Education Vice-Deans Medical Education Related Policies

The Faculty of Medicine operates in accordance with all policies, statements and agreements as set out by the University of Toronto’s Governing Council. A full listing of all Governing Council documents can be found at http://www.governingcouncil.utoronto.ca/policies.htm.

The Faculty of Medicine’s Faculty Council is empowered to develop basic documents such as policies, statements, and guidelines which are in accordance with the long-term goals of the Faculty and the University.

Every effort is made to ensure the accuracy of this website. However, in the event of any discrepancies between the policy documents approved by the authorizing committee within the Faculty and the versions published via this website, the former shall be the governing version.

In addition, all statements, standards, procedures, and other guiding documents adopted by the Faculty of Medicine will be reviewed and re-approved every four years or less by the responsible committee. Review by other relevant committees may also be warranted. The posted version of every document must display the date of initial adoption and the date of the most recent review and re-approval.

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Academic Records
Appeals
Assignment
Attendance and Absences
Appointments and Promotions
Courses and Curriculum - Curricular Design, Course Outcomes, Course Management, Teaching and Assessing Learners
Ethics, Conduct, Professionalism, Conflicts of Interest and Relations with Industry
Examination, Assessment and Promotion
Health, Safety and Rights
    Health, Illness and Injury
    Safety and Rights
    Teacher's Rights
Moonlighting
Privacy
Technology
Transfer

 

Academic Records
AR  

University of Toronto Information on the Application of the Freedom of Information and Protection of Privacy Act
This site outlines the implications of FIPPA on university activites and provides examples of the types of information that would or would not be accessible under the Act.  The full text of the Act can be found here.  (2006)

