.
  4. Students approved for leave must file, with the Student Affairs Office, a mailing and email address and phone number at which they can be reached during the leave.
  5. Multiple leaves of absence are discouraged.
  6. The Student Health Insurance provided through the University is not in effect if a student is on a Leave of Absence. Health insurance may be purchased through the American Medical Student Association at http://www.studentinsurance.net/ or from an agency of your choice.


Process For Leave of Absence Consideration

Students who are considering a leave of absence need to:

  1. Submit a written request for a leave of absence, as described above.
  2. Meet with the Associate Dean for Student Affairs for consideration of request for leave of absence.
  3. Meet with the Financial Aid Office, KAM 420, to clear loans and other financial obligations.
  4. Meet with the Student Affairs Advisor in KAM 100-B (Mandy Garcia or Gina Pineda) to discuss individual leave of absence requirements.


Process For Returning From Leave of Absence

Students returning from a Leave of Absence for any reason need to:

  1. Contact the Student Affairs office at least one month before returning.
  2. Be responsible for all requirements for progression to the level on which student is returning.

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AWARDS


ACADEMIC ACHIEVEMENT AWARDS

Selections for awards are made in accordance with individual awards’ established deadlines; therefore, academic determinations will be based on student achievement officially recorded at the time of the award deadline.

Medical School Honors (Graduation with Highest Distinction) – Awarded for consistent excellence in the sciences, this is the highest accolade bestowed at graduation by the Keck School of Medicine. This designation is awarded to students who achieve more that 50% Honors grades during all four years of medical school. Students must achieve Dean’s Recognition in Year I and/ or II and 26 or more weeks of Honors (true Honors grade not Honors-equivalency) in required clerkships during the Junior-Senior Continuum. The words "with Highest Distinction" are added to the recipient's transcript and Medical Student Performance Evaluation. Less than 10% of graduating seniors are expected to receive this honor each year.

Dean’s Recognition – This designation identifies the consistently superior student. Criteria for selection will be based on performance throughout the year and will be specified by the appropriate Student Performance Committee (Years I to IV).

Years I & II: Dean’s Recognition will indicate excellent achievement by a student. Dean’s Recognition characterizes students who distinguish themselves in their academic coursework; whose RSP’s are especially noteworthy; and who achieve a high level of success in development of their professional skills and attitudes. Dean’s Recognition will be recorded on the official transcript and in the Medical Student Performance Evaluation. See page 3-15 for selection process.

Years III & IV: This designation is utilized to identify the consistently superior student. This designation is awarded to students who achieve 33 weeks or more of Honors (or Honors-equivalent, i.e., 1 week High Pass=1/2 week Honors-equivalent) during the junior/senior continuum, based on the 50 weeks of required core clerkships. This information will appear on the official transcript and in the contents of the official Medical Student Performance Evaluation.

Alpha Omega Alpha National Honor Society – This is essentially the "Phi Beta Kappa of medical school." The society was established in Chicago in l902, and is composed of medical school students, faculty and alumni. According to the AOA Constitution, "...its aims shall be the promotion of scholarship in medical schools, the encouragement of a high standard of character and conduct among medical students and graduates, and the recognition of high attainment in medical science, practice and related fields."

The major consideration for election is the "promise of future leadership in medicine," either as a practitioner or academician, as reflected in a student's academic record in medical school, and as reflected in subjective considerations of character. Nominations for membership are made by the current student members of AOA. The faculty advisor provides current student members with the information about the academic performance of potential nominees. In addition to academic performance, character and integrity of the applicant and other factors such as extracurricular medical activities and research accomplishments are taken into consideration. The entire membership of the USC Chapter of AOA votes on nominations. Roughly one quarter of the new members are elected in April/May of the junior year, and the remainder in August/September of the senior year. Students must be in the top 25% of their class to be considered for membership, as computed by a formula which covers all years of medical school to the time of election, but only one-sixth of the class may be elected.

Any questions regarding AOA selection or activities should be directed to the AOA Faculty Advisor, Dr. Darin Signorelli (323) 226-5551.

The Eric Cohen Introduction To Clinical Medicine Award – Recognizes the one student who best exemplifies the goals and objectives of the ICM program.

American Medical Association-Education/Research Fund Clinical Award – Presented to the student in the senior class with the highest record of achievement during the core clerkships.

Phi Kappa Phi All University Honor Society – Graduating seniors may be elected during their last year of medical school. Nominations of qualified students are made to the University which ratifies the selection. Election is based upon undergraduate as well as medical school performance.

