7.29.08
Accreditation Review Commission on
Education for the Physician Assistant
Application for Continuing Accreditation
For Programs with one or more DISTANT CAMPUS sites
For Accreditation Standards, third edition, with clarifying changes
as of March, 2008
(Includes changes for B7 Supervised Clinical Practice, use of CV template)
NOTE: This application “protected” so that the user can only enter information in
the spaces indicated.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Standards 3rdedition
7.29.08
Technical Directions for Completing the Application
This form is “protected” in such a way that the user can enter information only in the
gray boxes or spaces on the worksheet.
In order to put an “X” mark in a box, left click in the gray box where you want the X. An
X will appear in the box. To remove the X, just click again.
In areas where comments or other text are to be entered, click in the gray box and enter
whatever information is called for, such as names or additional commentary. Although
the box appears to be small, when you begin typing in the gray area, the box will
expand to allow as much text as you need. If the text extends beyond the page, the
program will automatically make another page and change page numbers following this
“new page.”
In the protected format, you will be unable to insert or delete pages, or modify anything
that is not inside a gray box. If you find that you need to extend a table to add additional
lines for entries, contact the ARC-PA offices for assistance.
CAUTION: Do not unprotect the document. If you unprotect the document, there is a
strong possibility that all entered data will be lost.
After you have completed the application, you should use the “Save” or “Save As”
command under the File menu. You should not remove the “protection” before saving
the document.
If you have any difficulties or questions, contact the ARC-PA offices at 770-476-1224.
Please return the completed application to the ARC-PA office as directed at the end of
this document.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Standards 3rdedition
7.29.08
Table of Contents
General Program Information ............................................................................................................... 1
Institution Information ............................................................................................................................ 1
Sponsorship (Standards A1.01-A1.05)................................................................................................ 2
Financial Information (Standard A1.07a) ........................................................................................... 2
Personnel: Responsibilities (Standard A1.07b, c).......................................................................... 4
Professional Development (Standards A2.16 A2.17)...................................................................... 7
Physical Resources (Standard A1.07d, A1.08) ................................................................................. 7
Fair Practices and Admissions (Standards A3.03-A3.11) ........................................................... 10
Institutional Affiliations (Standards A1.03) ..................................................................................... 13
Institutional and Program Records (Standards A1.06c, A3.13, A3.14, A3.15) ....................... 14
Admission Policies and Procedures (Standard A3.05) ................................................................ 15
Information Technology (Standards A3.03, A3.07) ....................................................................... 16
Student Services (Standards D1.01, D1.02, D1.03, D1.04, D2.03) .............................................. 16
Curriculum (Standards B2-B6) ........................................................................................................... 18
Instruction (Standards B1.08-B1.10) ................................................................................................. 20
Curriculum (Standards B2-B6) ........................................................................................................... 21
Instructional Methods (Standards A3.03, B1.03, B1.04, B1.06, B2-B7) .................................... 24
Faculty Coordination and Supervision (Standards A2.05g, A2.05h, A2.18, A2.19, B1.07) . 25
Supervised Clinical Practice (Standard B7.03, B7.04).................................................................. 29
Student Evaluation (Standards C3.01, C3.02, C3.03, C3.04, C3.05, C3.06) ............................. 32
Progression (Standards C3.04, C3.05) ............................................................................................. 33
PANCE Results (Standard C2.01b7).................................................................................................. 34
Self Study Report (Standard C2.01) .................................................................................................. 36
Appendices (updated 11.05) ............................................................................................................... 41
SELF-STUDY REPORT INSTRUCTIONS ........................................................................................... 42
ARC-PA Material List for Continuing Accreditation Visits (updated 7.08) Error! Bookmark not
defined.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 1
Standards 3rdedition
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General Program Information
Please review the attached Institutional and Program Data Sheet and alter as
necessary.
Institution Information
List all undergraduate and graduate health profession programs offered by the sponsoring
institution: (Standard A1.04)
Program/Curriculum offered
Comment:
Specialty (if
applicable)
Credential(s) awarded
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Sponsorship (Standards A1.01-A1.05)
Name of Sponsoring Institution (Standard A1.02):
Institutional Accreditation: Complete the following regarding accreditation of the sponsoring
institution:
Name of Institutional Accrediting Body
Date
Awarded
Date for
Next Review
Liaison Committee on Medical Education
American Osteopathic Association
Middle States Association of Colleges and SchoolsCommission on Higher Education
New England Association of Schools and CollegesCommission on Institutions of Higher Education
North Central Association of Colleges and Schools- The
Higher Learning Commission
Northwest Commission on Colleges and Universities
Southern Association of Colleges and SchoolsCommission on Colleges
Western Association of Schools and CollegesAccrediting Commission for Senior Colleges and
Universities
Resources (Standards A1.07-A1.08)
Financial Information (Standard A1.07a)
Estimated current total Tuition & Fees that each student incurs for the entire professional
component of the PA Program:
Resident:
Non-resident:
Identify major sources of financial support for the program:
Source
Internal (sponsoring
institution)
Endowments
State grant/contract
Federal grant/contract
Private foundation: specify
Other: specify
Other: specify
Other: specify
$
Amount
per year
$
$
$
$
per year
per year
per year
per year
$
$
$
per year
per year
per year
Expiration date
OR
Ongoing
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Comments:
Standards 3rdedition
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ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Personnel: Responsibilities (Standard A1.07b, c, A2.05, A2.11, A2.13)
List below the institutional and program personnel to include core faculty and administrative
support staff. Identify their responsibilities by the list provided. Use second table if there are
more than 12 individuals in total at the main and DISTANT CAMPUS(es).
Individual Name and Title
Responsibilities
Assigned to Main campus
Assigned to DISTANT
CAMPUS
Administration
Administrative assistance
Alumni activities
Clinical practice
Clinical site development
Clinical site monitoring
Community Service
Coordination of instruction
Curriculum development
Curriculum evaluation
Faculty coordination
Faculty development
Institution service
Program committee service
Secretarial
Research & Scholarly
activities
Student advising/counseling
Student research
supervision
Student recruitment
Student evaluation
Student selection
Teaching and instruction
Comments:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
Rev 7.29.08
Individual Name and Title
Responsibilities
Assigned to Main campus
Assigned to Distant campus
Administration
Administrative assistance
Alumni activities
Clinical practice
Clinical site development
Clinical site monitoring
Community Service
Coordination of instruction
Curriculum development
Curriculum evaluation
Faculty coordination
Faculty development
Institution service
Program committee service
Secretarial
Research & Scholarly
activities
Student advising/counseling
Student research
supervision
Student recruitment
Student evaluation
Student selection
Teaching and instruction
Describe how and how often the program’s mission statement is reviewed and revised:
(Standard A2.05a)
Describe how the program’s medical director is “an advocate for the program within the medical
and academic community.” (A2.14d)
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Programs with Distant Campus
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Programs with Distant Campus
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Standards 3rdedition
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Professional Development (Standards A2.16 A2.17)
Indicate which of the following are offered by the program/institution for the core faculty.
