Western University Of Health Sciences

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Western University of Health SciencesCollege of Osteopathic Medicine of the PacificDoctor of Osteopathic Medicine (DO)2019/2020 Catalog

Table of ContentsCollege of Osteopathic Medicine of the Pacific . 5Accreditation. 5Complaints Regarding Accreditation Standards . 5General Information . 6The Osteopathic Philosophy and Tenets . 6Mission and Core Competencies. 6Personal Competencies for Admission and Matriculation . 8Observation. 8Communication . 9Motor . 10Sensory . 10Intellectual, Conceptual, Integrative, and Quantitative Abilities. 11Behavioral, Professional, and Social Attributes . 12Physical Health . 13Admissions Policies and Procedures . 15Non-Discrimination Policy . 15Reasonable Accommodation for Disabilities . 15Minimum Application Requirements . 15Minimum Enrollment Requirements . 16Applicants with Foreign Coursework . 16International Students . 17Acceptance Deposit . 17Criminal Background Check . 17Deferred Admission . 17Transfers from Other Colleges of Osteopathic Medicine . 17Registration . 19Registration Late Fee Appeals. 19Student Health Insurance Requirement . 19New Student Orientation/Welcome Week . 19Student Initiated Changes in Enrollment Status . 192 Page

Full-Time/Part-Time Status . 20Time Limits . 20Tuition and Fees . 21Other Fees and Expenses . 21Modified Curriculum/Repeated Coursework Tuition Rates . 22Computer Technology . 22Clinical Rotations Expenses . 22Subject Examination Repeat and OSCE Repeat Fees . 22Student Support Services . 23Students’ Rights and Responsibilities . 23Academic Advisement. 23Tutorial Assistance Program . 23Board Assistance Taskforce. 24LEAD Office. 24Office of Career and Professional Development . 24General Academic Policies and Procedures . 25AOA Nomenclature . 25Attendance and Absences from Curricular Activities . 25Academic Requirements for Student Government . 28Examination Policies . 28Issues/Dispute Resolution Procedure . 28Course Repeats and Remediation . 29Licensing Examinations . 29Graduate Medical Education . 30Standards of Academic Integrity, Professionalism and Student Conduct . 32Dress Code . 32Student Honor Code . 32Student Code of Ethics . 32Standards of Academic Progress. 34Student Performance Committee (SPC) . 34Graduation . 35Outcomes for Unsatisfactory Academic Progress. 363 Page

Adverse Actions . 41Appeals Process . 42Evaluation and Grading . 43Pre-Clinical Curriculum Grading . 43Clinical Curriculum Grading (OMS III & IV):. 43Cumulative Numeric Scores and Class Rank . 44Administrative Grades . 44Audit . 44Missing Grades . 45Incomplete Grade (I): Courses or Blocks. 45Incomplete Grade (I): Rotations. 45Grade Reports . 45Grade Changes Pre-Clinical (OMS I & II) . 45Grade Changes Clinical (OMS III & IV) . 46Credit Hour Calculation . 46Curriculum Organization . 47Graduation Service Requirement. 47Pre-Clinical Curriculum (OMS I and II). 47Clinical Curriculum (OMS III and IV) . 50Optional Programs . 51Course Descriptions . 55Pre-Clinical . 55Clinical (OMS III and IV) . 58Clinical NMM/OMM Fellowship Students . 61Honors and Awards . 64Academic Calendar . 64The Osteopathic Oath . 654 Page

