Quality Assurance &Accreditation

Faculty of Medicine Cairo University

Efforts, Achievements & Challenges

Lamis Ragab, MD

Vice Dean for Postgraduate Studies & Research

• The improved health of all people is the main goal of medical education

• There is a global and national call for quality improvements and assurance in medical education

• There are global changes in health care practice

* Clearer professional

recommendations

* Increased consumerism

* Increasing student numbers

* Specialization of clinical clerkships

• WFME in its 1998 position paper launched the program on International Standards in Medical Education

• A mechanism for quality improvement in medical education, in a global context, to be applied by institutions responsible for medical education, and in programs throughout the continuum of medical education

• The Faculty of Medicine Cairo University started the activities of Quality Assurance in 2003

• The self- study was conducted in 2003

• Limited to the undergraduate program (using the basic standards of WFME as a Benchmark)

• A corrective action plan was suggested to overcome the weaknesses and enhance the strengths

• Final report endorsed to the faculty and university councils

• Dissemination to the Faculty staff members, students and some stakeholders

• December 2004: external evaluators from the WFME invited for a 3-days site visit

• The Self –Study helped the faculty in designing the vision towards accreditation

• Also, the mission and the strategic objectives of the faculty were reviewed and endorsed to the faculty council for the first time.

• Establishment of the Internal Quality Assurance System: under the guidance of the National Committee for Quality Assurance and Accreditation (the National Committee)

ProjectsProject # 1

Development of a Strategic Plan for Quality Assurance

Project # 2

Establishment of sustainable QAA Centers in the Egyptian Universities

Project # 3

Establishment of an Internal Quality Assurance System in the faculties

Project # 4

Development of Academic Reference Standards

• Project started in September 2005

• Establishment of project's managerial and implementation committees

• The quality unit at the faculty had a place and a structural organization

• Program and courses’ specifications of the undergraduate program according to the templates provided by the (NQAAC)

• Awareness and orientation seminars to the

academic staff, non academic staff, and students to introduce the quality system to the faculty's community

• Gradual cultural change especially of the academic staff who actively participated in compiling the documents of the project

• Course reports were completed by the staff members in each academic department at the end of the academic year

• The project team completed the program report and produced the first Faculty Annual Self-Evaluation Report (2004/2005) following the evaluative framework designed NQAAC

( including 5 major areas: academic standards, quality of learning opportunities, research and other scholarly activity, community involvement, and effectiveness of quality management and enhancement)

• Developmental Engagement (DE) site visit in October, 2005. Documents reviewed before the site visit : program specifications, course specifications, course reports, program report and Faculty Annual Self –Evaluation Report

• Meetings: faculty staff members, vice deans, under-& postgraduate students and some stakeholders

• Revision of students' work and assignments• Oral feedback about the points of strengths and that need further

improvement

• A comprehensive report of the developmental engagement site visit 2 months later

• An action plan to enhance the strengths and improve the areas of weakness to prepare the faculty for accreditation was required

Faculty of Medicine Cairo University

• Project #3 in cycle one (2004)

• Site visit in Oct. 2005

• Action plan in Feb. 2007

• A lag period for few months (transition of leadership)

• Quality unit reconstituted in March, 2007

• The faculty submitted the course reports, program report, the second Faculty Annual Report (2005/2006) and an action plan for accreditation to the NQAAC

• ■ Follow up visit in April 2007 for one day to monitor and support the faculty in the developmental engagement stage

• Oral feedback was given at the end of the day about the achievement of the quality at the faculty in the last year

• Report of the team's evaluation and their expectation about the readiness of the faculty for submission for accreditation

The Evaluation Framework

• Academic Standards Intended learning outcomes Curriculum Student assessment Student achievement

• Quality of Learning opportunities Teaching and learning Student support Learning resources

• Research and other scholarly activity• Community Involvement• Effectiveness of Quality Management and Enhancement

Governance and leadership Quality assurance system Self-evaluation, plans and impact

• External reference standards (Benchmark) approved by the Faculty Council in April 2007: the General Medical Council standards (UK)

• The Medical Sector Committee approved

the National Academic Reference Standards for the Medical Faculties in Egypt

New Higher Curriculum Committee

Revision of curricula of: community medicine with integration between Pediatrics & OB-GYN

Ongoing revision of curricula of Ophthalmology, Bio, OB-GYN according to the mission

المناهج لجنةE-mailاالسمالتخصصالتليفون

الفقي ناديةرجب لميسحامد زينببدراوي نادية

الحوشي زهيرالطوبجي شريف

mmaissaaz@Yahoo.com0123239593 شوقى مايسه

Ghafir@mailcity.com 0122116539 غفير وائل

eeltoukhy@yahho.com0123123103 الطوخى عصام

marrie73@hotmail.com0123367114 مرعى الفتاح عبد

mostafaseleem@hotmail.com0101413128 الحميد عبد مصطفى

haidaram@hotmail.com0104622809 حيدره محمد

• Establishment of an Assessment Committee and development of a code of practice for student assessment (6/2/2007)

