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Goals of the Session

Navigating the Road to Reaccreditation Trends, Resources, and Updates Donna M. Waechter, PhD LCME Assistant Secretary Senior Director, LCME Surveys & Team Training dwaechter@aamc.org. Goals of the Session. Recognize the accreditation standards most commonly found to be in noncompliance

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Goals of the Session

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  1. Navigating the Road to ReaccreditationTrends, Resources, and UpdatesDonna M. Waechter, PhDLCME Assistant SecretarySenior Director, LCME Surveys & Team Trainingdwaechter@aamc.org

  2. Goals of the Session • Recognize the accreditation standards most commonly found to be in noncompliance • Identify resources for completing the institutional self-study • Discuss upcoming changes to the LCME accreditation standards document

  3. Secretariat Staff Dan Hunt (Co-Secretary / AAMC) Donna Waechter (Assistant Secretary / AAMC) Barbara Barzansky (Co-Secretary / AMA) Rob Hash (Assistant Secretary / AMA)

  4. 2011-12 Most Common Noncompliance Citations from Full Survey Reports (n = 25) 1. IS-16 diversity 2. ED-30 formative and summative assessment 3. ED-2 required clinical experiences and monitoring 4. ER-9 affiliation agreements 5. MS-27-A health care providers’ involvement in student assessment 6. ED-33 curriculum management

  5. 2011-12 Most Common Noncompliance Citations from Full Survey Reports (n = 25) 7. ED-24 resident preparation ED-32 narrative feedback 8. MS-31-A learning environment and professionalism MS-32 student mistreatment 9. ED-8 comparability across instructional sites 10. ED-31 mid-course feedback ED-47 use of student evaluation data in program evaluation

  6. Possible LCME Actions Followinga Full Survey Visit • Continue full accreditation for 8-year term with no additional follow-up • Continue full accreditation for 8-year term with follow-up action(s) - written status reports, consultations • Continue accreditation with no fixed term pending outcome of a focused visit • Continue accreditation and place the program on warning • Continue accreditation and place the program on probation • Withdraw accreditation

  7. RESOURCES FOR SCHOOLS

  8. LCME Documents • All relevant LCME documents are on the LCME Web site: www.lcme.org • Documents are updated regularly (check for the most recent version) • surveyCONNECT for self-study prep • Connections links each standardto annotation, self-study guide, and survey report guide

  9. The Secretariat The Secretariat answers schools’ questions several ways: • Phone 202-828-0596 or 312-464-4933 • Email lcme@aamc.org • Connecting with the Secretariat • Survey prep workshops • School consultations

  10. WHAT’S NEW? Recent Changes

  11. All information must be included inthe database or providedto the team onsite No new information (e.g., policies/documents) may be provided after the team leaves the school

  12. Categories of Citations Areas of strengthParticularly noteworthy areas that contribute in a major way to the achievement of the school’s mission or that could serve as models; linked to standards Areas in compliance with a need for monitoring1) A medical education program has the policy, process, resource, or system required by a standard but there is insufficient evidence to indicate that it is effective; or 2) A medical education program currently is in compliance with a standard, but known circumstances exist that could lead to future noncompliance Areas of noncompliance

  13. WHAT’S NEW? Upcoming Changes

  14. STANDARD IS-19-A The core curriculum of a medical education program must prepare medical students to function collaboratively on health care teams that include other health professionals. Members of the health care teams from other health professions may be either students or practitioners.

  15. Current Accreditation Standards 132 standards organized into 5 categories: • Institutional setting • Educational program • Medical students • Faculty • Resources for the educational program

  16. Reformatting the Accreditation Standards Activity • Regrouping standards into logical clusters Purposes • eliminate redundancy across current standards • reduce the total number of standards • simplify the self-study database

  17. Reformatting Timeline • August 2012: concept presented to Standards Subcommittee • October 2012: concept presented to LCME • June 2013: final LCME approval • November 2013: public hearing at AAMC annual meeting • Spring 2014: medical education database completed • June 2014: training schools undergoing survey visits in 2015-16

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