The SEC considers the following as primary justifications for dismissal from the COM:
- Phase 1: Three or more Block failures
- Phase 2 or 3: Two or more failures
- Failure to obtain a grade of Pass in a repeated Block, Clerkship or elective.
- Failure to obtain a grade of Pass in all Blocks, Clerkships, or Electives during repetition of an academic period (semester, academic year, or Phase 1, 2, or 3).
- Failure to demonstrate improvement in academic and/or professional performance by the end of a probation period.
- A third failure on the USMLE Step 1 Exam.
- Documentation of a single serious unprofessional behavior event and/or repeated or persistent unprofessional behavior.