TRINITY CLERKSHIP HANDBOOK This Clerkship Handbook is in force as an extension of the Trinity School of Medicine Student Handbook.

. This document contains some additional policies and procedures that are directly related to the clerkship terms 6-10 and the transition from St. Vincent to the United States for clerkships. If there is not a policy or procedure discussed in this document that pertains to your particular situation, then the Student Handbook will be the guiding policy. These policies are subject to change, changes will be notified by email until the handbook can be updated. Updated: November 23, 2011.

Term 6 Promotion Policies

Medical students in Term 5 are promoted to term 6 provided

All criteria for terms 1- 5 are completed with passing scores The Academic Progress Committee recommends promotion to 6th term. Passing score on USMLE 1 Letter of good standing from Dean of Students Administrative good standing letter Current PPD and vaccine status Clear criminal background check Negative urine drug screen test

*Some students may take longer than others to complete their first 5 terms. A student could fail several courses in early terms and attend classes for 5, 6 or even 7 terms in some cases due to extenuating circumstance before completing the passing curriculum requirements for the first 5 terms. That is why we reference Academic Term 6 below and not the actual attendance term. When a student enters term 6, it is their official academic term 6 regardless of how many actual terms have been attended.

Academic Term 6
Academic Term 6 begins upon enrollment with TSOM administration and self-directed study or the review course recommended by TSOM, and subsequent sitting of the USMLE 1. The time used for these activities are bridge weeks counting towards the 100 weeks overall promotions requirements. Students who fail to comply with the registration procedures laid out by TSOM administration will not be promoted to the next term, and automatically be put onto an Administrative Leave of Absence (Admin-LOA). Students on Admin-LOA must not attend any clinical clerkships. Time in Admin-LOA does not count towards the 100 week clinical promotions requirements.

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At the beginning of term 6, all students are encouraged to attend a 7 week live training session with our Partner, Falcon Review in Dallas, Texas or one of their other training centers. This preparation has lead to higher Step 1 scores that will help each student stand out among peers for the residency match. In general, a higher Step 1 score will lead to more interviews for residency and a higher match percentage. Some students may be required to attend this session based on your NBME Comprehensive Exam Score from the 5th term. Your core clerkship rotations will begin 2-4 weeks after the school receives your Step 1 score. It takes 30 days to receive your Step 1 exam score so plan accordingly. The Dean of Clinical Studies and his administrator will have a core clerkship rotation schedule set up for you once the Dean of Students and the registrar have received your Step 1 passing score. You will be given a preplanned schedule for all your clinical rotations from 6-10th semester by the clinical department. Students are required to sit for Step 1 to enter the sixth term under the following guidelines based on their NBME Comprehensive Exam score from the fifth term: (The NBME Comprehensive Exam is the best Step 1 score predictor which is why we utilize this exam score as part of the final exam and 5th term grade to determine the proper course of action for each student.) Your NBME Comprehensive Score from the 5th term final will determine if the student is in

Optimum track (Green), cleared to take USMLE 1 without taking review course Non-standard track 1 (Yellow) Review course required before taking USMLE1 Or non-standard track 2 (Red). Review course required before taking USMLE1 and retaking of NBME and achieving a score predictive of a passing score on the USMLE1.

Tracks are determined as follows: Optimum Track

Students with an NBME Comprehensive Exam score of 64 or better are considered optimum track and are not required to attend a formal review course. However, it is highly recommend that each optimum track student attend the live 7 week full time Step 1 review course or equivalent to improve Step 1 performance which is critical in obtaining a residency and residency options. Optimum track students are required to sit for the USMLE Step 1 exam within 10 weeks from the start of the 6th term. Clerkship rotations will begin approximately two four weeks after we receive proof of the passing Step 1 score. It generally takes 30 days to receive your Step 1 score results. In most cases, optimum track students will begin core rotations 2-4 weeks after the receipt of the Step 1 score. If a student in the Optimum Track does not sit the exam within 10 weeks, the school will take formal disciplinary action unless the student has written permission from the Academic Progress Committee for an extension. Extensions should not be any longer than two weeks if approved
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unless there are extenuating circumstances like a death in the immediate family or serious illness. Any disciplinary action will become a part of the students file and noted on the MSPE for the residency match if the student is not dismissed. We encourage students to avoid disciplinary action from the Academic Progress Committee, as this action will certainly impair a students ability to obtain a residency. Students that do not sit for Step 1 within the required timeline and do not have an extension granted by the Academic Progress Committee will either be dismissed or put into non-standard track 1 if approved by the Academic Progress Committee. This move from Optimum Track to Non-Standard Track 1 will be noted in the students file. Optimum track students who fail Step 1 will either be dismissed from school or put into nonstandard track 2 based on the recommendation of the Academic Progress Committee.

