Considerations When Planning an Accreditation System
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Considerations When Planning an Accreditation System
Sabri KEMAHLI, M.D.Ankara University, Faculty of Medicine
Turkey
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Why accreditation (in Turkey)?
• Increase in the number of medical schools (50+)• Different curricula employed (Traditional-
integrated)• PBL introduced in increasing number of medical
schools- in differing weights• Clinical skills labs introduced in many schools• Differences in the faculty members- number and
seniority• National core curriculum defined in 2001
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Entrance to Medical Education• Centrally administered university entrance
examination• Considerable differences in medical
school entrants- according to their scores-• Major question: Are all medical school
graduates equally trained?/ Do all medical schools meet some minimum requirements?
• How can we be sure?
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Two initiatives
• Examinations planned for all medical students after 3rd and 5th years (as a prerequisite for graduation)
• Accreditation scheme planned
by Council of Medical Schools Deans
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Principles Discussed While Planning
• Initiative should be started by Deans (Council)• Accrediting body should be an independent
organisation• Deans’ influence on the process should be
minimum; Deans cannot work as members of accreditation council and other committees
• All stakeholders should be represented (faculty members, students, MoH, practising doctors)
• Example:
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• First organised as a body of the Engineering Deans’ Council
• Later a society was established
• Members of Accreditation Council first named by the Deans’ Council- following nominations by accreditation council autonomously
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Accreditation Organisation
• Deans’ Council
• National Medical Accreditation Council
• Standards Committee
• Pre-evaluation, Counselling and Training Committee
• Visitation and Follow-up Committees
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Accreditation Organisation
National Medical
AccreditationCouncil(NMAC)
Standard Setting and
Development Committee
Pre-evaluation, Counselling and
Training Committee
Visitation and Follow-up
Committee-1
Visitation and Follow-up
Committee-2
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National Medical Accreditation Council
• 7 faculty members from 7 different medical schools
• 4 members nominated by Turkish Medical Association (1 university faculty member, 1 specialist from state hospitals, 1 general practitioner, 1 free practicing doctor)
• 1 doctor nominated by the Ministry of Health• 2 student representatives from 2 different
medical schols• 1 Secretary nominated by Secretary General of
Deans Council
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Standard Setting and Development Committee
• 4 faculty members from Departments
(Units) of Medical Education of 4 different medical schools
• 3 faculty members, one from each of basic, surgical and internal medical sciences
• 1 general practitioner
• 1 student representative
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Accreditation Types
• Full accreditation (6 years)
• Accreditation candidacy (re-visit in 1 year)
• Re-accreditation (after 6 years; provided the medical school successful in the interim period of 3 years)
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Main elements in the process of accreditation
The WHO/WFME Guidelines• Institutional self-
evaluation of the medical school
• External evaluation based on the report of self-evaluation and a site visit
• Final report by the review team containing recommendations regarding the decision on accreditation
• Decision on accreditation.
• Pre-evaluation, Counselling and Training Committee
• Visitation and Follow-up Committee
• Visitation and Follow-up Committee
• Accreditation Council
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Accreditation Process
Application to Accreditation Council (NMAC)
Pre-evaluation, c.&t.committeereport submitted to medical schoolcounselling/training given to medical school, if required/demanded
July
Self-evaluation report submitted to NMAC
October
December
NMAC decision for visitation programme
March May
Site VisitJuly
Final decision by NMAC
January
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Possible Problems
• Voluntary basis- difficulty in finding volunteers-pioneers (medical schools)
• Acceptance by the faculty members might be difficult
• Only a few people to work
• Setting standards- which standards?
WFME global/European standards and national specifications
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Work Ahead
• Setting the standards- national specifications
• Planning the application and evaluation process details
• Format of the self-evaluation report
• Training the evaluation teams and the applicant medical schools
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Accreditation Process
• January: Application to Accreditation Council (NMAC)• Pre-evaluation, counselling and training
committeeReport submitted to medical schoolIf required/demanded counselling/training given to medical school (July)
• Until October: Self-evaluation report submitted to NMAC• NMAC decision for visitation programme (until
December)• Visit by the Visitation Committee (March-May) and report
submitted to NMAC• Decision by NMAC (until July)