Student Handbook  
         
 

 
 

STUDENT HANDBOOK
POLICIES AND REQUIREMENTS


July 2008

It is the policy of the Physician Assistant Studies Program to admit qualified students irrespective of race, sex, color, national origin, religion, sexual orientation, or disability. To be considered for admission to the Program a student must possess the academic credentials and professional attributes deemed essential by the Program Admissions Committee for selection to the Program.

The Student Handbook contains policies and requirements which govern academic performance and student conduct for all students who are enrolled in any phase of the 30 months of the Program. These policies are unique to the Program and are designed to promote standards for academic competency, professional discipline and personal responsibility. It presents the parameters of achievement and behavior the Program faculty expects of its students.

All policies and requirements in this handbook are effective for all students enrolling in the July 7, 2008 class and thereafter. It is the responsibility of all students to be knowledgeable about these policies as well as all published requirements and standards set forth by the University Catalog. The student will be required to sign a declaration which states that he/she understands all of the policies contained herein, understand that the policies will be applied to all aspects of the student’s academic progress and personal conduct for as long as the student is enrolled in the Program, and agrees to be governed by these policies for as long as the student is enrolled.

The Program reserves the right to make changes at any time in this handbook or in the requirements for admission, graduation, tuition, fees and any rules or regulations. The Program also maintains the right to refuse to matriculate a student deemed by the faculty to be academically incompetent or otherwise unfit or unsuited for enrollment in the program.

SECTION A: Overall Evaluation of Student Performance

The faculty of Touro University Nevada Physician Assistant Studies Program is charged with the responsibility for educating students as well as determining the capacity of every student for professional competency and responsibility. At regular times throughout the length of the Program, the faculty will evaluate this capacity for each student and recommend whether or not the student should continue in the Program. Therefore, the faculty reserves the right and has the responsibility to recommend the dismissal of a student when unsatisfactory academic progress, academic dishonesty, unsatisfactory clinical performance, unsatisfactory professional growth, impaired mental or physical health, unsatisfactory personal conduct, failure to comply with published Program requirements or other factors deemed necessary for professional competency make it impractical or inadvisable for the student to continue in the Program.

If at any time during his/her course of study a student is in the position of being recommended for dismissal, the student shall be notified in writing as to the cause for such action by the Program Director.

SECTION B: Academic Policies

B.1 Academic Integrity

The validity of an academic program is congruent with the academic integrity of the Program. Not only is it essential that a model of high academic standards be followed for the integrity of the institution, but standards must also be set and followed for the integrity of the profession. Therefore, violations of academic integrity are of grave concern and will not be tolerated.

In order to assure an understanding between students, faculty and staff concerning what types of activity constitute violations of academic integrity, several definitions and examples are included.

1. Cheating is the use or attempted use of unauthorized materials or information for an academic exercise. Examples include:
A. Using unauthorized materials such as books, notes, calculators, handheld electronic devices, or other aids during an examination or other academic exercises.
B. Receiving unauthorized assistance from another person during an examination or exercise such as copying answers, receiving answer signals, conversation, or having another person take an examination for you.
C. Providing assistance to another person during an examination or exercise, such as allowing your answers to be copied, signaling answers, or taking an examination for someone else.
D. Obtaining answers and/or other information without authorization by the faculty from someone who has previously taken an examination.
E. Including all or a portion of previous work for another assignment without authorization.

2. Academic misconduct is the falsification of official documents and/or obtaining records, examinations, or documents without authorization. Examples include:
A. The unauthorized acquisition of all or part of an un-administered test.
B. Selling or otherwise distributing all or part of an un-administered test.
C. Changing an answer or grade on an examination without authorization by the faculty whether in written or electronic format.
D. Falsification of information on an official university document such as a grade report, transcript, an instructor’s grade book or evaluation file, or being an accessory to an act of such falsification.
E. Forging the signature of an authorizing official on documents such as letters of permission, petitions, drop/add, transcripts, patient records, and/or other official documents.
F. Unauthorized entry into a building, office, file or computer database to view, alter or acquire documents.

3. Fabrication is the forgery or falsification of information for an academic exercise. Examples include:
A. Indicating a laboratory experiment had been repeated numerous times or done in a controlled environment when it had not, thus leading to an invented or uncorroborated conclusion.
B. Altering an original source document, misquoting or misrepresenting a source to support a point of view or hypothesis.
C. Changing and resubmitting academic work returned by an instructor, such as an examination, research paper or other types of assignments, without first notifying the instructor.
D. Submitting statements of fact, when either the information was not solicited in a history or a portion of the physical exam was not completed, in a clinical write-up assignment or patient record during the academic or clinical phase of the program.

4. Plagiarism is the stealing and passing off as one’s own , the words or ideas of another without including an appropriate citation. Examples include:
A. In the methods section of a thesis, a graduate student describes a procedure used in research for the thesis. The procedure was developed by a fellow graduate student in the laboratory of their major professor; however, neither the student who developed this procedure nor the major professor was given credit in the thesis. This implies that the author of the thesis had himself or herself developed the procedure.
B. In the background section of a thesis, a graduate student quotes verbatim the results of a previous investigator but fails to credit the individual through citation. The work is recent and thus cannot be considered common knowledge.
C. The inclusion of lines or portions of lines from a textbook, professional journal or published article in a student’s thesis or clinical paper without referencing said material.

Should an issue of questionable academic integrity arise it must be reported to the Program Director who will be required to report it to the Dean of Students at which time a coordinated effort will be made to determine whether such a breach did exist and if so, how it should be addressed.

B.2 Academic Performance

The quality of an educational program can be measured by the academic performance of its students. The responsibility for superior performance lies in collaboration with the students, the faculty, and the institution as a whole. With regard to academic performance, standards are set to insure that the integrity of the program and institution are maintained.

The PA program prides itself on academic excellence and as such follows academic and ethical standards to maintain the scholastic status of students. The following minimum provisions shall govern the students and faculty.

1. Academic Probation- A PA student will automatically be placed on academic probation following failure of a course or at the recommendation of the PA Student Promotions Committee on approval of the Program Director. Successful completion of the course after remediation and retest will lift the probation. The highest course grade the student may achieve regardless of scores on the retest(s) will be a 70% (C-) or as specified in the syllabus as a designated passing grade. During the period of academic probation, the student must maintain an overall passing average in all course work or clerkships, must receive satisfactory ratings on all sections of the Professionalism Checklist and must receive a pass or satisfactory in all non-graded assignments and projects. Any occasion for a second academic probation, regardless of successful completion, may result in termination of enrollment.

A student may also be placed on probation should they be absent greater than 16 scheduled hours of a 4 week rotation or 32 hours of a 8-12 week rotation. Should this occur, the performance of the student will be evaluated by the Clinical Coordinator and Program Director and may be referred to the PA Student Promotion Committee (PASPC) for progression in the program.

A letter of Academic Probation will be placed in the Student’s records that are maintained within the program and the Office of the Registrar

2. Academic Warning- A student may receive a letter of Academic Warning should the program feel that s/he may be in danger of failing a course or the program. This is not meant to be punitive but to afford the student an opportunity to seek additional help. A letter of Academic Warning will be placed in the student’s record that is maintained within the program.

3. Academic Remediation- Every effort shall be made to give each student ample opportunity to demonstrate competency in each area of the program. Remediation may be recommended to the student by the instructor or PA core faculty at any time, but is required following a failure (69 or less or as specified in the syllabus) in a course provided the PA Student Promotion Committee (PASPC) recommends retention and the Program Director approves. Remediation is a privilege which must be earned by a student through active participation in the educational program as demonstrated by regular attendance, individual initiative, and utilization of resources available. Decisions regarding remediation will be made on an individual basis after considering all pertinent circumstances, review of the academic record, and consultation with the student’s instructor and advisor.

4. Academic Dismissal- A student is subject to dismissal if she/he has failed to meet the minimum standards of progress as defined below and as stipulated in the academic regulations of the Program and University. The Program and University may require dismissal at any time it deems necessary to safeguard its standards of scholarship, to conduct orderly operations, and to insure the safety of patients. Examples of reasons for dismissal are the following (this is not all inclusive):
A. A student with a grade point average of less than 2.0
B. A student who, under terms of probation, fails to achieve satisfactory progress as defined by maintaining an overall average of 70 or greater in all course work or clerkships
C. A student who fails to receive a passing grade upon retest after a course failure
D. A student who fails to receive a passing grade in a clinical rotation

5. Academic Progression- A student must fulfill academic requirements prior to progressing to the next session of the program.
A. End of session- a student must complete all coursework with a passing grade of 70% or as specified in the syllabus and submit required end of course surveys prior to beginning the next session
B. End of didactic phase- a student must be in good academic standing and have satisfactorily completed the Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT) and Objective Skills Competency Exam (OSCE)
C. End of each rotation- a student must turn in a completed student evaluation of the rotation and complete the following with an aggregate grade of at least 70%:
Preceptor evaluation (50% of grade)- The student must achieve at least a 70%. If not, the student will be referred to the PASPC.
Post rotation examination (25% of grade)- The student must achieve at least a 70%. If not, the student must re-take the exam prior to beginning the elective rotations. Should the student fail the re-test, the PASPC will convene and s/he may be required to repeat all or part of the rotation. If a student fails more than two exams after two attempts in multiple rotations, the PASPC will convene.
Clinical write up (25% of grade)- The procedure is the same as for the post rotation examination

6. Good academic standing is a GPA of 2.0 or better


Should a student fall within any of these instances or fail to fulfill the requirements to progress, the Student Promotion Committee will convene.

