MD PROGRAM HANDBOOK 
     
                            AND POLICY MANUAL 
     
     
     
     
     
                          ACADEMIC YEAR 2010-2011 
     
                         
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
                         
     
     
     
     
     
     
     
     
     
                                                                                                                                                                                           
              
                 EMERGENCY NUMBERS 
               
                 For Fire-Police-Medical Emergencies: 
               
                              From School of Medicine phones                                                                                           286 
               
                              From Stanford Hospital, Clinics, and LPCH phones                                                                         211 
                               
                               From Stanford Campus phones                                                                                           9-911 
                              From pay phones, cell phones, and non-medical center campus phones                                                       911 
                               (Outdoor Blue Tower Phones will automatically reach the 911 operator) 
               
                 Needlestick and Exposure Hotline                                                                                                  498-4000 
               
                 Sexual Assault, Counseling for Students                                                                                           725-9955 
               
                 Medical Center Escort Service                                                                                                     723-7222 
              
              
              
              
              
              
              
              
              
              
                  
                 Compiled and published by Educational Programs and Services at the Stanford University School of Medicine, September 
                 2010. This document and updates to its contents are posted online at http://med.stanford.edu/md/policies/. 
                  
                 Every effort is made to ensure the information contained in this handbook is accurate and current at the time it goes to 
                 press. Stanford University School of Medicine reserves the right to make changes in applicable regulations, 
                 procedures, policies, requirements, and other information contained in this handbook and policy manual at any time 
                 without notice. Please refer to the online posting for the currently applicable version. 
                  
                 Cover photo credit, fourth image from top: Suzanne Bethard. 
              
                                                                                                                                                                                           
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     1.1  School of Medicine Academic Calendar 2010-11 .................................................................................... 1 
     1.2  School of Medicine Academic Departments and Programs ..................................................................... 3 
     1.3  Directories ................................................................................................................................................. 4 
      Oversight of the MD Curriculum ................................................................................................................ 4 
      MD Student Support Services ..................................................................................................................... 7 
     2.1  Specification of Requirements for Graduation with the MD Degree ..................................................... 11 
     2.2  Competencies and Objectives for Medical Student Education ............................................................... 11 
     2.3  Medical Health Requirements and Immunizations ................................................................................. 15 
     2.4  Data Security and Privacy (HIPAA) Training ........................................................................................ 15 
     2.5  Safety Training ....................................................................................................................................... 16 
     2.6  Ethical Conduct of Biomedical Research ............................................................................................... 17 
     2.7  Academic Requirements ......................................................................................................................... 18 
      MD Program Curriculum – Overview ....................................................................................................... 18 
      Students Matriculating Academic Year 2010-2011 or 2009-10 ................................................................ 19 
      Students Matriculating Academic Year 2007-08 or 2008-09 .................................................................... 21 
      Students Matriculating Academic Year 2006-07 ...................................................................................... 23 
      Students Matriculating Academic Year 2003-04, 2004-05, or 2005-06 ................................................... 25 
      Students Matriculating Academic Year 2002-03 or Prior* ....................................................................... 26 
     2.8  United States Medical Licensing Examinations (USMLE): Step 1, Step 2 CK ..................................... 27 
     and Step 2 CS................................................................................................................................................. 27 
     2.9  School of Medicine Statement on Professionalism ................................................................................ 28 
     2.10  School of Medicine Standards of Conduct for the Teacher-Learner Relationship ............................... 29 
     2.11  School of Medicine Technical, Non-Academic Standards ................................................................... 33 
     2.12  Note on Licensure ................................................................................................................................. 36 
     3.1  Quarter 1 (Q1) through Quarter 6 (Q6) Week-by-Week Grids .............................................................. 38 
     3.2  Required Course Descriptions ................................................................................................................ 44 
     3.3  Student Pathways through Human Health and Disease (HHD) and Practice of Medicine (POM) ........ 50 
     3.4  Scholarly Concentration Requirement .................................................................................................... 52 
     4.1  Clerkship Periods 2010-11 ...................................................................................................................... 58 
     4.2  Clerkship Requirements (Table) ............................................................................................................. 59 
     4.3  Clerkship Scheduling .............................................................................................................................. 59 
     4.4  Required Clerkship Descriptions ............................................................................................................ 60 
     4.5  Selective Clerkship Requirement ........................................................................................................... 64 
      Selective I: Fundamentals of Clinical Care ............................................................................................... 65 
      Selective I List: Fundamentals of Clinical Care ........................................................................................ 66 
     4.6  Reflections, Research, and Advances in Patient Care – INDE 297 ........................................................ 69 
     4.7  Advanced Cardiac Life Support (ACLS) – MED 295 ............................................................................ 71 
      
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       4.8  Subject Examinations in Required Clerkships ........................................................................................ 71 
       4.9  Clinical Performance Examination (CPX).............................................................................................. 72 
       4.10  How to Take Elective Clerkships At Other Institutions ....................................................................... 73 
       4.11  Requests to Complete Core or Selective Clerkships  at other institutions ............................................ 74 
       4.12  Absences During Clerkships ................................................................................................................. 75 
       4.13  Policy on Dropping Clerkships Less than Four Weeks Before  the Start of the Period ....................... 76 
       4.14  Definition of Medical Student Practice Role ........................................................................................ 76 
       4.15  Student Duty Hours and the Work Environment .................................................................................. 77 
       4.16  Malpractice Liability for Medical Students .......................................................................................... 78 
       4.17  Student Participation in Clinical Activities Involving Personal Risk ................................................... 78 
       4.18  Universal Precautions and needlestick protocol ................................................................................... 79 
       5.1  Registration Instructions ......................................................................................................................... 81 
       5.2  Add and Drop Deadlines for Courses ..................................................................................................... 81 
       5.3  Leaves of Absence .................................................................................................................................. 82 
       5.4  Reinstatement .......................................................................................................................................... 83 
       5.5  Academic Records .................................................................................................................................. 83 
       5.6  Privacy of Student Records ..................................................................................................................... 84 
       5.7  Student Identity and Identification at Stanford ....................................................................................... 87 
         Stanford University ID Number ................................................................................................................. 87 
         SUNet ID ................................................................................................................................................... 87 
         Stanford University Identification Card..................................................................................................... 87 
       6.1  Evaluation of Performance in Courses ................................................................................................... 90 
         Grading System .......................................................................................................................................... 90 
         End-Quarter Policy Statement ................................................................................................................... 91 
         Final Examinations .................................................................................................................................... 91 
         Correction of Deficiencies in Pre-Clerkship Courses ................................................................................ 92 
         Evaluation of Performance in Human Health and Disease (Q3-5): ........................................................... 93 
         Statement on Feedback, Grading and Examinations ................................................................................. 93 
         Evaluation of Performance in Practice of Medicine (Q1-Q6): .................................................................. 94 
         Statement on Feedback, Grading and Examinations ................................................................................. 94 
       6.2  Evaluation of Performance in Clinical Clerkships .................................................................................. 96 
         Mid-rotation Feedback: .............................................................................................................................. 96 
         Clerkship Performance Evaluation Appeals .............................................................................................. 98 
         Correction of Deficiencies in Clinical Clerkships ..................................................................................... 99 
       6.3  Medical Student Performance Evaluation (MSPE) .............................................................................. 100 
       7.1  Introduction ........................................................................................................................................... 102 
       7.2  Standards for Performance and Satisfactory Progress .......................................................................... 103