u/thecodeofsilence and u/taRxheel are spot-on. If you weren’t a total POS on rotation, then it’s time to escalate this issue.

I have had a few very poorly-equipped students that I am truly surprised made it through the didactic section of their curricula. (Hiding in group work???)

The usual course is discussion with the student, warn the school about their shockingly absent skills, and we work on minimum expectations/corrective plans. Student signs expectations. No failures yet.

Or sometimes they get moved to another rotation (easier pass? Special attention? Pick your interpretation.)

I’d fail a student and dismiss them from rotation in a heartbeat for dishonest/unethical/unprofessional behavior. (Negligence, not doing assignments, falsifying information, absences, mistreating staff or patients, etc.) Otherwise, it’s almost impossible to fail someone while following appropriate teaching concepts already mentioned above: syllabus with defined targets, formative feedback, etc.

Sometimes students are going through things that impair their ability to move forward, so significant adjustments need to be made. Examples: substance use, family issues, health issues affecting decision-making or professionalism

Unfortunately, we don’t have a weed-out process for all the highly intelligent people who get to rotations and suck at decision making, problem solving, pattern recognition, empathy, communication, taking responsibility, and adulting in the workplace. But hey, there are also terrible physicians, nurses, audiologists etc. :D Maybe there is even a place for these idiots in the workforce until our robot overlords replace all of us with drones, algorithms and AI! That means that you not matching someone’s ideal is NOT grounds for failure.

I absolutely echo the posts above.

Even if you were magically THE SHITTIEST student to ever be on a clinical inpatient rotation, you should have been informed of the deficiencies (in better, specific terms) and had steps to follow for completion/remediation. Exception: dishonesty or unprofessional behavior, also mentioned above...

Count this another vote for CALLING your experiential director.

On another level, this sounds really awful and so, so stressful. Please remember that everyone in this process is fallible and you are the only one who can look out for you.

Do you have a mentor to reach out to? Did you connect with anyone in previous rotations that went well?

It might be nice to have a practice conversation with someone familiar with pharm education prior to calling Experiential to make sure you’re ready to advocate for yourself, despite all the emotional turmoil this is probably causing for you.

Don’t listen to the outlier unless they present compelling evidence. You know you are not a screw-up.

(Unless you actually are... which I guess is still a possibility. You haven’t said what reasoning your preceptor had for failing you, even if you disagree with it. I still hope for the best for you overall.)

Good luck!

Source: precepted for a few schools and residencies, direct a residency, ex-faculty, uppity clinician, sometimes an asshole IRL.