Osteopathic Medicine, DO (KCOM)

Doctor of Osteopathic Medicine

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ATSU-KCOM Information and Policies  Length of Program Tuition and Fees Admissions Minimal Technical Standards for Admission and Matriculation

Graduation Requirements  Academic Policies Curriculum Courses: Descriptions and Credit Values

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As the founding college of osteopathic medicine, ATSU-KCOM DO students receive comprehensive medical education that includes access to the latest technology, including human patient simulators, simulated patient encounters, and broad educational experience. The Complete DOctor, a course specific to ATSU-KCOM, incorporates early clinical experiences with didactic study in physical exam skills, cultural diversity, communication skills, spirituality in medicine, medical law, and ethics.

ATSU-KCOM DO students spend their first two years studying the basic sciences and clinical introductions in a campus setting. In the third and fourth years, students participate in clinical rotations in one of ATSU-KCOM’s national rotation regions.

ATSU-KCOM DO graduates represent a diverse group of osteopathic physicians practicing in every state and several foreign countries. They span all medical specialties and sub-specialties and comprise approximately a quarter of all practicing osteopathic physicians.

Length of Program

ATSU-KCOM’s Doctor of Osteopathic Medicine program graduates will have earned a minimum of 207 credit hours. The program is a four-year program. Osteopathic medical students must complete the program within 150 percent of the standard time (six years following matriculation), excluding periods during which the student is not enrolled in the program. 

Tuition and Fees

Annual tuition rates are split and billed according to the scheduled semesters and are due on the first week of class. Most fees follow a similar billing schedule with a few exceptions. Rates are subject to change each academic year for all enrolled students. Delinquent balances incur penalties at a rate of 1.5% per month, totaling 18% annually.

For ATSU programs approved to certify for Title IV funding, a Cost of Attendance (COA) is available which provides estimated amounts for direct and indirect expenses for a period of enrollment. 

Doctor of Osteopathic Medicine

	Class of 2028, year 1	Class of 2027, year 2	Class of 2026, year 3	Class of 2025, year 4
Tuition	$64,938	$64,938	$64,938	$64,938
Student Technology Fee	$1,400	$1,400	$1,400	$1,400
Medical Equipment Fee	$1,025

 

Doctor of Osteopathic Medicine - Enhanced Mastery Track

	Class of 2029, year 1	Class of 2028, year 2	Class of 2027, year 3	Class of 2026, year 4	Class of 2025, year 5
Tuition	$64,938	$48,704	$48,704	$64,938	$64,938
Student Technology Fee	$1,400	$1,400	$1,400	$1,400	$1,400
Medical Equipment Fee	$1,025

Admissions

Application Process

ATSU-KCOM participates with other osteopathic colleges in a centralized application processing service called the American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS). This service will collate materials, compute grades, and transmit standardized information to the applicant and the colleges which the applicant designates to receive them. AACOMAS takes no part in the evaluation, selection, or rejection of applicants. Applications may be obtained at www.aacom.org or from AACOMAS at 7700 Old Georgetown Road, Suite 250, Bethesda, MD 20814, phone: 617.612.2889

The College will send the applicant a secondary application if general qualifications are met. A non-refundable application fee and letters of recommendation from the pre-medical committee and a physician or employer will be required at the time the secondary application is submitted.

Applications must be submitted no later than February 1 of the academic year prior to which admission is sought. Applicants are encouraged to apply far in advance of the February 1 deadline. Additional information regarding the program application deadline date, tuition and expenses, and related financial assistance can be found at www.atsu.edu, or email inquiries may be sent to admissions@atsu.edu.

Admission Requirements

Applicants for admission to the first-year DO class must meet the following requirements prior to matriculation.

1. The applicant must have achieved a minimum 2.8 cumulative GPA and a 2.8 science GPA (based on a 4.0 scale). 
2. Applicants must have completed 90 semester hours or three-fourths of the required credit for a degree from a college or university (30 hours of which must be at a four-year, degree-granting institution) accredited by a US Department of Education institutional accreditor or Canadian equivalent. Most of the candidates who are accepted for admission have earned a baccalaureate degree prior to matriculation. It is recommended that applicants complete a bachelor of art or science degree from an institution accredited by a US Department of Education institutional accreditor.
3. Applicants must have completed one full academic year or the equivalent in each of the following with a final grade of C or above:
   • English: 6 semester hours (8 quarter hours).
     • The student should be fluent in the oral and written use of English.
   • Biology: 8 semester hours (12 quarter hours).
     • Must include a laboratory and a basic course in general biology or general zoology.
   • Physics: 8 semester hours (12 quarter hours).
     • Must include a laboratory and cover the study of mechanics, sound, heat, magnetism, electricity, and light.
   • General or Inorganic Chemistry: 8 semester hours (12 quarter hours).
     • Must include a laboratory.
   • Organic Chemistry: 8 semester hours (12 quarter hours).
     • Must include a laboratory.
4. Elective subjects should afford a broad educational and cultural background as encouraged by the applicant’s pre-professional adviser. Courses in molecular biology, genetics, behavioral sciences, biochemistry, human anatomy/physiology, and humanities are encouraged.
5. Applicants are required to submit scores from the MCAT that have been taken within three years from the date of application.
6. Applicants must provide two letters of recommendation, one letter from a pre-medical committee/health professions advisor or science faculty member, and one letter from a licensed physician unrelated to the applicant (DO or MD).
7. Matriculants are required to submit official transcripts from all colleges and universities attended by the date of matriculation, including confirmation of an undergraduate degree, unless accepted under the non-degree application requirements.
8. ATSU-KCOM and many of its clinical affiliations require criminal background checks on matriculants and students to ensure the safety of patients and employees. The checks are conducted by a vendor selected by ATSU. The student will pay the cost of the criminal background check directly to the vendor. Failure to comply with this mandate will result in denial to matriculate. A matriculant with a positive criminal background screen will be reviewed.
9. Matriculants will meet the minimum technology specifications.
10. Applicants must be a US citizen or permanent resident.
11. Applicants must be fluent in the oral and written use of English. 

Transfer Student Admission

Requests for transfer into the DO program at ATSU-KCOM must be made to the Admissions Department. Applicants must currently be enrolled in medical school and cannot previously have been rejected by ATSU-KCOM.

Applicants may only transfer from medical schools and colleges accredited either by AOA COCA or by the Liaison Committee on Medical Education (LCME). When a student transfers from another college of osteopathic medicine (COM), or an LCME accredited medical school or college, the last two years of instruction must be completed at ATSU-KCOM. In the case of LCME transfers, the ATSU-KCOM requirements for osteopathic manipulative medicine must be completed prior to graduation.

The following documentation must be on file before being considered for admission.