Non-Standard Track 1
Students in this track are primarily students whose 5th term NBME Comprehensive Exam score were between 59 and 63 and may also include optimum track students who did not take the Step 1 exam in the required timeline and were not dismissed from school. Students in this track are required to attend the 7-week live Step 1 review program from Falcon Review or other approved school partner. (Optimum track students may be allowed to bypass the review program if approved by the Academic Progress Committee) Students are responsible for all associated costs in addition to their term 6 tuition. Students in non-standard track 1 are required to sit for the Step 1 exam within 12 weeks from the Start of the 6th term. If the student does not sit for the Step 1 exam within the 12-week requirement, the school will take formal disciplinary action which could include dismissal from school unless the student has written permission from the Academic Progress Committee for an extension. Extensions should not be any longer than two weeks if approved unless there are extenuating circumstances such as a death in the immediate family or serious illness. Any disciplinary action will become a part of the students file and noted on the MSPE for the residency match if the student is not dismissed. We encourage students to avoid disciplinary action from the Academic Progress Committee, as this action will certainly impair a students ability to obtain a residency. Non-standard track 1 students that do not sit for Step 1 within the required timeline and do not have an extension from the Academic Progress Committee will either be dismissed or put into non-standard track 2 if approved by the Academic Progress Committee. This move from non-standard track 1 to Non-Standard Track 2 will be noted in the students file and the associated requirements and timelines of non-standard track 2 students will apply. Note 1: (Students that follow the appropriate track and exam guidelines (no matter which track they are on) will not have any notation in their file referencing which track they are on for their MSPE or transcript.) Non-standard track 1 students who fail the Step 1 exam will either be dismissed or put into nonstandard track 2 by the Academic Progress Committee.

Non-Standard Track 2
Non-standard track 2 students include two types of students; Type 1 these are students with 5th term NBME Comprehensive Exam scores of 58 or less and Type 2 students are optimum track and non-standard track 1 students who either did not follow the appropriate exam timeline requirements or failed the Step 1 exam and were not dismissed from school.
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Non-Standard Track 2 students Type 1

All students with NBME Comprehensive scores of 58 or less are required to attend the 7 week live Step 1 review program from Falcon Review or other approved school partner as determined by the school within 2 weeks from the start of the 6th term. Students are responsible for all associated costs in addition to their term 6 tuition.

Students will be required to re-sit the NBME Comprehensive Exam within 12 weeks after the start of term 6. Students who pass the NBME Comprehensive Exam with a score of 64 or above are required to sit for the Step 1 exam within 15 weeks from the start of term 6. If a student fails the NBME Comprehensive Exam on the re-sit (score is less then 64), then the following action is taken; if the score is between 50 63 the student will be given the opportunity for a third retake of the NBME Comprehensive to try and obtain a 64 or better. Students must re-sit the third NBME exam within 16 weeks from the start of term 6. If a student receives a score of 49 or below during the second re-sit, the student is dismissed from school. There is no appeal of this decision. In the case of a third retake, students have 20 weeks to sit for the USMLE Step 1 exam if the exam NBME Comprehensive Exam is passed. If a student fails the NBME Comprehensive exam the third time (less than 64), they are dismissed from school. Any students in this track who fail to meet the required timelines will be dismissed immediately once the timeline has passed unless they have extenuating circumstances like a death in the immediate family or a serious illness. No extensions will be given outside of these extenuating circumstances. Students that fail the USMLE Step 1 in this track are reviewed by the Academic Progress Committee (APC). The APC will determine the remedial action necessary for each student. All students who fail the USMLE Step 1 exam and are allowed to retake the exam with the approval of the APC, must do so within 12 weeks or be dismissed from school. If the USMLE Step 1 exam is failed twice, the student is dismissed from school.