  All Faculty of Medicine
AR   Guidelines Concerning Access to Official Student Academic Records (PDF)
These guidelines are intended to to outline university-wide procedures and criteria for access, privacy, custody and retention of academic records of students. (2008)
  All Faculty of Medicine
AR   PDF iconAccess to Student Academic Records
Outlines the various levels of access to a student's record afforded to faculty and staff, students and others. (date unknown)
  UME
Appeals
APPE.   Academic Appeals Committee Terms of Reference 
Outlines the terms of reference for the constitution of Academic Appeals Committees  (2002)
  All Faculty of Medicine
APPE.   Policy on Academic Appeals Within Divisions (PDF)
Outlines the Governing Council policy on academic appeals including guiding principles, guidelines for divisions, the right of appeals, and implementation and monitoring (2005)
  All Faculty of Medicine
APPE.   Guidelines for Procedure - Faculty of Medicine Appeals Committee (PDF)
Outlines the Faculty of Medicine's appeals committee and procedures (2009)
  All Faculty of Medicine
Appointments
AP   Policy for Clinical Faculty (PDF)
This document outlines the Governing Council policy on clinical faculty (2005)
  All Faculty of Medicine
AP   Procedures Manual for Clinical Faculty (PDF)
A companion piece to the Policy for Clinical Faculty, this manual outlines the types of clinical academic appointments recognized by the University, the interface between practice plans and the University, academic freedom in the clinical setting, grievance processes and mechanisms for ensuring that relations among the University, clinical leaders and clinical faculty members remain collegial and effective. (2008)
  All Faculty of Medicine
AP   Guide to Clinical (MD) Part-time and Adjunct Appointments at University of Toronto (PDF)
This document is intended to help physicians, community affiliate hospitals and University Departments understand and manage clinical (MD) part-time and adjunct faculty appointments at University of Toronto (UofT). While written for community physician preceptors, it also applies to all clinical (MD) appointments. (2011)
  UME, PGME
Assignment
AS   Guidelines for the Assignment and Removal of Postgraduate Medical Trainees from Training Sites
Outlines the procedures and responsibilities of assigning residents to hospital placements (2012)
  PGME
Attendance and Absences
AA   Policy on Scheduling of Classes and Examinations and Other Accommodations for Religious Observances (PDF)
Governing Council policy outlining the policy and responsibility of students and University in accommodating for religious holy days. (2005)
  All Faculty of Medicine
AA   Guidelines for Accommodations for Religious Observances
Provides additional information for interpretation of the Policy on Religious Observances
  All Faculty of Medicine
AA   Regulations for student attendance and guidelines for approved absences from mandatory activities in UME (PDF)
Outlines preclerkship and clerkship regulations for mandatory or optional attendance for educational activities, including a listing of procedures for requesting or recording planned or unplanned absences. (2011)
  UME
AA   General Policy on Taking Examinations as Scheduled (PDF)
Outlines student responsibilities should they be unable to attend an examination. (date unknown)
  UME
AA   Standards for Course Hours and Student Self-Study Time in the Preclerkship (PDF)
Outlines expectations around hours and study time for preclerks. (2011)
  UME
AA   Standards for Call Duty and Student Workload in the Clerkship (PDF)
Outlines expectations around length of call and timing of handover post-call for medical students (2013)
  UME
AA   Guidelines for Residency Leaves of Absence and Training Waivers (PDF)
Provides guidance to program directors on a range of issues relating to leaves of absence taken during residency training including the granting of leaves, salary level implications, and impact on certification exam eligibility. (2009)
  PGME
Courses and Curriculum
CC   Required clinical experiences in the core clerkship rotations: Responsibilities of students, faculty, and UME curriculum leaders (PDF)
Outlines the principles of logging clinical experiences, description of requirements, the process for reporting and review of those experiences for clerkship students. (2011)
  UME
CC   Standards for ensuring the comparability of Student's Educational Experiences across sites (PDF)
Outlines the responsibility to ensure the comparability of the sites with respect to their ability to deliver the undergraduate curriculum and provide a positive environment for medical students. (2011)
  UME
CC   Statement on Course Director Meetings with Student Course Representatives (PDF)
Outlines the expectations as to the frequency of meetings and sharing of collected information by student course representatives. (2011)   
  UME
CC   Statement on Student Representation on UME Committees (PDF)
Outlines the committment to MD students on their participation in committees.(2011)
  UME
CC   Standards for Course Objectives, Course Outlines and Public Course Descriptions (PDF)
Outlines the standards govening the establishment, review, modification and monitoring of course objectives in the MD Program (2011)
  UME
CC   Statement on Deadlines for Course Scheduling (PDF)
In addition to University and Faculty requirements, this statement outlines the committment of the MD program of providing a shell and a detailed course schedule as well as the schedule for examinations. (2011)
  UME
CC   Guidelines and Protocols for Making Curricular Changes (PDF)
Outlines the responsibilities and protocols for making minor, moderate or major changes to the MD curriculum. (2011)
  UME
CC   Statement on Curricular Cooperation, Coordination and Integration (PDF)
This document how the curriculum is managed in UME. (2011)
  UME
CC   Expectations for the Review and Reporting of Curricular Outcomes (PDF)
This document highlights the responsibilites of curricular leaders for the review and reporting of outcomes of the UME curriculum. (2011)
  UME
CC   Length of International Electives and Selectives in UME (PDF)
This document guides the length of both Elective and Selective undergraduate medical education experiences taking place outside of Canada. (2013)
  UME
Ethics, Conduct, Professionalism, Conflicts of Interest and Relations with Industry
ETH   Code of Behaviour on Academic Matters (PDF)
A University Wide code outlining responsibilities of all parties in maintaining the academic integrity of the University. (1995)
  All Faculty of Medicine
ETH   Code of Student Conduct (PDF)
A University Wide code outlining responsibilities of all parties in maintaining the integrity of the University. (2002)
  All Faculty of Medicine
ETH   Policy on Ethical Conduct in Research (PDF)
A University Wide policy that outlines the expectations of the University community to uphold the highest standards of ethical conduct in every aspect of research including applications, proposals, the research itself, reports and publications. (1991)
  All Faculty of Medicine
ETH   University of Toronto Framework to Address Allegations of Research Misconduct (PDF)
A University Wide document that explains acts that are considered to be instances of research misconduct and provides the explanation of the process that addresses allegations of research misconduct (2006)
  All Faculty of Medicine
ETH
 
  Research Misconduct Framework Addendum - Procedures for Determining Jurisdiction in Complaints Involving Certain Non-University Institutions (PDF)
Provides a process for determining institutional jurisdiction over complaints of research misconduct made against persons to whom the Framework applies who have appointments at, and/or conduct their research in, affiliated institutions. (date unknown)
  All Faculty of Medicine
ETH   Standards of Professional Behaviour for Health Professional Students (PDF)
Describes the professional and ethical expectations of students in the health professions. (2008)
  All Faculty of Medicine
ETH   Standards of Professional Behaviour for Medical Clinical Faculty (PDF)
Describes the professional and ethical expectations of Clinical Faculty. (2009)
  All Faculty of Medicine
ETH   Principles Governing Relationships between Health Professionals, Health Professional Trainees and Industry within the Faculty of Medicine (PDF)
Describes the principles around interactions with industry for internal activities sponsored by the University of Toronto.  Activities for CME are covered by another policy. (2005)
  All Faculty of Medicine
ETH   Faculty of Medicine /Affiliated Institutions Guidelines for Ethics & Professionalism In Healthcare Professional Clinical Training and Teaching (PDF)
Provides guidance for all healthcare professional trainees and the clinical faculty or supervising clinicians in determining their rights and responsibilities when participating in clinical education. (2003)
  All Faculty of Medicine
ETH   Principles and Responsibilities Regarding Conduct of Research (PDF)
Provides the Faculty of Medicine’s principles for preventing research misconduct and outlines the responsibilities of Faculty members in conducting their research. (2002)
  All Faculty of Medicine
ETH   CPSO Policy on Professional Responsibilities in Undergraduate Medical Education (PDF)
Outlines the responsiblities of those professionals involved in MD training. (2012)
  All Faculty of Medicine
ETH   CPSO Policy on Professional Responsibilities in Postgraduate Medical Education (PDF)
Outlines the responsiblities of those professionals involved in PGME training. (2011)
  All Faculty of Medicine
ETH   CPSO Policy on Physician Behaviour in the Professional Environment (PDF)