B.3 Academic Appeal

An appeals process needs to be in place should a student feel that a decision rendered is unfair.

The Program Director shall be responsible for informing the student of his/her options and facilitating the process should the student wish to appeal a decision.
Decisions regarding dismissal are made on an individual basis after considering all pertinent circumstances relating to the case. The decision will be made by the Program Director based upon the recommendation of the Student Promotion Committee (PASPC). The PASPC will base its recommendation not only on the student’s academic record, but will also consult with the student’s faculty advisor, course instructors, the student involved, or other individuals as appropriate. The student has the right to appeal the decision. The appeal process is in accordance with the Touro Unversity Nevada policies, found in the catalog and as stated below:
Following notification (traceable letter delivery or in person) of a decision for dismissal, a student may wish to appeal the decision. S/He has seven (7) working days within which to submit a formal written appeal of the decision to the Dean. The appeal request must be submitted in writing and delivered to the Office of the Dean-Nevada within this seven day period. The request should be accompanied by a narrative explaining the basis for the appeal. The narrative should fully explain his/her situation and substantiate the reason(s) for advocating a reversal of the prior recommendation by the Student Promotion Committee or the decision of the Program Director. The Dean will notify the student in writing of the appeal decision. The decision of the Dean shall be final.
The Dean may grant an appeal only on showing one of the following:
1. Bias of one or more of the members of the Student Promotion Committee.
2. New material or documentable information not available to the committee at the time of its initial decision.
3. Procedural error.
While the appeal is pending, the status of the student will not be altered.

B.4 Examination Protocol

Assessment of the students’ knowledge is essential. These assessments not only reflect what the student has learned, but also on the quality and content of the information presented. It is essential that examination decorum be maintained at all times to insure fairness and validity.

Both the student and faculty member/instructor are responsible to ensure that the examination protocol is consistent.

The following are the procedures that are to be followed when administering an examination:
1. Students are required to be present for all scheduled examinations.
2. The proctor will make every effort to prevent any situation where one can assume academic dishonesty.
3. A student cannot be given an examination more than ten (10) minutes after the scheduled start time. The finish time for the examination will be the same as for the students who arrived on time. Any student arriving after other students have completed the exam and left the testing area will not be allowed to start the exam.
4. Should a student have an occasion to miss an examination, the student must submit a Request for Delay of Exam form. Examples of an excusable reason would be serious illness (with documentable proof), accident, or death in the immediate family. Attendance at social events, other than religious observances, or matters of convenience will not be acceptable reasons. The Program Director will determine an excusable reason. Failure to get prior Program Director approval before the exam will result in a zero grade on the test. Appeal would be through the office of the Dean of Students.
5. In the case of an excusable reason, the make-up examination must be accomplished within 24 hours upon return to campus, excluding weekends and holidays. In the case of an illness or extenuating circumstances, the make-up must be accomplished within 24 hours of a physician/mental health practitioner release or reasonable resolution of the extenuating circumstances.
6. Failure to make-up the examination within the specified time period will result in a zero grade of that examination.
7. Failure to appear for an examination without prior notification will cause a zero grade of that examination, subject to review by the Program Director.
8. Prior to distribution of the exam, all desks and surrounding areas must be cleared of all books, backpacks, or any other articles to include beverages. The articles are to be placed in the front of the room. Students are to place as much space as possible between each other.
9. The proctor of the exam must announce to the class, prior to distribution of the exam, how long they have to complete the exam and the number of test questions in the exam.
10. No questions may be asked of the proctor except for clerical errors.
11. For all tests 90 minutes or less in length, no student may leave the testing site after the testing has begun. For tests of greater length, the student may leave at the instructor’s discretion. Accommodations for illness will be made prior to the administration of the test.

The Program Director will be notified by the involved instructor of a student’s failure to take an examination.

B.5 Test Challenges

Students need to be afforded an opportunity to challenge a test or questions within a test. If this is an orderly process, it can be an educational opportunity both for the student and instructor.

The Student Government will appoint a representative that will be the liaison between the instructor and students.

Should a student wish to challenge a test or a question within a test, he/she will fill out a challenge form. That form will include a referenced defense for the challenge. The form will then be submitted to the class representative who will present the challenge to the instructor.

For those students in their clinical year, test challenges can be submitted individually, but only three (3) challenges per exam will be reviewed.

Challenges must be accomplished within two (2) working days from the posting of test grades. For example, if grades were posted on Monday morning, the student would have until the close of business on Tuesday to challenge. The Academic Coordinator for the didactic phase and the Clinical Coordinator for the clinical phase can extend this time period based on extenuating circumstances.

The decision of the instructor for that course is final.


B.6 Professional Performance Evaluation

The Program believes that a PA graduate should display professional attributes that will reflect well on his/her profession. These attributes are considered as important as academic achievements and will be considered equally when evaluating the student during the course of the program. The Program also believes that mentoring a student is just as valuable as classroom/clinical teaching.

Each student will be evaluated for professional performance at the end of each 15 week session by the core faculty. A checklist (Attch A) will be utilized and will be kept in each student’s record at the Program.

These evaluations will be used for the following:
1. Progression in the program
2. PA Student Promotion Committee evaluations
3. Graduation
4. The program’s self study report
5. Administrative warning/dismissal

Each student will be required to meet with his/her advisor to review the Professional Performance Report and must sign the checklist to indicate that he/she has been counseled.

B.7 End of Course Evaluation

The PA Program supports a continuous self evaluation process. A process must be in place to gather information in order to critically assess the effectiveness of the instructor and the course presentation.

Two surveys, lecturer and course, will be completed by each student upon completion of each course (Attch B). This is mandatory.

The results of the survey will be made available to each instructor for teaching and self-improvement purposes. A copy will be maintained in the instructor’s file that is kept at the PA Program.

The information from the survey will be used for self improvement endeavors and by the Curriculum Review Committee.

B.8 Graduation Requirements

The faculty of the Physician Assistant Program is charged with the responsibility for educating students as well as determining the capacity of every student for professional competency and responsibility. The Program, therefore, has established requirements that must be met prior to graduation.

A student will be recommended for the Master of Physician Assistant Studies degree provided the following are met:
1. Satisfactory completion of all required course work and all graded and non-graded course work, rotations (required and elective), assignments and projects designated by the program. Satisfactory completion is a grade of at least a 2.0 in each course and no outstanding U grades or a grade which is Unsatisfactory or Incomplete.
2. Overall satisfactory rating on professionalism upon completion of the program.
3. Satisfactory completion of the summative evaluation which consists of (1) a written comprehensive examination and (2) an OSCE examination.
4. Satisfactory completion of a master level paper/project.
5. Has fulfilled all legal and financial obligations to Touro University Nevada.
6. Has satisfied all financial obligations at the clinical teaching sites, teaching hospitals, and/or other institutions or individuals associated with student instruction.
7. Attends, in person, graduation unless special permission has been granted by the Program Director and the Dean of Students.

SECTION C: Student Affairs

C.1 Clinical Rotation Pre-Deployment Procedure

All students, prior to their rotations, must fulfill contractual requirements of the medical institutions to which they will be assigned, as well as state regulatory requirements. Some of these requirements are accomplished prior to matriculation, some upon matriculation, and some prior to beginning the rotations.

Toxicology screen
Students assigned by the program to a clinical site as part of their educational program are required to be screened for drugs. The cost incurred for the drug screen will be the responsibility of the program providing the screen is performed at the facility designated by Touro University Nevada. The results of the drug screen will be sent directly to the Director of Student Health Services from the lab who performed the screening. All test results and written authorizations to perform tests shall be treated confidentially and stored in a secure area of the Office of the Director of Student Health Services. Refer to the Drug Policy and Procedure.

Vaccinations
All students, at matriculation, must submit proof of immunity either by laboratory evidence or immunization to the Director of Student Health Services. Prior to rotations, the Director of Student Health Services will review the students’ status and recommend further immunization if necessary. Refer to the Student Immunization Policy and Procedure. The Program follows the CDC recommended guidelines.

Proof of health insurance
Students are required to submit proof of insurance at matriculation and annually. The Office of Student Affairs will maintain a copy of the proof. Refer to the Student Health Insurance Policy and Procedure

HIPPA and OSHA briefing
Infectious disease and universal precautions briefing
All students are required to attend a HIPPA and OSHA briefing prior to their rotations. This will occur during the Clinical Rotation Orientation at the end of Session 4.