Any student that has not submitted a valid passing USMLE Step 1 score within 40 weeks of the start of their official academic term 6 is dismissed from school automatically. 40 weeks are determined as follows worst case scenario: (With APC approval Do not assume the APC will award approval) o Pass NBME Comprehensive on third try: 20 weeks to sit for USMLE Step 1 from academic term 6 start. 4 weeks waiting on score. 12 weeks to retake USMLE Step 1. 4 weeks to receive passing score.

o o o

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Total of 40 weeks.

Non-Standard Track 2 students Type 2

Optimum track and non-standard track 1 students who did not follow the appropriate exam timeline requirements or failed the Step 1 exam and were not dismissed from school must follow the remedial program mandated by the Academic Progress Committee (APC) in this track. The timelines and minimal requirements are as follows;

Students will be required to attend or repeat the live 7 week falcon program or equivalent as approved by the APC, regardless of whether the student has already attended a full review program or not. Our current provider does not charge a fee to re-enroll in the program if the student has failed Step 1, although you will have to pay for living expenses while attending the program again. (The Academic Progress Committee may recommend other options based on their findings during their review of the students progress.) These students have 21 weeks from the start of their academic 6th term to attend the Falcon 7 week live review program due to the time already passed to obtain their Step 1 failing scores and scheduling issues.

Students are required to submit a passing Step 1 score within 32 weeks from the start of their 6th term. No exceptions will be made past this timeline unless there are extenuating circumstances such as the death of an immediate family member or serious illness.

Failing Step 1 three times is immediate dismissal.

In the case of approved exam timeline extensions, a passing Step 1 score must be submitted within 40 weeks of the start of the students academic term 6 start date.

Term 6 Tuition Payment Policy

Tuition is charged for the 6th term. Students that have not paid their sixth term tuition are not financially compliant and will not be cleared to sit for Step 1 or re-sit for the NBME comprehensive exam if required. If you are approved for a leave of absence during the term for any reason, you cannot be cleared to sit for the NBME Comprehensive exam or USMLE Step 1 until the following term start and your tuition is paid in full for the 6th term and your are admitted back into school (which can only be at the start of a term post LOA for a 6th term LOA). If an approved LOA causes a student to be outside of the optimum and/or non-standard tracks above, then they will have to repeat the 5th term and pass the NBME Comprehensive Exam again before being allowed to sit for
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the USMLE Step 1 exam. A leave of absence in the 6th term is highly discouraged. Students are encouraged to follow the path set by the school above that is in the best interest of the student. Any deviation must be approved by the APC. Students that have not passed USMLE Step 1 upon entering the 7th term are put in a hold status financially. No further billing takes place until the USMLE Step 1 is passed. The USMLE Step 1 pass timeline (outlined below) begins at the start of academic term 6. If a student passes Step 1 in the middle of the 7th term, they will be invoiced immediately to catch up their tuition payments.

Students utilizing a student loan program that are not in the optimal track will in most cases not be approved to take out a loan for the 7th term unless they have passed Step 1. You may want to consider a larger 6th term loan to help cover costs during the months you may not be able to take out a loan. Once you are in hold status, the school will generally not approve a loan disbursement. A full refund of the 6th term tuition will occur if for whatever reason, a student is unable to matriculate into clerkship rotations. Usually, this would occur by failing Step 1 twice and all other remediation attempts and being dismissed from school. If a student is required to re-sit the NBME Comprehensive Exam after receiving a failing score and fails again and is subsequently dismissed from school, then a full refund of the 6th term tuition would be in order. If the Academic Progress Committee either requires or allows a student who fails the NBME Comprehensive Exam twice or the Step 1 Exam to repeat the 5 th term, then the tuition from the 6th term will be applied to the repeat of the 5th term. If a student transfers to another medical school in the 6th term prior to their clerkship rotations and they have paid in full their 6th term tuition, then a full refund will be allowed. Proof of acceptance into the transfer school is required. If a student, by either choice or requirement, based on their NBME Comprehensive Exam performance, attends a Step 1 prep program, that program is not a part of the tuition expense and will not be refunded. Any remedial or outside study program attended is at the expense of the student. Once a student has paid for their 6 clerkship terms (6-10), they will not be charged for additional terms even if their clerkship rotations are completed outside term 10 unless they were on an approved LOA during those terms. In the case of an LOA, the student will be invoiced upon reactivation for subsequent terms. If a student has to repeat a rotation for any reason, the student will be charged for the additional rotation on a credit hour basis.

