Students who become ill or must be absent from their duties for any reason, even for one day, must notify their faculty and house staff preceptors, as well as the Course Director's Office. In the event of extended absences, the student must consult with the Director and Coordinator of the Clerkship, who will inform the Associate Dean for Student Affairs. A cumulative absence of two days or more from a four-week clerkship or three days or more during an eight-week rotation could result in a grade of Incomplete, Withdraw, Condition or Fail unless the absence is approved ahead of time by the Course Director. Personal illness, family emergencies, the Clinical Practice Examination (CPX) and the USMLE Step 2 Clinical Skills examination are examples of legitimate reasons for being absent. Weddings, visits to family and friends, and pre-purchased airline tickets are not examples of acceptable reasons for being absent from a rotation.