1. A letter from the academic dean or designee of the current professional school indicating the student is presently in good academic standing.
2. Minimum cumulative and minimum science GPA of 2.8 on a 4.0 scale.
3. Official transcript from the transfer school. (ATSU-KCOM will review and confirm the approval of the transfer credits via a letter for the student’s file.)
   1. Confirmation of a bachelor’s degree or 90 semester hours or three-fourths of the required credit for a degree from a college or university (30 hours of which must be at a four-year, degree-granting institution) accredited by a U.S. Department of Education institutional accreditor.
      1. Submitting an AACOMAS or AMCAS application may fulfill this.
   2. If accepted for admission, official transcripts from all colleges and universities attended will have to be provided prior to matriculation.
4. MCAT score(s)
5. Secondary application and secondary fee
6. Additional documents or letters of evaluation as determined by the Admissions Committee may be requested.

Following the receipt of the above credentials, if considered qualified for admission, the completed application will be reviewed, and the applicant will be invited for an on-campus interview. The applicant will have a minimum of two interviews, including representatives from the ATSU-KCOM Admissions Committee and/or PreScreen Admissions Committee.

Following an academic report (credit evaluation) by the Associate Dean, Medical Education, the dean will determine whether the applicant will be accepted for admission, the amount of credit allowed, and the standing of the applicant.

Transfer Credit

ATSU-KCOM does not accept transfer credit for students admitted to the first-year DO class. Please see the transfer student section for information regarding how to transfer from a current medical program into the DO program.

Still Scholars Early Acceptance Program

The Still Scholars Early Acceptance Program is designed to provide admission opportunities to outstanding students who aspire to become osteopathic physicians. ATSU-KCOM prides itself on developing physicians who focus on whole person healthcare and community service and looks for students who also hold these values. ATSU-KCOM’s Still Scholars Early Acceptance Program rewards highly capable students who are dedicated to the osteopathic philosophy with admittance into our institution’s founding osteopathic medical program without traditional MCAT requirements. This program encourages students to focus on developing strong academic and leadership skills, yet allows them to focus on their undergraduate experience without the additional pressures of preparing for the MCAT. In addition, Still Scholars are awarded an academic scholarship for medical school upon entry to ATSU-KCOM.

Priority consideration agreements are in place with various undergraduate institutions across the United States to help pre-screen qualified applicants; however, students from any four-year accredited undergraduate institution in the United States may apply. Students representing schools that have an agreement with ATSU-KCOM receive priority consideration in the selection process. Applicants must qualify for selection as per the agreement established between ATSU-KCOM and the specific institution.

ATSU-KCOM has agreements with the following institutions:

Avila University Brigham Young University Central Methodist University Chaminade University Dillard University Doane University Drury University Elmhurst University Greenville University Langston University Massachusetts College of Pharmacy & Health Sciences University Midland University

Missouri State University Missouri University of Science & Technology Missouri Western State University Northwest Missouri State University Rockhurst University Saint Xavier University Southeast Missouri State University Truman State University Westminster College William Jewell College

Students from any school accredited by a U.S. Department of Education institutional accreditor may also apply. For more information on the Still Scholars Early Acceptance Program, please contact residential admissions at admissions@atsu.edu or by phone at 866.626.2878 ext. 2237.

Early Decision Program

The Early Decision Program is a service for highly qualified medical school applicants who have made a definite decision that ATSU-KCOM is their first choice among medical schools. In order to be considered, the applicant must meet all of the following requirements and agree to apply only to ATSU-KCOM until an early decision notification is made. To qualify for early decision the applicant must meet all stated admissions criteria in addition to:

• Meet a minimum GPA of 3.5 both cumulative and in the sciences.
• Have taken the MCAT and earned a composite score of 504 or higher.
• Submit the American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS) application, MCAT scores, and transcripts from all institutions attended to AACOMAS by August 1. Applications become available through AACOMAS June 1. For information, contact AACOMAS 7700 Old Georgetown Road, Suite 250, Bethesda, MD 20814, phone: 617.612.2889, www.aacom.org
• File all secondary materials and letter of intent with Admissions by September 1.
• Withhold all applications to other medical schools until an early decision is made by ATSU-KCOM.
• Interviews will be conducted in early October for qualified applicants.
• The Admissions Committee will release a decision within two weeks of the interview.
• A $1,000 non-refundable acceptance fee will be required by December 15.

International Student Admission

Students who are non-citizens or not permanent residents of the United States are not eligible to apply for the DO program at this time.

Selection of Applicants

The Admissions Committee seeks those individuals who identify with the goals of ATSU’s mission statement and ATSU-KCOM’s mission statement. Applicants are screened for academic achievement, clinical involvement, interpersonal relations, leadership and service, perseverance, maturity, motivation, and osteopathic awareness.

Applicants who reach the final phase of the selection process will be invited for an interview. All applicants selected for admission are interviewed prior to acceptance. The Admissions Committee reserves the right to accept, reject, or defer an application.

Students sent a letter of acceptance are granted a specified time period to notify ATSU-KCOM of their intention to enroll. Accepted students must submit the following to Admissions prior to matriculation.

• Signed admission agreement
• Non-refundable deposits
• Signed technical standards agreement
• Copies of official transcripts from every institution attended
• Immunization record
• Criminal background check through the University approved vendor
• Proof of health insurance form

Admission after acceptance is also subject to the satisfactory completion of all academic requirements.

Minimal Technical Standards for Admission and Matriculation

Introduction

A.T. Still University’s Kirksville College of Osteopathic Medicine (ATSU‐KCOM) is committed to equal access for all qualified applicants and students. Minimal Technical Standards for Matriculation to the Doctor of Osteopathic Medicine (DO) program (the “Standards”) describe the minimum level of physical, cognitive, and behavioral abilities that ATSU‐KCOM DO students must possess to successfully complete all aspects of the osteopathic medical curriculum. The Standards provide sufficient information to allow candidates to make an informed decision for application to the ATSU‐KCOM DO program. Accommodations to the Standards can be made for qualified applicants and DO students with temporary or permanent disabilities in some instances, but a student must be able to perform in a reasonably independent manner.

Statement of Diversity and Inclusion

Diversity and inclusion encompass an authentic understanding and appreciation of difference and the value each human being brings to our society and the osteopathic medical profession. ATSU‐KCOM welcomes diverse applicants and matriculates qualified osteopathic medical students from varied backgrounds, including people of different ages, races and ethnicities, abilities and disabilities, genders, religions, cultures, and sexual orientations. Every applicant and DO student of ATSU‐KCOM is expected to possess those intellectual, ethical, physical, and emotional abilities required to undertake the full curriculum and ultimately be able to provide care to a diverse patient population. The Standards, outlined below, are a guide for students who may need accommodations for a permanent disability or a temporary disability, such as that which can occur from illness or injury.

In adopting these Standards, ATSU‐KCOM believes it must keep in mind the ultimate safety of the patients who may be involved in the course of the student’s education as well as those patients for whom its graduates will eventually care. The Standards reflect what ATSU‐KCOM believes are reasonable expectations of osteopathic medical students (and physicians) in learning and performing osteopathic medical treatment. Applicants and current students who have questions regarding the technical standards, or who believe they may need to request accommodations in order to meet the standards, are encouraged to contact Learning Resources & Accommodation Services. Contact information is provided below.

