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 Identify resources for completing the institutional self-study Discuss upcoming changes to the LCME accreditation standards document

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

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

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

Possible LCME Actions Following a 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

RESOURCES FOR SCHOOLS

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 standard to annotation, self-study guide, and survey report guide

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

WHAT’S NEW? Recent Changes

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

Categories of Citations Areas of strength Particularly 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 monitoring 1) 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

WHAT’S NEW? Upcoming Changes

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.

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

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

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