School policy on clerkship electives and payment

Students are encouraged to book their own electives at various teaching hospitals in the US and Canada. This is a common practice among all medical students. ACGME teaching hospitals have made this relatively painless in recent years. Some even have an online scheduling system. This allows you to meet decision makers at hospitals that offer the residency you are seeking even though the elective may be in a different field of study. Plan ahead (up to six months ahead) to schedule an elective strategically to place yourself at hospitals that offer a residency in your first or second preference. Good elective slots in the summer months in Canada are hard to get. A good performance evaluation from that hospital will improve your chances of a residency there. Students need exposure to as many residency decision makers as possible. As a rule, elective rotations should only be booked once the student has completed the core rotations. There are circumstances where electives are used to fill in voids due to scheduling issues in order to avoid

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down time during your clerkship terms; this assures student will not get behind in rotations for the match timeline; however the school will usually book these due to time constraints.

Students must have approval of the Dean of Clinical Studies or his administrator before applying to any elective rotation. The rotation must be on the school schedule and/or student information system and noted in your file and transcript. You must be sure the EVALUATION is sent to the Clinical Dean and and school offices in Alpharetta, Georgia by the preceptor or hospital GME administration.

Some hospitals require the student to use their charge card to pay for the application fee
and rotation fee up front, especially in Canada. In this case, the school will reimburse the student once we have proof of the booking. If the student does not show up for the rotation that was reimbursed by the school, then the school will charge the student for the rotation on a credit hour or cost of rotation (whichever is higher) in addition to tuition and a 5% administrative fee penalty as well. If the student does not have a charge card, then the student will have to organize other financial arrangements with the hospital. The school will be pleased to pay the hospital directly on behalf of the student but some hospitals do not accept school checks or US dollars in the case of Canada as policy.

We do not allow students to apply to more than one elective at a time. This is to prevent
students from booking multiple hospitals to have options on which to choose from. This is not fair to the hospital, staff or school and we will not condone this unethical behavior.

Recent rule by the ECFMG allow doubling electives is some cases, this is the only
exception for a student to be doing 2 electives at the same time. Still you will need clearance by Clinical Dept. to do this.

If there are rotation fees involved, in most cases the school will send a check to the hospital
on behalf of the student. We require an affiliation agreement with the elective hospital before we send the check and most hospitals have a standard agreement they will send to the school. You must have the hospital forward the agreement to the school or forward it yourself and the school will sign the agreement and send with the check.

Forward Agreements via email or to the following address via post:

Trinity School of Medicine Administrative Offices 12600 Deerfield Parkway, Suite 100 Alpharetta, Georgia 30004 Attention: Mr. Keith Hollers / Mark Berger

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Some Canadian hospitals do not have an affiliation agree, always ask. The school will check for an agreement before sending a check. Also, keep in mind, the school will pay for application fees up front if charged by the hospital. The student will have to pay those fees directly.

The school will only reimburse or pay for electives that are part of your 27 week elective requirements. Any additional electives are optional and paid 100% by the student.

Some hospitals in the United States do not charge much for elective rotations (some have
no charges) and if they do have charges, they are usually small reasonable fees. This is quite normal since these electives are considered flexible curriculum requirements; unlike cores, and do not need to be green rotations or completed at ACGME hospitals. However, students should always consider ACGME hospitals since that is where their residency is most likely to come from. This competition for electives has kept the cost low at ACGME hospitals and they also like the opportunity to see how students perform prior to selecting them. The lower cost of electives is already calculated within the overall tuition the school charges and there is absolutely no consideration of tuition reduction or refunds simply because the student books the elective. Additionally, if the school schedules an elective rotation for you and you do not show up, you will be charged by the credit hour or cost of rotation, whichever is higher, to repeat the rotation. The credit hour cost is usually higher.

Also, students should be aware that Canadian Hospitals have additional requirements for
rotations, which include but are not limited to immunization forms signed by a physician, letters of attestation, additional Mal Practice Coverage that the student must obtain as well as completion of certain prerequisites in clerkships. Be fully aware of all the requirements before booking the elective; most importantly, be sure the Dean of Clinical Studies or his administrator has reviewed this elective choice with you and approved it.

