Academic and Professional Policies

Academic Performance Standards & Grading Schema (ARC-PA Standard A3.14a)

A final course grade of 70% is required to pass each course in the didactic and clinical years.  Grades will be assigned based on the following grade scale.

Grade Scale & Grade Points

Percentage	Letter Grade	Grade Points	Performance Description
92% or above	A	4.0	Work of distinction; exceeds expectations
89.00-91.99%	B+	3.3	Work of very good quality; above satisfactory graduate performance
80.00-88.99%	B	3.0	Word of good quality; meets expectations for graduate-level performance
70.00-79.99%	C	2.0	Marginal work; below program standards and places students at risk
<70.00%	F	0	Fails to meet minimum standards

Performance in assessments is judged on the student’s ability to:

1. Acquire a strong clinical science knowledge base (exams, quizzes, OSCEs, skills testing).
2. Demonstrate self-directed learning and complete knowledge synthesis activities (assignments, discussion boards).
3. Apply clinical reasoning in case-based and scenario-based assessments (exams, OSCEs).
4. Engage actively in all required course activities.
5. Exhibit ongoing professional development.

Grade of Incomplete “I”

The temporary grade of “I” can only be awarded in cases where a student has completed and passed the majority of the work required for course completion, but, for reasons beyond the student’s control, cannot complete the entire course in the timeframe of the term enrolled. Incomplete grades are awarded at the discretion of the course director.  Incomplete grades should only be assigned when, in the course director’s judgment, it is feasible for the student to complete the coursework while not enrolled and without attending additional class meetings to complete course requirements. The course director will determine the time a student has to complete the required coursework, not to exceed 30 business days.  An Incomplete will not be given as a substitute for a failing grade or because a student failed to complete assignments over the course of the academic term. To award a grade of “Incomplete,” a course director completes a Request to Receive an Incomplete Course Grade Form (found on MyCSU) and submits it to the Office of the Registrar.

A grade of “I” will be factored into a student’s grade point average with hours carried and no quality points.  If the student fails to complete the required coursework within the allotted time, the grade of “I” will be converted to an “F” and will remain permanently on the transcript. Failing a course is grounds for program dismissal.

Special Accommodations & Accessibility Services

If any student thinks he/she may need accommodations for a course, that student should contact the Accessibility Services Department of CSU Student Success, which is located on the 2^nd floor of Rivers Library.  Guidelines, applications, documentation, and consent forms, along with additional resources regarding the requirements/procedures, are located on the Accessibility Services’ website, or the student may wish to contact the office at 843-863-7159 to initiate registration for accommodations.

Approval of accommodations is only granted by CSU Accessibility Services. Once a student has been approved to receive accommodations through Accessibility Services, the student must contact and coordinate such accommodation requests with each course director individually during office hours to discuss the accommodations approved by CSU Accessibility Services.  Please visit the CSU Accessibility Services website for additional information about this process.

Academic Standing & Adverse Academic Actions (ARC-PA Standard 14a,f)

Good Academic Standing

Good academic standing is defined as earning a semester GPA of 3.0 or above.

Academic Probation

A student is subject to academic probation for the following reasons:

1. Earning one final course grade of “C.”
2. Earning a semester GPA less than 3.0.
3. Receiving one professionalism violation.
4. Egregious professional behavior, as deemed by the Academic & Professionalism Progress Committee (APPC).
5. Earning below 70% on any clinical year assessment (Preceptor Evaluation of Student, EOR exam).

Academic Dismissal

A student is subject to academic dismissal from the program for the following reasons:

• Earning one final course grade of “F”, defined as earning less than 70%.
• Failing to achieve a cumulative GPA of 3.0 or higher at the end of the didactic year (Unit 5).
• Being placed on academic probation for two semesters.
• Receiving three professionalism violations.
• Egregious professionalism behavior, as deemed by the Academic & Professionalism Progress Committee (APPC).
• Earning below 70% on a second Preceptor Evaluation of the Student.
• Failing to achieve a score of 75% or higher on the Summative Evaluation after the maximum allocated remediation attempts.

*NOTE: Some professional policy violations may be so egregious that citation/violation or probation will be skipped in lieu of program dismissal. Examples may include:

• Conviction of a crime that precludes the student from participating in clinical education
• Falsifying admissions documents.
• Blatant HIPAA violation.
• Attending to patient care while impaired/under the influence of drugs or alcohol.
• Dismissal from a clinical practicum experience by a preceptor or healthcare system.

All PA students have the right to appeal decisions related to academic or professionalism performance. Please refer to the ACADEMIC & PROFESSIONALISM GRIEVANCES & APPEALS section of the PA Student Handbook for the appeals procedures.

Academic Probation (ARC-PA Standard 14a,f)

The criteria for academic probation are outlined above.

Academic probation is a formal designation indicating that a student’s academic or professional performance is below program standards.  Its purpose is to (1) alert the student to the seriousness of their standing, (2) provide structured support for performance improvement, and (3) identify students at risk of dismissal for failing to meet instructional objectives, course outcomes, or progression requirements.

The Director of Didactic Education (DDE) or Director of Clinical Education (DCE) will issue a formal letter detailing the reason for the probation, conditions for improvement, and the steps required to return to good academic standing. Copies are sent to the Program Director, APPC Chair, academic advisor, and the Registrar’s office for inclusion in the student’s permanent record.

Upon being placed on probation:

1. The DDE or DCE, the academic advisor, and the student must meet within the first week of the regularly scheduled class after receipt of such a letter to review the student’s status, expectations, and a plan for improvement.
2. Documentation from this meeting, including identified deficiencies, remediation plans, expected outcomes, timelines, and consequences, must be entered into the student’s academic records.
3. The student must meet regularly with their academic advisor to monitor progress; the frequency of meetings will be determined at the sole discretion of the advisor.
4. The student must meet regularly with the course director for any course in which satisfactory performance has not been achieved; the frequency of such meetings will be determined at the sole discretion of the course director.
5. The student must complete all requirements outlined in 4.5 – Remediation, as applicable to the circumstances of academic probation.
6. The student’s academic advisor must approve participation in extracurricular or campus activities during the probationary period.
7. Academic probation is disclosed in any final verifications of training, employment letters, state medical licensure applications, and other official program references.