non-vacation time to attend continuing education conferences
funding to attend continuing education conferences
non-vacation time to attend professional organizational meetings
funding to attend professional organizational meetings
time for clinical practice
time for research/scholarly activities
time to pursue advanced degree
tuition remission for advanced degree
Physical Resources at MAIN CAMPUS (Standard A1.07d - A1.07h, A1.08,
A3.02)
Resource
Dedicated
Shared
Seating Capacity
Classrooms
Lab (wet) space
Physical diagnosis lab space
Computer lab
Faculty offices
Medical director office
Question
Explain all “NO” answers below
N/A
N/A
Yes
No
Each faculty has ready access to a pc or laptop
There is a medical library on campus
The program has its own meeting/conference room
The program has space for confidential academic
counseling of students by core faculty
The program has secure storage for student files
Provide narrative to support program’s compliance in having “sufficient instructional materials
for the faculty and staff to perform their duties.” (A1.07f)
Provide narrative to support program’s compliance in having “access to and training in the use
of the internet, including medical and other health-related electronic databases, for core faculty
and students.”(A1.07g)
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Programs with Distant Campus
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Standards 3rdedition
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Provide narrative to support program’s compliance in having “readily available access to the
full text of current books, journals, periodicals, and other reference materials related to the
curriculum for students and faculty.” (A1.07h)
Provide narrative to support program’s compliance in having “sufficient seating, lighting,
heating, and ventilation to facilitate learning in classrooms and laboratories.”(A1.08a)
Physical Resources at DISTANT CAMPUS (Standard A1.07d - A1.07h,
A1.08, A3.02)
Resource
Dedicated
Shared
Seating Capacity
Classrooms
Lab (wet) space
Physical diagnosis lab space
Computer lab
Faculty offices
Medical director office
Question
Explain all “NO” answers below
N/A
N/A
Yes
No
Each faculty has ready access to a pc or laptop
There is a medical library on campus
The program has its own meeting/conference room
The program has space for confidential academic
counseling of students by core faculty
The program has secure storage for student files
Provide narrative to support program’s compliance at the distant campus in having “sufficient
instructional materials for the faculty and staff to perform their duties.” (A1.07f)
Provide narrative to support program’s compliance at the distant campus in having “access to
and training in the use of the internet, including medical and other health-related electronic
databases, for core faculty and students.”(A1.07g)
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Provide narrative to support program’s compliance at the distant campus in having “readily
available access to the full text of current books, journals, periodicals, and other reference
materials related to the curriculum for students and faculty.” (A1.07h)
Provide narrative to support program’s compliance at the distant campus in having “sufficient
seating, lighting, heating, and ventilation to facilitate learning in classrooms and
laboratories.”(A1.08a)
Provide additional narrative as needed to support program’s compliance in “providing
students and faculty at geographically distant locations access to services and resources
equivalent to those on the main campus.” (A3.02) Address classrooms in terms of capacity and
technology, library/computer resources, student counseling, student health.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Fair Practices and Admissions (Standards A3.03-A3.11)
Announcements/Policies/Documents
relating to:
Published
by the
institution
Published by
the program
Available on
the WEB
Program goals (A3.03)
Admission requirements (A3.07a,b)
Pre-requisite coursework (A3.07b)
Advanced placement (A3.07c)
Transfer credit policies (A3.07c)
Technical standards (A3.07d)
Academic standards(A3.07d)
Requirements for progression (A3.07d)
Required curriculum (A3.07e)
Clinical site/preceptor placement (A3.06)
Academic credit (A3.07f)
Academic costs (A3.07g)
ARC-PA Accreditation Status (A3.07h)
PANCE pass rates (A3.07i)
Withdrawal policies (A3.07j,k)
Student work policies (A3.07l)
Student grievance policies (A 30.7m, A3.09a)
Dismissal policies and procedures (A3.07m)
Faculty grievance policies (A3.09b)
Expected student competencies/outcomes
(B1.05)
Graduation requirements (B1.05)
Comments:
Provide narrative describing how the program assures that “all personnel and student policies
are consistent with federal and state statutes, rules, and regulations.” (A3.04)
Complete the following regarding advanced placement, check all that apply (Standard
A3.08):
The program does not grant advanced placement to any applicant.
Advanced placement is granted based on an evaluation of the applicant’s transcripts.
Advanced placement is granted based on applicant’s performance on institution required
standardized exams, like CLEP.
Explanatory comment required if box checked:
Advanced placement is granted based on applicant’s performance on program offered
content exams.
Explanatory comment required if box checked:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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How many students have been given advanced standing by the program for the last 3 admitted
classes?
Explain.
Other Comments regarding advanced placement:
How and when are students first notified of the following? (Standard A3.03, A3.07)
Information
distributed
Program goals
(A3.03)
Admission
requirements
(A3.07a,b)
Pre-requisite
coursework (A3.07b)
Advanced placement
(A3.07c)
Transfer credit
policies (A3.07c)
Technical standards
(A3.07d)
Academic
standards(A3.07d)
Requirements for
progression (A3.07d)
Required curriculum
(A3.07e)
Clinical site/preceptor
placement (A3.06)
Academic credit
(A3.07f)
Academic costs
(A3.07g)
ARC-PA
Accreditation Status
(A3.07h)
PANCE pass rates
(A3.07i)
Withdrawal policies
(A3.07j,k)
Student work policies
(A3.07l)
Student grievance
policies (A 30.7m,
A3.09a)
By mail at
time of
application
request
Notification mechanism and time
By mail
By web At time of After
with
site
interview accepted
application
as a
packet
student
Only
upon
request
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 12
Information
distributed
Dismissal policies
and procedures
(A3.07m)
Expected student
competencies/
outcomes (B1.05)
Graduation
requirements (B1.05)
Comments:
By mail at
time of
application
request
Standards 3rdedition
Rev 7.29.08
Notification mechanism and time
By mail
By web At time of After
with
site
interview accepted
application
as a
packet
student
Only
upon
request
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Institutional Affiliations (Standards A1.03)
Please list the affiliated institutions that are substantively involved in the didactic and preclinical
phases of the educational program and indicate the services provided by each institution.