التقييم لجنةE-mailاالسمالتخصصالتليفون

رجب لميسالفقي ناديةبدراوي نادية

Sohairaattar@Yahoo.com0106669199 العطار سهير

I.Mohamady@hotmail.com0101648596 محمدى ابراهيمابراهيم

عبد مصطفيالحميد

nbadrawi@link.net بدراوى نادية

الفقى ناديه

شيبه عصمت

Zhamed1@yahoo.com حامد زينب

دوراه سلمى

التقييم قواعد

Code of Practicein the Area of Student Assessment

Approved by the Faculty Council in May 2007

• Some departments modified both written and clinical examination to be more objective

• Pediatric department arranged OSCE at the end of the year that was appreciated by the students and faculty staff

• Program specifications for some postgraduate degrees:

Pediatrics, Biochemistry, Dermatology, Andrology, Pathology, Internal Medicine

Workshop

on Program & Course Specifications

(Postgraduate Programs)

5/3/2007

العليا الدراسات برامج توصيف الجتماع الحاضرين وبيانات اسماء2007مارس 5يوم

E-mailماالسمالقسممحمول

hanankotb@msn.com0101401711 الروماتيزموالتأهيل

قطب احمد حنانالله عبد

1

samiazakihasan@yahoo.com0101770869 الروماتيزموالتأهيل

حسن زكى 2ساميه

rizkah@hotmail.com0105124730 الروماتيزموالتأهيل

رزق حسن 3آمال

Yasser 47hotmail.com0127463665 الروماتيزموالتأهيل

حسن محمد ساميهفضه

4

bobahadidi@yahoo.com0105194079 الجلديه الحديدى األمراض حلمى 5هبه

hrakhawy@yahoo.com0102581689 الجلديه زايد األمراض أمين 6أميرة

Shahiraaramadan@hor mail.com0122199555 الجلدية الرحمن األمراض عبد شهيرةرمضان

7

manalmakhlouf2@yahoo.com0101271116 الباثولوجيااالكلينكيةوالكيميائية

محمود محمد منالمخلوف

8

Banna_helmy@hotmail.com0123435078 الباثولوجيااالكلينكيةوالكيميائية

سامى محمد عفافالسقا

9

msaad@suescem.com0123113752 الباثولوجيااالكلينكيةوالكيميائية

الدين كمال 10سحر

drnaltaweel@hotmail.com0105257311 الباثولوجيااالكلينكيةوالكيميائية

عبد السيد نجوىالطويل الله

11

halafarawela2002@hotmail.com0123233565 الباثولوجيااالكلينكيةوالكيميائية

فراويله محمد 12هاله

الدراسات برامج توصيف الجتماع الحاضرين وبيانات اسماء تابعيوم 2007مارس 5العليا

E-mailماالسمالقسممحمول

ifahmy@idsc.net.eg0101422856 وجراحة طبالذكورة أمراض

والتناسل

محمد ابراهيمفهمى

13

Taymour 1155@link.net0105150297 وجراحة طبالذكورة أمراض

والتناسل

مصطفى تيمورابراهيم

14

Ho-rash @yahoo.com0101010824 الجلدية حسين األمراض محمد هدىرشيد

15

manalbosseila@ yahoo.com0102412964 الجلدية الواحد األمراض عبد منالبصيلة

16

ratabderm@ yahoo.com0123112436 الجلدية الحكيم األمراض عبد عمروراتب

17

Moshera_rateb@yahoo. com0106224104الحكيم فسيولوجيا عبد مشيرةراتب

18

mkomy@hotmail.com0123415852 الجلدية حسين األمراض محمدالكومى مدحت

19

gadallaamr@hot mail,com0101001014 وجراحة طبالذكورة أمراض

والتناسل

جاد محمد عمروالله

20

Nashwa eltaalawy @hot. Mail com

سعيد فسيولوجى0124107148 محمد نشوىالصاوى

21

Prof.Mortada@hotmail.com0127411677على هستولوجى سميحهمرتضى

22

Sohair _Fawzy@hotmail.com0127446196فوزى هستولوجى احمد سهيرتوفيق

23

shahiraaramadan@hotmail.com0122199555 الجلديه عبد األمراض شهيرةرمضان الرحمن

24

Ibrahim Mohamdy.@Hotmail.com0101648596محمدى فسيولوجيا ابراهيمابراهيم

25

• External Evaluators for two postgraduate programs (Master Degree of Pediatrics and MD of Neurosurgery)

• In general terms, the Egyptian MD candidates were fairly well prepared and had an adequate fund of knowledge. Most demonstrated an adequate knowledge of the field and appropriately managed the clinical cases presented to them.

