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Database
Documents and Instructions
for Full Accreditation Survey Visits
in the 2013-2014 Academic Year
I.
2013-2014 Medical
Education Database for Full Accreditation
Prior to a full LCME accreditation survey, medical schools must
conduct an institutional self-study. As part of the self-study process,
schools complete the Medical Education Database, comprised of six
sections of questions covering all aspects of the program leading
to the MD degree. The Database files for
programs with full LCME surveys scheduled between July 1, 2013
and June 30, 2014 are
provided below, in Microsoft Word.
II.
Background Reading
Functions
and Structure of a Medical School May 2012
Contains
the accreditation standards by which programs with accreditation
surveys scheduled in the 2013-2014 academic year will be evaluated.
Guide
to the Institutional Self-study 2013-2014
Defines the purpose of the self-study, describes how to organize
and complete it, and provides instructions and guidance for conducting
an institutional self-study and compiling a summary report for the
LCME.
The
Role of Students in the Accreditation of Medical Education Programs
in the US and Canada
Describes the procedures and format for conducting an independent
student analysis of the medical education program, student services,
and the learning environment. It also delineates the role of students
in the accreditation process. This document is not specific to the
2013-2014 academic year.
Rules
of Procedure April 2012
Describes the policies and operating procedures of the LCME.
Survey
Report Guide (Coming soon)
A guidebook directed at survey team members who will be preparing
the teams report. It also contains important information about
the specific topics that the survey team will review and evaluate
in its assessment of the medical education program.
Connections
Connections provides an integrated view of LCME accreditation standards
by connecting the text of each standard to (1) its corresponding
annotation, (2) the medical education database questions related
to that standard, (3) the questions that the institutional self-study
committee must address and (4) the findings that survey team members
must document in the survey report.
III.
Timetable
The instructions for (a) completion of the Medical Education Database
and (b) the institutional self-study summary report are published
approximately 15 months or more before the scheduled survey visit,
which permits ample time for completing the Medical Education Database,
organizing the self-study committees, and conducting the self-study.
The self-study should start at least one year before the survey
visit. It is critical that the database reviewed by the survey team
provide an up-to-date picture of the medical education program.
Because the original database may have been compiled for the institutional
self-study a year or more prior to the date of the survey visit,
be sure to update the key sections of the database before mailing
it to survey team members and to the LCME/CACMS Secretariat offices.
When the LCME/CACMS Secretariat office or the survey team reviews
these materials in detail, gaps or inconsistencies may be identified.
This will result in a request for additional documentation in preparation
for the on-site review.
IV.
Submission
Please
refer to the Submissions
Requirements page for up-to-date database submission instructions.
Approximately
three months before the survey visit, the LCME Secretariat office
will send the dean the list of survey team members. The survey
team secretary will contact the self-study coordinator with any
additional information needs.
V.
Designation of Coordinators
Please notify
the LCME Secretariat of your schools Self-study Coordinator
and Survey Visit Coordinator using the Self-study
Personnel Confirmation Form.
The Self-study
Coordinator is typically a faculty member or senior administrator
with extensive knowledge of the school and its programs. This
individual manages the self-study process, coordinates the collection
of data for the Medical Education Database, and develops the survey
visit schedule with the team secretary. The Self-study Coordinator
will be the primary point of contact with the LCME Secretariat
and the survey team secretary.
The Survey
Visit Coordinator is typically an experienced staff member. This
individual manages the logistics of the survey visit, including
hotel reservations, ground transportation, and restaurant recommendations.
The Survey Visit Coordinator often manages the production and
mailing of the completed Medical Education Database.
VI.
Collection of Data
Establish a
coordinating office and specific timetables and deadlines for
completion. It is suggested that the forms (or the corresponding
computer documents) be divided into sections corresponding to
the self-study subcommittees. Prepare the final copy of the database
when the completed forms have been returned.
Answers are
not limited to the spaces provided after each question; use as
much space as necessary to answer the question completely. Although
supplied tables can be filled in where appropriate, it is likely
that some tables will need to be expanded or duplicated to provide
full documentation. Tables may be modified to fit the specific
circumstances of the institution. Feel free to contact
the Secretariat with any questions.
VII. Instructions for Completing Each Database Binder
Each
database section is presented as an individual document, and the
completed section should be submitted as such. The sections of
the database document correspond to the five major headings of
LCME accreditation standards (Institutional Setting, Educational
Program for the MD Degree, Medical Students, Faculty, and Educational
Resources), and there is a separate section for courses and clerkship
rotations. The person responsible for assembling the database
may wish to distribute only specific documents or pages to various
staff for completion.
