LCME Self Study Kick Off
What is the LCME?
• Accrediting agency for programs leading to
the M.D. degree in the U.S. and Canada
• Jointly sponsored by the AMA and AAMC
• 19 member committee (Deans, medical
educators, public members, medical students)
Importance of Accreditation
• National process of quality
assurance/improvement
• LCME accreditation establishes eligibility for
certain federal grants and student financial aid
• U.S. students must attend an LCME accredited
school to take the USMLE licensure exam
• Graduates of LCME accredited schools are
eligible for ACGME accredited residencies
Overall LCME Process
• DCI (database)
completion
• Self study committees
produce reports
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Institutional setting
Educational program
Medical students
Faculty
Educational resources
Overall LCME Process
• Independent student
analysis
• Committee reports
used by executive
committee to compose
summary report
• Site visit
• LCME makes
determination
LCME Outcomes
• Full accreditation
(8 years)
• Shorter term of
accreditation
• Warning of probation
• Probation
• Withdrawal of
accreditation
Increase in Severe Actions
• In last 100 schools accredited, severe action
taken in 56%
• More than 10 schools on probation in past 8
years
• Currently 2 schools on probation, 12 with
severe actions
LCME Standards
• ~130 accreditation standards
• Each standard rated
– Compliance
– Compliance, with need for monitoring
– Noncompliance
• Outcome NOT determined by number of
standards out of compliance but rather by
which standards, severity, and chronicity
More likely to lead to severe action
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Chronicity
ED 8 (comparability between campuses)
ED 33 (central curriculum management)
ED 35 (evaluation of curriculum), ED 37
(curriculum database)
• Process not taken seriously/poor documents
Our Citations on Last Visit
• ED-5-A: Active learning:
– “opportunities for students to develop skills of self
directed, independent learning during the first
two years of the curriculum are relatively sparse,
with limited occasions for students to interact
with faculty individually or in small group settings
Our Citations on Last Visit
• ED 33: central curriculum management
– “on those occasions when the dean’s office has
made or implemented policies that directly affect
the curriculum, there has been no apparent input
from the curriculum committee in the decision
making nor follow-up to determine the ongoing
need for such policies. Directors of third year
clerkships do not have the same structural role
with respect to the curriculum committee as do
course directors in the 1st and 2nd year”
Our Citations Last Visit
• MS 37: Adequate study and relaxation space
– “Student feedback indicates that there is
insufficient study and relaxation space to facilitate
their preparations for the academic demands of
the curriculum”
Our Citations Last Visit
• ER 9: Affiliation agreements
– “The college’s affiliation agreements are not
specific regarding the primacy of the medical
school on issues of medical student education and
do not address the responsibility for treatment
and follow-up in case of student exposure to
infectious or environmental hazards and
occupational injury”
Timeline
• DCI completion by end of October
• Self study committees meet/write report –
November through March
• Independent student analysis – November
through March
• Summary report written – April through June
• Final editing of all materials – June & July, 2014
• Materials sent to LCME – August, 2014
Site Visit
• November 16-19, 2014
• Visits with numerous
groups
– Variety of faculty,
administration
– Department chairs
– Students
– Junior faculty
Self Study Committees
• Each committee writes a
report on their assigned
area; using LCME
designated questions
• Report should be
analytical, not merely
descriptive
• Meant to identify
strengths and weaknesses
Documents
• Will be housed on a
Sharepoint site that all
self study committee
members will have access
• Will email out the link to
the site
Administrative Support
• James Graham
– 686-7407
• Sharanda Williams
– 686-8499
• Jennifer Vanecko
– 686-5800
Questions?