Promotions in Medicine, Terms 6 10

Clinical terms during the Core Rotation Year (terms 6 8) and the Senior Year (terms 9 10) are governed by a flexible sequence of rotations and bridge weeks. Bridge weeks constitute an integral part of the academic curriculum. Also, they are utilized for selfdirected study and they must be used to organize for, sit, and pass the major external NBME exams (USMLE 1 in term 6; USMLE 2 CK and USMLE 2 CS in term 8, 9, or 10), prepare for upcoming Clinical Rotations, prepare the Residency Match process, and interview for Residency positions. The administrative roster for terms 6 10 is by calendar and directly bears on the decisions to be taken by the APCs. The total duration of the clinical studies is 100 weeks (+ 4 weeks holidays, i.e. first and last week in the year). To be academically promoted during the clinical years, students must meet the following criteria:
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1. Successfully complete rotations within a given period. 2. Successfully pass the USMLE 2 CK & CS exams. The time frame is exactly 60 weeks (terms 6 8) for the Core Rotations (1st Clinical year), and exactly 40 weeks (terms 9 10) for the Mandatory electives and Selective Rotations (Senior Year). Each student has to be actively enrolled for these 100 weeks and be in good academic standing to graduate from Trinity School of Medicine. In an optimal track model, a student finishing Term 5 in April 2012, can enroll into term 6 in May 2012 (start of 100 week period), then prepare and sit the USMLE 1 and so forth, and graduate in April 2014 (end of 100 week period), ready for residency in July 1st, 2014. Promotion to Term 6 Medical students promoted to term 6 (see above). Promotion to Terms 7 and 8 The performance of all Clinical students in their respective clerkships and their timely progress through the TSOM clerkship curriculum is constantly monitored by the Office of the Dean of Clinical Studies. Provided that a student obtains passing grades in his/her clerkships and complies with administrative requirements, promotions to term 7 and 8 occur automatically, effective for week 21 and week 41 of the first clinical, respectively. Students who have failing grades in any clerkship, or disruptive or unprofessional behavior will be reviewed by the Academic Promotions Committee for Clinical Programs (CAPC) in consort with the Dean of Clinical Studies. The result of this effort may be a recommendation for remediation measures, temporary suspension, or dismissal from TSOM.

Promotion to Term 9
Students who have successfully completed their core rotations within the given time frame of 60 weeks and have TSOM with administrative requirements for term 9, will be promoted by the Clinical APC based on the review of their individual Clinical Academic Record and a final study plan for terms 9 and 10 that must be submitted to the APC through the Office of the Dean of Clinical Studies. Promotion to Term 10 The promotion to term 10 follows the rules given above for terms 7 and 8 and occurs no sooner than 20 weeks after promotion into term 9. It is expected that Students have passed their USMLE 2 CS and USMLE 2 CK by this time, or have these exams scheduled otherwise under special considerations in their final year study plan. We recommend that you take a 1 week USMLE2 review course of your choice. This is at the students cost but very worthwhile to improve your USMLE2 CK Score and residency possibilities.
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Clerkship Transition
Your clerkship terms are lead by the Dean of Clinical Studies Dr. Manuel Suarez. Dr. Suarez is located in Miami, Florida and can be reached by phone at 305-213-3591 or email at: msuarezmd@gmail.com. The Assistant Clinical Dean and Director of Clerkships is Dr. Firas Harb fharbmd@gmail.com . He is a full time administrative faculty member of Trinity School of Medicine and President of the American Medical Clinicals (AMC) Company of Chicago, Illinois. Dr. Harb and his team at AMC is the primary administrative agent of our clinical program managing all of our administrative documents and the scheduling and support for our hospital partners primarily in Chicago and New York. Fred Sanchez is the principal administrator under the supervision of Dr. Manuel Suarez as well as Dr Harb . Fred should be your first point of contact for all clerkship schedules, grades and evaluations, issues and questions. He can be contacted at 305-213-3590 or through email at: fred.sanchez65@gmail.com . If Fred is unavailable, then the principal administrative representative for Trinity Students at AMC is Deanna Bono, email address is: bonodeanna@gmail.com . She can be contacted by phone at (708) 8365500. Dr. Harb may be reached at (973) 570-3158 or via email at: fharbmd@gmail.com . All student request must be made by written communication ( email ), no phone request will be accepted. Please direct emails to all above as a group for the clinical team stays aware of all student situations. msuarezmd@gmail.com, fharbmd@gmail.com,

fred.sanchez65@gmail.com , bonodeanna@gmail.com .