Each complete
database set should contain the following:
-
(1)
Black binder: Answers to database questions (Sections I-V)
Database
questions are grouped by major subject headings corresponding
to the five sections of LCME accreditation standards. Each
database section is stored as an individual file and should
be submitted as a separate file. Each question is preceded
by the relevant LCME accreditation standard, for reference.
Use as much space as necessary to provide complete responses
to all questions. Responses are not limited to the space provided
after each question. Do not answer by referring to or providing
catalogs, directories, appendices, reports, or other sources
of information except as specifically requested in the database.
Supplementary materials should be placed in the Appendix (red
binder). The URL for very large documents can be included
and hard copies of these documents can be made available for
the survey team on site. The copy of the Appendix sent to
the LCME Secretariat offices should include a complete set
of all documents.
- (1)
Red binder: Appendix of supporting documents
Any supporting documents requested (e.g., organizational charts, graphs
showing USMLE performance, faculty promotion policy documents) should
be numbered sequentially by database section and compiled in the appropriate
tabbed sections. The appendix materials should be referred to by section
and number (e.g., Section II, Appendix 5) in the responses to the
database question(s). Include a table of contents for each of the
five sections of the Appendix.
- (1)
Green binder: Required courses and clerkship rotations
Complete the summary tables (Part A) on course/clerkship rotation
teaching and assessment methods. For each required course in the curriculum,
include either the Required Course form or the Required Clerkship
Rotation form. Insert the forms sequentially by the year in the curriculum
in which the course or clerkship is offered (behind the provided tabs
labeled Year One, Year Two, etc.). Use the curriculum schematic as
the guide to the order of courses; the curriculum schematic should
be provided in the response to standard ED-5. In most cases, curriculum
years correspond to the blocks of time that end with students being
considered for promotion or graduation. Schools that offer a formal
decelerated curriculum operating on a different time schedule (e.g.,
five years) from the regular curriculum should organize the required
courses and clerkship rotations according to their regular (not decelerated)
academic schedule. Schools that offer medical education programs of
more than four years should modify the database and course or clerkship
rotation forms accordingly.
- (1)
Blue binder: Independent student analysis and AAMC GQ or AAMC CGQ
results
The independent student analysis should be prepared using the guidelines
described in the LCME publication The
Role of Students in the Accreditation of Medical Education Programs
in the US and Canada. The independent student analysis should
consist of a narrative summary of student survey data that has been
prepared by the students themselves. Also include tables and figures
with the results for each question in the student survey. Please include
the overall response rates to the entire student survey for each class
year. Include the most recent results from the AAMC Medical School
Graduation Questionnaire (AAMC GQ).
- (1)
Yellow
binder: Institutional self-study summary
The institutional self-study should be prepared according to the LCME
publication Guide to the Institutional Self-Study. An institutional
self-study report (no more than 30 single-spaced pages in length)
should be provided in the yellow binder. This document is a synthesis
of the individual self-study committee reports and should include
a section that contains the schools summary assessment of institutional
strengths, challenges, and areas in need of attention. The full reports
of each self-study committee should not be included, but should be
made available in the survey teams home room during the survey
visit and made available electronically if requested by the survey
team. In the yellow binder also include a list of the members of each
self-study committee.
- One
copy of the current medical school catalog or bulletin (if available
in paper copy)
- A
map of the city or region, marked with location of the medical school
and principal teaching hospitals
- A
campus guide, if relevant
VIII.
Instructions for Assembling the Final Database Sets
All material should
be printed on one side of the page only. Please do not use heavy stock
paper in printing the database. Use the sample set as a guide for assembly.
Inserted material (e.g., organizational charts, policy documents) should
be numbered and compiled in the red Appendix binder behind the appropriate
section tabs.
Please use the binder
covers provided. (Three-ring binders will not fit in LCME file cabinets.)
Do not have the database sets permanently bound; the LCME/CACMS Secretariats
and the survey team members need to be able to easily remove pages.
Do not use heavy stock paper for printing the database.
Please limit material.
The required database materials are voluminous. Please do not add supplementary
material that has not been requested, unless it is essential to respond
to a given question. Long-range planning documents, faculty bibliographies,
detailed descriptions and histories of clinical and research programs,
etc., can be provided on site for survey team review.
NOTE: The Secretariat
is required to maintain complete print records of the database information.
If Web site URLs are included in the database in lieu of documents,
please include printed copies of those documents in the databases sent
to the LCME Secretariat. The URLs alone will suffice for the copies
sent to survey team members as long as they can obtain access to the
documents through the URL. If printed copies of a particular URL are
especially voluminous, include only the table of contents and those
pages that directly support the schools responses to the database
questions. LCME Secretariat staff can provide guidance in this area.
IX.
