A student must give the hospital and the Office of Clinical Education Operations notification of cancellation at least 90 days ahead of the start date of an elective or sub-internship. If less than 90 days, the student will be responsible for hospital fees for the cancelled rotation and be referred to the Dean of Students for unprofessional behavior. A second cancellation without 90 days’ notice may lead to suspension from the school and mention of the suspension in the student’s MSPE. If a student cancels, the student is responsible for full tuition for the cancelled rotation and will not receive credit for any rotation for that same time period. Hospitals should not cancel electives; students should notify the Office of Clinical Education Operations if this happens. Cancellation fees will be waived by the school for students that must cancel scheduled electives because of a failed NBME exam within 3 months of the starting date.