Basic Life Support/Advanced Cardiac Life Support
Students will be certified in the American Heart Association Basic Life Support and Advanced Cardiac Life Support prior to their rotations. The courses will be held during the Emergency Medicine course in Session 4.

C.2 Delay of Class

The program realizes the demands placed on the students’ time while attending this course of instruction . While the students are expected to arrive to class on time, the same should be of the instructors. However, certain events occur that can cause an instructor to either be late or miss class entirely.

Students should remain in class 15 minutes pass the start time of lecture. During that time, the Academic Representative or another student should inform the PA faculty or the PA administrative assistant of the failure of the instructor to appear. the faculty or administrative assistant will attempt to locate the instructor.

1. If contact is made, the students will be advised to either wait until the instructor reports to class or that the class is free to go. If the class is told to wait, the instructor should miss no more than half of the scheduled class.

2. If contact is not made, the students will be required to wait another 15 minutes after which time they will be free to leave should the instructor not appear.

3. If, after 30 minutes, the instructor appears and then lectures, the students will not be tested on that material.

4. It will be up to the instructor to re-schedule the class, should he/she not notify the PA program and arrive 30 minutes late or does not appear at all.

C.3 Pi Alpha Honor Society

Pi Alpha is the national physician assistant honor society organized for the promotion and recognition of significant academic achievement, leadership, research, community/professional service and related activities, and the encouragement of a high standard of character and conduct among both physician assistant students and graduates.

Touro University – Nevada Master of Physician Assistant Studies program is a chapter member of Pi Alpha. The Chapter Council is the sole, responsible governing body at this level and consists of the program director, faculty, and others deemed appropriate by the individual chapter. The Chapter Council determines who is eligible for membership in accordance with Pi Alpha by-laws and submits a list of nominees to the Pi Alpha national Advisory Committee who approves the membership.

There are four categories of official Pi Alpha membership: student, alumni, faculty, and honorary. Each type of membership requires approval by the Advisory Committee. At a minimum, the following requirements must be met:
Student -Minimum GPA of 3.5 on 4.0 scale during professional phase (rotations) of education
-Total number shall not exceed 15% of graduating class during professional phase (rotations) of education
-Demonstrated excellence in research, publishing, community/professional service, or leadership activities
Faculty -Full time member with 3 years experience with a PA program
-Fulfilled criteria of distinguished scholarship, as well as leadership or service to a physician assistant program or the profession
Alumni -Same as for current students
Honorary -Those who have rendered distinguished scholarship as well as leadership or professional service to the PA profession and are not eligible for election through other means.
-Only one (1) per graduating class

Payment for the student inductees are the responsibility of the program. All other inductees will personally be responsible for the cost.

Eligible students will be notified in writing by the Program Director three months prior to graduation to submit a resume and letter demonstrating service, scholarship, or leadership. This must be submitted back to the Program Director within two weeks of receipt of the letter.

Submissions will be reviewed by the Program Director, Academic Coordinator, Clinical Coordinator, Medical Director, and one faculty member.

The deadline for submission of nominations to the Advisory Committee will be two (2) months prior to the nominee’s graduation, per the Pi Alpha by-laws.

Full time faculty members considered for membership will be evaluated at their annual review. Submissions will be made by the Program Director and reviewed by the Dean, College of Osteopathic Medicine.

Submission for honorary and alumni members may be done by any faculty or alumni and will be given to the Program Director. Nominees will be reviewed by the core PA faculty (full time faculty).

C.4 Leave of Absence

Students may, under exceptional circumstances, be granted a leave of absence. Any such leave of absence granted shall be solely within the discretion of the program faculty and ultimately the Program Director. It is based upon the merits of the request. A leave of absence constitutes formal permission to delay progression through the program, but does not excuse the student from any course requirements. A leave of absence may be granted for a period of time mutually agreed upon by the student and the Program Director, but under no circumstance will a leave be granted for longer than one year. A leave of absence that extends the student’s academic program beyond the usual 30 months will require the assignment of a new program completion date, new graduation date, and may require assignment to a new class.

1. The student request for a leave of absence must be made in writing and addressed to the Program Director. The reason for the request should be stated clearly in the letter. In most cases, the student should continue to attend classes, take examinations and fulfill any other class assignments until leave has been formally granted.

2. The student is responsible for reviewing financial arrangements with the Bursar and the Office of Financial Aid.

3. The Program may require additional documentation such as a letter from a medical or mental health provider prior to granting the leave of absence. Similarly, if the leave of absence is for medical or mental reasons a letter of release will be required prior to return to classes.

4. When a leave of absence is granted for academic reasons, such as time for remediation, the program may require that the student meet additional academic requirements such as remedial course work.

5. When a leave of absence is granted students must notify the course coordinator or faculty of all classes or rotations in which they are enrolled of their withdrawal from course work.

6. Students who have been granted a leave of absence are responsible for notifying, in writing, the Program Director of their intention to return to classes on the appointed date. If not so notified the student’s place in the class will be forfeited. Re-entry into the program would then require re-application through the usual admissions process of the program.

7. Upon re-enrollment following a leave of absence the student will be subject to all rules and regulations which pertain to any new class he or she is joining.

8. Military Leave of Absence
The Program is committed to supporting students called to active military duty. In the event of a local or national emergency and the student is activated, documentation of orders must be submitted to the Program Director as soon as possible. Short deployments (2-7 days) will not be considered as leaves of absence, and the faculty will attempt to accommodate such things as examinations, papers, and other assignments required when the student returns.

C.5 Class Attendance

The PA program is intensive. Because much clinically important information is presented only once, the PA program requires all students to attend all lectures, laboratory activities and clerkship assignments. Attendance at all classes is considered an aspect of professional responsibility and individual dependability.

Monitoring of attendance is a required obligation set forth by the Commission of Post Secondary Education. Absence from instructional periods for any reason does not relieve the student from the responsibility for the material covered, and such absences must be for substantial reasons such as illness or emergencies. Students in rotations must attend all aspects of the rotations and are expected to be present at clinical sites as directed by the Clinical Coordinator and preceptor. Self directed attendance will not be tolerated.

Students are required to fill out a Request for Excused Absence that will be maintained in the student’s file.

Promptness is another trait the healthcare practitioner must display. Not only does tardiness in class disturb the lecturer and student body, it reflects a lack of professionalism. Repeated tardiness will be brought to the attention of the Program Director and will likely have negative impact on the student’s professionalism rating.

C.6 Student Employment

The PA program curriculum is rigorous and requires the presence of the student at all classes and rotations. Many hours are committed to sitting in the classroom with additional hours dedicated to self study. The program discourages students from employment while enrolled in the program. Additionally, the program does not recognize employment as an acceptable excuse for lack of attendance or failure.

Students may only work within the program or institution while participating in the Work Study Program and such work will not interfere in their academic pursuits.

Students may not be employed by or be required to perform clerical or administrative work for the program.

C.7 Student Service Work

In order to avoid practices which might conflict with the professional and educational objectives of the PA program and to avoid practices in which students are substituted for regular staff, the following shall be in effect in regard to service work:

1. Students may not be hired as employees for any private or public practice, clinic or institution to perform medical services during any time they are part of the PA program under the sponsorship of that specific practice, clinic or institution.
2. Students may not take the responsibility or place of qualified staff.
3. Students may not be given any payments, stipends or other remuneration for medical services performed as part of the PA program.
4. Students may volunteer for charitable, humanitarian or community service organizations when such services are assigned or approved within the PA program. Students on academic probation may not volunteer. Such volunteer work shall not interfere with, or be conducted at the same time as scheduled classroom or clinical instruction.

C.8 Student Absence Related to Professional Organization Sponsored Activity

The PA Program believes that leadership is an essential component in the educational process. This may require that students attend off campus activities during class/rotation time. Off campus activities must be in accordance with their professional development.

It is the responsibility of the student or approved student organization to coordinate the event and receive authority to proceed.

Students seeking permission to attend an off-campus conference or program must not be on academic probation and must be in “good academic standing” (70 or better) for the courses that they will miss.

The student/student organization must accomplish the following to be approved:
1. The event must be submitted in writing to the PA Program Director at least one month prior to the event for approval.
2. Students who desire to attend this event must obtain a signature approval from the instructor/coordinator or rotation director of the course(s) they will miss. Written request for approval must then be submitted to the Academic Coordinator or Clinical Coordinator, whichever is applicable, at least two weeks prior to the event (Attch C).
3. Completed forms indicating that the students are approved to attend the activity and that they are performing satisfactorily will then be submitted to the Program Director at least one week before the event. Forms are available in the office of the Program Administrative Assistant.

Students attending off-campus events take full responsibility for making up any missed classes/laboratories, examinations or other course assignments. Attendance at these events will be the financial responsibility of the student.

