The Variables That Lead to Severe Action Decisions by the Liaison Committee on Medical Education
PURPOSETo 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 Unit...
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Veröffentlicht in: | Academic Medicine 2016-01, Vol.91 (1), p.87-93 |
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description | PURPOSETo 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.
METHODThe 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.
RESULTSThe 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).
CONCLUSIONSThese findings provide insight into the LCME’s pattern of decision making. Noncompliance with two standards was strongly associated with SADslack 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. |
doi_str_mv | 10.1097/ACM.0000000000000874 |
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METHODThe 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.
RESULTSThe 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).
CONCLUSIONSThese findings provide insight into the LCME’s pattern of decision making. Noncompliance with two standards was strongly associated with SADslack 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.</description><identifier>ISSN: 1040-2446</identifier><identifier>EISSN: 1938-808X</identifier><identifier>DOI: 10.1097/ACM.0000000000000874</identifier><identifier>PMID: 26287918</identifier><language>eng</language><publisher>United States: by the Association of American Medical Colleges</publisher><subject>Accreditation - standards ; Advisory Committees ; Curriculum ; Education, Medical, Undergraduate - standards ; Humans ; Program Evaluation ; Schools, Medical - standards ; United States</subject><ispartof>Academic Medicine, 2016-01, Vol.91 (1), p.87-93</ispartof><rights>2016 by the Association of American Medical Colleges</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4024-5ec1fbb429cc2a81c034442fa79356805166eeb9d94e6617ca60f5f9e6ed4c963</citedby><cites>FETCH-LOGICAL-c4024-5ec1fbb429cc2a81c034442fa79356805166eeb9d94e6617ca60f5f9e6ed4c963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26287918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hunt, Dan</creatorcontrib><creatorcontrib>Migdal, Michael</creatorcontrib><creatorcontrib>Waechter, Donna M</creatorcontrib><creatorcontrib>Barzansky, Barbara</creatorcontrib><creatorcontrib>Sabalis, Robert F</creatorcontrib><title>The Variables That Lead to Severe Action Decisions by the Liaison Committee on Medical Education</title><title>Academic Medicine</title><addtitle>Acad Med</addtitle><description>PURPOSETo 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.
METHODThe 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.
RESULTSThe 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).
CONCLUSIONSThese findings provide insight into the LCME’s pattern of decision making. Noncompliance with two standards was strongly associated with SADslack 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.</description><subject>Accreditation - standards</subject><subject>Advisory Committees</subject><subject>Curriculum</subject><subject>Education, Medical, Undergraduate - standards</subject><subject>Humans</subject><subject>Program Evaluation</subject><subject>Schools, Medical - standards</subject><subject>United States</subject><issn>1040-2446</issn><issn>1938-808X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0Eorz-ACEv2aTYiePHsipPqRULCmIXHGeiGpKm2A4Vf4-rFoRY4I1nNOfOSAehU0qGlChxMRpPh-T3k4LtoAOqMplIIp93Y00YSVLG-AAdev8aGS7ybB8NUp5Koag8QC-zOeAn7awuG_B4NtcBT0BXOHT4AT7AAR6ZYLsFvgRjfSw8Lj9xiKmJ1dbHwbhrWxsCAI7NFCprdIOvqt7ode4Y7dW68XCy_Y_Q4_XVbHybTO5v7sajSWIYSVmSg6F1WbJUGZNqSQ3JGGNprYXKci5JTjkHKFWlGHBOhdGc1HmtgEPFjOLZETrf7F267r0HH4rWegNNoxfQ9b6gIk-FjGJERNkGNa7z3kFdLJ1ttfssKCnWbovotvjrNsbOthf6soXqJ_QtMwJyA6y6JoDzb02_AlfMQTdh_v_uL_zZhKg</recordid><startdate>201601</startdate><enddate>201601</enddate><creator>Hunt, Dan</creator><creator>Migdal, Michael</creator><creator>Waechter, Donna M</creator><creator>Barzansky, Barbara</creator><creator>Sabalis, Robert F</creator><general>by the Association of American Medical Colleges</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201601</creationdate><title>The Variables That Lead to Severe Action Decisions by the Liaison Committee on Medical Education</title><author>Hunt, Dan ; Migdal, Michael ; Waechter, Donna M ; Barzansky, Barbara ; Sabalis, Robert F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4024-5ec1fbb429cc2a81c034442fa79356805166eeb9d94e6617ca60f5f9e6ed4c963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Accreditation - standards</topic><topic>Advisory Committees</topic><topic>Curriculum</topic><topic>Education, Medical, Undergraduate - standards</topic><topic>Humans</topic><topic>Program Evaluation</topic><topic>Schools, Medical - standards</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hunt, Dan</creatorcontrib><creatorcontrib>Migdal, Michael</creatorcontrib><creatorcontrib>Waechter, Donna M</creatorcontrib><creatorcontrib>Barzansky, Barbara</creatorcontrib><creatorcontrib>Sabalis, Robert F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Academic Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hunt, Dan</au><au>Migdal, Michael</au><au>Waechter, Donna M</au><au>Barzansky, Barbara</au><au>Sabalis, Robert F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Variables That Lead to Severe Action Decisions by the Liaison Committee on Medical Education</atitle><jtitle>Academic Medicine</jtitle><addtitle>Acad Med</addtitle><date>2016-01</date><risdate>2016</risdate><volume>91</volume><issue>1</issue><spage>87</spage><epage>93</epage><pages>87-93</pages><issn>1040-2446</issn><eissn>1938-808X</eissn><abstract>PURPOSETo 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.
METHODThe 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.
RESULTSThe 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).
CONCLUSIONSThese findings provide insight into the LCME’s pattern of decision making. Noncompliance with two standards was strongly associated with SADslack 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.</abstract><cop>United States</cop><pub>by the Association of American Medical Colleges</pub><pmid>26287918</pmid><doi>10.1097/ACM.0000000000000874</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Accreditation - standards Advisory Committees Curriculum Education, Medical, Undergraduate - standards Humans Program Evaluation Schools, Medical - standards United States |
title | The Variables That Lead to Severe Action Decisions by the Liaison Committee on Medical Education |
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