Note: Didactic instruction includes such instruction given at any time during the professional
phase of the PA program. Thus, it may include basic sciences or other pre-clinical phase
content. Do not include institutions used solely for supervised clinical sites in this table.
Comments:
Other
Formal agreement in place
Graduate Degree Articulation
Student health
Computer access to www
Library access
Institution, City, State
Didactic /preclinical instruction
Nature of Affiliation
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Programs with Distant Campus
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Standards 3rdedition
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Institutional and Program Records (Standards A1.06c, A3.13, A3.14, A3.15)
Records kept by the program/ institution include:
Document
Maintained: yes/no
Yes (if yes, for how
No
long)
Where Maintained
Program
Elsewhere in
files
institution
Students admission record
Educational transcripts
Results of selection
interviews
Students didactic
performance
Students clinical
performance
Clinical rotation
assignments
Academic advising records
Disciplinary action records
Remediation records
Dismissal records
Students health records
Assurance of health
screening
Assurance of
immunization
requirements
Faculty teaching
assignments
Core faculty job
descriptions
Core faculty CVs
Course director CVs
Program minutes (specify
below)
Other:
Provide narrative describing which, if any of the above are maintained at the distant campus.
If any of the above are temporarily found on the distant campus, but later maintained at the
main campus, describe how this transfer occurs.
Additional Comments:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Admission Policies and Procedures (Standard A3.05)
Admission screening measures include which of the following?
application
standardized exams
(i.e., GRE)
community service
personal statement
reference
letters/forms
CASPA
essays submitted with
application
GPA
personal interviews
review of transcripts
healthcare experience
narrative writing at
time of interview
psychological
screening
Complete the following regarding how individuals participate in the selection process.
Individual
Core faculty
Program Director
Medical Director
Didactic instructors
Clinical preceptors
Students
Alumni
Community organizations
representatives
PA employers
Community PAs
Community MDs/DOs
Program admission staff
Institutional representatives:
(specify below)
Other (specify below)
Application
Screening
Interviewing
Final
selection
decision
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Comments:
Information Technology (Standards A3.03, A3.07)
Complete the following regarding Informational technology literacy expectations of entering
students. Check all that apply.
Software Product
Expected to know
upon entry to program
Instruction in use
provided during
program
Word processing (i.e., Word®)
Internet browsing (i.e. Netscape®, Internet
Explorer®)
Spreadsheets (i.e. Excel®, Lotus®)
Data base (i.e. Access®, Lotus®)
Presentation software (i.e., PowerPoint®)
Course development software (i.e.
Blackboard®, WebCt®)
Use of medical data bases (i.e. Medline®)
Statistical Analysis (i.e., SPSS®)
Other: specify:
Other: specify:
Student Services (Standards D1.01, D1.02, D1.03, D1.04, D2.03)
Yes
Students submit a medical history at program entry
Students submit a physical exam at program entry
Students update their medical history
Students update their physical exams
Students document a current PPD at program entry
There is a student health service on MAIN campus
There is a student health service on DISTANT campus
Core faculty work in the student health services or in
settings to which PA students are referred if ill (Comment
below if ‘Yes” **)
To whom are students referred for academic counseling on
MAIN campus?
To whom are students referred for personal counseling on
MAIN CAMPUS?
To whom are students referred for academic counseling on
DISTANT campus?
To whom are students referred for personal counseling on
DISTANT CAMPUS?
Who reviews student health records prior to program
entry?
(when?)
(when?)
No
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Records of students’ PPDs are kept where on MAIN
CAMPUS?
Records of students’ immunizations are kept where on
MAIN CAMPUS?
Records of students’ PPDs are kept where on DISTANT
CAMPUS?
Records of students’ immunizations are kept where on
DISTANT CAMPUS?
** Comment on how program assures that core program faculty are not participating as health
care providers for students in the program:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Curriculum (Standards B2-B6)
Using the codes identified below, present a schematic representation of the program components
and their sequences in the horizontal spaces as appropriate. Programs that offer preprofessional
coursework at their institution should only include the coursework considered in the professional
phase of the PA program.
BMS
B&SS
CPS
HP
Basic Medical Sciences
Behavioral and Social Sciences
Clinical Preparatory Sciences
Health Policy & Professional Practice
IL
SCP
V
Information Literacy
Supervised Clinical Practice
Vacation/Time off
Note: Begin the table in the top row with the month your program begins. Be sure to add the
month abbreviation. Place all of one curriculum category on the same line, and only one category
per line (see sample below).
July
Aug
Sept
BMS
BMS
BMS
B&SS
SAMPLE YEAR (program begins in July)
Oct
Nov
Dec
Jan
Feb
Mar
BMS
B&SS
CPS
IL
IL
CPS
IL
CPS
CPS
Apr
May
B&SS
CPS
IL
SCP
V
V
V
June
SCP
V
Note: In this sample no HP is listed in year one as that is conducted in year 2 of the program.
Therefore, in this sample not each horizontal line will have data entered.
YEAR 1
YEAR 2
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Programs with Distant Campus
Page 19
YEAR 2
YEAR 3
YEAR 4
Comments:
Standards 3rdedition
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Programs with Distant Campus
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Standards 3rdedition
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Instruction (Standards B1.08-B1.10)
Describe how the program educates students regarding issues related to intellectual honesty
and academic and professional conduct, and where this occurs in the curriculum:
Describe how the program prepares students to provide medical care to patients from diverse
populations:
Complete the following re offering curricular by different means to some students.
Does the program offer curricular by different means to some students?
If YES, complete the following two questions:
yes
No
If the program offers curricula by different means to some students, are students given
the option to choose the delivery method, ie, on-line or face-to-face?
yes
No
Explain:
Complete the following section related to geographically distant instruction:
If the program offers curricula by different means to some students than for others, (ie, on-line,
web enabled, satellite or simulcast, PBL or any other way when some students have a different
delivery experience than others), OR if the program offers geographically distant instruction (ie,
instruction provided via satellite, simulcast, separate lecturers) explain how you assure
educationally equivalency of course content, student experience and access to didactic and lab
materials: (B1.102&b)
Does your program offer international clinical experiences?
yes
no
Are international experiences offered for required clinical experiences?
Explain as needed:
yes
no
Are international experiences offered for elective clinical experiences?
Explain as needed:
yes
no
Do you have program-established as well as student-established rotations?
Explain:
yes
no
yes
no
Do you have affiliation agreements for international experiences offered?
Explain as needed:
yes
no
Does your program advertise the international experiences?
If yes, does the information address travel, housing and other
yes
yes
no
no
If YES, complete the following:
Are international experiences offered to all students enrolled in the
program?
