The Variables That Lead to Severe Action Decisions by the Liaison Committee on Medical Education
| Autor: | Dan Hunt, Barbara Barzansky, Donna M. Waechter, Michael Migdal, Robert F. Sabalis |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
medicine.medical_specialty 020205 medical informatics Advisory Committees MEDLINE 02 engineering and technology Accreditation Education 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Curriculum Schools Medical Medical education Data collection business.industry General Medicine Odds ratio United States Test (assessment) Family medicine business Educational program Education Medical Undergraduate Program Evaluation |
| Zdroj: | Academic Medicine. 91:87-93 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/acm.0000000000000874 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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