Student Housing
AMC provides a national agreement with Extended Stay America that affords our students of proper housing options in most metropolitan areas where we have affiliated hospitals. The rates are competitive and students can further reduce these rates by rooming together. Students are encouraged NOT to sign any housing agreement longer than three months. It is important that you are able to move to various hospitals/Cities to complete your core rotations without delay. Long-term leases are perhaps more affordable but could interrupt your ability to complete your core clerkships on time. If you decide to obtain housing on your own, be very weary of using Craigs List because the apartments that are inexpensive are often in very bad areas of town and the renters are sometimes dangerous individuals. Make sure you use reputable firms if you go outside the Trinity options. Once you have your clerkship rotation schedule, you will need to book your housing arrangements through AMC or directly utilizing the AMC booking codes to obtain the discount. Please call Deanna Bono or Fred Sanchez for more information at the numbers above.

Documentation
To ensure for the most consistent and fluid transition of students into their clerkship rotations, the appropriate documentation must be available to all parties on a timely basis, the following procedures, policies and documentation apply: SCHEDULE: PRE STEP I RESULTS

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STUDENT RESPONSIBILITIES

Students will provide the following documents directly to American Medical Clinicals (AMC) upon completion of the Step 1 exam: (We strongly encourage you to use an express courier such as Federal Express and request signature delivery to ensure your documents to ensure that documents are delivered in a timely and secure manner.) We also suggest you scan and PDF a copy to fred.sanchez65@gmail.com, msuarezmd@gmail.com, fharbmd@gnail.com, and bonnodeanna@gmail.com. Documents should be sent to: American Medical Clinicals One Westbrook Corporate Center Suite 300 Westchester, IL 60154 Attention: Deanna Bono / Dr. Firas Harb Provide the Following Records: 1. Medical Records a. Immunization Records: i. Hepatitis B ii. MMR (measles, mumps, rubella) iii. Current PPD screening (less than 1 year is considered current) iv. A + PPD result has to be accompanied by a chest x-ray result or physician certification that the student is currently free of signs and symptoms of active TB. Must be current to one year. If positive must be accompanied by a chest x-ray.

2. Drug Screening- A standard 10-panel urine test and if not offered in Canada, testing for
substances such as cocaine, barbiturates, benzodiazepines, methadone, morphine, opiates, methamphetamines, marijuana, and ecstasy.

A Sample 10 Panel Drug Test Result Report: Drug Screening Applicant's Name: Alicia Heatherstone
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Date: SS#: Date of Birth:

10/25/2006 987-65-XXXX 01/01/XXXX

Drug Screen 10PNL with Alcohol Service On Collection Date 2/24/2004, a Ten (10) Panel Drug Screen with a Urine Alcohol Screen was conducted on the above named applicant. The following results are reported: DRUG TESTED Amphetamine Barbituates Benzodiazepines Cannabinoids Cocaine Metabolite Ethanol Methadone Methaqualone Opiates Phencyclidine Propoxyphene RESULT NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE SCREEN CUT-OFF 1000 ng/ml 300 ng/ml 300 ng/ml 50 ng/ml 300 ng/ml 25 ng/ml 300 ng/ml 300 ng/ml 300 ng/ml 25 ng/ml 300 ng/ml

Please Note: Testing was performed at a NIDA Certified laboratory. This specimen has been tested with the screen confirmation levels listed above.

3. A copy of a photo ID (Digital) (Drivers License or Passport Docs) 4. Proof of Citizenship a. Documents that will be accepted as proof of citizenship include: i. Passport

ii.

Immigration and Naturalization Permanent Resident Card I-551 (Green Card),

iii. Certified Birth Certificate issued by the city, county, or state of birth, in accordance with applicable local law iv. Naturalization Certificate v. Canadian Certificate of Citizenship vi. FS-240 - Consular Report vii. DS-1350 - Certification of Report of Birth
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viii. Other documents that would be accepted by the United States Federal Government as proof of citizenship.

5. Curriculum Vitae (CV) If you need examples, please contact Dean Johnson while on the
island and Dr. Suarez post-island. 6. Clinical Clerkship Preference Form

7. Student must submit a completed Background Screening Consent Form with a check in the
amount of $95.00 (US Currency) to the Trinity Alpharetta Office. The Alpharetta Office will complete the background review and distribute results to AMC. Student may complete this task prior to or following the release of Step 1 results. (Background screenings require approximately four business days to complete and must be on file at AMC prior to scheduling of Clinical Rotations.)

