Clinical Year Handbook Final

Section VIII. Final Disposition and Progression Decision Disposition (check one): student successfully completed remediation and may continue progression; successfully completed with continued monitoring; additional remediation required; placed on academic or professional improvement plan; referred to the Student Evaluation and Progress Committee; referred for formal academic review; required to repeat a course or educational experience; progression status changed; formal disciplinary action initiated or continued; other. Effective Date of Decision / Final Decision Rationale: _______________________________________________________ Section IX. Student Evaluation and Progress Committee Review Completed when committee review is required. Committee Review Date / Determination / Chair or Designee Name / Signature / Date: _______________________________________________________ Section X. Student Final Acknowledgment The student’s signature acknowledges receipt of the final remediation outcome and does not necessarily indicate agreement with the decision. If the student declines or is unavailable to sign, documentation of communication is attached in lieu of a signature. Student Name / Signature / Date: _______________________________________________________ Section XI. Final Faculty/Program Sign-Off

Responsible Faculty Member Name/Title/Signature/Date: _______________________________________________________ Director of Didactic Education, Director of Clinical Education, or Designee Name/Title/Signature/Date: _______________________________________________________ Program Director or Designee Name/Title/Signature/Date: _______________________________________________________ Section XII. ARC-PA A3.16 Documentation Checklist

Complete/Not Applicable, with date verified and verifier, for each of: student performance concern identified; performance data included; deficiency documented; remediation plan documented; measurable remediation goals documented; required activities documented;