Dan Hunt1, Michael Migdal, Donna M Waechter, Barbara Barzansky, Robert F Sabalis. 1. D. Hunt is co-secretary, Liaison Committee on Medical Education, and senior director for accreditation services, Association of American Medical Colleges, Washington, DC. M. Migdal is senior research analyst, Liaison Committee on Medical Education, Association of American Medical Colleges, Washington, DC. D.M. Waechter is assistant secretary, Liaison Committee on Medical Education, and senior director of surveys and team training, Association of American Medical Colleges, Washington, DC. B. Barzansky is co-secretary, Liaison Committee on Medical Education, and director, Division of Undergraduate Medical Education, American Medical Association, Chicago, Illinois. R.F. Sabalis is assistant secretary, Liaison Committee on Medical Education, Association of American Medical Colleges, Washington, DC.
Abstract
PURPOSE: To identify the variables associated with severe action decisions (SADs) (unspecified accreditation term, warning status, probation status) by the Liaison Committee on Medical Education (LCME) regarding the accreditation status of established MD-granting medical education programs in the United States and Canada. METHOD: The authors reviewed all LCME decisions made on full survey reports between October 2004 and June 2012 to test whether SADs were associated with an insufficient response in the data collection instrument/self-study, chronic noncompliance with one or more accreditation standards, noncompliance with specific standards, and noncompliance with a large number of standards. RESULTS: The LCME issued 103 nonsevere action decisions and 40 SADs. SADs were significantly associated with an insufficient response in the data collection instrument/self-study (odds ratio [OR] = 7.30; 95% confidence interval [CI] = 2.38-22.46); chronic noncompliance with one or more standards (OR = 12.18; 95% CI = 1.91-77.55); noncompliance with standards related to the educational program for the MD degree (ED): ED-8 (OR = 6.73; 95% CI = 2.32-19.47) and ED-33 (OR = 5.40; 95% CI = 1.98-14.76); and noncompliance with a large number of standards (rpb = 0.62; P < .001). CONCLUSIONS: These findings provide insight into the LCME's pattern of decision making. Noncompliance with two standards was strongly associated with SADs: lack of evidence of comparability across instructional sites (ED-8) and the absence of strong central management of the curriculum (ED-33). These results can help medical school staff as they prepare for an LCME full survey visit.
PURPOSE: To identify the variables associated with severe action decisions (SADs) (unspecified accreditation term, warning status, probation status) by the Liaison Committee on Medical Education (LCME) regarding the accreditation status of established MD-granting medical education programs in the United States and Canada. METHOD: The authors reviewed all LCME decisions made on full survey reports between October 2004 and June 2012 to test whether SADs were associated with an insufficient response in the data collection instrument/self-study, chronic noncompliance with one or more accreditation standards, noncompliance with specific standards, and noncompliance with a large number of standards. RESULTS: The LCME issued 103 nonsevere action decisions and 40 SADs. SADs were significantly associated with an insufficient response in the data collection instrument/self-study (odds ratio [OR] = 7.30; 95% confidence interval [CI] = 2.38-22.46); chronic noncompliance with one or more standards (OR = 12.18; 95% CI = 1.91-77.55); noncompliance with standards related to the educational program for the MD degree (ED): ED-8 (OR = 6.73; 95% CI = 2.32-19.47) and ED-33 (OR = 5.40; 95% CI = 1.98-14.76); and noncompliance with a large number of standards (rpb = 0.62; P < .001). CONCLUSIONS: These findings provide insight into the LCME's pattern of decision making. Noncompliance with two standards was strongly associated with SADs: lack of evidence of comparability across instructional sites (ED-8) and the absence of strong central management of the curriculum (ED-33). These results can help medical school staff as they prepare for an LCME full survey visit.
Authors: John W Ragsdale; Andrea Berry; Jennifer W Gibson; Christiane R Herber-Valdez; Lauren J Germain; Deborah L Engle Journal: Med Educ Online Date: 2020-12