TRINITY SCHOOL OF MEDICINE RESPONSIBILITIES

Alpharetta Operations will provide the following information to AMC to ensure timely processing of students for clinical clerkships. Clinical Dean approved roster comprised of students that are potential candidates for Clinical Clerkships.

Student Contact Information (SCI) Form that will provide the following information

a. Permanent Mailing Address

b. Permanent Phone Number c. Current email address d. Emergency Contact e. Name of Individual(s) f. Nature of Relationship

g. Permanent Mailing Address h. Permanent Phone Number i. j. Emergency Phone Number (if different from Permanent Phone Number) Current email address

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3. Criminal Background Check Report Alpharetta Office, Director of Accounting will secure background checks for all students and distribute to AMC.

Schedule: Post Step 1 Results

STUDENT RESPONSIBILITIES

1. Student must submit a student copy of Step 1 Score report to Trinity School of Medicine
Alpharetta Office and Dean of Students Office Dr. James Coey. The report is due regardless of status (Pass /Fail).

2. If the student has not completed the Background Screening Consent Form prior to Step 1 results, they must complete one and submit with a check in the amount of $95.00 (US Currency) to the Alpharetta Office.

3. The Alpharetta Office will complete the background review and distribute results to AMC.
(Student background screenings require approximately four business days to complete and must be on file at AMC prior to scheduling of Clinical Rotations.)

TRINITY SCHOOL OF MEDICINE RESPONSIBILITIES

Alpharetta Office - Operations will provide the following documentation to AMC, Dean of Clinical Sciences, Director of Clerkships, Dean of Students, Dean of Caribbean Studies, Director of Accounting.

1. Letter of financial standing and authorization for student to enroll in the clinical program.

2. Student Copy of Step 1 Reporting Form

Alpharetta Office Accounting will provide the following documentation directly to AMC

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1.

Completed Student Background Screening Report.

2. Proof of Coverage Malpractice Insurance Certificate of Insurance indicating student is covered under the Trinity Malpractice Insurance program.

The SVG Office will provide the following information directly to AMC.

1. St. Vincent Team will provide Deans Letter of Academic Standing and authorization to enroll in the clinical program to AMC.

2. Dean of Clinical Studies will provide letter of good standing and authorization
to enroll in clinical program to AMC.

AMC RESPONSIBILITIES

1. AMC will issue the appropriate letters and/or other documentation to assist all international students with VISA application or other method of entry to the US.

a. Upon notification from Trinity that student is authorized to begin Clinical

Clerkship phase of training, AMC will issue an I-94 Letter to student. Notifications submitted after Step 1 will result in an additional fee for Fed-Ex overnight mail delivery fee of $33 US Dollars sent to a Canadian residence.

2.

AMC will schedule a student within 2-4 weeks (usually within 2 weeks) upon receipt of Step I confirmation from the school as well as all necessary paperwork within this two week period will:

a. Append the Clinical Rotations Spreadsheet at Google Docs with the details of new
clinical students scheduled rotation including;

i. Student name,
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ii. Start and end dates,

iii. Rotation type (Core or Elective),

iv. Specialty or subspecialty, (e.g. IM, Psych, etc), v. Name, address and contact number of Hospital, Clinic or Physician Group, vi. Preceptor Name.

b. Will send email notification of additions to Clinical Rotations Spreadsheet at Google Docs to Clinical Dean, Alpharetta Office, Operations, and Accounting.

3.

AMC will contact the students for the purpose of scheduling for New Student Orientation with AMC to be held in the office at the address below:

American Medical Clinicals 1 Westbrook Corporate Center Suite 300 Westchester, IL 60154

4. In addition to a general overview of the Clinical Clerkship program and discussion of AMC expectations and standards with regard to clerkships, AMC New Student Orientation will provide students with the following information:

a. Assigned clinical rotation, b. Preceptor name and contact information,

c. Facility Name, Location/address, d. Reporting schedule for the first day of rotation. e. Respond to questions or issues the student may have regarding their clerkship. f. Remind students that they must continue rotations with no more than 2 weeks break unless approved in advance by Dean of Clinical Sciences. Failure to engage within these parameters will constitute a leave of absence on the part of the student.