Ama-Erf Medical Student Outstanding Achievement Award – Presented to the senior medical student with the highest record of achievement in all four years of medical school.

American College Of Physicians Student Internist Award – An award to honor an outstanding graduating student who has matched in Internal Medicine. Candidates will have received Honors in both Medicine I and Medicine II and demonstrated leadership and humanistic qualities in medical and extracurricular activities.

American Medical Women's Association, Janet M. Glasgow Memorial Award – This award is presented by the AMWA in years when the graduate with the highest record of academic achievement is a woman.

American Medical Women's Association, Janet M. Glasgow Memorial Achievement Citation – Presented to those graduating women in the top 10% overall of their class.

Excellence In Emergency Medicine Award – Given to recognize a senior medical student who has shown exceptional ability and performance in the field of Emergency Medicine; selected by the Department of Emergency Medicine from students who have rotated through their service.

Merck Manual Award – Presented to the four graduating seniors with the record of highest academic achievement during the basic sciences of Years I and II.

Endocrine Society Student Award – Given to a senior student with an outstanding academic record in Endocrine Studies, and a demonstrated interest in Endocrinology.

Medical Student Prize Of Excellence In Neurology – Selected by the Department of Neurology, based on performance during the Neurology Clerkship. The award is presented by the American Academy of Neurology.

Jeanette Wilkins, M.D. Memorial Award – This award was instituted in 1995 in memory of Dr. Jeanette Wilkins, a long-time member of the Keck School of Medicine faculty. Selection is made by a faculty committee to a senior woman who is entering orthopedic surgery, pediatrics, or an infectious disease-related specialty.

Dr. David A. Berman Pharmacology Award – Established in 1998 to honor Dr. David Berman, long-time Professor of Pharmacology, this award is given to the graduating senior who had the highest performance in the discipline of pharmacology during the second year.

Mark S. Ehrenreich Prize In Medical Ethics – Presented only when the best paper on medical ethics is submitted by a senior, as judged by USC’s Pacific Center for Health Policy and Ethics.

Tom R. DeMeester, M.D., Excellence in Surgery Award – This award is given in recognition of a senior medical student who has shown exceptional ability and performance in the field of Surgical Medicine and will be entering general surgery or a sub-specialty of surgery; who has an excellent academic record and has attained distinction or provided exceptional service to the Dept. of Surgery in areas such as, but not limited to, student publications, student or University organizations, service to the community, or special achievements, thus bringing honor to the individual, the Department or the University.

Sagar Gupta, M.D., Memorial Scholarship Award – Presented to a graduating student with the most outstanding academic record who is entering a surgery residency at LAC+USC Medical Center. In memory of Sagar Gupta, M.D., Class of 1995.

SERVICE AWARDS

Skull And Dagger Society – This all-University organization selects one or more medical students annually who have an excellent academic record and who have attained distinction or provided exceptional service to the University in areas such as, but not limited to, student publications, student or University organizations, service to the community, or special achievements, thus bringing honor to the individual or University. Nominations are made by the Associate Dean for Student Affairs.

George Herron, M.D., Memorial Award – An award given to the graduating senior who, in the opinion of the senior class, has given the most of herself/himself to the class during the four years of medical school. The recipient is selected by a vote of the class. In memory of Dr. George Herron, USC School of Medicine Class of 1957.

Community Achievement Award – Given to honor a medical student who has had an impact on the general population and the medical community as a whole, and who has been an example of the effect that medical students can have on patient care at all treatment levels.

Frederick Napier Elliott Award – Given to the one graduating student who best exemplifies the qualities of Dr. Frederick Elliott, a former member of the School's faculty. Award is based on a thorough understanding of the art as well as the science of medicine; a blend of compassion, insight, honesty and appreciation for the technology of medicine; and the ability to draw from patients and colleagues alike their finer attributes and to encourage them to use it to heal others as well as themselves. Selection by alumni committee.

Associated Students of the School of Medicine Scholarship Award – Presented by ASSM to one graduating senior who, upon completion of application and interview, is deemed by the Student Scholarship Committee to have made a significant contribution to the USC School of Medicine and the student body.

Leonard Tow Humanism In Medicine Award (Presented By The Arnold P. Gold Foundation) – Given to one senior student who, by class vote, is felt consistently to demonstrate compassion and empathy with peers and patients.

Order Of Arête ( Senior Graduate Recognition) – The highest honor accorded by the University of Southern California to graduate students upon completion of their academic program. Students are recognized for outstanding service and leadership, nominated by the Associate Dean of Student Affairs, and selected by the Division of Student Affairs of the University Park Campus.