Technical Standard Ability Categories and Expectations

An osteopathic physician must have the knowledge, technical skills, and physical and emotional ability to function in a broad variety of clinical situations and to render a wide spectrum of patient care to a diverse patient population. In order to develop the knowledge, skills, and abilities required of an osteopathic physician, students must be able to consistently, quickly, and accurately integrate, analyze, and synthesize data as presented in the curriculum and in clinical settings. In order to endure the emotional and physical demands of the medical profession, students must develop professionalism, compassion, maturity, honesty, ethics, concern for others, interpersonal and psychomotor skills, flexibility, and motivation toward lifelong learning. For the DO curriculum, students must possess, at a minimum, the following physical, cognitive, and behavioral abilities: observation; communication; motor, strength, and mobility; sensory; intellectual, conceptual, integrative and quantitative; and, behavioral and social. Students are expected to demonstrate these abilities in an environment where there is a reasonable amount of visual and auditory distraction. These abilities comprise the categories of ATSU‐KCOM Minimal Technical Standards for Matriculation to the DO program and are defined below.

1. Observation: Students must be able to observe demonstrations, experiments, and laboratory exercises. Students must have adequate visual capabilities for proper evaluation and treatment integration. They must be able to observe a patient accurately at a distance and up close.
2. Communication: Students should be able to communicate with patients in order to elicit and acquire information, examine them, describe changes in mood, activity, and posture, and perceive their nonverbal communication. Students must also be able to communicate effectively in person and in written form with staff and faculty members, patients, and all members of the health care team.
3. Motor, strength, and mobility: Students must have sufficient posture, balance, flexibility, mobility, strength, and endurance for standing, sitting, participating in, and traveling between laboratory, classroom, and clinical experiences. Motor demands include reasonable endurance, strength, and motor precision to execute movements reasonably required for general care, including physical examination and osteopathic manipulative treatment, and emergency treatment, such as laceration repair and CPR. Such movements require coordination of both gross and fine motor muscular activity, equilibrium, and functional use of the senses of touch and vision.
4. Sensory: Students need enhanced sensory skills, including accuracy within specific tolerances and functional use for laboratory, classroom, and clinical experiences. These skills require the use of vision, hearing, proprioception, and manual tactile sensation, or functional equivalents.
5. Intellectual, conceptual, perceptual, integrative, and quantitative: These abilities include reading, writing, measurement, calculation, reasoning, analysis, and synthesis of data as needed for problem-solving, decision-making, and patient care activities. Students should be able to comprehend three‐ dimensional relationships and to understand the spatial relationships of structures.
6. Behavioral and social: Students must possess the emotional health required for full utilization of their cognitive and physical abilities, to exercise good judgment, to promptly complete their responsibilities attendant to the diagnosis and care of patients, and to develop mature, sensitive, and effective relationships. Students must interact with a diverse population of faculty, students, patients, and members of the health‐care team in both academic and clinical settings. Students must be able to emotionally and physically tolerate demanding workloads, maintain professionalism, adapt to changing environments, display flexibility, and learn to function in the face of uncertainties inherent in clinical problems of patients.

Detailed examples of expectations for each ability category can be found here: Minimal Technical Standards for the KCOM DO program  

For questions regarding the technical standards, please contact Learning Resources & Accommodation Services: A.T. Still University of Health Sciences | 800 W. Jefferson Street | Kirksville, MO 63501 | 660.626.2774 | accommodations@atsu.edu

Applying for Accommodations

The institution remains open to possibilities of human potential and achievement by providing reasonable support for students with disabilities. The Vice President of Student Affairs is responsible for the administration of and compliance with the Technical Standards and Academic Adjustments Policy (ATSU Policy #20‐770) through the Director of Learning Resources & Accommodation Services. Individuals with disabilities who have significant limitations in ability categories described in the Standards may require evaluation to determine if they are otherwise qualified, with or without reasonable accommodation. Accommodations can include academic adjustments or assistive aids that do not fundamentally alter the college’s curriculum or those processes deemed essential to the acquisition of knowledge in all areas of osteopathic medicine, including the demonstration of basic skills required for the practice of osteopathic medicine. Additionally, accommodations will not be provided if it would impose undue financial or administrative burdens on the college. Applicants and current students who have questions regarding the technical standards, or who believe they may need to request academic adjustment(s) or aids in order to meet the standards, are encouraged to contact Learning Resources & Accommodation Services. Please see the University Student Handbook for information on how to apply for accommodations or email accommodations@atsu.edu.

Additional Information

Records and communications regarding disabilities and academic adjustments with the Director of Learning Resources & Accommodation Services have no bearing on the application process. You may contact the Director of Learning Resources & Accommodation Services, A.T. Still University of Health Sciences, 800 W. Jefferson Street, Kirksville, MO 63501, accommodations@atsu.edu, or by phone at 660.626.2774.

Graduation Requirements

Students in the DO program at ATSU-KCOM must meet the following requirements for graduation. Each student must have:

• Been a student in an accredited osteopathic university or equivalent for at least four academic years.
• Been enrolled in ATSU-KCOM during the final two years of education. Must complete, to the satisfaction of the faculty, prescribed courses and clinical rotations.
• Passed the National Board of Osteopathic Medical Examiners, Inc. (NBOME) Comprehensive Osteopathic Medical Licensing Examination COMLEX Level 1, and COMLEX Level 2 Cognitive Evaluation (CE), prior to graduation. 
• Successfully completed the ATSU-KCOM Clinical Skills Performance Assessment
• Successfully completed all academic, administrative, and professional requirements for promotion.
• Been approved by faculty vote for promotion to graduation.
• Completed the ATSU-KCOM Exit Questionnaire “Senior Survey.”
• Participated in a minimum of two debt management sessions prior to graduation.
• Attended, in person, a commencement program at which time the Doctor of Osteopathic Medicine degree is conferred.

Extended Academic Programs

In order to participate in commencement, students must have completed all clinical requirements prior to July 1 of their graduation year. Students with an extended academic program who are expected to complete all graduation requirements by December 31 of the graduation year, may participate in commencement. For students with extended academic programs, the official graduation date will be the last day that the student participates in coursework or the day following notification of passage of the final board examination required for graduation.  

Academic Policies

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Class Rank Attendance Policy COMLEX-USA Policy

Student Promotion Board Academic Standards, Guidelines, and Requirements

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Academic Progress Policies

Class Rank

Class rank will be calculated for ATSU-KCOM DO students at the end of the fall and spring terms for each of the first two years of medical school. Enrollment Services will provide class rank 30 days after a semester is complete within the Anthology Student Portal. ATSU-KCOM ranks students in quartiles.

• Quartile 1: better than approximately three-quarters of the class
• Quartile 2: better than approximately one-half of the class
• Quartile 3: better than approximately one-quarter of the class
• Quartile 4: lower than approximately three-quarters of the class

Attendance Policy

Extended Absence - Contract Required

Extended Absence: A contract is required for absences lasting 6-15 days. Contact the Assistant Dean, Academic Affairs, to discuss this option before taking action. See the ATSU Policies  section of this Catalog for additional information and the appropriate form to complete.

Student Leave: For a leave greater than 15 days. Contact the Assistant Dean, Academic Affairs, to discuss this option before taking action. See the ATSU Policies section of this Catalog for additional information and the appropriate form to complete.