C.9 Advisement and Counseling

Advisement is an integral element in the growth of a PA student. Although it can take the form of mentoring, it is also essential in identifying elements that would impede the student’s progress. Counseling of the student may also be required from time to time should issues arise.

It is the responsibility of both the student and faculty member to ensure that regular meetings for advisement occur. Likewise, both parties have the same responsibility should academic or personal issues arise requiring counseling.

Each student, upon matriculation, will be assigned an advisor by the Program Director from within the PA faculty. Because of faculty diversity, the advisor may not necessarily be a physician assistant.

At the least two encounters, one in the beginning and one at the end, per session is required.

Upon any failure of an assessment, e.g. test, performance, or paper, the student and advisor are required to meet within 48 hours from when the student was notified of the failure.

It is required that documentation of all counseling/advising sessions be entered in the Program’s student record.

C.10 Student Grievances

There may be an occasion that a student has a grievance against a faculty member, the program, or the administration. The PA program feels that these grievances must be addressed.

1. Grievance against a faculty member
If a student has a grievance against a faculty member, the student is encouraged to confer with that member. Should this prove to be unbeneficial or the student does not feel comfortable in doing so, the student should present the grievance to his/her advisor. The advisor will then confer with the faculty member and Program Director. The course coordinator/department chair will be advised. Final decision on resolution of the grievance will be made by the Program Director with appeal to the Dean of Students.

2. Grievance against the PA Program
If a student has a grievance against the PA Program, the student is to confer with the Program Director. Should this prove to be unbeneficial or the student does not feel comfortable in doing so, the student should present the grievance to the Dean of Students with appeal to the Dean of the College of Osteopathic Medicine- Nevada.

3. Grievance against the administration
Should a student have a grievance against the administration (Bursar, Registrar, Financial aid and Admissions) the student should discuss the problem with the Program Director prior to conferring with the Dean of Students. Final appeal is to the Dean of the College of Osteopathic Medicine- Nevada. Should a student have a grievance against the Program Director the student is encouraged to confer with the Program Director. Should this prove to be unbeneficial or the student does not feel comfortable in doing so, the student should confer with the Dean of Students with appeal to the Dean of the College of Osteopathic Medicine- Nevada.

The student is encouraged to resolve the problem at the lowest level. Appeal of a decision is always to the next level, with final appeal to the Dean of the College of Osteopathic Medicine. If the grievance is elevated beyond the local institution, an appeal would be made to the Dean of the College of Osteopathic Medicine-California.

C.11 Tuition Refund

It is the policy of the PA Program and the institution that students be informed of the tuition refund schedule should a student elect to withdraw from the program

It is the responsibility of the Bursar and Dean of Students to insure the accuracy of the schedule.

A student wishing to withdraw from classes must notify the Office of the Registrar by filling out an Add/Drop form. On approved applications, the following refund schedule will apply:

Before the opening of class: 100% of tuition
During the first week of classes: 90% of tuition
During the second week of classes: 75% of tuition
During the third week of classes: 50% of tuition
During the fourth week of classes: 25% of tuition
After fourth week of classes: No refund
(Note: This is subject to change pending regulation change by the Nevada Commission of Postsecondary Education)

* Please note that as of the summer 2000 semester, new Federal Regulations are in effect when a Title IV funds recipient withdraws from school. You may obtain a copy of these regulations from the Financial Aid office.

If the student has not paid full tuition and fees for the term in which the withdrawal takes place, he or she must pay the proportionate amount noted above before leaving the College. The withdrawal date is the date that the Dean of Students receives written notice of withdrawal, i.e., a completed Official Withdrawal Form. In cases of academic dismissal, tuition paid in advance for the term immediately following the dismissal date will be 100% refundable.

C.12 Transfer Credit and Credit for Experiential Learning

The Program realizes that some candidates for admission may have had coursework or life experiences similar to those that are included in the curriculum. Although such knowledge may be beneficial to the student while enrolled in the program, there will be no transfer credit or credit for experiential learning given to any student and no advanced placement.

The curriculum is carefully integrated. Many courses depend on other courses to complete the learning experience. Additionally, the program values the professional growth of the student which can be augmented by being an integral part of the class.

C.13 Student Withdrawal

It is the policy of the Program and institution that all students, regardless of the reason, should follow the same procedure for withdrawal from the program. This will ensure that all students are treated the same way without prejudice, are informed of the same implications regarding his/her decision, and that all obligations are met.

There are two types of withdrawal, voluntary and directed.

Voluntary
All students considering voluntary withdrawal must first meet with his/her advisor to discuss the consequences of such an action. The student must then submit in writing to the Program Director a request for withdrawal. Once the request is accepted, the Program Director will then inform the bursar, registrar, and financial aid office of the withdrawal. The student will be responsible for settling any financial obligations with the institution in accordance with established institutional policies.

The student will be made aware that once the request for withdrawal is accepted, should he/she wish to continue in the Program he/she would have to re-apply and that acceptance is not guaranteed. Should the student be re-accepted, past course work may not necessarily transfer. Copies of transcripts for completed coursework will be made available to the student upon request.

Directed
This withdrawal may be a consequence of failure to satisfactorily progress either academically or professionally. The decision to direct the student to withdraw is made by the Program Director based on the recommendation of the Student Promotion Committee. The Program Director will inform the student in writing of the decision and will then inform the bursar, registrar, and financial aid office of the withdrawal. The student will be responsible for settling any financial obligations with the institution in accordance with established institutional policies.

The student will be informed that to be re-instated in the Program, the student would have to re-apply and that acceptance is not guaranteed. Copies of transcripts for completed coursework will be made available to the student upon request.

C.14 Student Attire

It is the philosophy of the Program that professional demeanor is reflected in the attire of the student and physician assistant. The Program, therefore, has a dress code that will be enforced.

Dress code for the didactic phase
Students will be allowed to wear shorts. Shorts must be in good taste, be mid-thigh length and not frayed. Jeans that are not torn are allowed. Tops will not show a bared midriff or cleavage. T-shirts with designs may be worn but will not be offensive or vulgar. Students may be required to wear abbreviated clothing for the Physical Diagnosis lab. This would consist of a bathing suit top or sports bra for the ladies and gym shorts for both the men and ladies.

Dress code for the clinical phase
Students may not wear any pierced jewelry except in the ears. All jewelry will be minimal and in good taste. Each student must have a watch with a second hand. No perfume, cologne or after shave is allowed. Nails will be clean and cut short. Men must wear slacks, shirt and tie. Women must wear business attire to include slacks or skirt and top that is conservative and does not bear the midriff or show excessive cleavage. Shoes must be closed toe. Sneakers may only be worn with scrubs. All students must wear their white coat with identification to include their name, program, and indication that they are a physician assistant student.

Any infraction of this policy will be brought to the attention of the student by any member of the PA Department. Should the student fail to remediate, the infraction will be brought in writing to the Program Director who will then counsel the student. Failure to remediate following counseling by the Program Director will lead to an unsatisfactory Professional Performance Evaluation. Inappropriate attire in the clinical setting will cause removal from that setting until the student corrects his/her dress.

C.15 Professional Conduct in the Clinical Setting

It is the policy of the Program that students will observe confidentiality, personal integrity, and demeanor appropriate to the clinical setting. Information related to any patient is to remain confidential unless otherwise authorized for discussion by an individual clinical preceptor. Students will also be expected to behave in a way that is truthful and honest, accept responsibility for their actions, and work diligently to correct identified deficiencies. Any action that calls into question the student’s behavior or potential capabilities as a physician assistant will be reviewed. Those behaviors viewed to be examples of professional misconduct are listed below.

1. Conveying confidential patient information outside the confidential space of the preceptor’s practice setting without authorization by an individual faculty member or clinical preceptor.
2. Falsifying or presenting fictional patient information as real to fulfill requirements for work assigned by individual faculty members or clinical preceptors.
3. Failing to meet mandated attendance requirements in assigned clinical rotations without prior faculty or preceptor authorization.
4. Disrupting the clinical pursuits of fellow students, faculty, or clinical preceptors, or infringing upon the privacy, rights, or privileges of other persons.
5. Pushing, striking, physically assaulting, or threatening any member of the student body, faculty, staff, or any patient or their family members while assigned to an affiliated clinical setting.
6. Altering, transferring, forging or in any way misusing an identification card, internet address, documents, or identification of an affiliated clinical facility participating in the PA Program.
7. Using, possessing or distributing narcotics, amphetamines, barbiturates, marijuana, hallucinogens, other dangerous, controlled drugs or medications requiring prescription but not prescribed by a licensed provider.
8. Possessing or consuming alcoholic beverages or exhibiting drunken behavior in any form on the premises of clinical practice sites affiliated with Program activities, or consuming alcoholic beverages immediately prior to clinical study.
9. Possessing, storing or discharging firearms or dangerous weapons on clinical premises used by the Program.
10. Exhibiting conduct which is lewd, indecent, or obscene, or which is patently offensive to the prevailing standards of an academic community or clinical practice setting.