Provides specific guidance about the profession’s expectations of physician behaviour, including a defintion and examples of disruptive behaviour (2007)

  UME and PGME
ETH   Relations with Industry and the Educational Environment in Undergraduate and Postgraduate Medical Education (PDF)
This document sets out standards that will provide best practices to ensure that relationships between the Faculty, and its academic units and members, and business entities (hereafter "industry") will be appropriate and transparent. The standards and measures for disclosure are intended to guide the conduct of faculty members and learners by managing potential conflicts to ensure an environment that protects the integrity and reputation of individuals and institutions. (2013)
  UME, PGME
ETH   Procedure for conflicts of clinical and educational roles (PDF)
Outlines the procedures to follow if a teacher is assigned to teach or assess a student for whom they presently or previously cared for as a patient, or if a teacher is asked to provide care for a current or former student. (2011)
  UME
ETH   Procedure for disclosure of potential commercial or professional conflicts of interest by UME teachers (PDF)
Describes when teachers are required to disclose potential conflicts of interest, financial or otherwise, and how they would go about doing so. (2011)
  UME
ETH   Protocol for UME Students to report mistreatment and other kinds of unprofessional behaviour (PDF)
Describes the protocol for students to report various types of mistreatment; note that in case of emergency, learners are advised to call 911. (2011)
  PGME
ETH   CEPD Policy on Support of University of Toronto Sponsored Continuing Education Activities from Commercial Sources (PDF)
Outlines the Faculty of Medicine's policies pertaining to the support of continuing education activities or resources by commercial supporters. (2004)
  CEPD
Examination, Assessment and Promotion
EAP   University Assessment and Grading Practices Policy (PDF)
A policy outlining principles and key elements that should characterize the assessment and grading of student work in for-credit programming (2012)
  All Faculty of Medicine
EAP   Policy on the Student Evaluation of Teaching in Courses (PDF)
Outlines and principles and parameters that govern the evaluation of courses at the University of Toronto (2011)
  All Faculty of Medicine
EAP   Standards for Grading and Promotion of Undergraduate Medical Students (PDF)

Serving as an adjunct to to the University of Toronto Grading Practices Policy, these standards describe the practices of the Undergraduate Medical Education program with regard to determining the standing of every enrolled student. (2012)

  UME
EAP   Rules for the Conduct of Written Examinations (PDF)
A list of rules for MD Students to follow during a written exam (date unknown)
  UME
EAP   Rules for the Conduct of OSCE Examinations
A list of rules for MD Students to follow during an Objective Structured Clinical Exam (date unknown)
  UME
EAP   Examination and Evaluation (PDF)
An outline of responsibilities for assessment in the MD Program (date unknown)
  UME
EAP   MD Grading System (PDF)
An explanation of the MD program's Pass/Fail system (date unknown)
  UME
EAP   General Regulation on Taking Examinations as Scheduled (PDF)
Outlines expectations of MD students for taking exams and who to contact should a student be unable to attend due to illness (date unknown)
  UME
EAP  

Guidelines for the Assessment of Undergraduate Medical Trainees in Academic Difficulty - Preclerkship (PDF)
Outlining definitions of, and policies and procedures for dealing with academic difficulty of a preclerk in the MD Program. (2010)