OMS I and OMS II Students

Required attendance activities are denoted on the student calendar (R). Students are encouraged to attend all academic activities to optimize their learning. ATSU-KCOM offers 3 personal days and 3 conference presentation days per academic year for DO students.  

All planned absence requests for first and second year students should be submitted two (2) business days prior to the absence on the appropriate electronic form via the ATSU-KCOM Student Manual (see attendance years 1-4) or ATSU-Go/KCOM app (select the attendance icon). Retroactive excused absence requests or requests submitted fewer than two (2) business days may not be considered or approved. For absences greater than five days, see the Excused Absence Policy in the ATSU Policies section of this catalog. Questions about attendance can be directed to the Office of Academic Affairs via email at kcomabsences@atsu.edu.

Personal Days

Personal days are to be used for planned absences (see examples below). Students are allowed up to three (3) personal days per academic year where scheduled required activities may be made up (if the exercise is reproducible). Any portion of a day requested as a personal day will count as an entire day off. Personal days should not be used for high-stakes assessments (e.g., section exams, practicals, finals). Each student is responsible for their own academic progress. Examples of personal day use include:

• Religious observations
• Wellness exams
• Elective medical procedures
• ATSU/ATSU-KCOM club representation at regional/national meetings
• Weddings

Conference Presentations

Students may be approved for an excused absence for up to three (3) days to travel to and attend a meeting or conference during which the student is making a scholarly presentation. Additionally, conference absences may be used to attend meetings as a representative of a school-sanctioned organization (e.g., SGA president, KOAA board representative, etc.). The student may be required to submit appropriate documentation with the absence request.

Unplanned Absences

ATSU-KCOM recognizes that unplanned absences from required curricular activities may arise. Students may request an unplanned excused absence for medical reasons (with proper documentation, e.g. physician note) or unplanned/unanticipated events. Examples:

• Student illness, accident, and/or hospitalization (with proper documentation)
• Immediate family member acute illness or funeral
• Absences for reasons beyond the control of the students (e.g., weather, flight cancellations) may be considered. If approved, a personal day will not be used. 

Make-up for Excused Absences

If a first or second year student’s absence is determined to be excused, appropriate individuals within the college will be notified that the student is authorized for make up.

Some courses or activities do not have built-in leeway for missing class or assessment, and no make-up is offered, even if the absence is excused. Finally, sometimes a make-up is not possible due to the nature of the activity, even if the student was granted an excused absence.

OMS III and OMS IV Students

Students are required to make appropriate and timely notifications if they will be absent. Students must notify their clinical preceptor(s), Regional Assistant Dean (RAD)/Director of Student Medical Education (DSME), and Rotation Site Coordinator in writing immediately if they will be away for any reason (anticipated or unexpected). The following are descriptions of each type of absence.

Excused Absences

Third and fourth year students should submit absence request forms to their RAD/DSME. The form can be found in the ATSU-KCOM Student Manual. Students are also responsible for notifying their Rotation Site Coordinator and preceptor immediately for an excused absence to be approved. 

Personal/Conference/Medical

Students are allowed up to 3 personal days per academic year. Personal days must be approved in advance by the RAD/DSME, cannot be used consecutively without prior approval of the RAD/DSME, and cannot be carried over from the third year to the fourth year. In the case of an urgent absence, students must notify their Rotation Site Coordinator immediately, who will then submit the request to the RAD/DSME for review. Students are allowed up to 3 days per academic year to attend qualifying conferences. Conference days must be approved in advance by the RAD/DSME. Conference days cannot be carried over from the third year to the fourth year. Medical excused absences must be approved by the RAD/DSME. Whenever possible medical excused absences should be approved in advance.

COMAT Exam Wellness Opportunity

Third-year students may request a ½ day ‘Wellness opportunity’ prior to each of the seven COMAT exams. This time is meant to allow the student to engage in activities designed to improve their wellness and help them be in a better mental, physical, and emotional state when taking COMATs. Examples of wellness activities students may consider include (but are not limited to): exercising, sports, reading, sleeping, meditation, yoga, etc. Any student wishing to request a ½ day wellness opportunity must follow the procedure identified in the KCOM Student Manual. Failure to follow the procedure will invalidate the request.

Postgraduate Interviews

For postgraduate interviews, students must complete the required excused absence form and discuss with and obtain approval from the RAD/DSME and Rotation Site Coordinator prior to the absence. Students are encouraged to schedule interviews for postgraduate programs during the flex/vacation week(s) or GME Prep Elective week(s) and to limit time off during clinical rotations. The RAD/DSME, along with the preceptor, will determine the scope of any work that needs to be addressed or completed as a result of absences related to travel for interviews.

Flex/Vacation Time

In year 4, students are allowed three weeks of flex time which is scheduled by the student with the approval of the region. All flex time must be taken between rotations unless special permission is granted by the RAD/DSME. It must be used in full-week increments. Flex time is used for a variety of reasons: to fill gaps in student schedules between rotations, vacations, non-credit academic time, residency interviews, etc.

Cumulative Absences

Students should not be absent for more than 2 days for any 2-week period. Absences beyond the 2 days will be evaluated with potential make-up time scheduled, as appropriate.

Management of Illnesses During OMS III and OMS IV

If a student contracts an illness, they should immediately contact their preceptor, RAD/DSME, and Rotation Site Coordinator to notify them of their medical status. Students should follow the CDC recommendations that people with illness remain at home until at least 24 hours after the fever (100 degrees F) is gone without using fever-reducing medicine. Students should also follow illness-related guidelines established by the facility to which the student is assigned. If a student must be away from the clinical setting for greater than two days, the student should work with the preceptor/rotation. See the KCOM Student Manual for detailed information.

Clinical Hours

Although the Rotation Site Coordinator may provide a tentative daily schedule for a clinical rotation, the student is responsible to their assigned preceptor during clinical duty hours on each rotation. The student is required to keep the hours expected by the preceptor. A ‘typical’ student clinical day begins at 7 a.m. and ends at 7 p.m. but will be confirmed by the preceptor or designee. Students may be required to work overnights and be ‘on call.’ Ideally, the student should:

• Not be involved in patient care for greater than 24 continuous hours or required to attend patient hand-offs or didactic sessions for more than an additional 6 continuous hours (30 hours total).
• Have two weekends per month free.  
• Not typically work more than 60 hours per week, on average.

COMLEX-USA Policy

To advance through the osteopathic medicine program and graduate, students are required to pass the National Board of Osteopathic Medical Examiners (NBOME) COMLEX-USA series of examinations, including COMLEX Level 1 and COMLEX Level 2 Cognitive Evaluation (CE). Students are required to take each board examination during specific time frames listed in the Student Assessment Plan Summaries and CMLX 6500 and CMLX 7500 syllabi (unless special permission to deviate from the schedule is granted by the Assistant Dean, Academic Affairs). Failure to test within the specific time frames without prior approval may be reviewed as a professionalism violation with potential referral to the ATSU-KCOM Student Promotion Board.