A student may be removed from probation at the discretion of the Academic and Professionalism Progress Committee (APPC) when the following criteria are met:

1. Successful completion of the subsequent grading period without earning any grades below a “B” and maintaining a cumulative GPA of 3.0 or higher
2. Demonstration of significant improvement and remediation of professionalism discrepancies or substandard performance.

When probation is lifted, the DDE or DCE issues a formal letter of removal, with copies sent to the Program Director, academic advisor, and Registrar’s office.

If a student fails to demonstrate satisfactory improvement or complete the terms of remediation, the matter is referred to the APPC for review and consideration of dismissal from the program, in accordance with the program’s Progression Requirements.

Progression Requirements (ARC-PA Standard A3.14a)

Given the sequential nature of the curriculum, students are expected to complete each unit/semester on time as a cohort. Progression is a function of successfully passing all required coursework in a unit, and the coursework for the unit will serve as the prerequisite for the following unit.

Students may progress within the PA program when in good academic standing. The ability to progress in the program is subject to the discretion of the Academic and Professionalism Progress Committee (APPC).

If a student is remediating a course or component, they may progress to the next unit at the APPC’s discretion.

If a student is subject to disciplinary action under the professionalism policy, their status is reviewed at the conclusion of each academic unit by the APPC, which will determine whether the student should be placed on academic probation or permitted to progress in the program.

For a student to progress from the didactic year into the clinical year, they must meet both of the following:

1. Be in good academic standing, defined as achieving a cumulative GPA of 3.0 or higher, at the end of Unit 5
2. Be recommended for advancement by the APPC.

*A student who is denied progression may appeal the denial by submitting a written letter of appeal to the Academic and Professionalism Progress Committee (APPC)  within seven (7) business days of receiving written notification of the denial.

The Program Director is responsible for confirming a student’s eligibility to sit for the Physician Assistant National Certification Exam (PANCE) following graduation. Such eligibility is based on successfully completing the program’s curricular requirements and the APPC’s positive recommendation on such student’s preparedness for the exam.

Remediation Policy (ARC-PA Standard A3.14c)

To meet program expectations and graduation requirements, all students must demonstrate competency in knowledge, skills, and professional attributes. Student progress is continuously monitored and documented to identify deficiencies that may place a student “at risk.” The ARC-PA defines remediation as “the program-defined process for addressing deficiencies in a student’s knowledge and skills, such that the correction of these deficiencies is measurable and can be documented.” It provides structured opportunities for students to address unsatisfactory performance and achieve established learning outcomes, including additional training, supervision, or educational support beyond the standard instruction provided to the cohort.

The purpose of remediation is to:

• promote early identification of deficiencies
• ensure timely intervention
• allow students to demonstrate mastery of content and readiness for clinical practice

All remediation activities must be measurable, documented, and completed within the parameters established by the program, and must be completed within two weeks of the original assessment unless otherwise approved and documented on the appropriate Remediation Form, which is placed in the student’s academic file.

Failure to successfully remediate will result in referral to the Academic and Professionalism Progress Committee (APPC) and additional program action, up to and including the recommendation of dismissal from the program. If dismissal is supported by the Program Director, the student may file a formal appeal in accordance with the Academic Appeals Policy.

Didactic Phase Remediation:

Earning 80% or higher indicates a PA student is performing at a level that meets expectations for graduate-level performance. Scores below 80% indicate performance that falls short of program standards, and the student is “at risk.” Scores under 70% reflect failure to meet minimum standards of success and require formal intervention.

The course director is responsible for initiating and completing documentation.

Within 24 hours of grades being posted, didactic students scoring below 80% must 1) complete the Didactic Phase Remediation Form and submit it to the course director (or designee), and 2) arrange the remediation meeting. The course director (or designee), in consultation with the Director of Didactic Education (DDE), will develop a remediation plan that documents the 1) nature of the deficiency, 2) assigned remediation plan/activities, 3) timeline for completion (including reassessment, if indicated), and 4) expected outcomes.

The student’s advisor will be kept informed, and the student is responsible for completing assigned activities and maintaining documentation under faculty oversight. Faculty must verify that the remediation outcomes have been met within the designated timeframe.

Remediation activities may include, but are not limited to:

• Reading and study assignments
• Written self-reflection
• Written analysis of selected exam items with references/citations
• Individual skills training or faculty-led tutoring

Each remediation plan becomes part of the student’s permanent academic record and must be signed by both students and faculty to acknowledge expectations and timelines. Documentation must detail the completed learning activities, and faculty must assess and document the student’s ability to meet the learning outcome(s) within the designated time frame as outlined in the plan.

The course director and the DDE confirm successful completion. Failure to fulfill all terms of the remediation plan may result in adverse actions.

Successful remediation does not alter course grades unless explicitly stated in the syllabus.

The program uses a tiered approach to ensure consistency and proportionality in remediation. This framework escalates from faculty-directed support to formal review by the Academic and Professionalism Progress (APP) Committee if deficiencies persist. See Appendix XX for the remediation flowchart outlining this process.