• Another significant difference between the US ABNS and Egyptian MD examinations is with regards to the area of test objectivity.

• Another major difference in the US and Egypt systems are that the US examinees are expected to pass the oral boards on the first try. From my understanding, approximately 80% of the candidates do so. A lower pass rate suggests that the examinees were poorly trained or that there were potential testing irregularities that precluded the examinees from obtaining a higher pass rate. Also, the examinees are allowed to sit for the oral boards three times. If they are not successful by the third try, they must re-take their written examinations before being allowed to re-take the oral boards.

Having participated and observed MD examination process, I would make the following major suggestions:

• There should be a single Egyptian board examination comprised of a highly objective written examination.

• The oral board examiners should be selected from a pool of MD’s (that do not necessarily need to be University Professors) and this pool should be rotated yearly so as to increase the objectivity of the examiners.

• Prior to sitting for the oral boards, the potential examinees should have:

• a) passed their written exams• b) submitted practice data which should be reviewed for

safety and consistency.

• They are allowed to go for a maximum of three times for their oral exams; at which time if they fail all three times they should repeat the written exams again.

• A 70-80% pass rate should be expected in board exams.• Residency programs should provide teaching and clinical

scenarios that simulate the oral board (MD) testing experience so that the examinees have a rational framework for thought processes.

• The oral board (MD) testing experience should be made as objective as possible through the incorporation of known/expected clinical scenarios and patient encounters. There should be specific objective measures (fund of knowledge, management skills, interpretation of diagnostic tests, etc) rated during the exam independently by each examiner followed by a conference after the first testing sessions.

2) Quality of Learning Opportunities:

• ○LecturesStudents divided into 5 groups(300/group)

Audiovisual facilities in 11 lecture halls (capacity 300-1000 students)

• ○ Early clinical exposure in some departments (physiology and pathology)

• ○ Student handbooks (under-&postgrad)

• ○ Student support office (Academic year 2006-2007)

• Academic support & counseling committee

(approved by Faculty Council 10/2007)

• ○ Learning resource centre: training on models and facility for e-learning

• 3) Effective Quality Management and Enhancement :• ○ Functioning reporting system; reports of the academic

year 2005/2006 were completed • ○ Revision of the mission, approved by the Faculty

Council in September 2007• ○ Establishment of an internal audit committee for the

educational program• ○ Regular meeting between the members of the quality

assurance unit and the dean and the three vice deans• ○ Realistic action plan covering all areas in the

educational program, with a justified budget

• 4) Research and Other Scholarly Activities:

• ○ A strategy and plan for research activities based on the research strategy of the University

• ○ New postgraduate bylaws adopting the credit hour system (ECTS)

• What is ECTS? • The European Credit Transfer and

Accumulation System is a student-centred system based on the student workload required to achieve the objectives of a programme, objectives preferably specified in terms of the learning outcomes and competences to be acquired.