In order to attend the commencement ceremony, students must have successfully completed COMLEX Level 1 and Level 2CE by December 31 of the academic year in which the student will graduate. (unless special permission to deviate from this requirement is granted by the ATSU-KCOM Dean).

COMLEX Level 1

Students must take assigned practice examinations as outlined in the syllabus for course COMLEX Level 1 Preparation (CMLX 6500). Students may require additional preparation time and more assessments based on student performance indicators. ATSU-KCOM representatives will make students eligible for COMLEX Level 1 within the NBOME system following successful completion of semesters 1 and 2 and having earned passing marks in semester 3 of the program. 

NOTE on COMLEX Level 2PE

The NBOME has discontinued COMLEX Level 2PE. The COM must attest students have demonstrated the fundamental osteopathic clinical skills necessary for graduation.

COMLEX Level 2CE

Prior to taking COMLEX Level 2CE, students must take the assigned practice examinations and meet the specific thresholds outlined in the syllabus for course COMLEX Level 2 Preparation (CMLX 7500). ATSU-KCOM representatives will administer student eligibility for COMLEX Level 2 CE within the NBOME system after notice of successful passage of COMLEX Level 1 has been received.

For all COMLEX exams, students must schedule, pay for, and take them within the approved testing windows.

Board Examination Failures

If a student fails a board examination, the student must inform the Assistant Dean, Academic Affairs and the RAD/DSME of the failure within 48 hours of notification. The Assistant Dean or designee will work with the student to create an individualized remediation plan, including a testing deadline. The plan may include time off from clinical rotations, a formal board preparation course at the student’s expense, independent board preparation, documentation of meeting the threshold of an approved practice examination, or other appropriate strategies. The Assistant Dean, Academic Affairs will report the board failure to the ATSU-KCOM Student Promotion Board.

If a student fails the same board examination twice or a second board examination, the student will be reviewed by the ATSU-KCOM Student Promotion Board. The board has the authority to impose supports and discipline as well as dismiss the student from the program. If the board votes to dismiss the student from the program, the Assistant Dean, Academic Affairs will notify the student within 24 hours. If the board votes to allow the student to retake the board examination:

• An individualized remediation plan will be developed under the direction of the ATSU-KCOM Student Promotion Board and the administration of the Academic Affairs office.
• Some individualized remediation plans will require the student to be removed from all clinical experiences until the student retakes and/or passes the previously failed board examination.

Class-specific information about COMLEX preparation and testing is contained in the Student Assessment Plan Summaries (specific for each graduating class year), the related course syllabi, and in the ATSU-KCOM Student Manual.

Student Promotion Board

The responsibility of the ATSU-KCOM Student Promotion Board is to review and assess the academic progress and professionalism of all students and ensure that adequate progress is being made toward the Doctor of Osteopathic Medicine degree. Reviewed material may include the entire academic record, subjective evaluations by course directors, faculty members, preceptors, staff, standardized patients and administrators, written notes, results of performance assessments such as PA I, PA II, and PA III, as well as other material necessary to fully evaluate the student’s progress, including professional behaviors.

Lack of progress includes but is not limited to failure of one or multiple courses, failing the same course multiple times, failing a COMLEX board exam(s), failing to make and sustain adequate progress in the attainment of the seven osteopathic competencies for medical students (osteopathic principles and practice, medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice), failing to successfully complete assignments and assessments, or failure to perform successfully in clinical rotations.

Composition

The Dean appoints the Student Promotion Board. The Board is chaired by the Assistant Dean, Academic Affairs, or designee and includes five voting members from the faculty. In the case of a tie or to meet a quorum, the Chair is a voting member. Decisions of the Board are made by majority vote.

Non-voting consultants to the Student Promotion Board are the Associate Dean, Clinical Affairs; Associate Dean, Medical Education; Vice President, Student Affairs; and Learning Resources & Accommodation Services staff members. Additional appropriate faculty, such as a DSME or RAD, may be requested to attend the Student Promotion Board meeting without a vote.

In the event that a course director is also a voting member of the committee, they will retain voting privileges. Clinical faculty members who serve on the Student Promotion Board must ensure that they do not have a therapeutic relationship with a student appearing before the Board and have not provided sensitive health services to the student. If such a relationship exists, the physician shall alert the Assistant Dean, Academic Affairs, to request an alternate be present to hear the student’s case.

Convening of the Student Promotion Board

To evaluate student progress, the Student Promotion Board will be convened by the Assistant Dean, Academic Affairs at the end of the academic term or on an as-needed basis at any time to consider the lack of professionalism or academic progress by any student. 

Student Attendance

The student may be invited to attend the Student Promotion Board when the student’s status is presented for discussion. The student will be notified of the date and time of the meeting at least two business days prior to the meeting (students may waive the two business day notice if desired). When called before the Student Promotion Board, the student has the right to present a short statement and address questions before the Student Promotion Board. The student must be transparent in presenting the facts of the situation to the Student Promotion Board. In the case of information of a highly sensitive nature, the student may present such information to the Assistant Dean, Academic Affairs; Associate Dean, Clinical Affairs; or Associate Dean, Medical Education, prior to the commencement of the meeting of the Student Promotion Board. Professional dress is expected (without white coat).

Sanctions

The Student Promotion Board can impose requirements, supports, and discipline appropriate to the circumstances. Additionally, the Board may impose a reprimand, place the student on probation, suspend the student, or dismiss the student from the program. The Assistant Dean, Academic Affairs will typically notify the student of the outcome in writing within 24 hours of the Board meeting.

Appeal

The student may appeal the Student Promotion Board decision in writing to the Dean within five working days of notification of the Student Promotion Board decision only if new or significant information is revealed after the Student Promotion Board decision was made or if the student believes that the Student Promotion Board process was not followed as presented in the University Catalog. The Dean may meet with the Chair of the Student Promotion Board to discuss the appeal and determine if the Student Promotion Board process was followed. The Dean has the authority to overturn or uphold the Student Promotion Board decision. The highest level of appeal within the school is the Dean or the Dean’s designee. Students who wish to appeal a Dean’s decision regarding promotion or dismissal should review the Academic Appeals policy: Promotion and/or Dismissal Decisions .

Academic Probation

Any DO student who has failed any course, rotation, or who has failed COMLEX Level 1 or COMLEX Level 2 CE may be placed on academic probation and informed in writing by the Assistant Dean, Academic Affairs. Students may also be placed on probation due to professionalism issues. The purpose of probation is to alert the student, faculty, and administration to the fact that the student has experienced difficulty. Students on probation may not serve in student office, be excused from curricular activities for professional development, or attend conferences or events sponsored by the College without explicit permission from the Assistant Dean, Academic Affairs, or designee. These measures are employed to assist the student in concentrating on improvement in his or her academic and professional progress. Once the deficiencies have been remediated by the student, the probation shall be removed by written notification from the Assistant Dean, Academic Affairs, or designee. The successful remediation of an academic course will be identified by a notation (RC) on the student’s transcript. 