Explain as needed:
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Programs with Distant Campus
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Standards 3rdedition
Rev 7.29.08
expenses?
Explain as needed:
Is the student responsible for any of the above costs?
Explain:
yes
no
How are student competencies/course objectives developed for the international experiences?
How are students oriented to the role of the PA/mid-level practitioner in the rotation country?
How does the program evaluate international clinical sites and ensure that the sites provide the
student access to the physical facilities, patient populations, and supervision necessary to fulfill
the program’s expectations of the clinical experience? (Standards C4.02,C4.03)
How is student performance assessed during international experiences?
Describe the health care services available to students during international experiences.
(Standard D1.03)
How are students covered for liability/malpractice issues on international rotations?
What measures are taken to ensure student safety during international experiences? (Standard
A1.06e)
Curriculum (Standards B2-B6)
Indicate in which curricular component(s), i.e. module or course, the following content is
presented.
Instructional area
Basic Medical Sciences
Human anatomy (B2.02a)
Physiology (B2.02b)
Pathophysiology (B2.02c)
Pharmacology and
pharmacotherapeutics(B2.02d)
Genetics and molecular mechanisms
(B2.20e)
Behavioral and Social Sciences
Counseling of patients (B4.01)
Patient Education (B4.01)
Psychological development (B4.02a)
Substance abuse (B4.02b)
Human sexuality (B4.02c)
Program curricular components/courses where
found
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Instructional area
End of life issues (B4.02d)
Response to illness, stress (B4.02e)
Violence identification and
prevention(B4.01f)
Clinical Preparatory Sciences
Interviewing and the medical history
(B3.02a)
Physical examination skills (B3.02b)
Generation of differential diagnosis
(B3.02c)
Ordering and interpreting diagnostic
studies (B3.02d)
Development/Implementation of
treatment plans (B3.02e)
Presenting patient data orally
(B3.02f)
Documentation of patient data
(B3.02g)
Referral of patients (B3.02h)
Clinical Medicine (B3.03)
Preventive care (B3.04a)
Acute Care (B3.04b)
Chronic Care (B3.04c)
Rehabilitative care (B3.04d)
End of life care (B3.04e)
Information Literacy
Searching the literature (B5.01)
Evaluating and interpreting the
literature (B5.01)
Using evidence in patient care
(B5.01)
Health Policy and Professional
Practice
Impact of socioeconomic issues
(B6.01a)
Health care delivery systems and
policy (B6.01b)
Reimbursement issues (B6.01c)
QA and risk management (B6.01d)
Legal issues of health care (B6.01e)
Cultural issues and their impact on
health policy (B6.01f)
Respect for self and others (B6.02a)
Professional responsibility (B6.02b)
Privilege, confidentiality, patient
Standards 3rdedition
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Program curricular components/courses where
found
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Programs with Distant Campus
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Instructional area
consent (B6.02c)
Commitment to patient welfare
(B6.02d)
History of the PA profession
(B6.03a)
Current trends in the PA profession
(B6.03b)
Physician-PA team (B6.03c)
PA political and legal issues
(B6.03d)
PA professional organizations
(B6.03e)
PA program accreditation (B6.03f)
Certification & recertification
(B6.03g)
Licensure (B6.03h)
Credentialing (B6.03i)
Professional liability (B6.03j)
Laws and regulations regarding
prescriptive practice (B6.03k)
Patient referral to others
Comments:
Standards 3rdedition
Rev 7.29.08
Program curricular components/courses where
found
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Programs with Distant Campus
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Standards 3rdedition
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Instructional Methods (Standards A3.03, B1.03, B1.04, B1.06, B2-B7)
List all required and elective didactic courses and supervised clinical practice experiences,
listing required courses first. For each course, indicate the instructional methods used in the
course.
Interactions with
preceptors
Self Instructional
module
Core faculty site visits
PBL
Laboratory
Clinical skills lab
On line coursework
Computer simulations
Seminars
Lectures
Course Number and
Title
Group discussions
Instructional Methods
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 25
Course Number and
Title
Standards 3rdedition
Rev 7.29.08
Instructional Methods
Are the same instructional methods used at the MAIN CAMPUS and DISTANT CAMPUS sites
for each course?
yes
No (explain if NO:
Comments:
Faculty Coordination and Supervision (Standards A2.05g, A2.05h, A2.18,
A2.19, B1.07)
Identify the program member(s) responsible for coordination of the didactic coursework at
the MAIN CAMPUS.
Name/Title:
Employer:
Name/Title:
Employer:
Comments:
Identify the program member(s) responsible for coordination of the didactic coursework at
the DISTANT CAMPUS.
Name/Title:
Employer:
Name/Title:
Employer:
Comments:
Criteria considered in selecting individuals as instructors in the didactic component of the
program include: (Standard A2.18)
availability at time of need
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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experience in content to be taught
previous experience with students
assignment by sponsoring institution
academic preparation
Other:
Indicate which of the following are used to orient, coordinate, supervise, and provide feedback
to didactic phase instructors and faculty at the MAIN CAMPUS.
Meeting with individual instructors before the course begins
Meeting with individual instructors as the course progresses
Meeting with individual instructors after the course has ended
Meeting with all instructors for a team taught course before the course begins
Meeting with all instructors for a team taught course as the course progresses
Meeting with all instructors for a team taught course after the course has ended
Distribution of instructional objectives/expected student competencies to instructors
Core faculty attend class sessions of others
Core faculty review written exams before they are given
Core faculty review exam results
Core faculty review student course evaluations
Core faculty provide feedback to instructors during the course
Core faculty provide feedback to instructors after the course has ended
Other:
Other:
Other:
Other:
Indicate which of the following are used to orient, coordinate, supervise, and provide feedback
to didactic phase instructors and faculty at the DISTANT CAMPUS.
Meeting with individual instructors before the course begins
Meeting with individual instructors as the course progresses
Meeting with individual instructors after the course has ended
Meeting with all instructors for a team taught course before the course begins
Meeting with all instructors for a team taught course as the course progresses
Meeting with all instructors for a team taught course after the course has ended
Distribution of instructional objectives/expected student competencies to instructors
Core faculty attend class sessions of others
Core faculty review written exams before they are given
Core faculty review exam results
Core faculty review student course evaluations
Core faculty provide feedback to instructors during the course
Core faculty provide feedback to instructors after the course has ended
Other:
Other:
Other:
Other:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Identify the program member(s) responsible for coordination of the clinical practicum
activities among the various setting used.
