What is the maximum length of time permitted between site visits for fully accredited programs? Eight (8) years What levels of accreditation are granted by the LCME? Full, preliminary, and provisional
What actions taken by the LCME are subject to appeal? Accreditation with probation, denial of accreditation, and withdrawal of accreditation How long after receiving notification of an appealable action do programs have to submit a formal response? 30 calendar days
What one action taken by the LCME is not subject to appeal? Warning of probation What is a citation? The finding that a program or institution is failing to comply with a particular accreditation standard, policy, or procedure
What is a status report? Written documentation provided to the LCME by a specified deadline describing action taken and related outcomes. What is a limited site visit? A site visit focused on specific issues of partial or substantial noncompliance conducted within the accreditation period.
What is a Secretariat consultation? A purely consultative activity between Secretariat staff and program representatives. What is the maximum amount of time permitted to address deficiencies in compliance? 24 months from the date of LCME action
What are minimally acceptable duty hour restrictions for medical students? An average of no more than 80 hours per week with one day in seven off (over a 4 week period) What is the minimum number of hours students should have off between duty periods? 10 hours
What is the average amount of time the LCME permits for submission of final grades? 4 to 6 weeks What courses are required by the LCME to provide formal feedback to students with sufficient time for remediation? All required courses and clerkships
What facilities/resources are required at clinical teaching facilities serving as major instructional sites? (you must name at least two) Areas for lectures, individual study space, access to library resources, computers with internet, and secure space to store belongings What is a task force or working group? A temporary group assigned to address a specific, often clearly defined objective.
What is a committee? A long term, often permanent, group responsible for performing a service or function. What activities can clerkship administrators become involved in following a citation? (you must name at least two) Brainstorming solutions, implementing changes, evaluating effectiveness, data collection and reporting
What role does the clerkship administrator serve between site visits? Continual monitoring of program activities in relation to LCME accreditation standards What is professional advocacy? Speaking up for, or acting on behalf of, your profession
What is LCME accreditation? A voluntary process involving an extensive peer based evaluation of compliance with accepted standards for educational quality. Why does accreditation matter? Graduate licensure eligibility, USMLE eligibility, ACGME residency eligibility
What is the most recent accreditation standard approved by the LCME? Effective July 1, 2013 ED 19 A: Requires core curriculum to prepare students for multidisciplinary care practice What five categories are the current 131 standards organized under? Institutional Setting Educational Program Medical Students Faculty Educational Resources
What are the 12 standards proposed for implementation in 2015? 1. Mission, Planning, Organization, & Integrity 2. Leadership & Administration 3. Academic Learning Environments 4. Faculty Preparation, Productivity, Participation, & Policies 5. Educational Resources and Infrastructure 6. Competencies, Curricular Objectives, & Curricular Design 7. Curricular Content 8. Curricular Management, Evaluation, & Enhancement 9. Teaching, Supervision, Assessment, & Student and Patient Safety 10. Medical Student Selection, Assignment, and Progress 11. Medical Student Academic Support, Career Advising, & Records 12. Medical Student Health Services, Personal Counseling, & Financial Aid Services Back
Daily Double Winner Of The Last Round: Write Down How Much Money You Are Willing To Risk If you get the question right you WIN that money! If you get it wrong you LOSE the money! Proceed to Answer Daily Double Winner Of The Last Round: Write Down How Much Money You Are Willing To Risk If you get the question right you WIN that money! If you get it wrong you LOSE the money! Proceed to Answer
What levels of accreditation are granted by the LCME? Full, preliminary, and provisional Preliminary accreditation status is granted to an unaccredited program seeking full accreditation status. This status allows the program to recruit applicants and accept applications for enrollment. Provisional accreditation status is granted after a program enrolls a charter class, submits a modified educational database and self-study summary to the LCME, and successfully completes a limited site visit. The site visit takes place before the midpoint of the second year; provisional status allows the charter class to continue into the third and fourth years of training. Full accreditation status is granted to programs after a program submits an educational database and selfstudy summary and completes a full site visit late in the third or early in the fourth year of the curriculum. Full accreditation is awarded for the balance of the eight-year term that began when preliminary status was granted; subsequent term lengths are determined through completion of the full survey process. What is the maximum length of time permitted between site visits for fully accredited programs? Eight (8) years Based on site visit findings, the LCME may require action in the interim period, such as submitting written status reports and completing limited site visits. What actions taken by the LCME are subject to appeal? Accreditation with probation, denial of accreditation, and withdrawal of accreditation Probation occurs when the LCME determines a program is not in substantial compliance. Programs on probation that fail to make satisfactory progress in achieving compliance within 24 months are subject to withdrawal of accreditation. Denial of accreditation occurs when provisional programs fail to achieve compliance with accreditation standards. How long after receiving notification of an appealable action do programs have to submit a formal response? 30 calendar days The LCME does not grant extensions for written requests for an appeal. Failure to submit a written response within 30 days constitutes final action by the LCME.