  UME
EAP   Guidelines for the Assessment of Undergraduate Medical Trainees in Academic Difficulty - Clerkship (PDF)
Outlining definitions of, and policies and procedures for dealing with academic difficulty of a clerk in the MD Program. (2010)
  UME
EAP   Guidelines for course directors on the follow-up and reporting of students in academic difficulty (PDF)Outlining directions to course directors for the steps to take once a student in difficulty has been identified (2011)   UME
EAP   Standards for timely completion of student assessment and release of marks (PDF)
Instructions for teachers or course directors outlining the four-week assessment deadline and/or six week final grade deadline. (2011)
  UME
EAP   Statement on the Timely Review of Student, Course and Teacher Evaluation Data and Other Outcome Measures (PDF)
Outlines the responsibilities of curricular leaders for the timely review of outcome measures such as evaluation data, course and component grades, surveys, or external results. (2011)
  UME
EAP   Standards for Student Review and Challenge of Examination and Assessment Outcomes (PDF)
Outlines the standards for MD students to request either/both informal and formal grade reviews.
  UME
EAP   Standards for the Disclosure of Component Marks and Final Grades to Students (PDF)
Outlines the standards for timing and format of disclosure of marks to students. (2011)
  UME
EAP   Statement on the value and use of student feedback in UME (PDF)
Outlines how UME leadership utilize feedback information from MD students. (2011)
  UME
EAP   Standards for monitoring student performance and completion of course requirements (PDF)
Outlines the requirements for course directors/curricular leads to monitor performance and to notify and respond to learners of any identified deficits (2011)
  UME
EAP   Expectations for the Provision of Narrative Feedback to Students (PDF)
Details the requirement to include narrative feedback to learners in every course or curricular theme (2011)
  UME
EAP   Guidelines for the Evaluation of Postgraduate Trainees (PDF)
Outlines the rules governing the evaluation of PGME Trainees, including procedures for remediation and dismissal. (2007)
  PGME
EAP   Guidelines for Supervision (PDF)
A CPSO document outlining the definition and role of a trainee supervisior, and provides examples of supervisory relationships (date unknown)
  PGME
Health, Illness and Injury
HII   COFM Immunization Policy (PDF)
Outlines required immunizations for MD Students. (2008)
  UME
HII   COFM Immunization Policy (PDF)
Outlines required immunizations for PGME Learners. (2010)
  PGME
HII   Guidelines for Clinical Sites re. Student Clinical Placements in an Emergency Situation (PDF)
This is a generic Health-sciences wide document to assist clinical sites with decision making relative to learners and related issues in an emergency event. (2010)
  All Faculty of Medicine
HII   Guidelines Regarding Infectious Diseases and Occupational Health for Applicants to and Learners of the Faculty of Medicine Academic Programs (PDF)
This document is intended to minimize the risk and impact of infectious diseases that may pose a threat to learners and those with whom they may come into contact. It is intended to address educational requirements on methods of prevention, outlines procedures for care and treatment after exposure, and outline the effects of infectious and environmental disease or disability on learning activities. (2013)
  All Faculty of Medicine
HII   Respiratory Protection Policy and Procedure for University of Toronto Faculty of Medicine Undergraduate Medical Students (PDF)
Describes the Mask-Fit policy for MD students and procedures to follow should a trainee be exposed to an airborne infectious agent. (2007)
  UME
HII   Protocol for incidents of medical student workplace injury and exposure to infectious disease in clinical settings (PDF)
Defines the roles and responsibilities of every party involved in the handling of incidents of student injury and potential exposure. (2011)
  UME
HII   UME Statement on access to preventative, diagnostic, and therapeutic health services for medical students (PDF)
Outlines the various options for medical students to seek care as well as provides an instructional diagram for what to do if in need of care. (2011)
  UME
HII   Council of Ontario Faculties of Medicine (UE-COFM) Blood Borne Pathogen Policy: Undergraduate Medical Education (PDF)
Describes the responsibilities of applicants, students and Faculties around awareness and requirements of protecting learners, colleagues, and patients with or from blood borne diseases. (2011)
  UME
HII   Protocol for UME Students to report mistreatment and other kinds of unprofessional behaviour (PDF)
Describes the protocol for students to report various types of mistreatment; note that in case of emergency, learners are advised to call 911. (2011)
  UME
HII   Blood and Body Fluid Exposure Policy (PDF)
Describes the "needle-stick' policy and reporting mechanisms for postgraduate trainees .(2002)
  PGME
Safety and Rights
SR   Sexual Harassment: Policy and Procedures (PDF)
The Governing Council document outlines the University of Toronto's policy and procedures regarding sexual harrassment. (1997) 
  All Faculty of Medicine
SR   Sexual Harassment Protocol involving Faculty and Students (PDF)
Outlines responsibilities and procedures for the handling of sexual harassment cases involving University faculty, students, trainees, or staff. (2004)
