ACCREDITATION DOCUMENTS REQUIRED AND INTERVIEWS TO PREPARE FOR SITE-VISITS
I.
Required Documents for FETP’s to Submit to TEPHINET before a Site Visit :
1.
2.
3.
4.
Letter of Intent (LOI)
Initial Accreditation Member Data Survey for FETPs and Readiness Assessment
FETP Accreditation Report ( see the supporting document table below for attachments)
Resident’s Accreditation Survey Questionnaires (5-10 Residents)
II. Summary of Supporting Documentation to Submit with the FETP Accreditation Report :
The following supporting documentations shall be sent to TEPHINET with the FETP Accreditation
Report and be available for review during the Site Visit as evidence that the program has addressed
all accreditation indicators and standards.
I.
ACCREDITATION STANDARD INDICATOR AND SUPPORTING DOCUMENTS
MANAGEMENT, INFRASTRUCTURE AND OPERATIONS
INDICATOR
REQUIRED DOCUMENTATION
1.
Field Work
a) FETP Program Calendar
2.
Governance
a) Advisory Council or Expert Committee List with titles and
affiliations.
b) Minutes of advisory council or expert committee meetings
from two most recent sessions
c) Organizational chart or organogram showing administrative
location of FETP.
d) Policy and other documents describing role of FETP in public
health structure.
e) Invitations from past year for participation in key public
health activities
f) Resident reports and presentations of responses to requests
for participation from past 12 months.
3.
Infrastructure
4.
Operational
Guidelines &
Procedures
a) Documentation of procedures used by residents to gain
access to books and articles.
b) List of laboratories providing support for resident
investigations or studies.
c) For the 10 most recent outbreaks involving infectious or
environmental agent or toxin, detailed documentation of
laboratory testing requests and results
a) Standard operating procedures manual and/or FETP
program manual (i.e. documenting evaluation procedures,
curriculum, core competencies, graduation requirements etc.)
5.
Orientation
Manual
a) Resident orientation program agenda and orientation manual
b) Forms or questionnaires for resident feedback to program.
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ACCREDITATION DOCUMENTS REQUIRED AND INTERVIEWS TO PREPARE FOR SITE-VISITS
II.
ACCREDITATION STANDARD INDICATOR AND SUPPORTING DOCUMENTS
INTEGRATION WITH PUBLIC HEALTH SERVICE AND VALUE
INDICATOR
REQUIRED DOCUMENTATION
6.
Government or
(Public Health
Authority)
Support
a) List of all personnel with e-mails, job titles, and percent of
time dedicated to program, and source of salary.
7.
Field
Placements
8.
Engagement
with Public
Health
Authorities
9.
Scientific
Integrity
a) Description of each field placement for most recent
graduated cohort with job description, assignment location,
supervisory structure, activities conducted that allowed
attainment of core competencies, and the contribution of
these efforts to public health activities.
a) List with specific details of presentations, reports,
publications, and bulletin articles from previous year
targeted at public health audiences.
b) Electronic or paper copies of above documents (available for
review by Accreditation Review Team).
a) Written guidance and/or presentations of IRB (Institutional
Review Board) or ethics committee submission and
clearance procedures.
b) List of protocols submitted during previous 24 months with
outcomes of each.
III.

STAFFING AND SUPERVISION
INDICATOR
REQUIRED DOCUMENTATION
a) Job descriptions for program director/coordinator, public
health staff, and for technical supervisors.
b) Two-page CVs on standard form provided for program
director/coordinator, public health staff, and technical
supervisors.
c) Technical supervisor orientation manual and program from
most recent refresher training session.
d) Evidence of supervisor’s timely feedback to residents (e.g.
emails, documents with comments, etc.).
10.
Program
Staffing
Public Health
Programmatic
Functions
Technical
Supervisor
Capacity
IV.
SELECTION AND TRAINING OF RESIDENTS
INDICATOR
REQUIRED DOCUMENTATION
11.
Selection and
Assignment of
Residents
a) Copy of written FETP recruitment, selection, and assessment
criteria.
12.
Defined Core
Competencies
and
a) Schedules and syllabus for introductory course, additional
courses and workshops, and FETP seminars and rounds
(includes core competencies).
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
ACCREDITATION DOCUMENTS REQUIRED AND INTERVIEWS TO PREPARE FOR SITE-VISITS
ACCREDITATION STANDARD INDICATOR AND SUPPORTING DOCUMENTS
Associated
Activities
13.
Residents are
Completing
Requirements
of the
Program
a) Summary documentation or portfolios demonstrating that
competencies have been achieved (includes activities
completed for recent cohorts).
b)
List of all members initially enrolled in two most recent
graduating classes with outcomes and information of
which competencies were achieved.
14.
a) Forms or questionnaires for resident feedback to program.
Residents
Feedback/
Evaluation of
the Program
Please see the standards table in the Accreditation Manual for the more specific explanation of each document.
III. Interviews to Schedule in Advance of the Site Visit:
PERSON(S) TO BE INTERVIEWED
1.

FETP Program Staff :
Validation of Field Work Components/Time

Residents and Graduates (individually or in a group)
Validation of Field Work Components/Time
2.
3.
4.

At least one member of the Advisory Board or similar oversight committee
Host Institution
 To validate the description of the attributions and responsibilities of the
program within the national (or regional) public health infrastructure.
5.
Local Ministry of Health (MOH) or Government Officials
6.
Group interview with the Program Director, program affiliates, and partners
7.
Field Supervisors (2+)
Note: Accreditation Site Reviewers will be provided with interview scripts and agendas for these meetings.
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