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New and Developing Medical Education Programs
Introduction
Interest in the establishment of new medical schools is showing signs of resurgence,
in response to calls for additional physicians to meet demand in the decades
ahead. LCME accreditation is an important step in the process of establishing
a new school. The LCME is recognized by the U.S. Secretary of Education to accredit
complete and independent medical education programs in which students are geographically
located in the United States or Canada for their education and that are operated
by universities or medical schools that are chartered in the United States or
Canada.
Inquiry Stage
Parties in the early stages of establishing a medical school are strongly encouraged
to contact the LCME Secretaries to learn about the
accreditation process. Inquiries made at this stage are not made public, and
discussions are kept confidential. Secretariat staff are available to host conference
calls, host representatives at either LCME office (in Washington, DC, or Chicago),
or travel to on-site consultations. (On-site consultations are at the expense
of the developing school.)
Five Steps Toward Becoming Fully Accredited
- Applicant Status. A medical school obtains "Applicant School" status
when: (a) It has paid the $25,000 application fee to the LCME to begin the
process of applying for preliminary accreditation; and (b) LCME and CACMS
Secretariat staff have determined that the school meets the basic eligibility
requirements to apply for accreditation (i.e., a current or anticipated charter
in the U.S. or Canada and plans to offer the educational program in the U.S.
or Canada). NOTE: Applicant Schools are not accredited
and may not recruit or advertise for applicants or accept student applications.
View
a current listing of programs with Applicant Status.
- Candidate Status. A medical school obtains "Candidate School" status
when: (a) It has paid the $25,000 application fee to the LCME to begin the
process of applying for preliminary accreditation; (b) LCME and CACMS Secretariat
staff have determined that the school meets the basic eligibility requirements
to apply for accreditation (i.e., a current or anticipated charter in the
U.S. or Canada and plans to offer the educational program in the U.S. or Canada);
(c) The school has submitted the required medical education database and planning
self-study documents, which have been favorably reviewed by the LCME (and,
for Canadian schools, also by the CACMS); and (d) Approval has been granted
by the LCME for a site visit for preliminary accreditation.
NOTE: Candidate Schools are
not accredited and may not recruit or advertise for applicants or accept student
applications. View
a current listing of programs with Candidate Status.
- Preliminary Accreditation. A medical school achieves "Preliminary
Accreditation" status when: (a) It submits a modified medical educational
database and a self-study summary to the LCME; (b) An LCME team completes
a survey visit at the medical school and prepares a report of its findings
for consideration by the LCME at its next regularly scheduled meeting; (c)
The LCME reviews the survey team's report and determines that the program
leading to the M.D. degree meets the standards outlined in the LCME document,
Guidelines for New and Developing Medical
Schools; and (d) The LCME votes to grant preliminary accreditation
to the program for an entering class in an upcoming academic year. Once preliminary
accreditation is granted, the program may begin to recruit applicants and
accept applications for enrollment. If the program does not enroll a charter
class within two years of its receipt of preliminary accreditation, it must
reapply for preliminary accreditation as a new program and pay a reapplication
fee. View
a current listing of programs with Preliminary Accreditation.
- Provisional Accreditation. A medical school achieves "Provisional
Accreditation" status, after it receives preliminary accreditation and enrolls
a charter class, when: (a) It submits a modified medical educational database
and a self-study summary to the LCME; (b) An LCME team completes a limited
survey visit prior to the midpoint of the second year of the curriculum to
review progress toward implementation of the educational program leading to
the M.D. degree and the status of planning for later stages of the program,
and prepares a report of its findings for consideration by the LCME at its
next regularly scheduled meeting; (c) The LCME reviews the survey team's report
and determines that the program leading to the M.D. degree meets the standards
outlined in the LCME document, Guidelines
for New and Developing Medical Schools; and (4) The LCME votes to
grant provisional accreditation to the program. Once provisional accreditation
has been granted, students enrolled in the program can continue their medical
studies in the third and fourth years of medical education, and the program
can continue to enroll new students.
View a current listing of programs with Provisional
Accreditation.
- Full Accreditation. A medical school achieves "Full Accreditation"
status, after it receives provisional accreditation, when: (a) It submits
a modified medical educational database and a self-study summary to the LCME;
(b) An LCME team completes a full accreditation survey visit that takes place
late in the third year or early in the fourth year of the curriculum, and
prepares a report of its findings for consideration by the LCME at its next
regularly scheduled meeting; (c) The LCME reviews the survey team's report
and determines that the program leading to the M.D. degree fully complies
with all LCME accreditation standards; and (d) The LCME votes to grant full
accreditation to the program for the balance of an eight-year term that began
when the program was granted preliminary accreditation status. View
a current listing of programs with Full Accreditation.
Resources for Developing Programs
- Contacting the LCME Secretariat staff for guidance.
The LCME maintains accreditation offices at both of its sponsoring associations:
the American Medical Association (AMA) and at the Association of American
Medical Colleges (AAMC), and each appoints an LCME Secretary. The Secretariat
staff encourages representives from new and developing schools to contact
either office to learn about the accreditation process for starting a new
medical school.
- Guidelines for New and Developing Medical
Schools describes the minimum requirements that must be met in order
for the LCME to consider granting preliminary accreditation of a new program
leading to the M.D. degree.
