Disciplinary Actions and Protocol

Administrative Responsibility to Disciplinary Actions

In accordance with School policy, By-Laws, and Board of Trustees actions, the Program Administrator serves as the chief disciplinary officer of the program and delegates oversight of student disciplinary matters to the Progressions Committee, the NAP Council, and the President's Council.

The Program Administrator, Assistant Program Administrators, Director of Simulation, and faculty members are authorized to address student conduct, professionalism, academic, clinical, and administrative concerns through the disciplinary process outlined in the Disciplinary Protocol. Disciplinary matters requiring formal committee review shall be referred to the Progressions Committee.

The Progressions Committee is responsible for reviewing referred disciplinary matters and determining appropriate corrective actions in accordance with School policies, program requirements, Standards of Conduct, and established procedures. Actions and recommendations of the Progressions Committee may be subject to review by the NAP Council and/or the President's Council prior to appeal proceedings.

The Program Administrator, Assistant Program Administrators, Director of Simulation, faculty, administrative officers, and staff share responsibility for promoting student compliance with School policies, program requirements, Standards of Conduct, and established procedures, while fostering a professional, safe, and effective learning environment.

Disciplinary Protocol

The purpose of this protocol is to promote student compliance with School policies, program requirements, Standards of Conduct, and established procedures, while providing a fair, consistent, and transparent process for addressing conduct, professionalism, academic, clinical, and administrative deficiencies.

This protocol applies to all school-related obligations, including, but not limited to:

  • Attendance at classes, simulation and skills laboratories, and clinical experiences;

  • Completion of assignments, examinations, and required coursework;

  • Compliance with onboarding, credentialing, and clinical site requirements;

  • Submission of required evaluation forms, documentation, and program materials;

  • Adherence to School policies, program policies, and the Standards of Conduct; and

  • Compliance with directives and expectations established by faculty, administration, and the program.

The disciplinary process is intended to support student success through progressive intervention, documentation, and remediation whenever appropriate. However, depending upon the severity, frequency, or nature of the concern, disciplinary measures may be accelerated, and a student may be referred directly to the Progressions Committee.

Upon identification of noncompliance with School policies, program requirements, Standards of Conduct, and established procedures, the following progressive disciplinary process may be implemented:

1. Verbal Counseling

Verbal counseling may be conducted by the Program Administrator, Assistant Program Administrators, Director of Simulation, or a faculty member.

Verbal counseling serves as an informal means of communicating expectations, promoting student success, and encouraging compliance with School policies, program requirements, Standards of Conduct, and established procedures. Verbal counseling may occur proactively or in response to identified concerns.

Examples include, but are not limited to:

  • Clarification of expectations related to assignments, examinations, attendance, clinical experiences, onboarding requirements, evaluations, or other program obligations;

  • Reminders regarding upcoming deadlines or responsibilities;

  • Guidance intended to prevent potential noncompliance or performance deficiencies;

  • Discussion of minor, first-time, or isolated concerns;

  • Identification of emerging patterns of concern; and

  • Direction regarding corrective actions necessary to achieve or maintain compliance.

The purpose of verbal counseling is to provide timely guidance, clarify expectations, facilitate student success, and support professional accountability before more formal disciplinary measures become necessary.

Documentation of verbal counseling may be maintained by the faculty member or administrator when deemed appropriate.

2. Written Disciplinary Warning (i.e., electronic communication)

A written disciplinary warning may be issued when:

  • Concerns persist following verbal counseling;

  • Compliance is not achieved;

  • Multiple incidents occur; or

  • The nature of the concern warrants formal documentation.

The written warning shall include:

  • A description of the deficiency or concern;

  • The expected corrective action;

  • A timeline for improvement, when applicable; and

  • Potential consequences of continued noncompliance.

A written disciplinary warning is an official disciplinary action, administered by program leadership, and shall be placed in the student's permanent record. The written warning will remain part of the student's educational record and may be considered in subsequent academic, professional, conduct, progression, and disciplinary reviews.

Notification shall be provided to appropriate administrative personnel, which may include the Program Administrator, Assistant Program Administrators, Director of Simulation, Faculty Advisor, and Registrar, as applicable.

3. Performance Improvement Plan (PIP) and Remediation

A Performance Improvement Plan (PIP) and remediation may be initiated by the Program Administrator, Assistant Program Administrators, or Director of Simulation when additional intervention is necessary.

The PIP shall include:

  • Identification of specific deficiencies;

  • Measurable expectations for improvement;

  • Required corrective actions;

  • Applicable timelines and deadlines;

  • Methods for monitoring progress; and

  • Criteria for successful completion.

