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Education / Bursars Office / Medical Students / Tuition Policies for Medical Students


Tuition Policies

Understanding the tuition policies requires familiarity with the registration status options offered by the School. There is no provision in the M.D. program for a part-time registration status.


  • FULL-TIME/CREDIT – the normal registration status for an M.D. student enrolled in classes or engaged in clinical activities for which evaluation and academic credit are provided.
  • FELLOW: STUDENT – the status of a student who is taking time away from the regular curriculum to participate in research or some other activity which is related to successful completion of the M.D. program.
  • LEAVE OF ABSENCE: LONG-TERM, MEDICAL, or TEMPORARY – the status of a student who is taking time away from the regular curriculum for a purpose unrelated to the study of medicine.
  1. All M.D. students enrolling for instruction are registered as FULL-TIME/CREDIT (FT/C) and assessed tuition at the prevailing annual rate.  Tuition is assessed at the rate current at the time evaluation of performance occurs during the first eight terms of coursework.  Students enrolled more than eight terms will be assessed an Extended Time Fee, in addition to the appropriate student health and services fees, each of the subsequent terms.
  2. FOUR YEAR TUITION REQUIREMENT – Students matriculating without advanced standing are required to pay a minimum of four full years (or eight terms) of tuition.  Students admitted with advanced standing are not required to pay tuition for the portion of the curriculum for which they receive credit upon admission.
  3. COST FOR COURSEWORK BEING REPEATED – Students are required to pay tuition for coursework being repeated.  The mechanism for payment is the assessment of the Extended Time Fee for each term beyond the initial eight terms of enrollment at full charge.
  4. Students registering as Fellows are assessed a reduced tuition amount, referred to as Medical Student Research Fellowship (MSRF) tuition.  Students registered as Fellows, who avail themselves of credit bearing coursework during their time out, will be assessed full time tuition during those terms, and will be assessed Extended Time for the terms required for completion of the MD degree after eight terms.

Note:  The only exception is during the months of June (for fellowships that end “early”), or August (for fellowships that begin Sept 1st), Fellows may take one clerkship.

  1. Individuals granted a LONG-TERM or MEDICAL LEAVE OF ABSENCE are not considered to be students and are assessed no tuition although there is a fee ($60) associated with this status.
  2. Students on a TEMPORARY (60 days or less) LEAVE OF ABSENCE experience no change in tuition charges as a result of that designation.
  3. Except as described in the TUITION ADJUSTMENTS POLICY and REFUND POLICIES, tuition liability is incurred at the beginning of each academic year and there are no reductions in tuition resulting from changes in registration status which occur during the course of the year.  
  4. EXTENDED ENROLLMENT – A student registering, for whatever reason, for more than the standard four years (eight terms) of instruction will be charged tuition for each billing period of enrollment.  Whether that charge will be FT/C, MSRF, or an Extended Time Fee will depend upon the specific circumstances and will be determined by the Bursar after consultation with the appropriate dean(s).  In no case will an M.D. student registered as full time pay less than the prevailing MSRF tuition charge.

Tuition Adjustment Policies

Adjustments Due to Changes in Registration Status Between Billing Dates

Each year the cost of tuition and fees is billed in two equal installments, generally referred to as Fall and Spring.  The Fall billing occurs in mid-July, with payment due by August 10th.  The Spring bills are generated in mid-January, with payment due by February 10th.  This applies to all class years, including those students on a year-out for research.

For tuition refund upon withdrawal, please see the Refund Policies

Leave of Absence Definition and Fee

Students may be granted permission to take a Long-Term Leave of Absence (LOA) from the medical curriculum for a maximum of 12 months.  Such students will be assessed a fee of $60/term.  If a LOA extends beyond twelve months, the student will be required to reapply for admission.

While LOA status retains one's place in the School, it does not carry with it the full-time student status necessary to participate in University health programs or qualify for deferment of student loan repayment.  Borrowers taking a LOA must, therefore, have Exit Interviews in the Financial Aid Office before leaving campus.  Students taking a LOA who have already received loan funds to cover expenses which have not yet been incurred at the time of leaving school, may expect that pro-rated portions of those loans must be returned to lenders.

Students leaving during a term for which they have already paid tuition will be subject to the policies described in Refund Policies.

In addition to a Long-Term Leave of Absence, students may be granted a Temporary or a Medical Leave of Absence.  A Temporary LOA is effective for a maximum of sixty days.  While there is no additional charge for this status, there is also no reduction in charges previously assessed for this period.  A Temporary LOA defaults to a Long-Term LOA if some other registration status is not selected by the end of the sixty-day period. A Medical LOA is treated as a Long-Term LOA in all matters related to tuition, fees, and financial aid.

Definitions and Fees

Student Fellow Status

A student who takes time out from the medical curriculum and uses this time to pursue enriching independent research or some other activity which is related to ultimate successful completion of the MD program may be granted Student Fellow status by the UR Medical School Promotions and Review Board. Still considered a full-time student, such an individual must pay required health fees, the Student fee, and the Medical Student Research Fellowship tuition fee of $1,070 per term and receives deferment eligibility for student loan repayment.

The length of a Fellowship is generally two consecutive terms and not more than twelve months.  During this period, one may not be registered for a non-M.D. degree program at this or any other institution and may not receive remuneration for service rendered.  Financial support received for this period may be in the form of a stipend to cover health fees, living and travel expenses.  (A student who is being remunerated for service rendered should more appropriately seek Leave of Absence status.)

FT/C Extended Time Definition and Fee

Students, who have extended their enrollment for more than the standard eight semesters, either due to repeated portions of the Double Helix curriculum, or because of choosing to expand their clinical experiences, will be registered as full time credit students for each of the subsequent semesters.  Having paid for their first eight semesters at full tuition, they will be billed $3,000, an “extended time fee”, for each of those terms.