The ability to speak and write grammatically correct English is essential to ensure academic progress and to enable the student to communicate clearly with patients and other health care professionals. Remediation is mandatory if communication deficiencies are identified and later confirmed by an assessment conducted by Creighton University Intensive English Language Institute (IELI) faculty. Student remediation programs will be developed in collaboration with IELI and the Assistant/Associate Dean for Academic Affairs. Those students identified by this process as deficient in oral and/or written English communication skills must continue remediation through Intensive English Language Institute, or agencies to which they are referred by Intensive English Language Institute, which may be at the student's expense.