Academic Standards, Guidelines, and Requirements

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AOA Code of Ethics Professionalism Dress Code HIPAA and OSHA Training BLS and ACLS Certification Clinical Rotation Conduct Supervision in the Clinical Environment Injuries and Accidents on Clinical Rotations

Safety Issues on Clinical Rotations Career Counseling Physical Health Services Behavioral Health & Wellness Counseling Services Professional Liability, Supplemental Accident, and Disability Insurance Coverage Predoctoral Fellowship

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American Osteopathic Association (AOA) Code of Ethics 

All ATSU-KCOM students, faculty, administrators, and staff must adhere to the AOA Code of Ethics.      

Professionalism

An important aspect of the ATSU-KCOM DO program is the development of professional behaviors and role identity. Students are expected to conduct themselves in a professional and ethical manner at all times. Students on clinical rotations and in other professional settings are expected to dress professionally and appropriately for the environment. Honesty, compassion, integrity, confidentiality, accountability, respectfulness, altruism, and excellence are expected in all situations. In addition, students are expected to comply with institutional policies and procedures as well as city, county, state, and federal laws and regulations. ATSU-KCOM considers breaches of professional conduct as academic deficiencies. Specifically, breaches in professionalism may demonstrate a lack of progress toward and attainment of osteopathic core competencies (e.g., professionalism, interpersonal and communication skills).

Dress Code

For all real or simulated patient activities, students must maintain an appearance that demonstrates respect, trust, and credibility. The reasons for appropriate attire include infection control, communication, and cultural sensitivity. Patient trust and confidence in their healthcare provider are essential for successful treatment experiences and outcomes. All clothing should be neat, clean, and of appropriate size and fit for the clinical setting. Good personal hygiene is expected. The student should confirm requirements for appropriate attire including, but not limited to, footwear, jewelry, hair, nails, fragrances, makeup, and identification badge(s) for each clinical setting/rotation. Guidelines related to dress code are available in the ATSU-KCOM Student Manual.

HIPAA and OSHA Training

Health Information Portability & Accountability Act (HIPAA) and the Occupational Safety and Health Act of 1970 (OSHA) training and certification are required for all ATSU- KCOM DO students. The training occurs three times during the four-year program. Training is offered electronically with specific completion deadlines. Completion is documented within Anthology Student and is reflected on the Certification and Immunization document. It is the responsibility of the student to maintain up-to-date HIPAA and OSHA training throughout the entire duration of enrollment. Students who do not comply with training requirements may be subject to discipline, including removal from clinical rotations, suspension, and review by the Student Promotion Board.

BLS and ACLS Certification

ATSU-KCOM requires all DO students obtain and maintain health provider level Basic Life Support (BLS) certification throughout the entire duration of enrollment. The school provides an opportunity for BLS  certification during year 1 of the program. BLS recertification will be offered at the college during year 2; however, participating students are responsible for the related fees. Prior to clinical rotations, ATSU-KCOM students are also required to obtain and maintain Advanced Cardiopulmonary Life Support (ACLS) certification. The school provides an opportunity for ACLS certification during year 2 of the program. Any ACLS training off campus is at the student’s expense.

Non-compliance with BLS and/or ACLS certification at any time during a student’s enrollment may result in removal from clinical rotations, suspension, and/or dismissal.

Clinical Rotation Conduct

In the event the Regional Assistant/Associate Dean (RAD) or Director of Student Medical Education (DSME) determines that a student may constitute a threat to the student’s personal welfare, fellow students, staff, or patients, the RAD/DSME has the authority to immediately remove the student from clinical rotations and/or from the academic environment. The notification must be in writing, and the Assistant Dean, Academic Affairs and the Associate Dean, Clinical Affairs must be notified immediately. Situations where such action may be necessary, include, but are not limited to, substance abuse (alcohol and other drugs), medical or psychological illnesses, suspected illegal behavior, and suspected abuse (physical, sexual, or emotional). Once removed, the student is no longer covered by the professional liability coverage provided by the University.  

Upon notification, the Assistant Dean, Academic Affairs will initiate the proper review to expedite resolution of the interim status. Action will be made in accordance with ATSU-KCOM and University policy.

Supervision in the Clinical Environment

While in the clinical training portion of the academic program, medical students are assigned a Regional Assistant Dean and/or a Director of Student Medical Education to oversee their overall learning and professional development. Students may only participate in clinical rotations in hospitals, facilities, or with preceptors where a formal affiliation agreement, letter of agreement, or contract with ATSU-KCOM is in place. For each clinical rotation, a Preceptor of Record provides and assures supervision in the clinical setting. 

While in clinical learning situations involving patient care, medical students must have direct, on-premises supervision by a licensed healthcare professional. Direct supervision includes:

• Physically present: licensed healthcare professional is located in the same room as the student when patient care is rendered.
• Immediately available: licensed healthcare professional is located in the facility and immediately available to be physically present. 

The Preceptor of Record must be a credentialed, licensed, board certified, or board eligible physician (AOA/ABMS) in the specialty being taught, who has been appointed to the ATSU-KCOM faculty to oversee student learning, including oversight in the clinical environment as well as a formal review of student performance in the clinical rotation. Students may also work with other licensed physicians and licensed healthcare professionals while on clinical rotations. See the ATSU-KCOM Student Manual for additional information. 

Injuries and Accidents on Clinical Rotations

Any student who sustains an injury or bloodborne pathogen exposure while on clinical rotations must notify their RAD/DSME and Rotation Site Coordinator as soon as possible and follow the processes herein and in the ATSU-KCOM Student Manual.

In the event the injury involves exposure to bloodborne pathogens, notify the clinical site’s occupational medical staff immediately and follow their protocol for bloodborne exposure. A Needlestick Incident Report Form and the Needlestick and Bloodborne Pathogen Exposure Protocol are provided in the ATSU-KCOM Student Manual.

Follow these steps if you have an injury (including a needlestick injury) while on a rotation:

1. Notify your supervising physician immediately.
2. Seek appropriate care:
   1. Bloodborne Pathogen Exposure: Follow the clinical site’s protocol for risk evaluation and post-exposure prophylaxis. This information can be obtained through the Emergency Department or the Risk Management Department.
   2. Other injury: Seek medical attention as needed. Follow your clinical site’s risk management protocol for reporting and treatment.
3. Notify the ATSU-KCOM Clinical Affairs office, your RAD/DSME, and your Rotation Site Coordinator immediately or as soon as possible, and follow the processes on the ATSU-KCOM Student Manual.
4. Keep one complete set of documents for your personal records (medical record, incident report, data) and give the incident report and confirmation that you followed the clinical site’s post-exposure guidelines to your RAD/DSME or Rotation Site Coordinator. You do not have to provide personal medical information to the RAD/DSME or Rotation Site Coordinator. However, you are required to provide documentation that you sought medical advice and any required treatment following national health guidelines.

Use your health insurance to cover any medical expenses incurred as a result of an injury at clinical sites. ATSU has purchased accident insurance and needlestick coverage that may help to defer the cost of needlestick injury or exposure to bloodborne pathogens. For more information on accident insurance and needlestick coverage, see the ATSU-KCOM Student Manual.