  All Faculty of Medicine
SR   Statement on Prohibited Discrimination and Discriminatory Harassment (PDF)
Explains how the University deals with prohibited verbal or physical harassment (1994)
  All Faculty of Medicine
SR   Terms of Reference for the Office of the University Ombudsperson (PDF) (Governing Council)  
Details the purpose and mandate of the University of Toronto's Ombudsperson.
  All Faculty of Medicine
SR   Essential Skills and Abilities Required for the Study of Medicine
Outlines essential technical abilities for applicants to and learners in medical education programs. (2003)
  UME
SR   Statement on Access to Preventive, Diagnostic, and Therapeutic Health Services for Medical Students (PDF)
Outlines types of and access points to health services for MD students. (2011)
  UME
SR   Protocol for UME students to report mistreatment and other kinds of unprofessional behaviour (PDF)
Supplements existing University’s documents where gaps exist, and makes explicit how harmful incidents should be reported by students and how they will be tracked. (2011)
  UME
SR   Medical Student Complaint Against a Resident (PDF)
Outlines the procedure on how a medical student would make a complaint against a resdient. (1998)
  UME, PGME
SR   Guidelines Addressing Intimidation and Harassment (PDF)
Defines harmful incidents which include intimidation, harassment, and unprofessional behaviour and outlines the process for postgraduate medical trainees to report complaints of harmful incidents involving themselves or other postgraduate trainees and initiate an investigation. (2013)
  PGME
SR   Resident Health and Safety Guidelines (PDF)
Provides PGME Trainees with information on the reporting and resolution of health and safety issues. (2013)
  PGME
SR   Resolution of Resident Disagreement with Attending Physician or Supervisor (PDF)
Provides examples of potential complaints or disagreements and the procedure for coming to a resolution.  This memorandum is embedded within the PGME Guidelines for Supervision document. (2002)
  PGME
Teacher's Rights
TR   Statement on the importance of faculty development for UME teachers (PDF)
Asserts UME's committment to ensuring its teachers have access to faculty development opportunities (2011)
  UME
TR   Standards for timely release of feedback to teachers and their Department Chairs in UME courses (PDF)
Asserts UME's committment to providing TES scores to teachers in a timely fashion (2011)
  UME
TR   Statement on the General Responsibilities of UME Teachers (PDF)
Outlines the expectations of teachers in UME to ensure an optimal teaching and learning experience. (2011)
  UME
TR   Statement on the Responsibility of Course Directors in the Orientation of UME Teachers (PDF)
Outlines the expectations of the course directors' communications with teachers and the requirements of the course leadership to its teachers. (2011)
  UME
Moonlighting
M   Royal College of Physicians and Surgeons of Canada Statement on Moonlighting (PDF)
This document outlines the RCPSC's principles on moonlighting but neither condemns nor condones the practice. (2002)
  PGME
M   Council of Ontario Faculties of Medicine (COFM) Policy on Resident Moonlighting (PDF)
This document asserts that the Faculties of Medicine in Ontario do not support resident moonlighting. (2004)
  PGME
M   College of Physicians and Surgeons of Ontario (CPSO) Policy on Residents Working Additional Hours for Pay
This document allows residents, in limited circumstances, to work for additional hours for pay outside of their training requirements. (2010)
  PGME
Privacy
P   University of Toronto Information on the Application of the Freedom of Information and Protection of Privacy Act
This site outlines the implications of FIPPA on university activites and provides examples of the types of information that would or would not be accessible under the Act.  The full text of the Act can be found here.  (2006)
  All Faculty of Medicine
P   Statement on Protection of Personal Health Information (PDF)
This statement sets out requirements to ensure that personal health information in our affiliated teaching sites' custody is properly protected. (2013)  
  UGME, PA, PGME, CEPD
P   Principles governing the use of Personal information in Undergraduate Medical Education (PDF)
Outlines two principles adopted by UME for the safeguarding of data, the non-disclosure of infomation and the separation of UME leadership roles with other decision-making positions (ie. conflict of roles). (2011)
  UME
Technology
TEC   Guidelines for Appropriate Use of the Internet, Electronic Networking and Other Media (PDF)
This document provides guidelines for medical trainees on the appropriate use of the internet while maintaining one's right of freedom of expression. (date unknown)
  UME and PGME
TEC   Statement on the Use of Electronic Learning Management, Records and Evaluation Systems Adopted by UME (PDF)
This document outlines the expectations of those who teach in Undergraduate Medical Education to use the requisite electronic/online system for functions such as record keeping, evaluations, course delivery or curriculum management.  (2011)
  UME
Transfer
TRA   Transfer of Residency Programs from program to program or from school to school (PDF)
This document outlines the principles and process for transfering between residency programs. (2011)
  PGME

 

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