1. Navigating the Road to Reaccreditation Trends, Resources, and Updates Donna M. Waechter, PhD LCME Assistant Secretary Senior Director, LCME Surveys & Team Training

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 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

7. RESOURCES FOR SCHOOLS

8. LCME Documents
All relevant LCME documents are on the LCME Web site:
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

10. The Secretariat
The Secretariat answers schools’ questions several ways:
Phone or
Connecting with the Secretariat
Survey prep workshops
School consultations

11. WHAT’S NEW?
Recent Changes

12. 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

13. 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

14. WHAT’S NEW?
Upcoming Changes

15. 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.

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

17. 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

18. 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