Name/Title:
Employer:
Campus:
Name/Title:
Employer:
Campus:
Comments:
Check all who serve to directly supervise students as preceptors in the clinical setting:
(Standards A2.20, A2.21)
Physicians
Residents
PAs
NPs
Clinical psychologists
Criteria considered in selecting individuals as preceptors for the clinical component of the
program include: (Standard A2.18)
licensure/certification
previous experience with teaching PA students from your program
previous experience with teaching PA students from other programs
previous experience with teaching students from other health professions
distance from campus
patient load
patient mix
Other:
Indicate which of the following are used to orient, coordinate, supervise, and provide feedback
to clinical phase preceptors:
Meeting with preceptor before clinical rotation
Meeting with preceptor during clinical rotation
Phone contact with preceptor before rotation
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Phone contact with preceptor during rotation
Distribution of instructional objectives/expected student competencies
Distribution of preceptor manual
Core faculty review student evaluations of experience
Core faculty provide feedback to preceptors during the clinical experience
Core faculty provide feedback to instructors after the clinical experience has ended
Other:
Other:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Supervised Clinical Practice (Standard B7.03, B7.04, E1.14) [updated 10.07]
List all clinical facilities, to include institutions, clinics, private offices, etc, that are used on a
regular basis in the supervised clinical practice component of the program. Indicate the type of
setting for each facility and identify which sites are used to provide access to which types of
patients.
Other (specify below)
Psych / behavioral conditions
Emergency management
Inpatient surgical care
Prenatal care/women’s health
Elderly (medical care)
Long term care
Operating Room
In-patient
Place a ‘+’ behind those
sites for which there is a
written affiliation
agreement
Outpatient
Place an ** behind those
sites that are further than
50 miles from the principle
campus of the program
Emergency Department
Place an * behind those
sites that are new) since
your last ARC-PA site visit
Adults (medical care)
Clinical Experiences Offered
Infants through adolescents
Setting
Name of Facility
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Please specify other experiences offered:
NOTE: if you need additional space beyond that available in the table above, complete the
additional table found at the end of this application and indicate here that you have done so
Clinical Site Evaluation (Standard C4.01, C4.03)
Describe the program’s process for the initial and ongoing review of all sites and preceptors
used for supervised clinical practice experiences.
How does the program ensure that each clinical site provides access to the physical
facilities, patient populations and supervision necessary to fulfill the program’s expectations
for the clinical experience?
Other (specify below)
Psych / behavioral conditions
Emergency management
Inpatient surgical care
Prenatal care/women’s health
Elderly (medical care)
Long term care
Operating Room
In-patient
Emergency Department
Place a ‘+’ behind those
sites for which there is a
written affiliation
agreement
Outpatient
Place an ** behind those
sites that are further than
50 miles from the principle
campus of the program
Adults (medical care)
Clinical Experiences Offered
Infants through adolescents
Setting
Name of Facility
Place an * behind those
sites that are new) since
your last ARC-PA site visit
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Supervised Clinical Practice Experiences (Standard B7.04d, B7.05)
Describe how the program assures that every student has supervised clinical practice
experiences with patients seeking care for conditions requiring inpatient surgical management,
including pre operative, intra operative, and post operative care.
Describe how the program assures that every student has supervised clinical practice
experiences with residency-trained physicians or other licensed health care professionals
experienced in the principle areas as described in B7.05.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Student Evaluation (Standards C3.01, C3.02, C3.03, C3.04, C3.05, C3.06)
Indicate which methods of evaluation are used during the didactic and supervised clinical
practicum components of the program. Also indicate the methods used for the summative
evaluation of the student.
Example:
Evaluation Method
Didactic Phase
Used Frequency or #
Written exams
X
Evaluation Method
Periodically
during course,
midterm, & final
Didactic Phase
Used Frequency or
#
Clinical Phase
Used Frequency
or #
Twice/
rotation:
X
pre and
post
Clinical Phase
Used Frequency or
#
Summative
Used
When
or #
During final
month of
X
program
Summative
Used When
or #
Written exams
Practical exams
Oral exams
Oral presentations
Group projects
Objective Structured
Clinical Exam (OSCEs)
H & Ps submitted to
faculty
Research project
Preceptor evaluation
Student self-evaluation
Patient logs (paper)
Patient logs
(electronic)
Procedure list
Drug cards
Other: specify:
Other: specify:
Other: specify:
Professional Behaviors (Standard C3.04)
Describe how and when the program assesses and documents student demonstration of
professional behaviors.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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Summative Evaluation: (Standard C3.06)
Standard C3.06 requires that the program document a summative evaluation of each student
toward the end of the program to assure that students are prepared to enter clinical practice.
The summative evaluation is defined as “an assessment of the learner conducted by the
program to assure that the learner has the knowledge, interpersonal skills, patient care skills,
and professionalism required for entry into the profession.”
Describe the program’s summative evaluation process, indicating its timing during the program
and what occurs if a student does not meet defined performance expectations.
Progression (Standards C3.04, C3.05)
If a student demonstrates deficiencies in knowledge or skills, how is the student
accommodated within the program and what means of remediation is available?
How many students have repeated aspects of the program within the last four admitted
classes?
For academic reasons?
For personal reasons?
How many students have been dismissed by the program within the last four admitted
classes?
For academic reasons?
For personal reasons?
Who determines that students have successfully completed the educational program and are
prepared to graduate?
Name:
Title:
How is this decision reached? (Identify others in the program, including faculty members and
others, who may participate in the decision-making process.)
Describe the factors that are taken into consideration, such as test results, competency
evaluations, reactions of co-workers and supervising physicians, etc.
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
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PANCE Results (Standard C2.01b7)
In Appendix J include the official print-out from NCCPA for the five most recent years of first
time takers.
Comments:
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 35
Standards 3rdedition
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Graduate Data (Standard C1.01e)
Total number of program graduates since inception of the program:
:
For the 5 most recent graduating classes indicate the number of graduates whose principal
employment is in the following categories. Count each graduate only once, using their
principal employment category.
a. Employed in clinical practice as a PA
Of Of these, indicate number in:
private office practice
institutional based practice
ambulatory clinic-based
practice?
other settings
b.
Employed in administration and/or
education as a PA
c.
Employed as a dean or associate dean
d.
Employed in research as a PA
e.
Employed in the health field in a
capacity other than as a PA
Of these, indicate number as:
Physicians
nurses
in other occupations
f.
Enrolled as full-time students
Of these, indicate number in:
medical school
other post-graduate study
other study
g.
