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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
II.
Background Reading
III.
Timetable
IV.
Submission
V.
Designation of Coordinators
VI.
Collection of Data
VII.
Instructions for Completing Each Database Binder
VIII.
Instructions for Assembling the Final Database Sets
IX.
Updating the Database Prior to Submission
X.
Summary Tips for Preparing the Database
XI.
Contacts

 

 

 

 

 

 

 

 

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 team’s 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 school’s 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 school’s 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 team’s 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 school’s 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 school’s
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 school’s completed LCME Part I-A
Annual Financial Questionnaire (AFQ).


Black binder, Section V, ER-2, item k

 

 

 


The school’s 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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