RESEARCH AWARDS

The Irving I. Lasky, M.D. Memorial Award – The recipient is selected by a committee of faculty researchers, chaired by the Research Committee Chair, in recognition of outstanding research.

American Medical Association-Education/Research Fund Research Award – Presented to the student in the senior class with the most outstanding academic record who has authored or presented a research paper during medical school.

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RESEARCH OPPORTUNITIES FOR MEDICAL STUDENTS

The Keck School of Medicine is one of the top medical schools in the nation in peer review awards for research and has a national reputation as a research institution. Keck School of Medicine Faculty conduct research through hundreds of projects funded by private and federal sources. Faculty encourage students to participate in long-term or short-term research projects in any field of interest. Research participation can be an important part of the student's medical education.

A student who is in good academic standing is encouraged to engage in research while in medical school. Students should be aware of the following opportunities:

Fifth Year Research Option

This program provides students the opportunity to take a full year of research experience with a Keck School of Medicine faculty mentor any time following the first year of medical school. A yearly stipend may be provided, equal to the authorized university stipend for a graduate student at the postgraduate year. Students electing this program will continue to be considered enrolled as full-time students. Students may elect such a research program with a faculty mentor at another institution if the program is approved by the cognizant department chair and the Associate Dean for Curriculum. Any student interested in this option should contact the Curriculum Office (442-1763) for full information and an application.

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MASTERS OF SCIENCE IN CLINICAL AND BIOMEDICAL INVESTIGATIONS

The Masters of Science in Clinical and Biomedical Investigations is a joint effort to train medical students and fellows or other health professionals in clinical research methods to translate clinical, biomedical and technological discoveries into advances in population-based, clinical or basic science research. The proposed program draws upon the well- established educational and research resources at the Keck School of Medicine, The Independent Health Professions, and the USC School of Pharmacy, and complements the strengths of its research mentors. The MS program in Clinical and Biomedical Investigations is specifically tailored to medical students who have completed their second year of medical school, as well as MDs doing their fellowship at USC.

Applicants must apply to the Graduate School and meet the minimum requirements for admission to the Graduate School. The Program Oversight Committee consists of faculty members representing departments. Administration of this program is the responsibility of the Curriculum Office at the Keck School of Medicine and the Medical Student Research Committee.

The MS program in Clinical and Biomedical Investigations is designed to train students for future independent research careers in an academic, government, or private sector setting. The objective of the MS program is to produce a clinical researcher with either an in-depth knowledge in laboratory methodologies, or statistical and analytic skills in population-based, clinical studies or outcomes research. The program gives students a solid background in the methodological aspects of research, and in statistical thinking as applied to molecular epidemiology, as well as a solid grounding in epidemiological methods.

A one-year certificate program in Clinical and Biomedical Investigations is also available. Information is available through the Curriculum Office.

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RESEARCH ACTIVITIES


Student Committee on Medical Research

A committee composed of students and faculty that coordinates the USC Research Forum, maintains the Student Research Opportunities Notebook, maintains the website http://curriculum.usc.edu, and that strives to develop greater opportunities for medical student participation in research projects. These are student-organized activities. Active student participation in this Committee is vital to continued growth and success. If you are interested in joining this Committee, contact the Curriculum Office (442-1763).

Grants for Research

Grants may be sought through various faculty members who support students on their research grants for summer or long-term, part-time research work.

  1. The Keck School of Medicine currently has a grant for short-term fellowships. These fellowships are available between the first and second year and during the junior/senior continuum. During the latter period, students may apply for free elective credit for six weeks but must use two weeks of vacation time in addition to qualify. The short-term fellowship must be eight weeks in length and grants a minimum stipend of $1600. Students supported between the first and second year may be awarded a second fellowship in Years III/IV. These fellowships are competitive, and applications are available in the Curriculum Office in February; the deadline for submission of applications is in March. Students should note that any grade of unsatisfactory received in the course of the regular medical school curriculum must be corrected before the award is funded.
  2. The General Clinical Research Center supports several projects each year. For information on the areas supported, students should refer to the Student Research Opportunities Notebook, the research opportunities website, or call Dr. Tom Buchanan (226-4632).
  3. The USC Comprehensive Cancer Center also awards several stipends annually to students interested in cancer research. For further information, students should call Dr. Phyllis Rideout (865-0801).
  4. In the past, additional funding for student research projects has been available from several local, national and international sources, including the American Heart Association, the American Diabetes Association, and the Endocrine Society. This information is regularly emailed to students and is posted on the MedWeb Message Center.