Safety Issues on Clinical Rotations

Every site should have a disaster plan directing individuals’ actions in the event of an emergency (i.e., tornado, violence at the site, etc.). In the event of an emergency, follow the site’s emergency plan and the direction of your site supervisor. As soon as it is safe and feasible, please notify ATSU-KCOM administration and ATSU Security at 660.349.9513 regarding your status. Students are required to become familiar with the safety procedures established in each clinical facility. As in every situation, especially when one is in an unfamiliar environment, it is prudent to maintain good situational awareness and to be cognizant of surroundings.

Career Counseling

ATSU-KCOM provides career counseling to all osteopathic medical students predominantly via the Office of Academic Affairs with collaborative efforts across the university. A variety of group and one-on-one career counseling activities are available, including:

• Student Success Forums (academic, board preparation, and career guidance in Years 1 and 2)
• On-going support for board examination preparation
• Networking with residency programs, i.e., Hospital Days event
• Ongoing advising through the residency application process
• Resources for career exploration
• Interactive online career counseling platform with an evolving repertoire for residency specialty and match application resources
• Residency specialty panel discussions
• MSPE preparation and review
• Planning for matching to residency as couples
• Preparation for the residency interview process
• Technical assistance for unmatched students
• Assistance with curriculum vitae and personal statements
• Career guidance for military students

Students may request one-on-one career counseling via the ATSU-KCOM Academic Affairs office. 

Physical Health Services

Each medical student is strongly encouraged to establish a relationship with and utilize the services of a primary care provider for comprehensive healthcare as well as for the acute care of illness. For students on campus, healthcare services are available through the Kirksville Family Medicine office located in the Gutensohn Clinic (660.626.2222). The TimelyCare program offers medical services that can be accessed 24/7 on demand to all residential students. TimelyCare can be accessed online at www.timelycare.com/atsu. Select sign in > Create your profile using your ATSU school email address > Follow the prompts to start the virtual visit.  

Clinical faculty members caring for students via a therapeutic relationship or for sensitive health services will not be involved in the grading or assessment as they proceed through medical school. A therapeutic relationship is defined as either ongoing provision of healthcare services (more than two interactions) or any healthcare services involving “sensitive health services.” Sensitive health services include but are not limited to, psychiatric/psychological counseling, substance abuse, and sexually transmitted diseases. If a student elects to establish a therapeutic relationship with a clinical faculty member or seeks to obtain health care services involving ‘sensitive health services’, that health care provider is precluded from any evaluation role for that student (irrespective of the wishes of the medical student) for a two-year period because of a dual-relationship and potential conflict of interest issues.

ATSU requires all students enrolled in a residential program to maintain active health insurance coverage in order to readily access diagnostic, preventive, and therapeutic healthcare in all regions where training occurs. See Health Insurance requirements in the ATSU Policies section. 

ATSU-KCOM maintains specific immunization and screening requirements for matriculants, students, and fellows, with reporting and monitoring requirements maintained by the Immunization Coordinator in the Clinical Affairs office.  

Behavioral Health & Wellness Counseling Services

In addition to ATSU Behavioral Health & Wellness Counseling services, virtual on-demand access to 24/7 mental health care services from anywhere in the United States is available for all ATSU-KCOM students via the TimelyCare program. TimelyCare can be accessed online at www.timelycare.com/atsu. Select sign in > Create your profile using your ATSU school email address > Follow the prompts to start the virtual visit.

Mental health support services available via TimelyCare:

• TalkNow: 24/7, on-demand access to a mental health professional to talk about anything at anytime
• Scheduled Counseling: scheduled options to speak to a licensed counselor (up to 12 visits per year)
• Psychiatry: services provided by referral from ATSU’s Behavioral Health & Wellness Counselors.
• Group Sessions: Weekly Guided Meditation and Yoga Group Sessions, plus specialized discussions throughout the year

See the Behavioral Health & Wellness Counseling page for more details on counseling services. For more information on counseling services in the clinical regions, see the ATSU-KCOM Student Manual.

Professional Liability, Supplemental Accident, and Disability Insurance Coverage

Professional Liability Coverage

ATSU-KCOM DO students enrolled in ‘active status’ have professional liability coverage provided by the University. Coverage is in effect for:

• Situations that arise in the United States. It does not cover or defend malpractice outside of the United States.
• ATSU-sponsored experiences. All appropriate documentation must be completed prior to the start of a rotation to secure professional liability coverage. Experiences that are not sponsored by ATSU will not be covered.

Supplemental Accident Insurance

The insurance is supplemental accident insurance and does not apply to sickness or illness.  It does not substitute health insurance coverage required for enrollment. The supplemental accident insurance provides coverage after a primary health insurance claim has been filed. Coverage applies while the student is enrolled in ‘active status’ and:

• Is participating in college courses, labs, and clinical training that is sponsored by ATSU;
• Is on premises designated and supervised by ATSU-KCOM;
• Is on premises used for classes, labs, or clinical training (clinical rotations); or
• While traveling with a group in connection with the activities under the direct supervision of ATSU.

Travel to and from a curriculum activity is not covered.

Steps for filing a claim:

• The student will file a claim to their personal health insurance (primary coverage).
• The student will complete a claim with the accident insurance coverage and return it to the Associate Dean, Clinical Affairs for verification of enrollment.
• The Clinical Affairs office will forward the completed claim form to the student.
• The student will forward the accident coverage claim form along with primary health insurance explanation of benefits (EOB), if available, billing statements, and supporting documents to the accident insurance provider.

Disability Insurance

ATSU students enrolled in residential clinical-based programs are required to carry University-provided disability insurance coverage. See the ATSU Student Handbook for more information on disability insurance.     

Predoctoral Fellowship

Predoctoral fellowship positions are offered in the disciplines of anatomy, osteopathic manipulative medicine, and medical education. Fellows are involved in teaching and research. Details concerning applications for these positions are available from the Medical Education office.

Curriculum

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The DO curriculum at ATSU-KCOM is systems-based, patient-oriented, and multiple innovative learning models have been adopted throughout its evolution. Each course has numerous presentation styles including problem-based sessions, case-based presentations, web-based instruction, and small-group labs, workshops, and other activities in the first and second years. Osteopathic theory and methods are taught throughout the first two years, integrated through an interdependent alignment with basic science and clinical courses. Courses in the first two years prepare the student for the curriculum expected during the clinical rotation experience. Clinical curriculum, including didactics, labs, workshops, and osteopathic manipulative medicine, is delivered to students in regional sites during the third and fourth years.

The DO curriculum is designed as a linear curriculum; that is, students should successfully complete the schedule of courses offered in sequence during their first and second years of matriculation. To proceed through the curriculum, students must demonstrate successful completion of each prior section and each course contained within the section. Failure to do so is subject to Student Promotion Board consideration.

First and Second Years

Early first semester is devoted to the foundation of basic medical sciences. Students spend the remainder of the first and second year learning clinical medicine and the evidence supporting it. ATSU-KCOM also includes clinical education experiences as early as the first semester. The first year of study includes a clinical experience where students shadow physicians, nurses, and community agencies. Osteopathic theory and methods are taught concurrently with the basic science and clinical courses during the first and second years. 

