1. Academic: The CP3 will continuously review the academic record, including (but not limited to) final grades, mid-course and mid-clerkship performance, required attendance, required exam results, and final clerkship evaluations of all medical students to identify deficiencies and to ensure fulfillment of the School of Medicine Standards for Performance and Satisfactory Progress (SAP).

2. Professionalism: In addition to professionalism issues as identified in formal grade reports and evaluations, CP3 may keep a temporary file on professionalism concerns in order to offer guidance or request improvement. Except as disclosure is necessary, access to temporary files will in general be restricted to those Stanford administrative personnel with a need to know (such as the Academic Advising Deans and the CP3) and the student. As a general proposition, any temporary file is to be destroyed within one year after the student graduates.

3. Technical, Non-Academic Standards: If concerns arise as to a medical student’s continuing ability to satisfy the School of Medicine, Technical, Non-Academic Standards, the CP3 will appoint an ad hoc committee to review the matter and advise the CP3.

4. Alleged violations of Stanford’s student conduct codes (including the Honor Code and the Fundamental Standard) are adjudicated by a different University process. That conduct, however, may also raise concerns requiring review by CP3.

1. To receive from the CP3 or an Academic Advising Dean a written explanation as to why they are receiving attention by the CP3.
2. To have an opportunity to discuss any concerns with an Academic Advising Dean and to participate in formulating, for presentation to the CP3, a proposal for a remediation plan (where appropriate).
3. To have an opportunity to submit a written statement to the CP3.
4. Under ordinary circumstances, to receive a written report within 14 working days after the CP3 meeting detailing the committee action taken. The time frame may be extended for good cause at the discretion of the CP3 chair.
5. To have an opportunity to discuss the CP3 action and report with an Academic Advising Dean.
6. Except for a student who is put forward for dismissal, a student who is dissatisfied with a decision of the CP3, such as a required action or remedial plan is entitled to:
   1. A Reconsideration Request of CP3 Decisions
   2. An Appeal of CP3 Decisions: Student Academic Grievance
7. A student who is put forward for dismissal is entitled to:
   1. A Dismissal Hearing.
   2. A Reconsideration Request of CP3 Decisions
   3. An Appeal of CP3 Decisions: Student Academic Grievance

CP3 may take any reasonable action as it deems appropriate, but generally will take one or more of the steps described below:

1. Institute a remedial plan as outlined in Section 6.5: Chart of Responses to Student Issues.
2. Require a student to correct a deficiency in a specified manner and/or by a specified date.
3. Require a prescribed and restricted curriculum (including the discontinuation of activities such as extracurricular activities, RA-ships and TA-ships, laboratory research, community service, etc.) for a time period specified by the CP3.
4. Require a student to take USMLE Step 1 or Step 2 CK at a specified time, requiring a passing score on such an exam, and/or restricting access to any clerkship until they have either taken or received an overall passing score.
5. Require a student to participate in an educational program to prepare for standardized tests.
6. Refer an academic, professionalism, or technical non-academic concern to another individual or group for an assessment and subsequent report or recommendation to aid in the development of an individualized remedial plan. Such actions may include (but are not limited to) a referral to an Academic Advising Dean, an Educator-4-CARE (E4C) Mentor, the Senior Associate Dean for Medical Education, a coach or mentor, the Stanford School of Medicine Learning Strategies Specialist, and/or the Office of Accessible Education (OAE).
7. Refer a matter to the Office of Community Standards and/or the Title IX Office for fact-finding determinations.
8. Appoint an ad hoc committee, composed of members of the CP3 and/or other School of Medicine faculty/staff, to review an academic, professionalism or technical non-academic matter and make findings and recommendations for the CP3 to consider.
9. Place a student’s enrollment on administrative hold for one or more quarters.
10. Address a student concern through the Three-Step Process for Addressing Substantive Concerns.
11. Dismiss a student from Stanford School of Medicine MD program under circumstances deemed by the CP3 to warrant such action.

• a.  The student will be informed in writing of the scheduled date of the student meeting (which shall be at least 10 days after the date of this written statement).
• b.  The student will be invited to appear in person and will be permitted to have a faculty member of Stanford School of Medicine (Qualified Advocate) accompany them. The student shall notify the CP3 Chair at least five days prior to the meeting of the identity of any advocate.
• c.  The meeting will involve the student, a quorum of the CP3, the student’s Academic Advising Dean, the Qualified Advocate, and any other individual (e.g., the faculty member identifying the deficiency) whom the CP3 Chair believes is pertinent to discuss the matter.
• d.  Under ordinary circumstances, the student will receive a written report within 14 working days of the meeting detailing the committee action taken. The time frame may be extended for good cause at the discretion of the CP3 Chair.
• e.  The student will have the opportunity to discuss the CP3 action and written report with an Academic Advising Dean.
• f.  If the outcome is to put the student forward for dismissal, a Dismissal Hearing will take place.
• g.  If a student is not put forward for dismissal but is dissatisfied with the outcome of the Student Meeting, they may file a Reconsideration Request of CP3 Decisions or an Appeal of CP3 Decisions: Student Academic Grievance.

• a.  The Committee on Suitability for the Practice of Medicine will be chaired by the CP3 Chair, and further composed of two additional voting members of the CP3, appointed by the CP3 Chair, and two voting members of the Faculty Senate, appointed by the Faculty Senate Chair. Each member of the Committee on Suitability for the Practice of Medicine must attend the dismissal hearing and decisions of the committee will be made by majority vote.
• b.  The student will be informed in writing of the scheduled date of the dismissal hearing (which shall be at least 10 days after the date of this written statement). The written statement will also include a copy of this process and any special rules and procedures to be followed in the hearing. The student may request a reasonable extension of the hearing, if necessary, to prepare their position.
• c.  The student will be invited to appear in person, prior to the closed deliberation of the committee and will be permitted to have a faculty member of Stanford School of Medicine (Qualified Advocate) accompany them . The student shall identify their Qualified Advocate to the CP3 Chair at least five days prior to the hearing.
• d.  The hearing will involve the student, the Committee on Suitability for the Practice of Medicine, the student’s Academic Advising Dean, the Qualified Advocate, and any other individual (e.g., the faculty member identifying the deficiency) whom the CP3 Chair believes is pertinent to discuss the matter.
• e.  The student will be allowed to inspect their medical school education record to which they would be entitled under Stanford’s policy on the Privacy of Student Records, including material in such files concerning the alleged deficiency.
• f.  Under ordinary circumstances, the student will receive a written report within 14 working days of the hearing detailing the committee action taken. The time frame may be extended for good cause at the discretion of the CP3 Chair.
• g.  The student will have the opportunity to discuss the CP3 action and written report with an Academic Advising Dean.
• h.  If a student is dissatisfied with the outcome of the Dismissal Hearing, they may file a Reconsideration Request of CP3 Decisions or a Student Academic Grievance, which serves as the appeal of CP3 decisions.