- LCME Accreditation Standards. The LCME document,
Functions and Structure of a Medical School, contains LCME standards
for accreditation of medical education programs leading to the M.D. degree
in the U.S. and Canada. Explanatory annotations are provided to clarify the
meaning of standards, when necessary.
- Database for Preliminary
Accreditation. Following consultation(s) with the LCME Secretariat and
payment of the application fee, a developing school will be directed to complete
and submit a Database for Preliminary Accreditation.
2010-2011: For Preliminary Accreditation Surveys scheduled between
July 1, 2010, and June 30, 2011:
Background
and Instructions (Word, 71 kb) posted
9-1-10
Self-Study
Guide for Preliminary Accreditation (Word, 98 kb)
Database cover for Preliminary
Accreditation (Word, 22 kb)
Section 1 - Institutional
Setting (Word, 143 kb)
Section 2 - Educational
Program for the M.D. Degree (Word, 213 kb)
Section 3 - Medical
Students (Word, 92 kb)
Section 4 - Faculty
(Word, 114 kb)
Section 5 - Educational
Resources (Word, 123 kb)
Course
and Clerkship Forms (Word, 133 kb)
Template
Visit Schedule (Word, 50 kb)
Survey Report
Guide for Preliminary Surveys (PDF, 69 kb)
2011-2012: For Preliminary Accreditation Surveys scheduled between July
1, 2011, and June 30, 2012:
Background
and Instructions (Word, 71 kb) posted
9-1-10
Self-Study Guide
for Preliminary Accreditation (Word, 96 kb)
Database cover for Preliminary
Accreditation (Word, 22 kb)
Section 1 - Institutional
Setting (Word, 137 kb)
Section 2 - Educational
Program for the M.D. Degree (Word, 198 kb)
Section 3 - Medical
Students (Word, 103 kb)
Section 4 - Faculty
(Word, 119 kb)
Section 5 - Educational
Resources (Word, 132 kb)
Course
and Clerkship Forms (Word, 132 kb)
Template
Visit Schedule (Word, 51 kb)
Survey Report Guide
for Preliminary Surveys (PDF, 69 kb) NOTE:
This is 2010-2011 version, which also can be used for 2011-2012 surveys.
- Database for Provisional
Accreditation. Schools with Preliminary Accreditation will be directed
to complete and submit a Database for Provisional Accreditation, prior to
the midpoint of the second year of the curriculum.
2010-2011: For Provisional Accreditation Surveys scheduled between July
1, 2010, and June 30, 2011:
Self-Study
Guide for Provisional Accreditation (Word, 142 kb)
Database cover for Provisional
Accreditation (Word, 24 kb)
Section 1 - Institutional
Setting (Word, 187 kb)
Section 2 - Educational
Program for the M.D. Degree (Word, 264 kb)
Section 3 - Medical
Students (Word, 165 kb)
Section 4 - Faculty
(Word, 225 kb)
Section 5 - Educational
Resources (Word, 188 kb)
Course and Clerkship
Forms (Word, 209 kb)
The Role of Students
in the Review of Medical Education Programs for Provisional Accreditation
(Word, 81 kb)
Survey Report
Guide for Provisional Surveys (Word, 200 kb)
2011-2012: For Provisional Accreditation Surveys scheduled between July
1, 2011, and June 30, 2012:
Background and
Instructions (Word, 124 kb)
Self-Study Guide
for Provisional Accreditation (Word, 113 kb)
Database cover for Provisional
Accreditation (Word, 22 kb)
Section 1 - Institutional
Setting (Word, 168 kb)
Section 2 - Educational
Program for the M.D. Degree (Word, 275 kb)
Section 3 - Medical
Students (Word, 212 kb)
Section 4 - Faculty
(Word, 202 kb)
Section 5 - Educational
Resources (Word, 174 kb)
Course and Clerkship
Forms (Word, 201 kb)
The Role of Students
in the Review of Medical Education Programs for Provisional Accreditation
(Word, 86 kb)
Survey Report
Guide for Provisional Surveys (Word, 200 kb) NOTE:
This is 2010-2011 version, which also can be used for 2011-2012 surveys.
- Current List of New and Developing Schools. View
an up-to-date listing of the new schools
in each stage of the accreditation process.
Frequently-asked Questions
Q. How do we get started?
A. Contact either LCME Secretary, Dr. Dan Hunt (at
the AAMC), or Dr. Barbara Barzansky (at the AMA).
Q. What is the LCME's scope of accreditation?
A. The LCME is recognized by the U.S. Secretary of Education to accredit complete
and independent medical education programs leading to the M.D. degree in which
students are geographically located in the United States or Canada for their
education and that are operated by universities or medical schools that are
chartered in the United States or Canada.
Q. Is accreditation required? Why is accreditation important?
A. Accreditation of medical education programs ensures compliance with national
standards of educational quality. The cyclical process of institutional self-study
and assessment, coupled with external validation by a team of professional peers,
provides a mechanism for ongoing quality improvement. That quality assurance
focus is closely linked to eligibility for residency training and licensure
requirements for medical practice.
Send questions and comments to lcme@aamc.org.

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Revised 1 September 2010
© 2010 LCME