College of Osteopathic Medicine of the PacificThe College of Osteopathic Medicine of the Pacific is one college comprised of two campuses. Together,COMP-Pomona (Pomona, CA) and COMP-Northwest (Lebanon, OR) comprise the total student body,faculty, and staff of Western University of Health Sciences, College of Osteopathic Medicine of the Pacific.Unless a topic refers to a specific campus, all references regarding the College will pertain to bothcampuses, and the College will be noted as the College of Osteopathic Medicine of the Pacific (COMP).The COMP catalog serves as a supplement to the University catalog. COMP faculty, staff, and studentsmust abide by the content of the University catalog in addition to the COMP catalog. The 2019-2020version of the catalog supersedes previous versions of the catalog, and all students are held responsiblefor the information contained in both the University and the COMP 2019-2020 catalogs.AccreditationThe academic program of Western University of Health Sciences, College of Osteopathic Medicine of thePacific is accredited by the Commission on Osteopathic College Accreditation (COCA) of the AmericanOsteopathic Association (AOA), which is recognized by the United States Department of Education (USDE).COMP has received accreditation status from the American Osteopathic Association’s Commission onOsteopathic College Accreditation, which is the recognized accrediting agency for the approval of collegespreparing osteopathic physicians. The address and phone number of the accrediting agency are:Secretary, COCA; American Osteopathic Association; 142 East Ontario Street; Chicago, IL 60611;Telephone 312/202-8124; Fax 312/202-8424.In addition to the COCA, COMP-Northwest is authorized by the State of Oregon to offer and confer theacademic degrees described herein, following a determination that state academic standards will besatisfied under OAR 583-030. Inquiries concerning the standards or school compliance may be directed tothe Office of Degree Authorization, Higher Education Coordinating Commission, 775 Court St NE, Salem,Oregon 97301.Complaints Regarding Accreditation StandardsCOMP is committed to meeting and exceeding the standards of accreditation for colleges of osteopathicmedicine as described by the American Osteopathic Association’s Commission on Osteopathic CollegeAccreditation (www.osteopathic.org). It is the policy of COMP that an individual who believes the Collegemay not be in compliance with a standard of accreditation has the right to file a complaint through thefollowing procedure: A written, dated, and signed complaint can be filed with the COMP Office of Student Affairs. A student affairs professional will consult with the Dean of COMP (the Dean) and form anappointed committee of faculty and students to investigate the complaint. The results of the investigation shall include findings of fact, a determination of compliance ornon-compliance, and recommended corrective actions if non-compliance is determined. Theresults will be communicated in writing to the Dean, the COMP Office of Student Affairs andto the complainant. If corrective action is indicated, the Dean will respond to the appointed committee with a planfor such action within 30 days of receipt of the committee’s findings and recommendations.5 Page

Records of all proceedings regarding complaints will be maintained by the COMP Office ofStudent Affairs.In the event that the complainant is not satisfied with the appointed committee’s determination and/orthe resulting corrective action plan, the complainant may communicate their complaint directly to theCOCA. If the complainant desires, the complaint may be filed directly with the COCA without filing acomplaint with the COMP Office of Student Affairs.Any complaints filed with the COCA must follow the complaint procedure noted on the COCA Website.COMP is committed to protecting the confidentiality of the complainant and assuring an environment ofnon-retaliation.General InformationThe Osteopathic Philosophy and TenetsAs a college of osteopathic medicine, COMP honors the philosophy and tenets of osteopathic medicine.The tenets of osteopathic medicine are:1. The body is a unit; the person is a unit of body, mind, and spirit.2. The body is capable of self-regulation, self-healing, and health maintenance.3. Structure and function are reciprocally interrelated.4. Rational treatment is based upon an understanding of the basic principles of body unity, selfregulation, and the inter-relationship of structure and function.Additional information regarding the osteopathic philosophy can be found by viewing the COMPOsteopathic Philosophy webpage.Mission and Core CompetenciesThe Mission of the College of Osteopathic Medicine of the Pacific (COMP) is to prepare students tobecome technically competent, culturally sensitive, professional, and compassionate physicians who areprepared for graduate medical education, who are lifelong learners, and who will serve society byproviding comprehensive, patient centered healthcare with the distinctive osteopathic philosophy.This is accomplished through excellence in curriculum, translational research, service, osteopathic clinicalpractice, and the enhancement of osteopathic graduate medical education.Core Competencies in Support of the College’s Mission Statement Medical Knowledge Osteopathic Philosophy Patient Centered Care6 Page

Professionalism (Leadership) Interpersonal & Communication Skills Practice Based Learning & Improvement Systems Based PracticeThe mission and core competencies serve as the curricular foundation for COMP. Core competencies, alsocalled Program Learning Outcomes (PLOs), support the achievement of Western University of HealthSciences’ Institutional Learning Outcomes (Student Learning Outcome Domains).7 Page