Employed in other than the medical
or health fields
h
Other
Not yet employed
Lost to follow-up
Deceased
(specify):
TOTAL NUMBER OF PROGRAM GRADUATES for past 5
graduating classes:
Subtotal
s
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
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Standards 3rdedition
Rev 7.29.08
Self Study Report (Standard C2.01)
Applicants are required to provide documentation of ongoing program self-assessment.
Information about this process and the requirements for the Self-Study Report (SSR) follow.
The Self-Study Report must be submitted with this application, as directed by the ARC-PA.
***************************************
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 37
Standards 3rdedition
Rev 7.29.08
Additional Table (Optional)
To be completed only if table within body of application as not adequate in number of rows.
Supervised Clinical Practice (Standard B7.03, B7.04, E1.14) [updated 10.07]
List all clinical facilities, to include institutions, clinics, private offices, etc, that are used on a
regular basis in the supervised clinical practice component of the program. Indicate the type of
setting for each facility and identify which sites are used to provide access to which types of
patients.
Other (specify below)
Psych / behavioral conditions
Emergency management
Inpatient surgical care
Prenatal care/women’s health
Elderly (medical care)
Long term care
Operating Room
In-patient
Emergency Department
Place a ‘+’ behind those
sites for which there is a
written affiliation
agreement
Outpatient
Place an ** behind those
sites that are further than
50 miles from the principle
campus of the program
Adults (medical care)
Clinical Experiences Offered
Infants through adolescents
Setting
Name of Facility
Place an * behind those
sites that are new) since
your last ARC-PA site visit
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 38
Standards 3rdedition
Rev 7.29.08
Please specify other experiences offered:
Other (specify below)
Psych / behavioral conditions
Emergency management
Inpatient surgical care
Prenatal care/women’s health
Elderly (medical care)
Long term care
Operating Room
In-patient
Emergency Department
Place a ‘+’ behind those
sites for which there is a
written affiliation
agreement
Outpatient
Place an ** behind those
sites that are further than
50 miles from the principle
campus of the program
Adults (medical care)
Clinical Experiences Offered
Infants through adolescents
Setting
Name of Facility
Place an * behind those
sites that are new) since
your last ARC-PA site visit
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 39
Standards 3rdedition
Rev 7.29.08
ACCREDITATION APPLICATION STATEMENTS
On behalf of the
(INSTITUTION) and
(PROGRAM NAME) (the “Program”), I hereby
apply to the Accreditation Review Commission on Education for the Physician Assistant (“ARCPA”) for accreditation of the Program as an Educational Program for Physician Assistants in accordance
with and subject to the procedures and regulations of the ARC-PA. I have read and agree to the
conditions set forth in the ARC-PA’s Standards and other materials describing accreditation and the
accreditation process. I understand and agree that the Program will be subject to denial of accreditation;
to withdrawal of accreditation and forfeiture and redelivery of any credential indicating accreditation
granted by the ARC-PA; and to denial of future eligibility for accreditation in the event that any of the
statements or answers made in this application are false or in the event that the Program violates any of
the rules or regulations governing accredited programs.
I authorize the ARC-PA to make whatever inquiries and investigations it deems necessary to verify the
contents of this application. I understand that this application and any information or material received or
generated by the ARC-PA in connection with the accreditation process will be kept confidential and will
not be released unless the Program has authorized such release or such release is required by law.
However, the fact that the Program is or is not, or has or has not been, accredited is a matter of public
record and may be disclosed. Finally, the ARC-PA may use information from this application for the
purpose of statistical analysis, provided that the Program’s identification with that information has been
deleted.
I hereby agree to hold the ARC-PA, its officers, commissioners, employees, and agents harmless from
any and all actions, suits, obligations, complaints, claims, or damages including, but not limited to,
reasonable attorneys’ fees, arising out of any action or omission by any of them in connection with this
application; the application process; or the denial or withdrawal of the Program’s accreditation or
eligibility for accreditation.
I UNDERSTAND THAT THE DECISION AS TO WHETHER THE PROGRAM QUALIFIES
FOR ACCREDITATION RESTS SOLELY AND EXCLUSIVELY WITH THE ARC-PA AND
THAT THE DECISION OF THE ARC-PA IS FINAL.
I HAVE THE AUTHORITY TO ENTER INTO THIS AGREEMENT ON BEHALF OF THE
PROGRAM.
I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS AND I INTEND FOR THE
PROGRAM TO BE LEGALLY BOUND BY THEM.
APPLICATION FOR ACCREDITATION FILED BY:
(Please type names under signature lines)
(Chief Administrative Officer of the
Program’s Sponsoring Institution)
(Program Director)
(Date of transmittal to ARC-PA)
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 40
Standards 3rdedition
Rev 7.29.08
The program should submit its application electronically as an attachment to arc-pa@arc-pa.org and
mail the original and six copies (plus a copy on CD) of the completed and signed of the completed and
signed application and supporting information to the ARC-PA office..
All copies of the required documents referred to above, including their appendices, should be two
sided and three-hole punched for the ARC-PA and use letter-size, lettered tab inserts (not post-it
note tabs) for each of the Attachments. Put rubber bands around each copy to secure, do not use
paper clips. Please do not send copies of your program’s descriptive brochure or catalog at this time.
John E. McCarty
Executive Director
Accreditation Review Commission on Education for the Physician Assistant
12000 Findley Road, Suite 240
Duluth, GA 30097
A completed application consists of:
 The Program Data Sheet
 Application for Continuing Accreditation and required appendices
 The Self-Study Report (as Appendix I)
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 41
Standards 3rdedition
Rev 7.29.08
Appendices for Program with Distant Campus (revised 7.29.08)
Please include the following appendices with the application:
Appendix A
Appendix B
Appendix C
Appendix D
Appendix E
Appendix F
Appendix G
Appendix H
Appendix I
Appendix J
Mission of the Institution, mission and general goals of the program
Functions and tasks that graduates are expected to perform AND
technical procedures taught during the program (B1.01, B1.02, B1.04,
B3.05)
Technical standards (A3.07d)
Written job descriptions AND Curricula Vitae, using ARC-PA CV template,
for
Program director (A2.06-A2.08, A2.10-A2.12)
Medical director (A2.13-A2.14)
Core faculty (A2.01-C2.05)
Diagram or description of the organizations structure of the PA program,
to include at a minimum, the core faculty and administrative support staff.