Any exhibition of any of the above behaviors by enrolled students will result in immediate removal from an affiliated clinical site, and may lead to dismissal.

C.16 Student Health Insurance

Because the program and institution is concerned for the health and welfare of its students, it is the policy of the university that all students are required to have personal health insurance coverage sufficient to cover illness and injury.

This insurance is to be in place at the time of matriculation and valid proof of insurance coverage must be presented at the time of registration each year.

The student has the exclusive responsibility for his/her own medical bills. The university assumes no responsibility to seek reductions or waivers. Prior to receipt of diploma, students must be free from any medical financial responsibility with any of the university’s affiliated hospitals or clinics.

Ambulatory medical care is made available through agreements with local provider groups. When a student needs to see a provider, he/she may make an appointment with the one of their choice. Consultation with a specialist, when needed, will be arranged through their primary care provider, and such specialty care will be the student’s financial responsibility.

Counseling for students will be available from the Dean of Students and assigned advisors. If the need for other mental health care is identified, a referral will be made to an appropriate provider.

The Office of Student Affairs will maintain a copy of proof of insurance.


C.17 Student Health Care

It is the policy of the university that all students shall have access to the same student health services that are available to students enrolled in other courses of instruction. The PA program core faculty cannot participate in the health care of the program students.

The Director of Student Health Services will ensure that care is available.

The Physician Assistant Program will inform the students during orientation and again at the beginning of the Clinical Phase of the availability of student health services. The student will be given written information pertinent to the access of these services.

C.18 Student Immunization

It is an entrance requirement to this Program that all students have proof of immunity to measles, mumps, rubella, and varicella by laboratory evidence or immunization. It is also a requirement that all students complete the Hepatitis B and Hepatitis A series and/or have proof of immunity by laboratory evidence. Two step PPD skin testing, or chest x-ray and counseling when applicable, is required of all students upon entry to the Program, and prior to being sent on clinical rotations. It is further the policy of the Program that student immunizations shall meet the current recommendations of the Advisory Committee on Immunization Practices of the Federal Centers for Disease Control and Prevention (FCDC).

The Director of Student Health Services shall insure that all students have current immunization status. Immunization and health records for all physician assistant students are kept on file in the Director of Student Health Services office. Proof of immunization will be submitted to that office before the student can matriculate into the program. Failure to do so may prevent the student from beginning the program.

A PPD must be accomplished within the prior six months of beginning the program and again prior to beginning the clinical rotations. If the student has a history of a positive PPD, a negative chest X-ray within the preceding 12 months must be provided.

If the student has not been immunized against hepatitis A or B or varicella, the student must show evidence of at least beginning the series.

Some states and medical institutions may require positive titers to indicate immunity and not just a record of immunizations.

C.19 Universal Precautions

It is the policy of the program that prior to the beginning the clinical year, all PA students are required to review specific guidelines on the universal precautions and prevention and control of blood-borne pathogens as mandated by OSHA.


The Clinical Coordinator will schedule a mandatory block of instruction on OSHA guidelines and requirements prior to students rotating to clinical sites. All Clinical Phase students must pass a written exam on precautionary measures pertaining to blood borne pathogens prior to the start of clinical rotations. The student is responsible for following OSHA Guidelines for universal precautions at the clinical rotation site, including the use of gloves, care of sharp objects, use of eye wear, protective clothing, and other precautionary measures as appropriate.

C.20 Drug Testing Policy




Drug Testing Policy

Revision Date: 12/2006








874 American Pacific Drive
Henderson, NV 89014


Drug Testing Policy
____________________________________________________________

Purpose:

I. To establish policies and procedures whereby Touro University Nevada shall implement a drug free workplace and academic environment consistent with Federal and State law; including the terms and conditions whereby clinical faculty and students are required to pass a drug screening that conforms with the standards set by the affiliated clinical sites of Touro University Nevada.

Policy:

II. Scope

(1) Students of Touro University Nevada, including all enrolled students in the College Osteopathic Medicine, School of Occupational Therapy, School of Nursing, and School of Physician Assistant Studies, and any student enrolled at another academic institution while serving an internship, affiliation or similar association on the premises of a clinical facility affiliated with Touro University Nevada who require a drug screen

(2) All clinical faculty who supervise students in a clinical facility affiliated with Touro University Nevada who require a drug screen.

(3) Exception: Clinical faculty who have through a previous agreement with the affiliated site met the requirements to secure hospital privileges.


III. Definition

Illegal Drug – Any drug defined as illegal under Federal or State law or any drug for which a prescription is required and where no prescription has been issued to the student or clinical faculty member for a valid and specific purpose.

IV. General Policy

A. Students assigned by Touro University Nevada to a clinical site as part of their educational program and clinical faculty who supervise students in a clinical setting are required to be screened for drugs.

B. The cost incurred for the initial drug screen will be the responsibility of Touro University Nevada providing that the drug screen is performed at the facility designated by the University. Drug screens performed at any another facility will not be reimbursable. Subsequent confirmatory testing following an initial positive result will be at the student’s expense.

C. Drug screens must be scheduled at least 1 month before the commencement of the clinical experience (preceptorship) and/ or service to the affiliated clinical site to allow sufficient time for processing, but no longer than 2 months before the clinical rotation. Students may not begin clinical rotations without completion of the drug screen process.

D. The results of the drug screen will be sent directly to the Student Health Services Director for the appropriate program. The SHS Director will review the results. A positive result on the drug screen will generate a scheduled appointment for the student with the SHS Director to discuss the result and any course of action. Following evaluation by the SHS Director, the SHS Director will notify the appropriate Associate Dean or School Director, and College Dean and recommend a plan of medical action.

V. Drug and Alcohol Screening

A. The drug screening will test for the following substances:

1. Alcohol
2. Amphetamines
3. Barbiturates
4. Benzodiazepenes
5. Cocaine
6. Marijuana
7. Methadone
8. Opiates (Propoxypene)
9. PCP
10. Quaaludes

B. Where a test for alcohol or illegal drugs performed on an enrolled student or supervising clinical faculty member is positive, that person shall be promptly advised of the outcome of the test by the Medical Director and offered the opportunity for further confirmatory testing at the student or faculty member’s expense. Repeat testing will be done immediately and meet the standards of chain of custody. If the affected person declines the opportunity to be retested, the results of the initial test shall be deemed conclusive.

C. No person shall be compelled by use of force to submit to a physical examination to detect the presence of an illegal drug or alcohol because of behavior, including submission to a blood, urine or other screening procedure. However, a refusal to comply shall be considered insubordination and subject the affected person to possible dismissal according to the Student Handbook in the case of a student and the Touro University Nevada Faculty Handbook for clinical faculty.

D. No enrolled student or clinical faculty member shall be exempt from the terms and conditions of this policy on the ground that he or she is suffering from a drug or alcohol addiction or habituation.

E. Touro University Nevada reserves the right to request random testing for drugs or alcohol based on behavior.


VI. Confidentiality of Testing and Test Results

A. All test results and written authorizations to perform tests shall be treated confidentially, and stored in a secure area of the SHS Director’s Office.

B. All samples of urine shall be drawn at the lab designated by the University in accordance with accepted standards for an unwitnessed sample.

C. Disclosure of test results of current or past impairment of a person covered by this policy shall be governed by and limited to:

(1) Federal and State laws requiring or prohibiting disclosure, (e.g. Health Care Quality Improvement Act);

(2) A need-to-know basis within Touro University Nevada;

(4) Upon the valid order of a court or government agency.

VII. Program Continuation and Progression

A. If dismissal is recommended for a student as a result of a drug test, the student can consult with the Dean of Students and appeal to the Dean of the College in which the student is enrolled. A leave of absence can be granted by the Dean with written stipulations for the potential return of the student.

B. Further drug testing can be required as a stipulation for return and continuance.

C. If additional drug testing indicates further substance abuse, a student will be
expelled from the University.

C.21 Criminal Background Check


Criminal Background Check Policy
____________________________________________________________________________

Background checks for accepted applicants for admission and enrolled students at Touro University Nevada.

I. Purpose
To establish a policy and procedure for conducting background check(s) on enrolled students, and others who come into contact with patients/clients as part of their educational program requirements.

II. Applicability
This policy shall apply to all enrolled students at Touro University Nevada who come into contact with patients/clients as part of their educational program requirements.

III. Policy
A. Individuals to whom this policy applies will be required to have Level I and, where applicable, Level II background check(s) performed by a consumer reporting agency engaged by Touro University Nevada with results deemed favorable by Touro University Nevada and/or a clinical training facility (where such individuals may rotate) as a condition of continued enrollment. Enrollment may be terminated based upon the results of the background check(s).