Notification shall be provided to the student's faculty advisor and appropriate administrative personnel, which may include the Program Administrator, Assistant Program Administrators, Director of Simulation, and Registrar, as applicable.

Failure to successfully complete the PIP and remediation requirements, or failure to demonstrate sustained improvement, may result in referral to the Progressions Committee.

4. Referral to the Progressions Committee

Students may be referred to the Progressions Committee if they:

  • Fail to meet the requirements of a Performance Improvement Plan;

  • Demonstrate repeated noncompliance with School policies, program requirements, Standards of Conduct, or established procedures;

  • Engage in conduct warranting further disciplinary review; or

  • Present concerns related to professionalism, safety, ethics, or other significant matters requiring committee evaluation.

The Progressions Committee shall review all relevant information and determine appropriate action in accordance with School policies and established procedures. Potential outcomes may include, but are not limited to:

  • Additional remediation requirements;

  • Probation;

  • Suspension;

  • Loss of privileges; or

  • Other corrective or disciplinary actions deemed appropriate by the Progressions Committee.

Exception

Nothing in this protocol limits the authority of the Program Administrator to bypass progressive disciplinary steps and immediately refer a student to the Progressions Committee when the severity of the conduct, risk to patient safety, professional misconduct, violation of School policy, or other significant concern warrants expedited review.

Guiding Principle

The primary goal of the disciplinary process is to promote student development, professional accountability, and compliance with School policies and program requirements while maintaining a safe, respectful, and effective learning environment for students, faculty, staff, patients, and clinical partners.

Progressions Committee

The MTSA Progressions Committee is an ongoing committee which meets regularly to determine students’ progress within the program. When the Progressions Committee meets to discuss specific issues that involve individual student(s), the individual student(s) will be invited to speak to the Progressions Committee regarding the issue before a decision is rendered. The individual student(s) are invited to speak to the Progressions Committee, but the student(s) are not permitted to invite others to attend. The NAP Council is responsible for implementation and monitoring of any remedial and/or punitive actions. If the student(s) is (are) not satisfied with the decision of the Progressions Committee and/or the NAP Council or President’s Council, the student(s) may request a formal hearing by the MTSA Appeals Committee.

There may be times the Progressions Committee, in its discussion of students’ performance in general, determines that an action should be taken related to individual students. Upon notification of the decision, any students who feel extenuating circumstances existed which may have impacted on any decision of the Progressions Committee, and were unable to speak on their own behalf before the original decision was rendered, may give a written request to the Progressions Committee to speak on their own behalf to appeal the decision. The Progressions Committee will meet to allow a student to speak to the issue. The Progressions Committee may decide to alter its original decision or to stand by it.  Should a student still not be in agreement with the final decision, the student may address the issue to the Appeals Committee.

Actions Which May Be Recommended by Progressions Committee

The following actions may be recommended by this committee and may not apply to all programs.

Loss of Privilege

These penalties are intended to serve as reminders of operating regulations and are for specific periods of time. Such penalties may include loss of scholarship, loss of right to participate in certain School activities, loss of privilege of use of facilities, etc.

Disciplinary Warning

Disciplinary warnings are used for minor infractions. A warning indicates that further violations will result in more severe disciplinary actions. Warnings will be issued to a student in written form. A written warning, once issued, will be placed on the permanent file of the student. A student may petition the Warning to the NAP Council for documented situations, such as sickness or family issues.

Probation

Probation means that a student is permitted to remain at the School or clinical affiliate on a probationary status. If a student is found responsible for a similar violation during probation, the student may be suspended or dismissed. Other conditions of probation are specific to the individual case and may include loss of eligibility to serve on School committees or participate in specified School activities. Any probation for any cause will be reflected on the permanent transcript. An active vote to carry probation over to another term will count as an additional probation. Students’ clinical probationary status will be made known to the affiliates’ clinical coordinators where the student is scheduled to affiliate.

ANY probationary period, regardless of the type of or reason for the probation, may negatively affect a student’s eligibility to receive federal financial assistance.

Indefinite Suspension

Indefinite suspension means that no specific date has been recommended for readmission of the suspended student. This penalty is used when the prognosis of rehabilitation is uncertain, and the Progressions Committee and/or the NAP or President’s Council desires that some additional evidence of rehabilitation be presented by the student prior to readmission to the School. Applications for readmission shall be considered by the Admissions Committee, with consultation from the Progressions Committee and the NAP and/or President’s Council.

Permanent Dismissal/Termination

Permanent dismissal means that a student in permanently barred from readmission to the School. This penalty is used when the violation of one or more of the Standards of Conduct is deemed so serious as to warrant a total and permanent disassociation from the School community.