School Policies

Progress Reports and Grading

The instructors of the Institute of Structural Medicine grade all classes on a pass/fail basis, with a passing grade requiring scores of 75% or better.

During the first two days of the first segment of every SMS™ Training Program, the instructors will test students on the course’s prerequisites. During the first two days of every subsequent segment, the instructor will administer a test covering the previous segment’s topics and homework. This test will consist of a practical examination supplemented by a short essay. The student must pass the test with a score of 75% or better. If a student fails with a score better than 60%, that student may retake and attempt to pass the test one time.

At the end of each segment, instructors will administer an ungraded pre-test to prepare students for the next segment. The instructor will give progress reports to each student at the middle and end of each segment. These progress reports will consist of short notes and private meetings outside of class time. At this time, students will have the opportunity to evaluate their instructor during their private meetings and by written evaluation.

At the beginning of each course, students will receive an Independent Study Notebook and a Business Manual containing the assignments for the Independent Study segment of the training. During the training, students give their completed assignments directly to their advisor. The advisor reviews the assignment, consults with the students, and reports progress directly to the training faculty for evaluation.

In order to graduate from the Institute of Structural Medicine, a student must demonstrate intellectual mastery of course material and technical skill in delivering structural integration. Students must also complete all field work and Independent Study assignments.

All students must show regular attendance and complete 2,000 hours of study. In the event that a student does not complete the training with an adequate evaluation, students may be required to repeat certain sections of the material, as well as to pay prorated tuition for such remedial study. The Institute of Structural Medicine keeps records of student progress and course work at the school. These records are available to students, instructors, and other authorized individuals at any time during working hours.


Students must be on time and present from the beginning to the end of class each day. During Independent Study portions of the training students must submit all assignments to their advisor on time. Students failing to make satisfactory progress due to absence, tardiness, or lack of commitment may be subject to administrative review, remedial work, or dismissal. At the discretion of the faculty, a dismissed student may re-apply for admission at the beginning of another term.


If a student’s actions jeopardize the reputation of the Institute of Structural Medicine or otherwise damage the school, the faculty may find cause for an administrative review, remedial action, or dismissal. During the classroom phases of the training all students are expected to abide by the ground rules established by the Institute of Structural Medicine and the training facility.

Leave of Absence

Students with problems related to immediate family, serious illness, or financial difficulty may receive a leave of absence. The student may re-enter the school at a time agreed upon by the students and faculty. Depending on the circumstances and duration of the leave of absence, the student may have to repeat some previous studies. This repetition may entail additional tuition fees to the student, to be established on a case-by-case basis.


The faculty members of the Institute of Structural Medicine stress that admission as a student and participation in the Structural Medicine Training Program do not guarantee successful graduation. All students must demonstrate satisfactory progress and competence throughout the training. This requirement is not intended to cause doubt or discouragement. On the contrary, the faculty is committed to supporting each student to her or his fullest capacity and require a serious commitment.

Placement Assistance

The Institute of Structural Medicine assists its graduates in developing profitable business practices in a variety of ways. First, by completing the assignments in the Independent Study portion of the training, students will graduate with an established client base. Secondly, the business education provided during the training is designed to provide realistic and practical training to help practitioners succeed. Finally, the school will inform students about opportunities for work in existing health or education settings. However, the Institute of Structural Medicine can make no guarantee of placement, and the development of the practice ultimately depends on the graduate.

Washington State Student Tuition Recovery Fund

The Institute of Structural Medicine is authorized to operate as an approved, private post-secondary school by the state of Washington Workforce Training and Education Coordinating Board under Chapter RCW 28C.10. Persons seeking to resolve problems or complaints should first contact their advisor, training coordinator, or other administrative personnel. Requests for further action may be made to Donna F. Bajelis, owner and founder of ISM.
Washington law requires that, upon enrollment, a fee be assessed in relation to the cost of tuition (RCW 28C.10.082). The fees support the student tuition recovery fund. It is important that enrollees keep copies of all enrollment agreements, contracts or other application forms to document the total amount of tuition paid and record the percentage of the course completed. Such records would substantiate a claim for reimbursement from the STRF, which in order to be considered must be filed within 60 days following school closure or termination of the student.

For further information or instructions, please contact:
Workforce Training and Education Coordinating Board
128 Tenth Avenue SW
P.O. Box 43105
Olympia, Washington 98504-3105
(360) 709-4600