B. Individuals to whom this policy applies must complete the online process for ordering a background check ( see Student Check Instructions). Failure to declare a conviction may interfere with clinical placement, progression in the program and subsequent license to practice. Touro University Nevada will provide the enrolled student a copy of the document entitled “A Summary of Your Rights Under the Fair Credit Reporting Act” (Exhibit).

C. The Level I background check shall include a Social Security Number trace to confirm past residences and a criminal background search based on all areas of past residence. The search shall involve all types of criminal offense, including all matters related thereto, extending up to seven (7) years. In addition, the Level I background check shall also include, but not be limited to: Violent Sex Offender and Predator Registry search; the Office of Inspector General list of excluded individuals/entities; the General Services Administration’s list of parties excluded from Federal programs; the U.S. Treasury, Office of Foreign Assets Control, and the List of Specially Designated Nationals.

The Level II background check for students who are licensed shall include the above and also shall include: Education Verification (highest level); Professional License Verification; Certifications & Designation Check; and Professional Disciplinary Action Search. The Level II may also include a Department of Motor Vehicle Driving History.

Certain clinical training facilities may, in addition to the above Level I background check, require a Level II background check and/or Nevada Department of Law Enforcement and/or Federal Bureau of Investigation fingerprint criminal background check. The results of the background check(s) will be given to Touro University – Nevada and the clinical training facilities.

Enrollment may be terminated, or a visiting student refused clinical placement based upon the results of the Level I and, where applicable, Level II background check(s).


D. The omission of required information or false or misleading information provided by the individual may result in denial or rescission of admission, disciplinary action or dismissal.

E. Touro University Nevada will inform enrolled students by means of either an announcement in the admissions application, catalog, student handbook, bulletin and/or other materials stating that background check(s) will be performed.

As a condition of admission and continued enrollment, students will be required to obtain background check(s). Students will be required by Touro University Nevada to obtain a background check through the authorize agent, where appropriate, and to permit the results to be provided by the consumer reporting agency to Touro University Nevada and/or to the clinical training facilities. If the background check(s) reveal information of concern which Touro University – Nevada may deem unfavorable, they will provide the enrolled student a copy of the report and the document entitled A Summary of Your Rights Under the Fair Credit Reporting Act, and request the individual to provide a detailed written explanation of the information contained in the report along with appropriate documentation, (i.e., police reports). This information must be returned to Touro University – Nevada within ten (10) business days of the date the communication is sent to the student or another date specified by Touro University – Nevada in its communication with the student. If the results of the background check(s) are not deemed favorable by Touro University – Nevada and, where appropriate by the clinical training facilities, or if information received indicates that the student has provided false or misleading statements, has omitted required information, or in any way is unable to meet the requirements for completion of the program, then the admission may be denied or rescinded, the student may be disciplined or dismissed, or his/her enrollment terminated. Touro University Nevada may also independently seek to obtain additional information, such as a copy of the original criminal charge in order to corroborate the individual’s explanation. Student shall be required to provide any release or consent forms to Touro University Nevada for such purpose.

Touro University – Nevada, as represented by Touro University Colleges and Schools will review the report and the accepted applicant’s/enrolled student’s explanation, and will consider factors such as: the nature and seriousness of the offense, the circumstances under which the offense occurred, the relationship between the duties performed as part of the college’s/school’s educational program and the offense committed, the age of the person when the offense was committed, whether the offense was an isolated or repeated incident, the length of time that has passed since the offense, past employment and history of academic or disciplinary misconduct, evidence of successful rehabilitation, and the accuracy of the information provided by the accepted applicant in the application materials. If a college or school deems the background check information (including any relevant materials provided by the student) unfavorable, or if the information received indicates that the accepted applicant/enrolled student is in any way unable to meet the requirements for completion of the program, an offer of admission may be denied or rescinded, or an enrolled student may be disciplined or dismissed. Unresolved criminal charges in the background check or failure by the individual to provide additional documentation as required may necessitate postponement of Touro University - Nevada’s final decision pending the outcome of the matter.


F. Touro University – Nevada will consider background check report(s) that were originally performed for educational or employment purposes at another institution or agency, if these background check report(s) were performed within one year of beginning the clinical experience for the current academic term for students enrolled at Touro University - Nevada, and if these background check report(s) were as comprehensive as those performed by the consumer reporting agency engaged by Touro University - Nevada. These reports must be sent directly from the consumer reporting agency or institution for which the background check was performed to Touro University – Nevada. Touro University – Nevada reserves the right to request additional background check(s) performed by a consumer reporting agency engaged by Touro University - Nevada.

G. If an accepted applicant’s admission is rescinded, or an enrolled student is subject to an adverse action/dismissal based on information obtained from a background report, the accepted applicant or enrolled student will be advised of the name and address of the consumer reporting agency that furnished the report and of the right to dispute the accuracy or completeness of any information contained in the report by contacting the consumer reporting agency directly. (“Summary of Your Rights Under the Fair Credit Reporting Act.”)

H. If Touro University – Nevada decides, based upon the individual’s written explanation and documentation about information contained in a background check(s), that the results of the check are deemed favorable then the individual shall be informed that Touro University – Nevada’s positive decision is not a guarantee that any State will accept the individual as a candidate for registration, permit or licensure.

I. Background check reports will be maintained securely, confidentially and separately from an admission file or a student’s academic file, and shall be maintained for a period of time established by Touro University – Nevada’s policy.

J. Annually, following the initial background check(s), students will be asked to provide a certification relating to any convictions, guilty pleas or no contest pleas to any criminal offense statement, other than a minor traffic violation (Exhibit).

K. Touro University – Nevada reserves the right to update and amend this policy at any time.


IV. Exhibits

A. Introduction Letter

B. Instructions for background check by enrolled student

C. “A Summary of Your Rights Under the Fair Credit Reporting Act:

D. Sample letter from Touro University – Nevada to an enrolled student accompanying a background check report containing information of concern and requesting additional information

E. Sample Certification Statement










Revised 8/21/06

EXHIBIT A



Introduction Letter
____________________________________________________________________________








Dear Touro University Nevada Students:

The dominant accrediting body for hospitals, healthcare organizations and programs, the Joint Commission on Accreditation of Healthcare Organizations (“JCAHO”), recently instituted a new requirement of background screening(s) on all employees, volunteers, or students if required by State law, regulation or hospital policy, JCAHO Standard HR.1.20. Many of our clinical training facilities are accredited by JCAHO and are therefore instituting a requirement for background check(s) of students rotating in their facilities. The background check(s) requirement is being immediately enforced by our clinical training facilities and is effective this academic year.

As a result of this notification by our clinical training facilities regarding the JCAHO requirement, we are implementing the background check(s) for our students in order to meet the accreditation requirements of our clinical training facilities. Please note that the clinical training facilities may request the results of the background check(s).

Attached are the policies outlining the procedures for background check(s). Please complete the online process as indicated in the attached instruction sheet provided by Pre-check.

On behalf of Touro University Nevada, we thank you for your cooperation.

Sincerely,




__________________________


EXHIBIT B

INSTRUCTIONS FOR OBTAINING YOUR BACKGROUND CHECK
FOR CLINICAL EDUCATION PROGRAM

Touro University Nevada

The hospitals associated with our clinical education program require background checks on incoming students to insure the safety of the patients treated by students in the program. You will be required to order your background check in sufficient time for it to be reviewed by the hospital prior to starting your clinical rotation. A background check typically takes 3 normal business days to complete.

The background checks are conducted by PreCheck, Inc., a firm specializing in background checks for healthcare workers. Your order must be placed online through StudentCheck.

Go to www.PreCheck.com and click on the StudentCheck link and then click the Student button.

Complete all required fields and hit Continue to enter your electronic signature. You will be provided an order confirmation number and instructions on how to check the status on the completion of your report by email.

PreCheck will not use your information for any other purposes other than a background check. Your credit will not be investigated, and your name will not be given out to any businesses.

If you need assistance, please contact PreCheck at StudentCheck@PreCheck.com.

FREQUENTLY ASKED QUESTIONS:
• How long does the report take to complete? Most reports are completed within 3 business weekdays.
• Do I get a copy of the report? No. Only the hospitals or school in the program have access to the reports. However, you can order a copy of your report for an additional fee at the time you place your order.
• Does PreCheck need every street address where I have lived over the past 7 years? No. Just the city and state.
• I have been advised that I am being denied entry into the program because of information on my report and that I should contact PreCheck. Where should I call? Call PreCheck’s Adverse Action hotline at 800-203-1654. Adverse Action is the procedure established by the Fair Credit Reporting Act that allows you to see the report and to dispute anything reported.
• I have a criminal record. What should I do? Disclose the crime on your application

EXHIBIT C

A Summary of Your Rights Under the Fair Credit Reporting Act
____________________________________________________________________________

Para informacion en espanol, visite www.ftc.gov/credit o escribe a la FTC Consumer Response Center, Room 130-A 600 Pennsylvania Ave. N.W., Washington, D.C. 20580.
A Summary of Your Rights Under the Fair Credit Reporting Act

The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of
information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.ftc.gov/credit or write to: Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Ave. N.W., Washington, D.C. 20580.