Keck School of Medicine Student Research Forum

The USC Student Research Forum is scheduled annually in the Spring. All medical students who have been engaged in a formal research project during the previous year are eligible to submit abstracts. Four students are chosen to present their research to the faculty and student audience. Cash prizes are awarded to the presenters, and a prize is given to the student with the best poster.


Student Research Opportunities Notebook

This Notebook, maintained in the Curriculum Office (Keith Administration Building, Room 314), contains statements by faculty interested in working with students and statements describing research project opportunities


St. George Society

The St. George Society is funded by the American Cancer Society. It holds regular dinner meetings at which prominent speakers discuss findings in the field of oncology. All students are invited to participate. Class Officers distribute flyers describing upcoming events.


Research Funding Opportunities

" Research Funding Opportunities” are notices received throughout the year from organizations sponsoring research, calls for abstracts, or other information relating to research opportunities. These will be forwarded to students by e-mail from the Curriculum Office staff, from the Student Services Office Scholarship Coordinator, and posted on the MedWeb Message Center.


The Western Student Medical Research Forum (WSMRF)

This Forum sponsors a student research meeting in Carmel, California during the annual Western Regional meeting of the American Federation for Clinical Research. Student abstracts are submitted for both faculty and student sessions as well as submissions for poster presentations. The submission deadline is generally in September, with the annual meeting held in February. Abstract forms and further information are available from the Curriculum Office (442-1763) or from http://www.wsmrf.org/.

Norris Medical Library

Staff are available to help provide both printed and computerized reference material on funding sources for research projects. Students may also wish to read recent research papers authored by faculty members to be well-informed prior to seeking an appointment to discuss research opportunities with the faculty.

Faculty Members

Students interested in a given specialty or discipline are encouraged to make an appointment to speak with the department chairperson, chief of service, or individual faculty members about research in that area.

Student Research Opportunities Website

Website is maintained by the Curriculum Office. This website contains statements by faculty interested in working with students and statements describing research projects. This site is a duplicate of information contained in the Notebook available in the Curriculum Office. The URL for the site is: http://curriculum.usc.edu

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GRADUATION

Signing out before Graduation

Graduating students must clear their records prior to graduation. A sign-out sheet will be provided and must be completed and turned in to the Student Affairs Office before the student's diploma will be released. All portions of the sign-out sheet must be cleared.

Academic Requirements for Graduation

All requirements for courses and clerkships must be completed prior to graduation. Students will be responsible for ensuring that they have completed curricular requirements, and may verify their status and eligibility with the Office of Student Affairs.

Fiscal Requirements for Graduation

The student is responsible for the timely payment of all tuition, fees and other special charges. The Dean's Office will review the current status of all graduating seniors and will not certify the student for graduation unless all payments have been made and there are no outstanding obligations. Questions concerning financial obligations may be directed to the Financial Aid Office, Keith Administration Building, Room B22, (442-1016).

Attendance at Graduation and Diplomas

Students in good academic standing, but with curriculum credit deficits which may include additional required, selective or elective clerkships to meet curriculum graduation requirements, evidence of satisfactory completion of clerkships (evaluation forms), evidence of satisfactory grade on CPX and USMLE Step 1 and taking of both sections of USMLE Step 2, and completion of Senior Departure Sign-out Form, may participate in commencement ceremonies with the permission of the Associate Dean for Student Affairs, but their diploma will be withheld until all curricular and financial requirements have been met. All requirements must be met by June 3oth in order to receive a diploma with the May graduation date. Date of graduation will be adjusted when needed to reflect late completion of graduation requirements, University Diploma dates are also available in August (deadline July 31st ) and December ( deadline November 3oth).

Students who have met all curricular requirements early may be eligible to begin their postgraduate training before graduation. However, diplomas will not be released prior to graduation.

Students on Leave of Absence may participate in graduation ceremonies with their class, providing they have no more than a maximum of 24 weeks of the clerkship continuum uncompleted.

Diploma Security and Care

Diplomas should be kept safe and secure. If damaged or lost, on receipt of an affidavit attesting to loss or destruction, a reissued diploma may be ordered through the Office of Degree Progress, University Park Campus (cost for a replacement is $100.00 at the time this Handbook was printed). Any extant fragments of the original must accompany the order. Re-orders take from one to three months to fill. Include your USC ID, year of graduation, and how you wish your name to appear.

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