General Policies



Your role as an AI is essential to the proper functioning of the team. Your presence is required. You cannot be absent except in the case of emergency. Interviews for residency positions should be scheduled for other months. In accordance with the University’s policy for attendance on clinical rotations, up to 2 days may be missed at the discretion of your attending on service. These days are required to be made up during the month, and you should not miss a call night. An absence of three days or longer will result in an incomplete grade unless the absence is approved ahead of time by the course director. “Personal illness and family emergencies are examples of legitimate reasons for being absent. Weddings, family visits, and pre-purchased airline tickets” are not.

Professional Conduct

Categories of Professionalism:

  1. Ability: achieving and maintaining knowledge and training
  2. Altruism: putting patient needs first
  3. Adherence: committing to a code of behavior and ethics
  4. Advocacy: working with colleagues for the greater good
  5. Accountability: committing to internal standards and assessment

What does this mean to me?

Dress: You should dress neatly and comfortably. Men should wear a dress shirt and tie, women should wear a skirt or dress pants. All should wear a clean white coat.

Identification: Your badge should be worn at all times. Ensure that patients, families, and staff know your role as an upper level student. Nurses must be aware that your orders need to be co-signed. Patients need to understand that your position is supervised by an upper level resident and attending.

Responsibility: Do not assume someone else will complete a needed task for your patient – you are it now.

Recognize limitations: Do not hesitate to get help. Your job is not to impress others with your bravery – your job is to provide optimal care to your patients.

Become an adult learner: During the first three years of medical school, learning was often clouded by the need to achieve high grades. As a resident and physician, your focus will shift to learning because you need to in order to provide optimal care to your patients. It is your professional responsibility to think of questions, look up answers, and read about topics that arise from the case of individual patients.

Communication: Talk with staff, nurses, consultants, primary providers, patients and families. Be open, kind and courteous.

Rounds Decorum: It is not appropriate to eat/drink/carry coffee during work rounds that include walks through patient care areas and patient rooms. Individual patients should not be discussed in public areas such as elevators and halls. Patients on rounds should be addressed by proper names, including patients who are delirious or have cognitive impairment. Derogatory comments about nonspecific patients or care issues (“diuresis” of the service) also should not be made.

Competency Driven Support Program

Academic Assistance

Our goal is that students should take responsibility for their own development and seek continuous improvement over the course of their careers. They should respond to constructive feedback from faculty and residents’ evaluations of their clinical skills and professionalism.


The School of Medicine provides academic assistance to students who have remediable academic difficulties.

Academic assistance includes tutoring, academic skill development counseling, and monitoring progress.

All academic assistance is coordinated through the Office of Student Affairs.


What is the Clinical Academic Resources Program?

Clinical Academic Resources (CAR) is a program to help students improve clinical, communication, and professional skills.  CAR provides counseling, resources, and remediation services for students in clinical courses.  Referrals can be made by students, advisor and faculty.  Additionally, students who meet certain performance criteria will automatically be referred.

What is the Competency Driven Support Program?

Any student who is underperforming in a clinical course in any competency will be advised as such by the course director, who will initiate an individualized Competency Driven Support Program for that student by submitting the appropriate request to Clinical Academic Resources.  The support plan will include specifics for remediation as well as a plan to assess if remediation has been achieved in the next course.


What is Academic Assistance?

Any student wishing to get help with study skills, test taking strategies or any other difficulty can contact our UNCSOM expert in educational psychology for help through the Academic Assistance Program.