Remediation Tiers

Tier / Criteria	Criteria	Process & Requirements
Tier 1: Supervised Self-Reflection	75–79.99%	Student receives and completes the Self-Reflection section of the Didactic Year Remediation Form. Student meets with the course director, instructor, or designee to review responses, discuss areas of weakness, and identify strategies/resources. Course director or designee documents outcomes on the Didactic Year Remediation Form. No reassessment is required for Tier 1 remediation.
Tier 2: Remediation with Mastery Demonstration	70–74.99%	Tier 1 steps are completed. Course director notifies the Director of Didactic Education. Course director develops a tailored remediation plan, documented on the Didactic Year Remediation Form. Student completes assigned remediation tasks. Course director meets with the student to confirm mastery of content. All documentation is filed in the student’s academic record.
Tier 3: Remediation with Reassessment	Below 70%	Tier 1 and Tier 2 steps are completed. A formal reassessment is required to verify mastery of content. A student is permitted up to two reassessment attempts: Attempt 1: Must be scheduled and completed within two weeks of the original assessment unless otherwise approved. Attempt 2: May be authorized by the APP Committee, in consultation with the Program Director, if mastery is not achieved after the first attempt. A minimum passing score of ≥70% is required to demonstrate mastery. The maximum recorded grade for any remediated assessment is 70%, regardless of the score earned. Failure to achieve ≥70% after the second reassessment will result in referral to the APPC for dismissal review. Didactic Year Remediation Form is completed, signed by the student and placed in the student’s academic record.

Oversight and Documentation

The Didactic Year Remediation Form will serve as the official record of all remediation activities (self-reflection, remediation plans, mastery demonstration, and reassessment outcomes).

• For all Tier 2 and Tier 3 remediation records:
• DDE & Program Director must review and sign
• Documentation of Tier 2 and 3 remediation will be maintained in the student’s permanent academic file.

Clinical Phase Remediation:

The remediation process for the clinical year takes into account the unique characteristics of the clinical year. The Clinical Phase Remediation Form will be used to document the remediations and will be maintained in the student’s permanent academic file.

Rotation Assignment:

A student who earns less than 75 % on the rotation assignment is required to participate in an informal remediation plan outlined by a member of the clinical education team.

EOR Exam or OSCE

A clinical year student who scores below 70% on a clinical year assessment, including an End of Rotation (EOR) exam or OSCE, will be required to remediate as follows:

1. EOR Exam
   1. A student will be allowed one attempt to remediate the EOR exam with a minimum passing score of 70%.
   2. The final grade on any remediated EOR Exam may not exceed 70 %, regardless of the score earned.
2. OSCE
3. A student will be allowed one attempt to remediate the OSCE with a minimum passing score of 70%.
4. The final grade on any remediated OSCE may not exceed 70 %, regardless of the score earned.

Preceptor Evaluation of the Student

Rotation remediation will be required if their Preceptor Evaluation of the Student is below 70% OR their overall course grade is below 70%. A student may remediate only one clinical course/rotation during the clinical phase of the program.

1. The student will be required to repeat the rotation in its entirety, including all associated assignments and assessments, which will result in a delay in program completion and graduation.
2. The grade of record will be an I (incomplete) until the student successfully remediates the course. A change of grade request will be completed to reflect the course grade.
3. Regardless of the student’s overall remediation grade average, the highest course grade adjustment awarded is a C.

Category/Criteria	Process and Requirements
Rotation Assignment <75%	Student will participate in an informal remediation plan outlined by a member of the Clinical Education team.
End of Rotation (EOR) Exam <70%	Student is allowed one attempt to remediate the EOR Exam. Minimum passing score: 70%. Final grade on remediated EOR Exam may not exceed 70%, regardless of the score earned.
Objective Structured Clinical Exam (OSCE) <70%	Student is allowed one attempt to remediate the OSCE. Minimum passing score: 70%. Final grade on remediated OSCE may not exceed 70%, regardless of the score earned.
Preceptor Evaluation of the Student <70%   OR   Overall Course Grade <70%	Rotation remediation is required if the Preceptor Evaluation is below 70% or overall course grade is below 70%. A student may remediate only one clinical course/rotation during the clinical phase. Student will repeat the rotation in its entirety, including all associated assignments and assessments. Rotation remediation will result in a delay in program completion and graduation. Grade of record will be an Incomplete (I) until remediation is successful. Upon successful remediation, a change of grade request will reflect the updated course grade. The highest grade adjustment possible for remediated clinical courses is a C.

Summative Assessment Remediation:

Students must earn a grade of 75% or higher on all aspects of the summative assessment. The Summative Assessment Remediation Form will be used to document the remediations and will be maintained in the student’s permanent academic file.

Students earning a grade of less than 75% on any assessment item must remediate and successfully meet the student learning outcome reassessment with 75% or higher to graduate from the program.

Students will have two (2) additional attempts to earn a grade greater than or equal to 75% on the summative evaluations.  It is important to note that the timing of remediation for this process may delay graduation.

A student who fails to earn a grade above 75% after the maximum allocated attempts will be dismissed from the program.

Deceleration Policy (ARC-PA Standard A3.14d)

The CSU PA program curriculum is designed to be delivered on a full-time basis to students in a cohort.  The program must be completed on a full-time basis, and students are not eligible to opt into deceleration. Program policies may result in program-required deceleration for an approved leave of absence, as outlined below.

Leave of Absence Policy (ARC-PA Standard A3.14d)

Students seeking a leave of absence from the CSU PA Program must submit a written request to the Academic and Professionalism Progress Committee (APPC) and the Program Director to obtain permission.  Acceptable leave of absence requests are considered for personal, financial, or medical reasons and are not typically granted for academic reasons.

Didactic Year:

For students requesting a leave of absence during the didactic year, the Academic and Professionalism Progress Committee (APPC) will make a recommendation to the Program Director, who will make the final decision regarding whether the leave of absence should be approved and the contingencies of returning to the program if approved. Students will either be required to return to the program in January or the semester after the one they most successfully completed.

