Acupuncture and Chinese Medicine Clinical Student Handbook

Clinical Remediation Process

When a clinical intern receives a clinical assessment score below 3 in any clinical criteria at the end of a term, the clinical remediation process is triggered.

Clinical remediation is a developmental process whereby interns are provided coaching and guidance to meet clinical assessment criteria. This process is initiated by the ACM Clinical Education Chair in collaboration with the Clinical Remediation Committee (CRC). Students must participate in this process and meet all the Clinical Remediation Committee’s requirements in order to successfully complete their clinical obligations for the term.

The following provides an overview of the clinical remediation committee and a template for the remediation process.

Clinical Remediation Committee

Structure

The ACM Clinical Remediation Committee is a committee comprised of individuals whose purpose is to support student interns in successfully completing the competencies of clinical internship.

The composition of the Clinical Remediation Committee may include:

  • The Dean of ACM
  • ACM Clinical Education Chair
  • ACM Faculty

At the request of the Clinical Remediation Committee other members of NWHSU may participate including:

  • The Clinical Faculty of Record
  • Remediating Clinical Supervisor
  • Members of ACM Faculty
  • University Counselor
  • Other Faculty or Administrators as appropriate

Function

The function of the Clinical Remediation Committee is threefold:

  1. Review Scores from Clinical Assessment Forms
    1. After clinical assessment scores have been tabulated, the CRC will meet to review any scores below 3 of students enrolled in ACM clinical internship trimesters 5 through 9.
  2. Create a Plan of Remediation.
    1. The CRC will contact a student who receives a below 3 recorded on the ACM Clinical Assessment Score sheet, as determined by their clinical supervisor.
    2. If remediation is required, the CRC will create a plan of remediation which will assist the student in the successful completion of the requirements of clinical internship
  3. Review Results of Remediation and Recommend Grading Outcome

If remediation is required, the CRC will review the results of the remediation and will determine if the student receives a “Pass” and progresses to the next trimester or receives a “Fail” and repeats the current trimester of clinical internship.

Plan of Remediation

If a student receives a score below 3 in any clinical criteria at Week 7, the clinical supervisor shall contact the ACM Clinical Education Chair. The ACM Clinical Education Chair may determine that the CRC shall develop a Plan of Remediation to assist the student developing any areas of their clinical competencies that were found deficient.

If a student receives a score below 3 in any clinical criteria at Week 14, a grade of “Incomplete” is recorded for that student. For these students the CRC will determine the appropriate remediation process and when necessary will develop a Plan of Remediation.

To determine the most appropriate developmental process the following steps may take place to assist in the creation of an appropriate Plan of Remediation:

  1. The CRC may meet with the Clinical Supervisor of Record to review the guidelines provided by the supervisor at Week 7 to help the student improve his/her clinical competency during weeks 8 through 14 of the internship;
  2. The CRC may meet with the Clinic Supervisor to discuss the score(s) given to the student;
  3. The CRC will meet with the student to discuss the score(s) given at Week 14 and other information the student or the CRC deems important;
  4. The CRC may meet with non-clinical faculty members if necessary;
  5. The CRC in collaboration with the student shall create a Plan of Remediation, if necessary, based on the information gathered in items 1 through 4 above and based on the expertise of the members of the CRC
  6. The CRC shall present the Plan of Remediation in writing to the student.

The timeline for completion of remediation will be determined by the CRC

Requirements of Remediation

The following courses of action are possible requirements the CRC may incorporate into the student’s Plan of Remediation.

These include, but are not limited to:

  1. Prepare a paper to gain further knowledge of a clinical competency
  2. Schedule experiential tutorials with faculty to improve clinical skills and to demonstrate competency, e.g., skills in cupping, electrical stimulation, interviewing tactics or questions, etc.
  3. Sign up for extra clinic shifts to focus on areas of inadequacy
  4. Sign up for clinic observation to improve acupuncture diagnosis and treatment
  5. Alter certain behaviors to improve ethical or professional standards and demonstrate competency of these behaviors to the Remediating Supervisor
  6. Meet with the university counselor or other health care professional regarding behavioral standards
  7. Review video of Pre-Clinic Assessment
  8. Audit a class or lab
  9. Repeat the trimester
  10. Other courses of action, as necessary