و التدريبى البرنامج بين العالقةاألكاديمية الشهادات

Academic Degree

Professional Degree

المدة

First PartBasic training 1.5 سنة

Second PartSpecialized training

سنة1.5

MDAdvanced training

سنتين

• Data base for the international publications and projects

بالدوريات المنشورة األبحاثالعالمية

بالدوريات المنشورة األبحاثالعالمية

السنة

مارس فبراير لجنة لجنة

59542000

63532001

47392002

40312003

4835204

42332005

55462006

19152007

المجموع373306

بالخارج المنشورة األبحاثبالخارج المنشورة السنةاألبحاث

ابريل لجنة لجنةمارس

لجنة فبراير

6659542000

8263532001

5447392002

4640312003

5548352004

5142332005

5955462006

1919152007

المجموع432373306

العالمية بالدوريات المنشورة األبحاثاألبحاث مالقسمعدد

مارس فبراير لجنة لجنة

1التشريح00

2الهستولوجى00

الطبيه 1717 الحيوية 3الكيمياء

4الطفليات00

5الباثولوجيا00

والمناعه 00 الطبية 6الميكروبيولوجيا

7الفارماكزلوجيا00

8الفسيولوجيا44

الباطنه 88 9األمراض

الصدرية 00 10األمكراض

الجلديه 44 11األمراض

الذكورة 8181 أمراض وجراحة طبوالتناسل

12

العصبيه 22 13األمراض

النفسية 00 14األمراض

القلب 66 15أمراض

األطفال 4747 16طب

المهنية 00 واألمراض الصناعات 17طب

الشرعى 00 18الطب

العالمية بالدوريات المنشورة األبحاثاألبحاث مالقسمعدد

مارس فبراير لجنة لجنة

العامه 00 19الصحه

المتوطنه 2828 األمراض 20طب

الحرجه 93 21الحاالت

والكيميائية 77 االكلينكية 22الباثولوجيا

العامه 1816 23الجراحة

العين 33 وجراحة 24طب

والحنجرة 222 واألذن 25األنف

البولية 00 المسالك 26جراحة

العظام 11 27جراحة

النساء 8063 وأمراض 28التوليد

29التخدير 87

التشخيصية 43 30األشعة

النووى 00 والطب األورام 31عالج

والصدر 00 القلب 32جراحة

واألعضاب 22 المخ 33جراحة

والتأهيل 232 34الروماتيزم

العائلة 00 35طب

المجموع373306

بالخارج المنشورة األبحاث

األبحاث السنةعدد712000

862001

622002

502003

612004

672005

792006

242007

المجموع500

• 5) Community Involvement:

Wide community contribution

قطاع خدمة المجتمع وتنمية البيئة

كلية الطب

كلية طب قصر العينى

الوحدات ذات الطابع الخاص

وحدة 42

الخاص الطابع ذات الوحدات نماذجكلية الطب

الحرجة الحاالت رعاية مركز

الخاص الطابع ذات الوحدات نماذجكلية الطب

الحرجة الحاالت رعاية مركز

الخاص الطابع ذات الوحدات نماذج

كلية الطب

الطبى التعليم تطوير مركز

الخاص الطابع ذات الوحدات نماذج

كلية الطب

والميتابوليزم الصماء والغدد السكر وحدة

الخاص الطابع ذات الوحدات نماذج

كلية الطب

الدموية لألوعية العيني قصر معمل وحدة

الخاص الطابع ذات الوحدات نماذج

كلية الطب

الدموية لألوعية العيني قصر معمل وحدة

بالكلية البيئة وتنمية المجتمع خدمة صندوق دعم فىالمستشفيات : وحصة

خدمة * صندوق بدعم الوحدات قامتحوالى ( بمبلغ البيئة وتنمية المجتمع

جنية )425000

حصة * بدعم الوحدات قامتحوالى ( بمبلغ 920000المستشفيات

جنية )

الخاص الطابع ذات الوحدات مساهمة

كلية الطب

Web-Site

• www.med.cu.edu.eg

• E-mail service to staff members

• Training programs

• Departments’ websites

• Title of Department displayed as • Cairo University • Kasr Al Aini Faculty of Medicine• Department of (BOLD CHARACTERS)• Web page contnet:• Short history and introduction to the department • Mission Statement• Information on the following topics (LINKS)

– Education : undergraduate, postgraduate and residency/fellowship programs also • Schedule of academic / scientific activities, e.g. lectures, staff rounds, workshops, conferences…

– Research : research interests of the department / collaborative research activity if applicable– Clinical services / Patient care : Unit components (Inpatient, outpatient sections and special facilities as

ICU, Endoscopy, Pulmonary lab, cardiac catheter. lab, operating theatre …etc), OP Clinic schedule and how to refer a patient

• Chairman and Faculty members and physicians in the department:–Names / Titles / and areas of special interest.

• Sub-specialties if applicable• Contact information (telephone, fax, address, email…)• Societies and affiliations - added as LINKS to the department website• Photos of faculty and staff / section and clinic / as available• Any additional information that you would like to include about your service• Support the Department or Make a Donation: guide to the public.

E-Library

• Project funded by HEEPF

• Linked to 7 faculties of Medicine

االليكترونية المكتبةبيانات • قاعدة على UpToDateتوفير

قواعد تشمل االليكترونية المكتبة موقعفى اإلكلينيكية للممارسة البياناتبكافة : الباطنة ـ اآلتية التخصصات

ـ األطفال ـ المعدية األمراض ـ فروعهاـ األسرة طب ـ النساء وأمراض التوليد

. الطوارئ طب

International Relations

• 108 Malaysian undergraduate students

• Joint postgraduate degrees (Pediatric Cardiology, Medical Ethics)

• Action plan for accreditation was designed and approved by the faculty council for implementation during this academic year

Problems

• Big number of students

• Admission policy

• Finance

• Policy making

• State regulated education

Problems (Cont.)

• Staff resistance

• Communication

• Daily problems overwhelming the essential problems

• Part-timers

• Transition of power

• Administrative skills

What do we need for accreditation?

• Review of the undergraduate programme

• Development of all postgraduate programmes

• Development of the research area

• Private tutoring

• Achievement of the action plan in the due time