AND Diagram or description of the organizational relationship of the PA
program to the sponsoring institution. (Include information regarding who
has immediate administrative authority over the program director and that
person’s position in the administrative structure of the sponsoring
institution.) (A2.12)
Time span diagrammatic representations of the didactic/preclinical
courses AND of the supervised clinical practice experience (i.e. rotation
schedule). (B2-B6)
Sample of information distributed to those inquiring about the program
AND the web address for the programs web site. (Note: do not send
university/college catalogue) (A3.03-A3.07, A3.11)
All expected student competencies/learning objectives and samples of
student evaluation instruments, ( i.e. exams), for the following content
areas (B1.01, B1.02,,B1.04-B1.06)
 physical diagnosis (B3.02b)
 pharmacology (B2.2d)
 genetic and molecular mechanisms of health and disease
(B2.02e)
 family medicine {clinical} (B7.04b)
Self Study Report (C2.01)
NCCPA PANCE Pass Rate Summary Report (C2.01b7), with information
indicating scores for main campus vs. distant campus students
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 42
Standards 3rdedition
Rev 7.29.08
ONGOING SELF-ASSESSMENT GUIDE
And
SELF-STUDY REPORT INSTRUCTIONS 
(For ARC-PA Standards, 3rd edition)
BACKGROUND
The Accreditation Review Commission on
Education for the Physician Assistant (ARC-PA)
requires the submission of a written report
documenting the activities of self-assessment.
The program must demonstrate by means of the
report that 1) it has an established process of
on-going self-assessment to monitor and
document program effectiveness, and 2) that it
collects and critically analyzes outcome data to
support current activities or make needed
modifications for improvement. It is important
that program faculty, especially the program
director, are familiar with the concepts of
ongoing program self-assessment and the report
which documents self-assessment known as the
Self-Study Report (SSR).
DEFINITIONS
Ongoing Program Self Assessment
(Standard C1) - This is a process whereby a
program regularly and systematically reviews
the quality and effectiveness of its educational
practices and policies. It is conducted within the
context of the mission and goals of both the
sponsoring institution and the program and uses
the Accreditation Standards for Physician
Assistant Education (Standards) as the point of
reference. It is comprehensive, regular and
analytical. It occurs throughout the academic
year and in all of the phases of the program. It
critically assesses all aspects of the program
relating to sponsorship, resources, students,
operational policies, curriculum, program
evaluation and other activities connected with
the educational enterprise. It identifies strengths
as well as problems, develops plans for
corrective intervention and evaluates the effects
of the interventions.
Analysis is the study of compiled or tabulated
data interpreting cause and effect relationships
and trends, with the subsequent understanding
and conclusions used to validate current
practices or make changes as needed for
program improvement.
Self-Study Report (SSR) (Standard C2) - The
SSR is the written product of the process of the
ongoing program self-assessment. In addition to
describing the process of continuous selfassessment of the program, it is a
comprehensive documentation of the processes
and outcomes of the self-assessment. The
report reflects the program’s present status, an
evaluation of its status, and plans for
improvement or changes as a result of the
evaluation.
METHODS for CONDUCTING SELFASSESSMENT
The ARC-PA does not prescribe particular
methods by which ongoing program selfassessment should be accomplished. A variety
of methods can be used to achieve the goal of
comprehensive program evaluation and
assessment of compliance with the Standards.
A program and its sponsoring institution should
determine the methods to be used for selfassessment in keeping with the mission, goals
and policies of the program, the sponsoring
institution and the Standards. They should also
determine the resources and time to be devoted
to the effort.
It is not unusual for programs to participate in an
ongoing institutional process of evaluation
conducted by the sponsoring organization.
However, institutional processes of evaluation
may not be sufficiently comprehensive or
detailed and will likely need supplementation by
other activities specific to PA program evaluation
and the Standards.
PARTICIPANTS in the SELFASSESSMENT PROCESS
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 43
A variety of participants should be included in
the self-assessment process and the
preparation of the SSR. Programs should
decide which individuals will be most appropriate
to their process.
Programs often find that participants from the
following categories have been effectively
included in the process:











Program faculty and staff
Representatives from sponsoring institution
administration and support service offices
(e.g. registrar, financial aid, and student
services)
Representatives from other academic
programs within the sponsoring institution
Curriculum committee members
Advisory committee members
Students
Graduates
Preceptors and employing physicians
External consultants
Representatives of local, state or national
health care organizations
Consumers of health care
INSTRUCTIONS for the SELF-STUDY
REPORT
The SSR must be submitted with the application
for accreditation or at a time specified by the
ARC-PA. The report should not exceed 50
pages (Sections I-IV) including appendices.
The ARC-PA requires that the SSR be
formatted as follows using a font of no less than
12 point. The SSR has four sections preceded
by:
A.
B.
Title Page
The title page should list the name and
location of the program, and date of
submission.
Table of Contents
Include the page location of each major
section and each subsection of the
SSR.
Standards 3rdedition
Rev 7.29.08
2) The period of time devoted to the
preparation of the SSR
3) Names and titles of the author(s) and
significant contributors to the SSR (e.g.,
faculty, administration, students, graduates,
etc.)
SECTION II: DESCRIPTION OF CONTINUOUS
SELF-ASSESSMENT PROCESS (2 pages
max)
1) This section should include:
(a) A brief but inclusive written description
of the program’s established, formal,
continuous self-assessment process
utilized throughout the academic year
and in all phases of the program.
(b) A description of how specific areas of
the program, following the outline of the
major sections in the Standards, are
regularly evaluated.
(c) The methods of evaluation used by the
program, the times of the year that
evaluations occur, and how the data is
analyzed to discover areas of program
strengths and areas of needed
improvement.
(d) A description of how the outcomes of
the continuous assessment process are
used to make modifications and
improvements in the program.
2) In addition to the written description of the
continuous self-assessment as outlined
above, there must be a chart, diagram,
table, algorithm or other graphic
representation of the entire self-evaluation
process.
SECTION III: SELF-ASSESSMENT
OUTCOMES
This section of the SSR presents information
about the program as a result of its selfassessment. It is presented under the same
content sub-sections as the Standards, i.e.
administration, curriculum requirements,
evaluation, students, educational equivalency,
and maintaining accreditation.
FOR EACH AREA SECTION THERE WILL BE:
SECTION I: INTRODUCTION
This section should include:
1) The mission, educational philosophy and
goals of the program
1) A brief description of the present status of
each major component of that section,
changes that have occurred since last SSR,
followed by an evaluation of that section in
ARC-PA Application for Continuing Accreditation
Programs with Distant Campus
Page 44
the form of:
(a) a statement of strengths,
(b) a statement of areas identified as
needing attention and plans
showing how the improvements
will/have been be implemented to
address self-identified area(s).
Section III of the SSR should follow this
order and format:
Section A: ADMINISTRATION
A1.
A2.
A3.