Assessment during the first two years may include but is not limited to, multiple-choice question exams, similar to the national board examinations that are comprehensive and integrated across content. In addition, performance assessment is used to assess physical examination skills, osteopathic manipulation skills, interpersonal skills, and clinical skills. Many of the performance skills are assessed in ATSU-KCOM’s Performance Assessment Center and the Human Patient Simulation Center. 

During the last 94 weeks of the academic program, students participate in clinical rotations at regional sites. The selection of rotation sites is by an electronic match and utilization of a letter of interest. This match is held during the second year.

To be eligible to enter clinical rotations, students must have completed all OMS I and OMS II coursework with the exception of CMLX6500 (COMLEX Level 1). Students who have not taken COMLEX Level 1 prior to the start of clinical rotations must have an approved board study plan and timeline approved through the Office of Academic Affairs.

Military students are strongly encouraged to participate in officer training prior to matriculation or during the first two years of medical education. Military students wishing to complete officer training during the third or fourth year may utilize elective time (equal to the number of weeks required by their respective branch – up to 6 weeks) for clinical requirements, as approved by the RAD/DSME and the Associate Dean, Clinical Affairs. Students will complete the rotation report form and submit a copy of ‘orders’ to demonstrate confirmation of officer training. Upon receipt of documentation from the military program verifying completion, the course will be scored as pass/fail. The course will be documented on the student transcript as ELEC 8599 - Medical Military Officer Training.

Third and Fourth Years

Third year clinical rotations typically begin on the fifth Monday following June 30th. Each region prepares an on-site orientation preceding the start of clinical rotations. Students must attend the on-site orientation for their region unless previously approved for an absence or for an alternative schedule by the Assistant Dean, Academic Affairs, or designee.

Documentation required for each rotation must be signed, completed, and submitted for all third and fourth year experiences at least 30 days prior to the start of the experience. Proper procedures and forms will be included in the regional orientation sessions. Documentation includes but is not limited to the Rotation Report Form, preceptor information and CV, hospital site information, updated audit/schedule, site application, site fee, provider agreement (if needed), and student personal health insurance. 

Assessment of student learning during third year clinical rotations includes clinical evaluations, NBOME COMAT examinations, and procedure logs recorded in the electronic tracking program. Other rotations are assessed via clinical evaluations only. A standard grading scale is used for all clinical evaluations. Students earn Honors, High Pass, Pass, or Fail for each clinical rotation. Additionally, students are assessed on curriculum performance via an oral case presentation, scholarly reports, and journal club presentations. Students are also assessed via a clinical skills performance assessment (PA-III) with standardized patient testing to assess physical examination skills, interpersonal skills, and clinical reasoning.

Students are responsible for working with the preceptor of record to assure that the clinical evaluation is completed by the final day of the rotation or notifying the rotation site coordinator if the preceptor has not responded. Students are required to complete the preceptor and rotation evaluation for third year rotations within two weeks following the end of the rotation via the electronic evaluation system. Refer to the ATSU-KCOM Student Manual for further details.

Each region will have a series of scheduled education days. Attendance is required. Students should notify preceptors in advance if an education day is scheduled during their rotation period. It is the student’s responsibility to be aware of this schedule and attend all required sessions. The site may also have didactic sessions with required student attendance. Responsibilities to the preceptor do not take precedence over required didactics.

Military students may schedule one four-week military rotation commitment as part of the third year rotation schedule. The military rotation/specialty must be equivalent to the rotation requirement. The COMAT will be completed after returning to the region. Students must submit a request for military rotation substitution in writing to the Associate Dean, Clinical Affairs via the rotation site coordinator. Students will receive notice in writing regarding the approval status of the request. Students should avoid scheduling a military rotation that will interfere with the PA-III testing and COMSAE exam dates. Military students may use all elective rotations for military rotations.

International rotations may be approved for elective credit, pending review and approval of the appropriate paperwork by the Associate Dean, Clinical Affairs, or designee. International rotations must be scheduled through INMED (Institute for International Medicine).

Mission trips completed as a component of a four-week rotation (completed as one continuous block) may be approved for credit pending review by the Associate Dean, Clinical Affairs, or designee. The same attending preceptor must accompany the student as part of the four-week experience. The mission trip may not exceed half of the scheduled time of the rotation. Students will receive clinical credit consistent with the entire four-week experience (e.g., pediatrics, surgery, etc.). The mission trip must be a clinical experience that includes patient care.

Refer to the ATSU-KCOM Student Manual for more information on credit and non-credit international rotations and mission trips.

Programmatic Educational Objectives

The ATSU-KCOM programmatic educational objectives are aligned with the osteopathic core competencies for medical students:

1. Demonstrate knowledge of osteopathic principles and practice such that care of patients is approached from distinct behavioral, philosophical, and procedural aspects of osteopathic medical practices related to the four tenets of osteopathic medicine. [Osteopathic Principles and Practices and Manipulative Treatment]
2. Demonstrate the understanding and application of established and evolving principles of foundational biomedical and clinical sciences integral to the practice of patient-centered care. [Application of Knowledge for Osteopathic Medical Practice] 
3. Osteopathic Patient Care and Procedural Skills
   1. Gather accurate, essential data from all sources, including the patient, secondary sources, medical records, and physical examination (including structural examinations).
   2. Formulate a differential diagnosis based on the patient evaluation and epidemiologic data and to prioritize diagnoses appropriately.
   3. Perform basic clinical procedures essential for the generalist practice of osteopathic medical practice.
   4. Provide diagnostic information; to develop a safe, evidence-based, cost-effective, patient-centered care plan.
   5. Demonstrate health care services that are consistent with osteopathic principles and practice, including an emphasis on preventive medicine and health promotion based on best medical evidence.
   6. Assess patient health literacy, counsel, and educate patients accordingly.
4. Demonstrate the ability to effectively document and synthesize clinical findings, diagnostic impressions, and diagnostic / treatment instructions in verbal, written, and electronic formats. [Interpersonal and Communication Skills in the Practice of Osteopathic Medicine]
5. Consistently display high moral and ethical standards exemplifying integrity, humanistic behavior, cultural sensitivity, and responsiveness to the needs of the patient. [Professionalism in the Practice of Osteopathic Medicine]
6. Assimilate and apply fundamental biostatistical and epidemiologic concepts, clinical decision-making skills, evidence-based medicine principles and practices, fundamental information-mastery skills, and methods to evaluate the relevance and validity of research information. [Practice-Based Learning and Improvement in Osteopathic Medicine]
7. Systems-based Practice in Osteopathic Medicine
   1. Effectively identify and utilize system resources to maximize the health of the individual and the community, thus improving the health of populations.
   2. Work as part of an interprofessional team to identify areas for enhancing quality and patient safety and reducing medical errors and inequities.

Core Professional Attributes

The Core Professional Attributes (CPAs) are a set of five cross-curricular meta-skills inherent to all A.T. Still University graduates, including ATSU-KCOM osteopathic medical students. The CPAs enable graduates to select, adapt, and apply their discipline-specific knowledge and skills to varying situations, enhancing competence and improving outcomes across all aspects of their roles as healthcare professionals.