• You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment – or to take another adverse action against you – must tell you, and must give you the name, address, and phone number of the agency that provided the information.
• You have the right to know what is in your file. You may request and obtain all the
information about you in the files of a consumer reporting agency (your “file disclosure”). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:
• a person has taken adverse action against you because of information in your credit report;
• you are the victim of identify theft and place a fraud alert in your file;
• your file contains inaccurate information as a result of fraud;
• you are on public assistance;
• you are unemployed but expect to apply for employment within 60 days.

In addition, by September 2005 all consumers will be entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.ftc.gov/credit for additional information.
• You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender.
• You have the right to dispute incomplete or inaccurate information. If you identify
information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.ftc.gov/credit for an explanation of dispute procedures.
• Consumer reporting agencies must correct or delete inaccurate, incomplete, or
unverifiable information. Inaccurate, incomplete or unverifiable information must be
removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.
• Consumer reporting agencies may not report outdated negative information. In most
cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.
• Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.
• You must give your consent for reports to be provided to employers. A consumer
reporting agency may not give out information about you to your employer, or a potential
employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.ftc.gov/credit.
• You may limit “prescreened” offers of credit and insurance you get based on information in your credit report. Unsolicited “prescreened” offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).
• You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court.
• Identity theft victims and active duty military personnel have additional rights. For more information, visit www.ftc.gov/credit.

States may enforce the FCRA, and many states have their own consumer reporting laws. In
some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. Federal enforcers are:


EXHIBIT D

Sample Letter To An Accepted Applicant For Admission
____________________________________________________________________________

Sample Letter from Touro University Nevada to an accepted applicant for admission accompanying a background check report containing information of concern and request additional information.




Dear ______________:

Pursuant to the authorization and information you provided, a background check has been completed. A copy of the report produced by the consumer reporting agency engaged by Touro University Nevada is enclosed for your review. You have the right to dispute the accuracy or completeness of any information contained in the report by contacting the consumer reporting agency directly:

Name of Consumer Reporting Agency: _______________________
Address: _______________________________________________
City, ST Zip: ____________________________________________
Phone: ________________________________________________

A copy of “A Summary of Your Rights Under the Fair Credit Reporting Act” is enclosed with this letter.

Please review carefully each item in the report and provide a detailed, written description and explanation, along with appropriate documentation, including police reports. Pending the resolution of this issue to the satisfaction of Touro University Nevada, your pre-enrollment requirements may not have been met and your offer of admission is not final.

Please return your response to ________________________ within ten (10) business days of this letter. As noted in your application and in your authorization to conduct the background check, your admission may be denied or rescinded, unless the results of your background check are deemed favorable by Touro University Nevada and/or the clinical training facilities of your program.

Yours Truly,






EXHIBIT E

Sample Certification Statement
____________________________________________________________________________

I, ___________________________, as a student at Touro University Nevada, certify that I have not been convicted, plead guilty, or plead no contest to any criminal offense, other than a minor traffic violations since the date of my previous background check on ___________________. I understand that the disclosure of arrest and/or conviction information could result in my termination from Touro University - Nevada.


Name: ______________________________________
(Please Print)

Signature: ______________________________________ Date:______/_____/______


C. 22 Computer Services

In order adequately serve the faculty and student body, a policy regarding the use of computers and support by the Technology department is required.

The Technology Department is responsible for all computing services on-campus and the University’s website. Students benefit, directly and indirectly, from the work of the Technology Department in a variety of ways.

Upon admission to the University, students will be placed in an email group list for their class. University faculty, staff, and administrators may participate in the group discussion along with the incoming students. By the time the students matriculate into their programs, they will have had the opportunity to introduce themselves to each other as well as to pose questions and air concerns.

Upon matriculation to the University, students will be given a network login and a University email address. The network login will permit access to the University network and resources, including wireless access anywhere on campus, printing resources, and the Internet. Touro University Nevada is a Microsoft Windows campus. The Technology Department does not guarantee access to University resources for computers that do not use the Microsoft Windows operating system as its native environment.

The University-provided email address is the principal, official means of communication between the University and the students. Students are responsible for checking their mail and maintaining their mailboxes. Student email is hosted by Google Apps for Education.

The University operates several websites, including Blackboard™ Learning Management System which is used for courses at Touro University Nevada, bulletin boards, calendaring systems, and scheduling systems. The University main page at the web-based student email system has links to University websites and resources.

Students are required to read, sign, and comply with an Appropriate Use Policy. Abuse of the policy may result in disciplinary proceedings outlined in the Student Handbook.

Upon graduation, graduates will retain all electronic privileges for six months. Thereafter, graduates will receive alumni email addresses which will be valid indefinitely. Additional privileges are provided as services based on membership in the Alumni Association.






























Appendix A

Professional Performance Evaluation
TOURO UNIVERSITY NEVADA
SCHOOL OF PHYSICIAN ASSISTANT STUDIES

PROFESSIONALISM ASSESSMENT FORM

Name_______________________________________________ Date________________ Session_______




□ 1*

□ 2
□ 3
□ 4
□ 5*
Altruism









¬¬¬_____ • More concerned with being well thought of.
• Exhibits self-aggrandizement
• Criticizes others to make self look better
• Lacks personal commitment to medicine with a focus on extrinsic rewards
• Does not offer to help colleagues • Demonstrates supportive behavior
• Contributes to team building
• Makes significant effort to help colleagues
• Demonstrates awareness of and sensitivity to needs of colleagues
• Responds to colleagues without consideration of personal benefit
• Advocates for colleagues • Selfless to the point of taking needless risks
• Overextends self to own detriment

Honor and Integrity








_____ • Untruthful
• Misrepresents position/opinion
• Misuses resources
• Falsifies data
• Plagiarizes
• Cheats • Is forthright
• Admits errors and assumes personal responsibility for mistakes
• Makes appropriate attribution to source of ideas and accomplishments
• Balances authority with humility
• Does not participate in activities that subvert education and institutional authority. • Truthful to the point of insensitivity
• Tactless


Communication









______
¬¬¬¬¬¬¬¬¬¬¬¬¬¬ • Does not listen
• Interrupts when someone is talking
• Is not engaged in what others have to say
• Lacks desire to pass information to colleagues • Demonstrates effective listening skills
• Develops appropriate relationships with colleagues and faculty
• Communicates orally and in written form clearly, effectively and appropriately
• Provides information to colleagues that is accurate and timely
• Facilitates conflict resolution • Dominates the conversation
• Forcefully places own agenda above others
• Does not listen
Respect






_____
• Arrogant
• Overcritical of others
• Demeans those in subordinate roles
• Does not address faculty and staff with appropriate titles
• Oversteps personal boundaries • Respects physical property and environment.
• Respects faculty and staff
• Respects differences in people
• Respects other professionals
• Follows accepted etiquette
• Maintains personal boundaries. • Obsequious
• Goes overboard to please
• Attempts to liaison with faculty and staff beyond boundaries
Responsibility/
Accountability








_____ • Exhibits a consistent lack of punctually
• Does not adhere to guidelines
• Does not comply with policies, rules and regulations
• Does not attend required sessions
• Avoids responsibilities and work
• Arrives on time
• Respectfully and tactfully questions unfair policies, procedures, and practices
• Attends meetings, appointments, and class.
• Complies with policies and rules
• Follows up with tasks in area of responsibility
• Balances personal needs and obligations • Values timeliness over quality
• Inflexible
• Overly reliant on rules
• Professional activities compromise personal and/or family life
• “Above the law” and not accountable to anyone
• Controlling
• Self righteous
Excellence and
Scholarship








_____ • Aimless
• Constantly adrift
• Has low standards of achievement
• Satisfied to “make do”
• Complacent
• Does not assume responsibility for learning
• Does not seek help • Well prepared for class.
• Thorough
• Reads extensively
• Solves problems quickly and efficiently
• Works well with uncertainty.
• Learns from mistakes
• Is self critical and able to identify own areas for learning improvement
• Has internal focus and direction
• Requests help when needed • Overly enthusiastic
• Cannot balance knowledge with wisdom
• Over analyzes
• Places too much emphasis on grade
Appearance

_____ • Does not comply with dress code
• Consistently untidy in appearance • Adheres to dress code.
• Neat in grooming and hygiene
• Projects a positive image

* Comment required














Program Director Signature: _________________________________________________

Advisor Signature: _________________________________________________________

Student Signature: _________________________________________________________

Date: ___________________________






Appendix B

End of Course Evaluations

TOURO UNIVERSITY NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

END OF COURSE EVALUATION

Name of course: _______________________________________________
Name of Instructor: ______________________________________________

Poor Good Excellent

1. The goals and objectives of the course were 1 2 3 4 5
clearly defined.

2. The goals and objectives of the course were 1 2 3 4 5
achieved.

3. The course seemed to flow from one topic to 1 2 3 4 5
the next and from session to session as though
carefully planned.