Clinical Year:

For students requesting a leave of absence during the clinical year, the Academic and Professionalism Progress Committee (APPC) will make a recommendation to the Program Director, who makes the final decision regarding whether the leave of absence should be approved and the contingencies of returning to the program if approved. Students will return to the program within one (1) year from the date their leave of absence commenced and may not be permitted to complete The Graduate Project II coursework with their current cohort.

Additional Considerations:

1. Students may only be granted one leave of absence for the program duration.
2. A leave of absence may be no more than one year in length.  Anyone requiring longer than one year must reapply for the program, and their application will be treated in the same manner as all other applicants at that time.
3. A leave of absence will delay program completion, graduation, and registration for the Physician Assistant National Certifying Examination (PANCE).
4. If the leave of absence is granted, a date will be established by which the student must notify the program of their intent to resume the program.
   1. Any student granted a leave of absence for a medical reason will be required to provide documentation from their medical provider so that they may return to the program with their intent to resume letter.
5. A student with a leave of absence must complete a unique CSU application for readmission to be registered for courses and receive Financial Aid.
6. Any student granted a leave of absence will be required to complete a new background check and urine drug screen, which will be subject to the same review as other PA program matriculants within said cohort.
7. A student granted a leave of absence may choose to audit courses in the program leading up to their return to the program but will be required to comply with university course auditing fees. Any associated financial burdens shall be the sole responsibility of such student.
8. The ability of a student to return to the program outside of a January start will be contingent on the approval of the ARC-PA. Should the ARC-PA deny the program’s application to exceed class size, the student will be unable to continue in the program.
9. A student denied a leave of absence by the Program Director may not appeal this decision.

Withdrawal Policy (ARC-PA Standard A3.14e)

Withdrawal by Request of the Student

Students may initiate voluntary withdrawal from the program at any time by submitting a formal letter of resignation to the Program Director.  It is strongly recommended that students first meet with their academic advisor and the Program Director before initiating the withdrawal process.

To officially withdraw from CSU, students must complete the Withdrawal Form available through MyCSU under Forms. The form must be submitted online while the student is logged into MyCSU. Once the required documentation is submitted, the Office of the Registrar will process the withdrawal and remove the student from any current and/or future enrollments.

Students remain responsible for tuition and fees according to the Tuition and Fees Policy, which can be found on the CSU PA program website. All financial obligations and the return of any university property must be satisfied to avoid administrative “holds” on the student’s academic records. Such holds may delay transcript requests or prevent future course registration.

As part of the withdrawal process, CSU will request student feedback regarding the reason for withdrawal and any contributing factors to support continuous improvement of student services.

Due to the sequential nature of the PA program curriculum, withdrawal from individual courses is not permitted, as it would prevent students from meeting the established progression requirements.

Withdrawal by Request of the Program

CSU reserves the right to require the withdrawal of a student whose conduct, general attitude, and/or influence are considered harmful to the university. Such administrative withdrawals or suspensions are handled through the Program Director, the Dean of the College of Health Sciences, and the Provost.

Academic & Professional Grievances & Appeals Procedures (ARC-PA Standard A3.14g-h)

The following procedures outline the appeals processes for academic and professionalism grievances within the CSU PA Program. These procedures are adapted from university policy to reflect the distinctive structure, sequencing, and progression standards of the PA curriculum. The appeals are organized in order of increasing scope and severity, beginning with individual course matters and progressing to program-level standing and dismissal.

• Students are expected to use the Academic & Professionalism Grievance Appeal Form for the written appeal process.
• If a student files an appeal outside a major term and the course director or Program Director is unavailable, all timelines will begin on the first day of the following major term. In unusual or extreme circumstances, the provost will determine the timeliness of the process.
• During the appeals process, the student may continue to attend the class in which the violation occurred.

Course Grade Appeal Procedure

1. Initial Appeal to Course Director: The first level of appeal for a final course grade is to the instructor or course director. The student must submit a written appeal through the completed Academic & Professionalism Grievance & Appeal Form within ten (10) days of the grade posting, stating the reason for dissatisfaction. The instructor will explain the grading basis during a meeting (in person or virtual) scheduled within ten (10) days of the request. If the instructor does not respond within thirty (30) days, the student may appeal directly to the DDE or DCE. Failure of the student to attend the scheduled meeting ends the appeal process. If the course director fails to respond to the student’s appeal request within ten (10) days, the student will appeal to the DDE or DCE.
2. Appeal to Program Director: If dissatisfied after the initial meeting, the student may submit the completed Academic & Professionalism Grievance & Appeal Form to the Program Director within five (5) days. The appeal must state the reasons for dissatisfaction and the desired resolution. The Program Director will notify the student, faculty member, and Registrar of the decision within ten (10) days. If no reasonable cause is found, the appeal may be denied without further review.
3. Ad Hoc Review Committee: If the Program Director determines reasonable doubt exists, an ad hoc committee of three qualified faculty will be appointed within ten (10) days. The committee will issue a written decision within ten (10) days of convening and provide copies to the Program Director, instructor, and student.
4. Final Appeal to Graduate Council: After exhausting all program-level remedies, the student may appeal to the Enrollment Subcommittee of the Graduate Council within ten (10) days. The committee cannot alter the grade but may recommend a reexamination, additional assignment, or further investigation.

Academic Integrity Violation Appeal Procedure

1. Initial Appeal to the Program DirectorA student appealing an academic integrity violation must submit a written appeal through the completed Academic & Professionalism Grievance & Appeal Form to the Program Director within ten (10) class days of receiving the Academic Violation Form. The appeal must specify the reasons for disputing the charge or penalty. If the Program Director issued the violation, the appeal should be directed to the dean of the College of Health Sciences.
2. Program Director Review: The Program Director will review the appeal and issue a written decision within ten (10) class days. If no reasonable cause is found, the appeal may be denied. If reasonable doubt exists, the Program Director will meet with the student and instructor before issuing a final decision. If the appeal is upheld, the Program Director may direct the Registrar to remove the Academic Violation Form from the student’s record.
3. Academic Integrity Appeals Committee Appeal: A student dissatisfied with the Program Director’s decision may forward the written appeal (Academic & Professionalism Grievance & Appeal Form) to the Academic Integrity Appeals Committee within ten (10) class days. The Committee will review the appeal and issue a written decision within fifteen (15) class days. The Committee may (1) deny the appeal, (2) reduce penalties in extenuating circumstances, or (3) direct removal of the Academic Violation Form from the student’s record. All committee outcomes are reported to the Program Director, the Dean of the College of Health Sciences, the Dean of Students, and the Provost.  The Committee’s decision is final.