Personal Competencies for Admission and MatriculationA candidate for admission to COMP’s Doctor of Osteopathic Medicine Program must possess, or be ableto achieve through reasonable accommodation, certain sensory and motor functions, that would enablethe individual to carry out the activities described in the sections that follow. Upon matriculation to theprogram, the student must continue to possess, or be able to achieve through reasonableaccommodation, the personal competencies outlined below throughout their progression in the program.These personal competencies may also be referred to as technical standards in documents from theCommission on Osteopathic College Accreditation (COCA). The practice of medicine requires theperformance of specific essential functions that fall into broad categories, which include but are notlimited to the categories defined below.Graduation from the Doctor of Osteopathic Medicine program signifies that the individual is prepared forentry into graduate medical education (GME). It therefore follows that graduates must have theknowledge and skills needed to function in a broad variety of clinical situations and be able to render awide spectrum of osteopathic medical patient care. The student must be able to integrate, consistently,quickly and accurately, all information received by whatever sense(s) employed. In addition, the individualmust have the intellectual ability to learn, analyze, synthesize, and apply various types of information in aself-directed manner within the context of patient care. These requirements are consistent withacceptable clinical norms for licensed physicians.For candidates or students who require a reasonable accommodation in order to meet thesecompetencies, please visit the Accommodations and Resource Center (AARC) section of the Harris FamilyCenter for Disability in the Health Policy website or contact AARC at (909) 469-5297.Under all circumstances, a candidate or student should be able to perform the following in a reasonablyindependent manner, with or without a reasonable accommodation:ObservationCandidates and students must have sufficient vision to be able to observe demonstrations, experiments,and microscopic laboratory exercises. They must be able to observe a patient accurately at a distance andclose at hand. Reasonable accommodations may be provided for the visually impaired.Included below is a table containing relevant examples specific to this competency area. This table doesnot limit nor otherwise restrict the standard that students and candidates for admission are responsiblefor meeting and/or performing the skills and abilities defined in this area, irrespective of whether a specificexpectation and/or example is included in this table. The examples presented are for illustrative andinformational purposes only and are not intended to be an exhaustive listing of requirements.ExpectationExamplesPossess sufficient uncorrected or corrected visual Locate and identify dissected nervesacuity and color perception to: Evaluate posture, locomotion andmovement in a clinical setting Resolve objects as small as 2 mm s Observe motion and observe and evaluate Identify materials correctly to be used inthe human gait at 20 feetlaboratories8 Page

ExpectationExamples See an object from a background of other Locate, identify and describe foreignobjectsbodies, blood vessels, sutures and skinlesions See the difference in objects Read printed materials on handouts,exams and computer screens Discriminate body height and depthdifferences and identify anatomiclandmarks for symmetry and posturaldifferences visuallyCommunicationCandidates and students must be able to communicate with patients and colleagues. They must be ableto hear and speak and be fluent in the English language.Included below is a table containing relevant examples specific to this competency area. This table doesnot limit nor otherwise restrict the standard that students and candidates for admission are responsiblefor meeting and/or performing the skills and abilities defined in this area, irrespective of whether a specificexpectation and/or example is included in this table. The examples presented are for illustrative andinformational purposes only and are not intended to be an exhaustive listing of requirements.ExpectationHave fluency in formal and colloquial oral andwritten English skillsExamples Demonstrate command of the course materialto a professor or attending physician Comprehend oral lectures, ask questions andcomprehend answers Explain procedures and discuss results withprofessors and fellow students Explain medical conditions to patients,attending physicians and fellow students Explain procedures and discuss test results onprescribed treatments with patients,attending physicians and fellow students Comprehendlaboratorysafetyandemergency situation instructions Be able to effectively compose writtencommunication, including documentation ofpatient history, physical exam, assessmentand treatment planPerceive and convey sentiments non-verbally and Recognize, comprehend, and respondeffectively with patients and all members of theappropriately to spoken or non-verbalhealthcare teamcommunication of distress or discomfort9 Page