What one action taken by the LCME is not subject to appeal? Warning of probation Warning of probations are issued when one or more areas of noncompliance not corrected in 12-24 months seriously compromise the educational program or when previously identified areas of noncompliance have not been adequately addressed. What is a citation? The finding that a program or institution is failing to comply with a particular accreditation standard, policy or procedure. Programs receiving a citation are required to submit a written report to the LCME by a specific date demonstrating action taken and related results. Failure to demonstrate adequate attention to citations may result in additional action. What is a status report? Written documentation provided to the LCME by a specified deadline describing action taken on areas of partial or substantial noncompliance and related outcomes. Status reports provide information to the LCME on any action taken on areas of noncompliance and their impact. What is a limited site visit? A site visit focused on specific issues of partial or substantial noncompliance conducted within the accreditation period. Limited site visits serve to verify submitted documentation and assess the extent of the program s progress in achieving full compliance with accreditation standards. What is a Secretariat consultation? A purely consultative activity between Secretariat staff and program representatives initiated by the LCME or program. If the LCME requests a consultation, they are responsible for associated expenses. If the program initiates the consultation, they must cover all associated expenses for the consultative visit. What is the maximum amount of time permitted to address deficiencies in compliance? 24 months from the date of LCME action. The LCME will notify the program of any specific deadlines related to status reports and limited site visits.
What are minimally acceptable duty hour restrictions for medical students? An average of no more than 80 hours per week with one day in seven off (over a 4-week period) Clerkships are given discretion in using the above duty hour regulations or implementing the more restrictive PGY1 duty hours implemented by the ACGME in July 2011. The LCME requires programs to ensure medical students do not work more hours than senior residents. What is the number of hours students must and should have off between duty periods? Students must have at least 8 hours and should have 10 hours off between duty periods. Again, this is a mirror of ACGME duty hour regulations. This rule can be challenging to achieve with classroom sessions, overnight call, and late afternoon clinics. Programs may choose to implement every other day call schedules, predetermined leave times, and other such measure to ensure compliance. What courses are required by the LCME to provide formal feedback to students with sufficient time for remediation? All required courses or clerkships Feedback can be provided via one-on-one sessions with the students, written evaluations, and formal midcourse reviews (amongst others). Regardless of method, the LCME requires documentation demonstrating compliance to avoid citation. What is the average amount of time the LCME permits for submission of final grades? 4-6 weeks Right now, this is likely the issue receiving the most scrutiny from the LCME. Again, regardless of approach programs must provide documentation demonstrating full compliance to avoid citation. While the LCME permits 4-6 weeks, they expect compliance with the program s established deadline. So, if your program sets a 30 day deadline, the LCME may cite it for noncompliance even if final grades are received within six weeks. Addressing this issue typically involves collaboration between individual clerkships and the program as a whole to ensure compliance. What facilities and resources are required at clinical teaching facilities serving as major instructional sites? (name at least two) Areas for lectures, individual study space, access to library resources, computers with internet, and secure space to store personal belongings. Every program must provide these resources in one form or another. Affiliate teaching locations, such as hospitals and ambulatory clinics, must ensure these resources are available and accessible to medical students. Ensuring compliance typically includes clerkship director and administrator collaboration with affiliate sites.