Updating the Database Prior to Submission
It is essential that the database used by the survey team provide an
up-to-date picture of the medical education program. Because the original
database may have been compiled for the institutional self-study a year
or more prior to the date of the survey visit, be sure to update key
sections of the database before mailing it to survey team members and
the LCME/CACMS Secretariat offices. Updated pages should reflect the
appropriate academic year at the top of the page. Among the key items
likely to require updating are the following:
| Item |
Location
of Database Question |
|
MCAT scores
and GPAs of the most recent matriculating class
|
Black binder,
Section III, Part A., items a-b
|
|
The most recent
USMLE Step 1 and Step 2 pass rates and scores or their Canadian
equivalents
|
Black binder,
Section II, Part A., item b
|
|
The most recent
USMLE Step 3 pass rate or its Canadian equivalent
|
Black binder,
Section II, ED-46, item d
|
|
The most recent
mean graduating student indebtedness data
|
Black binder,
Section III, Part A, items i and j
|
|
The most recent
AAMC Medical School Graduation Questionnaire (AAMC GQ) or AAMC
Canadian Graduation Questionnaire (AAMC CGQ)
|
Blue binder
|
|
If a significant
curricular revision has occurred since the original database was
compiled, include a description and diagrams showing the changes.
|
Black binder,
Section II, ED-9
|
|
For Database
question ER-2, item k, the revenue and expenditures
history should be updated so that it consists of data from the
fiscal year during which the survey visit is taking place (based
on budget projections), and the three completed fiscal years immediately
prior. That is, the schools submission should be comprised
of data for FY 2014, FY 2013, FY 2012, and FY 2011.
Please note
that figures for FY 2014 and FY 2013 do not need to be audited
figures. If final figures are not available for FY 2013, please
estimate based on totals to date. The format for the history should
follow that of the Rev_Exp_History tab of the schools
completed LCME Part I-A Annual Financial Questionnaire (AFQ).
|
Black binder, Section V, ER-2, item k
|
|
The schools
most recently completed LCME Part I-A Annual Financial Questionnaire
(AFQ), including the Signature Page, and excluding the Scratch
Pad page. This should consist of 8 pages.
The Web-based
companion survey to the AFQ, the Overview of Organization
and Financial Characteristics
NOTE: Unless
the school states otherwise, the LCME will assume that the program
uses the fiscal year of July 1 - June 30.
|
Black binder,
Section V, ER-2, item l
|
X.
Summary Tips for Preparing the Database
- Test
the USB flash drives that you submit to ensure that they are functioning
properly.
- The database
sections are posted as individual documents and are grouped by sections
corresponding to the sections of the accreditation standards. The
person responsible for coordinating assembly of the database may wish
to distribute only specific sections or individual pages to various
staff for completion.
- Provide concise,
but complete responses to each database question. Do not answer by
referring to or providing catalogs, directories, appendices, reports,
or other sources of information, except as specifically requested
in the database.
- Responses are
not limited to the space provided after each question; use as much
space as necessary to respond completely to the question.
- All answers must
be typed using the Times New Roman 11 point font. If your word processing
system does not recognize this font, it may convert to a similar font.
This may cause slight alterations in the formatting of the documents,
particularly the tables.
- Many database
questions contain references to items in other sections of the database.
These cross-references are included so that the self-study groups
at the school and the members of the survey team can quickly identify
all of the data relevant for each accreditation standard. There is
no need to duplicate information; simply refer to the relevant answers
to other standards. The cross-references should also facilitate internally
consistent reporting of information; for example, one item may refer
to the faculty numbers by department, with a cross-reference to total
numbers of faculty in a different item. In such cases, the school
should verify that the total equals the sum of the individual department
tallies.
- In some cases,
there are questions that refer to more than one standard. These standards
are grouped together. Answer the questions as indicated.
- The database
documents are formatted with a header to indicate the base year
of information compiled for the self-study. Fill in the academic year
corresponding to the information reported in the database (referred
to as the most recently completed academic year in many
of the individual database questions). When information is updated
subsequent to the completion of the self-study, change the academic
year in the header to reflect the academic year of the updated information.
Caution: Changing a header on a single page may change it globally
throughout the entire database document. The LCME suggests that changes
be stored in a separate computer file before headers are updated.
XI.
Questions?
Questions regarding
the submission of accreditation materials should be directed to LCME
administrative staff via email at lcmeadmin@aamc.org.
Questions regarding
the completion of the Medical Education Database should be directed
to the LCME Secretariat via email at lcmesecretariat@aamc.org.
For help with word
processing, layout, or compatibility problems, please contact Marina
Ramos, Program Manager, AMA (312-464-4662 or marina.ramos@ama-assn.org).
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