Sponsorship (A1.01 – 1.08)
Program Personnel (A.2.01 – A2.24)
Operations (A3.01-A3.15)
Section B: CURRICULUM
B1
B2
B3
B4
B5
B6
B7
Instruction (B1.01 – B1.10)
Basic Medical Sciences (B2.01 – B2.02)
Clinical Preparatory Sciences (B3.01 –
B3.05)
Behavioral and Social Sciences (B4.01B4.02))
Information Literacy (B5.01)
Health Policy and Professional Practice
(B6.01 – B6.03)
Supervised Clinical Practice (B7.01 –
B7.05)
Section C: EVALUATION
C1
C2
C3
C4
Ongoing Program Self-Assessment
(C1.01-C1.02))
Periodic Self-Study Report (C2.01)
Student Evaluation (C3.01-C3.06)
Clinical Site Evaluation (C4.01-C4.03)
Standards 3rdedition
Rev 7.29.08
F1
Program and Sponsoring Institution
Responsibilities (F1.01 – F1.12)
SECTION IV: SUMMARY (2 pages max)
The last section of the SSR is a succinct
concluding summary which
(1) highlights program strengths,
(2) identifies needed improvements relative to
the Standards, and
(3) describes plans to implement the
improvements showing lines of responsibility,
timetables benchmarks and or deadlines.
NOTE: The summary will be judged inadequate
if it is merely a descriptive enumeration that
does not offer coherent plans and timetables for
improvements and the solution of problems.
It is very important that the SSR not be merely a
descriptive report. It must include tabular and
graphic representation of collected data with a
critical analysis and interpretation of that data.
The ARC-PA defines analysis as a “study of
compiled or tabulated data interpreting cause
and effect relationships and trends, with the
subsequent understanding and conclusions
used to validate current practices or make
changes as needed for program improvement.”
Programs are encouraged to review documents
available on the ARC-PA web site (www.arcpa.org) regarding data analysis.
Section D: STUDENT SERVICES
D1
D2
D3
Student Health (D1.01 – D1.04)
Student Guidance (D2.01 – D2.03)
Student Identification (D3.01)
Section E: PROVISIONAL ACCREDITATION
(Completion of this section is not
applicable unless the program currently
holds provisional accreditation.)
E1
Provisional Accreditation Requirements
Section F: ACCREDITATION MAINTENANCE
Adopted, ARC-PA - 9/9/95, 9/18/99
EFFECTIVE - 3/1/00
ARC-PA
12000 Findley Road, Suite 240
Duluth, GA 30097
Property of ARC-PA, Inc
Revised 10.5.01 & 1.3.02 & 11.17.05
The following materials must be available for review during the MAIN CAMPUS site visit, even if
submitted in the appendices of the application. Only materials for the current classes of students
are required. Site visitors may request additional materials/documents during the visit.
1)
Program promotional materials and catalogs, access to the program’s web site ((A3.03-A3.07,
A3.11)
2)
Materials describing technical standards for admission (A3.07d)
3)
Sample of current affiliation agreements with other institutions involved in the program
(A1.03)
4)
List of required texts / resources for students (B1.01-B1.02)
5)
Line item operational program budget, including details about budget for distant campus. (A1.07)
6)
Student handbooks/manuals containing policies (A3.01, A3.07, A3.11)
7)
Written policies re: faculty and student grievance and appeals process (A3.07m, A3.09)
8)
Sample of student health forms (D1.02)
9)
Student records maintained by program office (A3.13)
10) Faculty records to include written job descriptions and CVs for all core faculty (3.14-A3.15)
11) Syllabi to include expected student competencies for all courses in the curriculum (B1.01, B1.02
B1.04, B1.06, B2-B7)
12) Student evaluation instruments (written exams, OSCEs, etc) used to evaluate student progress in all
phases of the program, to include the program summative exam (C3.01-C3.06)
13) Instructor and course evaluation instruments completed by students (C1.01d)
14) List of physicians and their specialties who are currently providing significant portions
of the supervised clinical practice rotations (A2.17- A2.22)
15) Clinical year rotation/clerkship assignment schedule for current class (B6)
16) Additional self-study materials that support data in the self-study report but which were not included
with application.
17) Graduate evaluations of curriculum and program effectiveness (C1.01e)
18) Preceptor evaluations of student performance and suggestions for curriculum improvement (C1.01f)
19) A listing of the names of the students, by year, currently in the program, indicating which are at the
main campus and which are at the distant campus.
20) If the program has appointed an interim program director or new program director since its last
accreditation visit, the following must also be provided (A2.06-2.12, F1.07, F1.08)
a) position description for the program director,
b) copy of advertisement used for hiring,
c) list of publications and organizations used for placement of the ad,
d) search committee records regarding applications and qualifications of applicants, without
personal identifying information
The following materials must be available for review during the DISTANT CAMPUS site visit, even if
submitted in the appendices of the application. Only materials for the current classes of students
are required. Site visitors may request additional materials/documents during the visit.
1.
Program promotional materials and catalogs, access to the program’s web site ((A3.03-A3.07,
A3.11)
2.
Materials describing technical standards for admission (A3.07d)
3.
List of required texts / resources for students (B1.01-B1.02)
4.
Line item operational program budget detailing budget for distant campus. (A1.07)
5.
Student handbooks/manuals containing policies (A3.01, A3.07, A3.11)
6.
Written policies re: faculty and student grievance and appeals process (A3.07m, A3.09)
7.
Sample of student health forms (D1.02)
8.
Student records maintained by program office (A3.13)
9.
Faculty records to include written job descriptions and CVs for all core faculty (3.14-A3.15)
10.
For students assigned to this distant campus, syllabi to include expected student competencies
for all courses in the curriculum (B1.01, B1.02 B1.04, B1.06, B2-B7)
11.
For students assigned to this distant campus, student evaluation instruments (written exams,
OSCEs, etc) used to evaluate student progress in all phases of the program, to include the
program summative exam (C3.01-C3.06)
12.
Instructor and course evaluation instruments completed by students at this distant campus
(C1.01d)
13.
List of physicians and their specialties who are currently providing significant
portions of the supervised clinical practice rotations (A2.17- A2.22)
14.
Clinical year rotation/clerkship assignment schedule for current class (B6)
15.
Additional self-study materials that support data in the self-study report but which were not
included with application.
16.
Graduate evaluations of curriculum and program effectiveness, to include those from graduates
who had been at this distant campus as students. (C1.01e)
17.
For students assigned to this distant campus at some point during the program, preceptor
evaluations of student performance and suggestions for curriculum improvement (C1.01f)
18.
A listing of the names of the students, by year, currently in the program, indicating which are at
the main campus and which are at the distant campus.