2022–2023 Student HandbookSchool of Medicine 117
may request to be exempt from exposure to
environmental agents that may be hazardous
to the student and/or fetus.
2. Any student with a communicable infectious
process may, in consultation with the clerkship
director, request a change in assignment.
Student Mistreatment Policy
Loma Linda University School of Medicine seeks
to educate ethical and proficient Christian physicians
and scholars through instruction, example, and the pur-
suit of truth. In order to do this, the School of Medicine
and its faculty are committed to the following funda-
mental values: compassion, integrity, excellence, freedom,
justice, purity/self-control, and humility. ese values
may occasionally be formally taught by faculty; but more
often they are learned informally by students through
observation of models of professional behavior toward
students, colleagues, and patients.
e development and nurturing of these values
are enhanced by and based upon the presence of mutual
respect between teacher and learner. e diversity of
students, faculty, residents, and staff—combined with
the intensity of their interactions—may, however, lead
to alleged, perceived, or real incidents of inappropriate
behavior or mistreatment of students.
Examples of such mistreatment include verbal
mistreatment,
1
physical mistreatment,
2
discrimina-
tion,
3
excessive or unreasonable time demands,
4
sexual
harassment,5
5
and the use of grading or other forms
of assessment in a punitive manner. Such behavior by
faculty or staff, or other behavior that is inimical to the
development of mutual respect, is unacceptable.
In the history of medical education, teachers
have, at times, sought to motivate students by publicly
degrading or humiliating those whom they judge are
1
Verbal or nonverbal mistreatment includes:
• Shouting, hostility, profanity, or offensive gestures.
• Repeated or blatant conduct directed toward any person, which is
intended to insult or stigmatize that person.
2
Physical mistreatment includes:
• Physical punishment, such as hitting, slapping, pushing, or kicking.
• e threat of physical punishment.
• Intentionally or negligently placing another at risk of physical harm.
3
Discrimination includes:
• Disparate treatment based on gender, gender identity, age, ethnicity, race,
disability, or sexual orientation that stigmatizes or degrades that person.
4
Unreasonable time demands includes:
• Requiring a student to perform personal services, such as shopping
or babysitting.
• Requiring a student to perform menial tasks with the intent to humili-
ate the student.
5
Sexual harassment—see “Policy Prohibiting Sexual Misconduct and Dis-
crimination on the Basis of Sex (Title IX)” in the University Policy section
of the Student Handbook, which is available online. If the mistreatment
involves sexual harassment, the procedures of this policy must be followed.
inadequately prepared or behaving inappropriately. is
practice is not acceptable at Loma Linda University.
While teachers do have the responsibility to motivate
and correct students, when correction of an individual is
needed, this is usually best done in private, but always in
a way that shows respect for him/her as a person.
An important part of the teaching of mutual re-
spect among professionals is the perception of students
as they observe faculty in their interactions with each
other. erefore, faculty should avoid inappropriate
behavior or mistreatment of other professionals and
staff. is includes the avoidance of derogatory remarks
about or attitudes toward individual colleagues, services,
or departments.
Students also learn professional behavior and de-
meanor by observing their teachers as they interact with
patients. Such professional interactions should always
be courteous and respectful. Respect for individuals
includes, but is not limited to, such things as punctuality,
thoughtfulness, mindfulness of personal space, as well
as manner and mode of address, appropriately modest
draping of patients, tone and content of verbal inter-
changes, and body language. In addition, discussion of
patients out of their hearing should continue to show the
same degree of respect and should not include contemp-
tuous, derogatory, judgmental, or demeaning remarks.
If a medical student expresses an unwillingness
to participate in an aspect of training or patient care as
a matter of conscience, that stance should be explored
in a nonjudgmental manner to ensure that the teacher
and student fully understand the issue. e student’s
position on matters of conscience should be honored
without academic or personal penalty, as long as it does
not interfere with the welfare of the patient and the
overall educational goals of Loma Linda University
School of Medicine.
Any student who feels that he/she may have
experienced or observed mistreatment or unprofession-
al behavior by residents, faculty, staff, or students in
violation of these standards of behavior is encouraged
to report his or her concerns to one of the individuals
below. Reports of unprofessional treatment should
be made to the School of Medicine administration.
Reports of sexual harassment or any violation of the
University’s Title IX policy (see this policy in Section
V of this Student Handbook) should be made to one of
the administrators listed below or directly to the LLU
Title IX coordinator. Within the School of Medicine,
mistreatment can be reported to the following admin-
istrators: the senior associate dean for medical student
education; the associate dean for clinical education; the
associate dean for student affairs; the associate dean
for curriculum evaluation and learner assessment, the
assistant dean for student affairs; the assistant dean
for basic science education; the associate dean for basic
sciences and translational research or the assistant dean,