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PRS Date 

UCSD SCHOOL OF MEDICINE
PROFESSIONAL REMEDIATION SUMMARY (PRS) 

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Student Name 

Course(s):

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 Quarter/Year Completed

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 Description of remediation plan to address deficiencies in professional or personal behavior: 

I have discussed the remediation plan (above) with the Associate Dean 

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Signature of Student

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Date

 Signature of Associate Dean for Undergraduate Medical Education

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Date