What is a task force or working group? A temporary group assigned to address a specific, often clearly defined objective. This is an area where you can be proactive by being a willing participant in a task force or working group. It provides you with an opportunity to learn about LCME guidelines and the roles you need to take on as an administrator. Research is done on why and how things work, what things need to be implemented and who is the best person to do certain roles. With a task force or working group it also is an opportunity for work to be broken down into manageable portions so no one person is overloaded with all of the tasks. It is your opportunity to learn and grow within your own program. What is a committee? A long-term, often permanent, group responsible for performing a service or function. A committee is an opportunity for you to learn the history of why things are done a certain way (and shape the future). Committees can help you learn ways to incorporate things into your clerkship you may not have realized could work for you. They also serve as a strong networking opportunity within your organization. What activities can clerkship administrators become involved in following a citation? (name at least two) Brainstorming solutions, implementing changes, evaluating effectiveness, data collection and reporting. This is a particular area in which we as clerkship administrator are very involved. We are responsible for at least the follow-up activities on most, if not all, of the above. However, just as with a medical record, if it isn t written it didn t happen. Never forget the importance of documenting! What role does the clerkship administrator serve between site visits? Continual monitoring of program activities in relation to LCME accreditation standards. Clerkship administrators must be aware of LCME accreditation standards to ensure their program is in continual compliance. All programmatic changes must be made with accreditation standards in mind. Such practices rely on open, effective communication between the clerkship director and administrator. What is professional advocacy? Speaking up for, or acting on behalf of, your profession. Many times the administrator must step into this role as the voice of reason or voice for the student. This is a role in which you can provide insight as to what will logistically work and what won t. This is a major role of our profession; directors don t always (or often) know all the details that make a clerkship operate efficiently and effectively.
What is accreditation? A process by which institutions voluntarily undergo an extensive peer-based evaluation of their compliance with accepted standards for educational quality. This process determines whether an institution meets established standards for function, structure and performance. Accreditation fosters institutional and program improvement, assuring medical education takes place in a sufficiently rich environment. Accreditation status also establishes an institution s eligibility for selected federal grants and programs, such as Title VII funding administered by the Public Health Service. The accreditation process seeks to answer three questions: 1. Has the program clearly established its mission, goals, and institutional learning objectives? 2. Are the program s curriculum and resources organized to meet its mission, goals, and objectives? 3. What is the evidence that the program is currently achieving its mission, goals, and objectives and is likely to continue to meet them in the future? Why does accreditation matter? Most state boards of licensure require US and Puerto Rican medical schools be accredited by the LCME as a condition for graduate licensure eligibility. LCME accreditation also determines medical student eligibility to take the United States Medical Licensing Examination (USMLE) and enter into residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). What is the most recent accreditation standard approved by the LCME? ED-19-A was approved at the February 2013 LCME meeting and became effective on July 1, 2013. All medical schools undergoing a full accreditation survey in the 2014-2015 academic year will need to address ED-19-A in their medical education database and institutional self-study. ED-19-A: The core curriculum of a medical education program must prepare medical students to function collaboratively on health care teams that include health professionals from other disciplines as they provide coordinated services to patients. These curricular experiences include practitioners and/or students from the other health professions. What five categories are the current 131 LCME accreditation standards organized under? Institutional Setting (IS-1 IS-16) Governance and administration Academic environment Educational Program Leading to the M.D. Degree (ED-1 ED-47) Educational objectives Structure (general design and content) Teaching and assessment Curriculum management Evaluation of program effectiveness
Medical Students (MS-1 MS-37) Admissions Medical student services The learning environment Faculty (FA-1 FA-14) Number, qualifications, and functions Personnel policies Governance Educational Resources (ER-1 ER-14) Finances General facilities Clinical teaching facilities Library services and information resources What are the 12 accreditation standards the LCME has proposed for potential implementation in 2015? 1. Mission, Planning, Organization, and Integrity 2. Leadership and Administration 3. Academic and Learning Environments 4. Faculty Preparation, Productivity, Participation, and Policies 5. Educational Resources and Infrastructure 6. Competencies, Curricular Objectives, and Curricular Design 7. Curricular Content 8. Curricular Management, Evaluation, and Enhancement 9. Teaching, Supervision, Assessment, and Student and Patient Safety 10. Medical Student Selection, Assignment, and Progress 11. Medical Student Academic Support, Career Advising, and Records 12. Medical Student Health Services, Personal Counseling, and Financial Aid Services The current 131 standards are organized as elements under the 12 new standards. These elements outline what requires examination under the standard when evaluating compliance. The LCME is hosting an information session on the project and a public hearing for comment at the AAMC meeting on November 5, 2013. Pending approval, the new standards will go into effect on July 1, 2015. All medical schools undergoing a full site visit in the 2015-2016 academic year will be evaluated under the new standards.