MotorCandidates and students must have sufficient motor functions to enable them to execute movements thatare reasonably required to provide general and emergency treatment of patients (i.e. palpation,auscultation, percussion, and other diagnostic and therapeutic modalities). These actions requirecoordination of both gross and fine muscular movements, equilibrium, and functional use of the sensesof touch and vision. Additionally, candidates and students must possess sufficient posture, balance,flexibility, mobility, strength, and endurance for standing, sitting, and participating in the laboratory,classroom, and clinical experiences.Included below is a table containing relevant examples specific to this competency area. This table doesnot limit nor otherwise restrict the standard that students and candidates for admission are responsiblefor meeting and/or performing the skills and abilities defined in this area, irrespective of whether a specificexpectation and/or example is included in this table. The examples presented are for illustrative andinformational purposes only and are not intended to be an exhaustive listing of requirements.ExpectationExamplesPossess equilibrium and coordination of gross and Possess sufficient strength and mobility tofine muscular movementsprovide general care and emergencytreatment to patients including CPR,administration of intravenous medication, theapplication of pressure to stop bleeding, theopening of obstructed airways, the suturing ofsimple wounds, assist with surgicalprocedures (i.e., handing off of rical maneuvers, and perform OMT Coordinate fine movement of fingertips,palms, and wrists as in elevation of thecranium Stand with limited opportunity for grossmovement for a minimum of 2 hours at a time,as necessary for particular medicalprocedures, such as performance ofobstetrical delivery, assistance of surgicaldelivery, and assistance of surgical procedurePossess sufficient visual-motor coordination Participate in laboratory exercises usingpermitting delicate manipulations of specimens,required equipmentinstruments, and equipment Perform minor medical procedures such asvenipuncture and suturing.SensoryCandidates and students must have enhanced sensory skills including accuracy within specific tolerancesand functional use for laboratory, classroom, and clinical experiences. Candidates and students who areotherwise qualified but who have significant tactile, sensory, or proprioceptive disabilities must bemedical evaluated. Examples of issues requiring further evaluation include, but are not limited to,individuals injured by significant burns, those with sensory motor deficits, cicatrix formation, or absenceand/or malformations of the extremity(ies).10 P a g e

Included below is a table containing relevant examples specific to this competency area. This table doesnot limit nor otherwise restrict the standard that students and candidates for admission are responsiblefor meeting and/or performing the skills and abilities defined in this area, irrespective of whether a specificexpectation and/or example is included in this table. The examples presented are for illustrative andinformational purposes only and are not intended to be an exhaustive listing of requirements.ExpectationExamplesPossess accurate sense of touch and temperature Palpate the musculoskeletal systemdiscrimination Perform history and physical examinationprocedures specific to an individual Perform a bimanual pelvic exam Palpate distances in depth, elevation andwidth of body structures Palpate texture differences, hydration states,fine muscle tension differences, changes inmoisture and temperatureAuditory and Visual Senses The ability to use a stethoscope Recognize structures and patient conditionsaccuratelyIntellectual, Conceptual, Integrative, and Quantitative AbilitiesCandidates and students must demonstrate problem-solving skills, which involve intellectual, conceptual,integrative, and quantitative abilities. These abilities include memory, calculation, reasoning, analysis, andsynthesis. In addition, candidates and students must be able to comprehend three-dimensionalrelationships and be able to understand and manipulate the spatial relationships of structures.Included below is a table containing relevant examples specific to this competency area. This table doesnot limit nor otherwise restrict the standard that students and candidates for admission are responsiblefor meeting and/or performing the skills and abilities defined in this area, irrespective of whether a specificexpectation and/or example is included in this table. The examples presented are for illustrative andinformational purposes only and are not intended to be an exhaustive listing of requirements.ExpectationExamplesBe able to process multifunctional data and Perform osteopathic or medical evaluation ofsensory input requiring cognitive recall and motorpatient posture and movement includingskills rapidly and initiate critical actionsanalysis of physiological, biomechanical,behavioral, and environmental factors in atimely manner, consistent with acceptableclinical norms Comprehend oral and written presentationsof material and communicate thatunderstanding upon examination in a timelymanner, occasionally demonstrating a graspof the information within the same classperiod as presented11 P a g e

ExpectationExamples Successfully complete objective examsdesigned to assess whether students canapply knowledge learned and successfullycomplete problem-solving exercises Evaluate emergency situations includingapnea, respiratory or cardiac arrest, bleedingand severe trauma, requiring rapid responsessuch as intubation and medicationBehavioral, Professional, and Social AttributesCandidates and students must possess the professionalism required for full utilization of their intellectualabilities. They must show evidence that they can exercise good judgment and promptly complete allresponsibilities involved in the education process and atten

The COMP catalog serves as a supplement to the University catalog. COMP faculty, staff, and students must abide by the content of the University catalog in addition to the COMP catalog. The 2019-2020 version of the catalog supersedes previous versions of the

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