NOTE: The Academic Integrity Appeals Committee consists of five members: three (3) faculty and two (2) graduate students from different graduate programs, all appointed by the Program Director, as needed. If a committee member is unavailable, directly involved in the case, or must recuse themselves, the Program Director will appoint a replacement.

Professionalism Violation Appeal Procedure

1. Initial Appeal to the Program Director: The student must submit a written appeal through the completed Academic & Professionalism Grievance & Appeal Form to the Program Director within ten (10) class days of receiving the violation, stating the reasons for the dispute. If the Program Director issued the violation, the appeal should be directed to the Dean of the College of Health Sciences.
2. Review by Program Director: If the Program Director finds no reasonable cause, the appeal may be denied. If reasonable doubt exists, the Program Director will meet with the student and instructor and issue a decision within ten (10) class days. If upheld, the Program Director may request that the violation be removed from the student’s record.

Academic Probation Appeal Procedure

1. Initial Appeal to Program Director
   To appeal an academic probation notice, the student must submit a written appeal through the completed Academic & Professionalism Grievance & Appeal Form to the Program Director within ten (10) class days of receiving the notification. The appeal must clearly state the reasons for the dispute and any supporting information. If the Program Director issued the probation notice, the appeal should be directed to the Dean of the College of Health Sciences.
2. Program Director Review
   The Program Director will review the appeal and notify the student and relevant faculty in writing within ten (10) class days. If reasonable cause exists, the Program Director will meet with the student and faculty and issue a written decision. If not, the appeal may be denied without further action.
3. Academic Appeals Committee
   A student dissatisfied with the Program Director’s decision may forward a written appeal (Academic & Professionalism Grievance & Appeal Form) to the Academic Appeals Committee within ten (10) class days. The committee will issue a written decision within fifteen (15) class days and may uphold, rescind, or modify the probation. All committee outcomes are reported to the Program Director, the Dean of the College of Health Sciences, the Dean of Students, and the provost. The committee’s decision is final.

Dismissal Appeal Procedure

1. Initial Appeal to Program Director
   A student appealing a program dismissal must submit a written appeal through the completed Academic & Professionalism Grievance & Appeal Form and request an interview with the Program Director within ten (10) days of receiving the dismissal letter. The meeting must occur within ten (10) days of the request to review the reasons for dismissal and grounds for reconsideration.
2. Appeal to Ad Hoc Committee
   If reasonable doubt exists regarding an error or malfeasance, the Program Director will appoint a three-member ad hoc committee within ten (10) days to review the case. The committee will issue a written decision to the student, instructor, and Program Director within ten (10) days.
3. Appeal to the Faculty Appeals Committee
   A student dissatisfied with the committee’s decision may forward the appeal to the Faculty Appeals Committee within ten (10) days. While the committee cannot overturn a dismissal, it may recommend that the academic dean investigate the process if procedural violations are identified. The dean’s decision is final.

All final appeal decisions will be reported to the student, the Program Director, the instructor/course director (when applicable), the Dean of the College of Health Sciences, the Dean of Students, and the Provost. 

Graduation Requirements (ARC-PA Standard A3.14b)

To graduate from the CSU PA Program and be awarded a Master of Medical Science in Physician Assistant Studies, a student must:

1. Successfully complete all coursework within five academic years according to university and program-defined academic standards.
2. Achieve a minimum cumulative GPA of 3.0 at program completion.
3. Successfully pass all components of the Summative Evaluation within four months of graduation, demonstrating all Program Learning Competencies (PLCs) have been mastered.
4. Be in good professional standing with the program.
5. Complete the CSU graduation application process.
6. Complete the payments of tuition, program fees, graduation fees, and outstanding university fees or library charges.

It is the student’s responsibility to ensure all degree requirements have been met to qualify for graduation. A graduating student must apply for their degree through the Registrar’s Office no later than the start of their final semester preceding said graduation.

Health Insurance & Financial Responsibility

Before enrollment, all students must provide proof of health insurance through a third-party agency selected by the program.  Proof of health insurance must be updated through the third-party agency upon policy renewal or if there is a change in coverage. This health insurance policy must remain active throughout each student’s involvement in the PA program.  Failure to do so is grounds for dismissal. The financial burden of such insurance is the sole responsibility of the individual student.

CSU does not have medical staff or a first-aid dispensary. However, for minor injuries such as cuts and abrasions, the University maintains a well-stocked first-aid kit in the Residence Life Office on the second floor of the Student Center. All Residence Life and Campus Security personnel are trained in basic first aid and CPR. First aid assistance may be obtained at any time by contacting Campus Security.

In addition, Trident Regional Medical Center, with emergency room facilities, is located across the street from campus at 9330 Medical Plaza Drive, North Charleston, SC 29406.

Students are neither employees of Charleston Southern University nor the clinical rotation site; therefore, payment for medical evaluation, treatment, and care is the sole responsibility of each student and their insurance carrier for any care needed while in the program. Each student must carry their own health insurance throughout their enrollment in the program.