4. The material was presented at an appropriate 1 2 3 4 5
level for understanding

5. The grading criteria were clearly outlined from the 1 2 3 4 5
beginning of the course

6. The examinations covered key concepts 1 2 3 4 5
and skills.

7. The examinations were well written. 1 2 3 4 5

8. The examinations only included items covered 1 2 3 4 5
in the course whether in lecture, lab, reading or
by some other method.

9. The text book was useful in learning the material. 1 2 3 4 5

10. I felt this course was important in preparing me to 1 2 3 4 5
be a physician assistant.

Comments ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

TOURO UNIVERSITY NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

EVALUATION OF LECTURER

Name of course: _______________________________________________
Name of Instructor: ______________________________________________

Poor Good Excellent

1. The instructor for this course/lecture seemed 1 2 3 4 5
prepared.

2. The instructor was knowledgeable. 1 2 3 4 5

3. The instructor focused on material listed in the 1 2 3 4 5
course/lecture objectives.

4. The instructor’s speech was easily understood. 1 2 3 4 5

5. The instructor used supplemental material 1 2 3 4 5
effectively (eg audio visual aids, handouts,
computer programs).

6. The instructor’s method of teaching facilitated 1 2 3 4 5
the learning of course material.

7. The instructor was reasonably punctual in 1 2 3 4 5
starting and ending class and in
beginning/returning from breaks.

8. Did you feel that class attendance for this section 1 2 3 4 5
was important in acquiring knowledge and (not important to important)
accomplishing the learning objectives

Comments ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Appendix C

Request to Attend a Professional Activity
TOURO UNIVERSITY NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

REQUEST TO ATTEND A PROFESSIONAL ACTIVITY

Name_________________________________

1. The event must be submitted in writing to the PA Program Director at least one month prior to the event for approval.

2. Students who desire to attend this event must obtain signature approval from the instructor/coordinator or rotation director of the course(s) they will miss. Written request for approval must then be submitted to the Academic Coordinator or Clinical Coordinator, whichever is applicable, at least two weeks prior to the event.

3. Completed forms indicating that the students are approved to attend the activity and that they are performing satisfactorily will then be submitted to the Program Director at least one week before the event.



Approval of the event

Date ______________________ Signature___________________________
Program Director

Approval

Date ______________________ Signature __________________________
Instructor/rotation director

Approval

Date ______________________ Signature __________________________
Academic Coordinator or
Clinical Coordinator

Approval

Date ______________________ Signature __________________________
Program Director






Appendix D

Exam Challenge Form
TOURO UN IVERSITY- NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

EXAMINATION CHALLENGE FORM

Instructions: Fill out all entries completely. Provide complete explanations where asked to do so. Sign and print your name at the bottom. Completing this form will not prejudice your standing in the class or on the examination. Fill out one sheet per question challenged.


Course name and number:

Examination name: Examination Date:

Primary Instructor of the course:

Examination Proctor:

Question challenged: number_____________ page_________________

Brief explanation of why you are challenging this question:





Your reference to back up your challenge: (text book, journal article, lecture notes, etc).








Your Name:
(print)
Your current contact information: cell phone #

Telephone #

Your signature____________________________________________________________
































Appendix A

Professional Performance Evaluation
Touro university-nevada
Physician assistant studies program

PROFESSIONAL PERFORMANCE EVALUATION

Student __________________________ Session________ Date ________
Students will be evaluated in each of the six categories. Examples of expected professional behaviors and activities are listed below each category and are not inclusive.

Unsatisfactory Satisfactory Outstanding

Personal Accountability 1 2 3 4 5
Participates responsibly in learning activities
Arrives to class on time
Prepared for lecture
Notifies program if unable to attend class or complete
assignments

Teachability 1 2 3 4 5
Accepts teaching and guidance
Able to discern own strengths and weaknesses
Takes steps to correct shortcomings

Communication Skills 1 2 3 4 5
Able to effectively relate information
Uses language appropriate to setting
Attentive
Listens well

Trustworthiness 1 2 3 4 5
Maintains confidentiality
Admits errors
Is not self promoting at another’s expense
Does not intentionally mislead

Respect for the rights of others 1 2 3 4 5
Addresses others by appropriate name
Respectful toward peers and faculty
Demonstrates cultural, gender and racial sensitivity

Professional Demeanor 1 2 3 4 5
Neat in grooming, dress and hygiene
Projects a professional positive image
Thoughtful and professional when interacting with
students and faculty

Comments, concerns and suggestions:




Signature of Program Director for the PA Program Faculty _________________________
Signature of Advisor___________________________________________ Date ____________
Signature of Student ___________________________________ Date __________






Appendix B

End of Course Evaluations

TOURO UNIVERSITY NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

END OF COURSE EVALUATION

Name of course: _______________________________________________
Name of Instructor: ______________________________________________

Poor Good Excellent

1. The goals and objectives of the course were 1 2 3 4 5
clearly defined.

2. The goals and objectives of the course were 1 2 3 4 5
achieved.

3. The course seemed to flow from one topic to 1 2 3 4 5
the next and from session to session as though
carefully planned.

4. The material was presented at an appropriate 1 2 3 4 5
level for understanding

5. The grading criteria were clearly outlined from the 1 2 3 4 5
beginning of the course

6. The examinations covered key concepts 1 2 3 4 5
and skills.

7. The examinations were well written. 1 2 3 4 5

8. The examinations only included items covered 1 2 3 4 5
in the course whether in lecture, lab, reading or
by some other method.

9. The text book was useful in learning the material. 1 2 3 4 5

10. I felt this course was important in preparing me to 1 2 3 4 5
be a physician assistant.

Comments ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

TOURO UNIVERSITY NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

EVALUATION OF LECTURER

Name of course: _______________________________________________
Name of Instructor: ______________________________________________

Poor Good Excellent

1. The instructor for this course/lecture seemed 1 2 3 4 5
prepared.

2. The instructor was knowledgeable. 1 2 3 4 5

3. The instructor focused on material listed in the 1 2 3 4 5
course/lecture objectives.

4. The instructor’s speech was easily understood. 1 2 3 4 5

5. The instructor used supplemental material 1 2 3 4 5
effectively (eg audio visual aids, handouts,
computer programs).

6. The instructor’s method of teaching facilitated 1 2 3 4 5
the learning of course material.

7. The instructor was reasonably punctual in 1 2 3 4 5
starting and ending class and in
beginning/returning from breaks.

8. Did you feel that class attendance for this section 1 2 3 4 5
was important in acquiring knowledge and (not important to important)
accomplishing the learning objectives

Comments ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Appendix C

Request to Attend a Professional Activity
TOURO UNIVERSITY NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

REQUEST TO ATTEND A PROFESSIONAL ACTIVITY

1. The event must be submitted in writing to the PA Program Director at least one month prior to the event for approval.

2. Students who desire to attend this event must obtain signature approval from the instructor/coordinator or rotation director of the course(s) they will miss. Written request for approval must then be submitted to the Academic Coordinator or Clinical Coordinator, whichever is applicable, at least two weeks prior to the event.

3. Completed forms indicating that the students are approved to attend the activity and that they are performing satisfactorily will then be submitted to the Program Director at least one week before the event.



Approval of the event

Date ______________________ Signature___________________________
Program Director

Approval

Date ______________________ Signature __________________________
Instructor/rotation director

Approval

Date ______________________ Signature __________________________
Academic Coordinator or
Clinical Coordinator

Approval

Date ______________________ Signature __________________________
Program Director






Appendix D

Exam Challenge Form
TOURO UN IVERSITY- NEVADA
PHYSICIAN ASSISTANT STUDIES PROGRAM

EXAMINATION CHALLENGE FORM

Instructions: Fill out all entries completely. Provide complete explanations where asked to do so. Sign and print your name at the bottom. Completing this form will not prejudice your standing in the class or on the examination. Fill out one sheet per question challenged.


Course name and number:

Examination name: Examination Date:

Primary Instructor of the course:

Examination Proctor:

Question challenged: number_____________ page_________________

Brief explanation of why you are challenging this question:





Your reference to back up your challenge: (text book, journal article, lecture notes, etc).








Your Name:
(print)
Your current contact information: cell phone #

Telephone #

Your signature____________________________________________________________

Appendix E
Request for Delayed Exam
Request for Excused Absence


DECLARATION OF UNDERSTANDING AND AGREEMENT

I have received, read and understand the document entitled Student Handbook, Policies and Requirements (effective October 2004) containing requirements and consequences, rules and regulations, and expectations of PA students. I understand that these policies will be applied to all phases of PA student education during the time I am enrolled. I agree to be governed by these policies for as long as I am enrolled in the Touro University Nevada Physician Assistant Studies Program.

__________________________________________________
Student Signature


__________________________________________________
Student Name (printed)


__________________________________________________
Date



 
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