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5.

If a student is assigned an acceptable rotation and the student does not accept it for any reason not approved by the Clinical Dean this delay and rescheduling will be the students responsibility, including possible added costs. This can lead to delays in your graduation date.

Schedule: Post Orientation

AMC RESPONSIBILITIES

AMC will schedule subsequent rotations and within 48 business hours of new rotation will append the Clinical Rotations Spreadsheet at Google Docs.

b.

Google docs spreadsheet will include details of the new rotation including;

i. ii. iii.

Start and end dates, Rotation type(Core or Elective), Specialty or subspecialty, (e.g. IM, Psych, etc),

iv. Name, address and contact number of Hospital, Clinic or Physician Group, v. Preceptor Name.

c. Will send email notification of additions to Clinical Rotations Spreadsheet at Google Docs to Clinical Dean, Alpharetta Office, Operations, and Accounting.

Note: Core rotations are expected to be completed before starting electives. On occasion and at the approval of the Dean of Clinical Studies students may be approved for an elective rotation between core rotations to allow for the most efficient scheduling of student rotations.

Applying for the Match

Each student that has met or will meet all the graduation requirements has to spend an appropriate amount of time planning for the match. Dr. Suarez and Dr. Coey will help guide you in this process but much of the work and responsibility is yours. The required documents should be
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loaded by September 1st of each year if at all possible. You will probably need two or three letters of recommendations to upload into ERAS and should plan on identifying these physicians that will submit recommendation letters on your behalf during your core rotations. Dont wait until the last minute with these important documents. The school cannot do this for you. We will certainly provide the documents we are required to send but these letters are your responsibility.

You will also need to set up an ERAS account, as the school will need the account number to load your MSPE and transcript. Dr. Suarez will be available each term in St. Vincent to help inform students of the clerkship transition process as well as discuss the match process with you. It would be prudent to read the current procedures from ERAS to get an understanding of what is required of the school and the student during this process. Students that will be in the match process should open an account in early summer the year before so documents can be loaded during August. The website www.aamc.org/eras is very informative on the topic. See below information explaining the schools responsibility for ERAS documentation

School Procedures for Electronic Submission of ERAS Documents

Thank you for agreeing to submit electronic documents, via electronic mail, directly to ERAS Support Services at ECFMG. The document types you may submit for the purpose of your student/graduates ERAS application are as follows:

Medical Student Performance Evaluation (MSPE) (Original signature and letterhead) Medical School Transcript Original Letters of Recommendation (LORs) in accordance with the ECFMG Original Document Policy. Please have your students ask their letter writers to indicate whether they have waived their rights to view their letters of recommendation in the body of the letters. You do not need to submit the LOR coversheet.

The electronic method of document submission is:

1. Convert each document type into a separate pdf file format. If the separate document contains more than one page, please include all pages in the one file. Do not send separate files for each page. 2. The maximum technical size requirement for MSPEs and transcripts is 1200KB; LORs 500KB
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3. Make sure the student/graduate secured their AAMC ID number by registering at the AAMC MyERAS site (www.aamc.org/eras) 4. Attach the document via electronic mail (e-mail) 5. Identify the student/graduate by entering on the subject line: last name, rest of name and the AAMC ID number 6. Please submit the pdf files with the last name of the applicant and the document type being submitted. For example: jones.transcript.pdf. In the case of letters of recommendation, please include the last name of the applicant along with the last name of the letter writer. For example: jones.smith.pdf 7. The designated e-mail address to send these document types is erasfax@ecfmg.org (Please do not distribute this e-mail address to your students)

The ECFMG Document Submission Form (DSF) will not be required. You will receive confirmation, via e-mail, once the document (s) has been attached to your students ERAS record.

If you wish to submit multiple document types for your student/graduate, you may electronically attach all document types associated with that particular student/graduate as identified in the subject line of the e-mail (refer to number 5).

For the MSPE and medical school transcript, ECFMG recommends inserting the following annotation in the header or the footer of the document: University X (Trinity School of Medicine) has electronically submitted the name of document type directly to ECFMG ERAS Support Services. Including this annotation will inherently bring value to the document. U.S. program directors will know the document has been received by the ECFMG through a trusted source, the medical school, and subsequently transmitted through the ERAS program by the ECFMG.

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