Student Health Records & Release Form

The PA program contracts a third-party agency to record and certify student health records required for the program.  Such an agency will notify the program of each student’s up-to-date immunization status. All forms and health records must be submitted to this agency by the students and not to the CSU PA program.  The PA program requires students to sign a release form allowing CSU to provide preceptors with the status or results of immunizations, TB screenings, drug screenings, background checks, and other necessary documentation. This release form and documentation that the student has met program health screening and immunization requirements will be maintained in the student’s file.

Student Immunizations & TB Screening Policy (ARC-PA Standard A3.09a)

The program aligns its vaccination recommendations with those routinely advised by the CDC, particularly for healthcare personnel, and with the onboarding requirements of our clinical partnerships.  TB screening and documentation of vaccine/immunity status are required for enrollment and continued progression in the CSU PA Program.

TB screening and immunization/immunity documentation must be dated, signed, or stamped by a healthcare provider or office before submission to the designated third-party health record service. The pre-enrollment deadline for submission of vaccine and immunity documentation and TB screening is December 1.

The following tables summarize the immunization and TB screening requirements for enrollment and progression in the CSU PA Program. While these requirements align with CDC guidelines for healthcare workers, they are subject to change or update based on clinical site policies.

Students are solely responsible for any healthcare-related costs incurred while enrolled, even when following policy requirements.

Immunization Requirements

Vaccine/Test/Timing	Requirement	Notes/Alternatives
MMR (Measles, Mumps, Rubella)	Two doses at least 28 days apart, OR Positive MMR titer demonstrating immunity	If negative titer, repeat 2-dose series. Titer not needed if 2 doses are documented.
Varicella (VZV) Pre-enrollment requirement	Documentation of 2 doses ≥28 days apart, OR Positive varicella (VZV) titer test demonstrating immunity, OR Healthcare provider-confirmed history of varicella or herpes zoster	Negative titer:  must receive 2 doses, 4 weeks apart. US-born before 1980 still must provide evidence.
Tdap/Td Pre-enrollment requirement, but may require updates	One Tdap within the past 10 years	If 10+ years, obtain Tdap or Td booster.
Influenza (Flu) Pre-enrollment requirement with required updates	Proof of annual flu vaccine for the current influenza season Receipt from pharmacy Note from healthcare provider	Required 3 times: Pre-matriculation Clinical year preparation Completion of clinical year Typically obtained in Sept/Oct annually Alternate vaccines are available for individuals with egg allergies.
Hepatitis B Pre-enrollment requirement	Proof of completed vaccine series, AND Positive quantitative Hep B titer (anti-HBs or HBsAb) showing immunity	If negative, repeat the CDC-recommended series AND titer 1 month after the last series dose. After 6 doses AND 2 negative titers, the student is a ‘non-responder,’ and must notify the program.
COVID-19 Pre-enrollment requirement	CDC recommends healthcare workers receive an updated 2024–2025 Moderna, Pfizer-BioNTech, or Novavax Unvaccinated students are encouraged to initiate the vaccination process before matriculation.	Lack of the vaccine may prevent clinical year placement at specific sites. Alternate placements are not guaranteed, which could prevent clinical year completion, delay graduation, or prevent program completion.

Vaccine Exemption Statement: Certain clinical partners may grant a vaccine exemption on medical or religious grounds, subject to site approval. Sites are not required to accept exemptions.  Students are responsible for requesting and securing exemption approval directly from the clinical site.

The CDC recommends screening all U.S. healthcare personnel for tuberculosis (TB) upon hire (i.e., preplacement). TB screening is a process that includes baseline individual TB risk assessment, TB symptom evaluation, a TB test (e.g., TB blood test or a TB skin test), and additional evaluation for TB disease as needed. Furthermore, the clinical partners of the CSU PA program have strict requirements for clinical year PA students because of the increased risk of exposure to TB as a healthcare worker. The program aims to comply, which is reflected in the TB screening requirements below. More information on the CDC recommendations on TB screening/testing frequency for healthcare personnel can be found here (https://www.cdc.gov/tb-healthcare-settings/hcp/screening-testing/frequency.html).

TB Screening Requirements

Pre-enrollment Requirements	Accepted students must complete a 2-step PPD, valid only for one year from the 2nd test. Another 2-step PPD will be required for clinical year preparation requirements.
Clinical Year Preparation Requirements	All PA students must complete a 2-step PPD, valid only for one year from the 2nd test.  Another 2-step PPD may be required to complete the clinical year. **Many clinical sites require TB testing completed within 30 days of a rotation start date. Additional testing may be necessary to meet site-specific requirements.
Additional Guidelines:	Positive PPD: Submit a clear chest X-ray during clinical year preparation, and again six months later, depending on clinical site policies. TB Blood Test (QuantiFERON®-TB Gold Plus or T-SPOT®.TB) A negative TB blood test may be acceptable in lieu of the 2-step PPD, unless otherwise specified by a clinical site Mandatory for individuals who previously received the BCG vaccine.

NOTE: Clinical sites and preceptors may require additional vaccinations and documentation, and the financial burden of any and all such vaccinations and/or documentation shall remain the sole financial responsibility of the individual student.

International Electives & Global Missions Trips (ARC-PA Standard A3.09b)

Students participating in international elective rotations or global mission trips must adhere to the CDC Travelers’ Health recommended immunizations and health guidelines for travelers. Compliance with these guidelines ensures the safety and well-being of the students and the communities they serve and is mandatory for participation in our international programs. Visit the CDC Travelers’ Health page for more information.

PA Faculty & Medical Care During Enrollment (ARC-PA Standard A3.06)

The Program Director, Medical Director, and principal faculty WILL NOT participate as healthcare providers for students enrolled in the program except in an emergency situation.

The CSU PA program adheres to guidelines issued by the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA) regarding exposure to infectious and environmentalhazards.

Exposure to bloodborne pathogens and hazardous substances is a known risk for all healthcare providers and students in clinical training. The program provides specific training on infectious and environmental hazards before any educational activities that may place students at risk for exposure.

During the clinical year, students must familiarize themselves with the specific policies and procedures of each clinical site regarding standard precautions, exposure control, and reporting requirements.

When an injury or exposure to blood, body fluids, or hazardous materials occurs, either in the laboratory or at the clinical site, the incident must be immediately reported to the appropriate person after initial first aid and safety procedures have been completed. Failure to report an accident or injury promptly may result in disciplinary action, up to and including dismissal from the program

On-Campus Exposure Procedures (ARC-PA Standards A3.05b-c)

• If an incident occurs in the laboratory or classroom setting, the affected student(s) must immediately notify the instructor.
• The student(s) should go to Trident Medical Center (9330 Medical Plaza Drive, N. Charleston, SC 29406) for evaluation and treatment, if indicated. All medical expenses are the financial responsibility of the affected student(s).
• The incident must be reported to the DDE via the Incident Report Form within 48 hours of the
• For anatomy laboratory-specific exposure, refer to the College of Health Sciences Human Anatomy Lab Policies and Procedure Manual.

Off-Campus Exposure Procedures (ARC-PA Standards A3.05b-c)

• If an incident occurs at a clinical training site, the affected student(s) must immediately notify the designated clinical preceptor.
• The student will follow each clinical site’s exposure protocol and seek evaluation and treatment according to that site’s protocol.
• If the clinical site lacks a defined protocol, the student should seek treatment at the nearest emergency department for evaluation and care. All medical expenses are the sole financial responsibility of the affected student(s).
• The student must report all incidents to the DDE by submitting an Incident Report Form within 48 hours of the

In case of an emergency, call 911 for rapid treatment and transport to the nearest emergency room.

Prevention – Standard Precautions (ARC-PA Standards A3.05a)

Standard precautions protect healthcare professionals and reduce the risk of exposure to infectious and hazardous substances from recognized and unrecognized sources. Such precautions apply to all patient care and laboratory or clinical training experiences. These precautions apply to all patient care and clinical or laboratory activities.

Adherence to universal precautions is a professional responsibility of all faculty and students. Failure to comply may result in disciplinary action, up to and including dismissal from the program. PA students must behave as if any patient may have a transmissible infectious disease and avoid direct contact with blood, body fluids, secretions, excretions, mucous membranes, non-intact skin, contaminated items, or any other potential hazard source.  Sharps must be handled with extreme caution and disposed of immediately in designated puncture-resistant containers.

Hand Hygiene

According to the CDC, hand hygiene encompasses handwashing, antiseptic handwash, alcohol-based hand rub, and surgical antisepsis, and is crucial in reducing the risk of transmitting infectious agents. Hand hygiene is required:

• Before and after all patient care
• Before performing aseptic tasks
• After contact with blood, body fluids, or contaminated surfaces, even on the same patient
• After glove removal

Use an alcohol-based hand rub for hand hygiene unless hands are visibly soiled; in those cases, soap and water must be used. For visible contamination or after caring for patients with known or suspected infectious diarrhea (C. difficile or norovirus), wash immediately with soap and water. Refer to CDC Hand Hygiene Guidelines for Healthcare Workers for details

Personal Protective Equipment (PPE)

Personal protective equipment (PPE) must be worn whenever there is a potential for exposure. Protective apparel should not be worn from one patient or procedure to another and must be properly removed and properly disposed of after use. Types of PPE in healthcare include, but are not limited to:

1. Gloves – protect hands from infectious materials.
2. Gowns/Aprons – protect skin and clothing.
3. Face masks – protect the mucous membranes of the mouth and nose.
4. Respirators – prevent inhalation of infectious materials.
5. Goggles – protect eyes.
6. Face shields – protect the entire face, mouth, nose, and eyes.

Perform hand hygiene immediately after removing PPE.

Needles and Other Sharps

• Do not recap, bend, or manipulate used needles by hand.
• Use safety devices such as self-sheathing needles and/or needleless systems when available.
• Dispose of all sharps immediately in a puncture-resistant container after use.

Handling Contaminated Articles & Surfaces

• Handle patient-care equipment, linens, and laundry in a manner that prevents the transfer of
• Clean or dispose of contaminated materials per university and/or clinical site policy.
• Clean & disinfect all clinical and laboratory areas after every patient interaction.

Respiratory Hygiene & Cough Etiquette

• Cover mouth and nose with a tissue or elbow when coughing or sneezing.
• Dispose of tissues properly and perform hand hygiene afterward.
• Wear a mask or respirator when appropriate to prevent aerosol
• Maintain distance from others when coughing or

The above precautions follow current CDC and OSHA infection-control guidelines.

Student Responsibilities (ARC-PA Standards A3.05a-c)

• Before enrollment, all students must provide proof of health insurance through the program’s designated third-party agency.
• Proof of coverage must be updated upon renewal or any policy change.
• Continuous coverage is required throughout enrollment; failure to maintain coverage constitutes grounds for dismissal.
• All costs associated with medical evaluation, treatment, or care following an exposure or injury are the sole responsibility of the student and their respective insurance provider.
• Continued participation in the activities of the PA program following accidental exposure or injury will be reviewed on an individual basis by the program director.

The CSU PA program recognizes the importance of, and is committed to, supporting students’ academic success and professional development. Due to the intensive and rigorous nature of the curriculum, students are strongly encouraged to dedicate their full attention to their education and training. As such, the program strongly discourages any form of employment while enrolled as a PA student.  This intensive graduate-level training requires full-time attendance during the didactic and clinical years.

Outside work obligations will not be considered an acceptable excuse for poor performance or absence from scheduled course activities.

Didactic Year Employment (ARC-PA Standards A3.03a-b, A3.14i)

In the didactic year, the CSU PA Program:

• Does not allow students to work for the program in a paid or volunteer capacity under any circumstances.
• Does not allow students to substitute for or function as instructional faculty, regardless of their prior knowledge, education, and/or experience(s).
• Students are not to be the primary instructor or instructor of record for any component of the curriculum under any circumstances.

Clinical Year Employment (ARC-PA Standards A3.08, A3.14i)

During clinical rotations, CSU PA students are prohibited from being used to replace or substitute for regular clinical or administrative staff under any circumstances. If asked to do so during a clinical rotation, the following steps must be taken:

• Student notifies the Director of Clinical Education (DCE) within one calendar day of the event.
• The DCE will collect information and review the report with the program director to assess the appropriateness of continued use of the preceptor.
• In response, the program may initiate a site visit, communicate directly with the preceptor (and office manager, if appropriate), or remove the clinical site or preceptor from future student placements.
• If needed, preceptor assignments will be adjusted to ensure all students achieve the required Program Learning Competencies at program completion.

In compliance with the ARC-PA Standards, the CSU PA Program has developed a Clinical Phase Rotation Policy to define our recruitment process, preceptor requirements, and the initial and ongoing evaluation of clinical sites and preceptors, ensuring that clinical rotations meet all program-defined expectations and competencies for clinical year training.

Preceptor & Site Solicitation (ARC-PA Standard A3.08)

Neither prospective nor enrolled students will be required to provide or solicit preceptors or clinical sites for the program-mandated clinical rotation component of the curriculum. (ARC-PA Standard A3.08)

Students may voluntarily submit the name(s) of potential preceptors and/or clinical sites not already affiliated with the CSU PA program by completing a Request for New Rotation Development Form. Submission of this form does notimply or guarantee assignment to any requested site or preceptor, including those already affiliated with the program. The DCE determines whether each proposed site and preceptor is appropriate for use in rotations. Students may request the development of a maximum of two new rotation sites.  (ARC-PA Standard A3.08)

The DCE also determines whether a student may request or participate in a rotation at a clinical site associated with a family member, friend, or any individual whose relationship with the student may influence the objective evaluation of clinical performance.

Student Travel to Required Rotation Sites (ARC-PA Standards A3.05c, A3.14j)

The program has established a faculty-approved clinical rotation site geographic catchment area within a 60-mile radius of Charleston Southern University.  Recruitment and placement efforts are primarily focused within this region to maintain sufficient site availability and foster sustainable partnerships with clinical affiliates.  While the goal is for the majority of clinical rotation sites to be within this catchment area, students may be required to complete rotations at sites outside this area and will be responsible for all expenses related to such assignments.

International Rotations (ARC-PA Standards 10 and B3.02)

The program does not offer international core rotations. Elective rotations outside the United States may be available; however, all expenses related to travel, housing, and food are the student’s responsibility.

Student Identification in Clinical Settings

CSU PA students must always be clearly identified as PA students in the assigned clinical settings and clearly distinguished from other health profession students and practitioners.

At all times, CSU PA students must:

1. Introduce themselves to patients, caregivers/family members, and clinical site staff by stating their full name and position title – “Physician Assistant (or PA) Student.”
2. Wear the short white lab coat with the embroidered Charleston Southern University PA program logo during all assigned rotation activities unless otherwise directed by the clinical preceptor.
3. Wear either their CSU Student ID badge or a site-issued student badge for each rotation.

The CSU PA Program requires a background check (BGC) and urine drug screen (UDS) of all conditionally admitted applicants and enrolled students. These screenings are conducted to promote the safety and integrity of patients, students, faculty, and staff in both academic and clinical environments. The purpose of these screenings is to identify past conduct, incidents, or behaviors that may pose a potential risk to patients, the university community, or affiliated clinical partners.

Completion of these requirements and admission to the CSU PA program do not imply or guarantee eligibility for state medical licensure or national certification upon graduation, as licensing agencies may apply additional criteria or independent review processes.

All fees and associated costs related to background checks and urine drug screens are the sole responsibility of the applicant or student. The university and the PA program do not assume financial responsibility for these requirements.   

Pre-Enrollment Screening

• All applicants conditionally admitted to the CSU PA program must complete a background check and urine drug screen before enrollment.
• Step-by-step instructions for fulfilling these requirements are provided once the enrollment seat deposit is paid. Admission is contingent upon satisfactory results from both screenings.
• Failure to complete the required screenings or the discovery of findings deemed serious in nature may result in the revocation of the offer of admission.

Post-Enrollment Testing

• All enrolled CSU PA Program students must complete a background check and urine drug screening annually, or more frequently at the program’s discretion.
• Refusal to complete these requirements, or the discovery of findings that violate the program or university policy, or that are deemed serious in nature, may result in disciplinary action up to and including program dismissal.
• Background check or drug screening results that limit the Program’s ability to secure required clinical placements may hinder the student’s ability to progress through the clinical phase and could delay or prevent graduation.

Review of BGC & UDS Results

All screening results are first reviewed by the admissions coordinator and shared with the program director. Any findings that may pose a risk to patients, students, faculty, or staff in academic or clinical settings are reviewed in consultation with the Dean of the College of Health Sciences and discussed directly with the student. Final enrollment decisions, continued participation, or dismissal are made by the program director in collaboration with the Dean of the College of Health Sciences and/or the provost. All such decisions are final and not subject to appeal by applicants and enrolled students.

When evaluating background check findings, the following may be considered:

1. Nature, circumstances, and frequency of any reported offense(s)
2. Length of time since the offense(s) occurred
3. Evidence of rehabilitation or mitigating circumstances
4. Accuracy of information disclosed by the applicant/enrolled student in their application materials
5. Relationship between the offence(s) and the responsibilities inherent in PA training

Drug-Free Policy

CSU maintains a zero-tolerance policy regarding the use, possession, or distribution of illegal drugs on or off campus. Violations of this policy may result in immediate disciplinary action, including dismissal from the program/university.