1 GENERAL INSTRUCTIONS FOR COMPLETING THE DATABASE Each of the standards in this section is followed by relevant questions. In some cases, two closely related standards are placed together, followed by a set of questions that are germane for documenting compliance with each of the standards. Also, information relevant to a given standard may be contained in the responses to other standards. In those cases, the location of the other relevant information is indicated in italics. The cross-references are intended to help self-study groups and the survey team to identify all relevant data for assessing compliance with each standard. For comprehensive instructions regarding database completion, please refer to the document Background and Instructions for Completing the LCME Medical Education Database and Institutional Self-study. The medical school should maintain a master copy of the database, in both hard copy and electronic formats. When it becomes necessary to update database sections after the self-study report has been completed, but prior to the survey visit, the medical school should create separate database pages containing the updated information only. Most questions require a narrative answer or the completion of a table; in some cases, it will be necessary to duplicate a blank table (e.g., to summarize each of the medical school s clinical teaching sites). Use as much space as necessary to answer each question completely or to complete the tables. The tables may be modified to fit school-specific circumstances. Any supporting documents that are requested in the database (e.g., bylaws, organizational charts, policy documents) should be compiled in a separate red binder, divided by tabs for each section of the database; do not include such appended materials in the individual database sections. If the documents are large, you may send the URL (see the instructions document). The header on each page should indicate the most recent academic year for which information was available at the time of the self-study and upon which the self-study was based For visits during , the most-recently-completed academic year might be or , depending on the timing of the survey visit. When the requested data are for a different time period than that indicated in the header, the applicable time period should be included in the response to the question. If database information is updated after completion of the self-study, the academic year listed in the header should be changed accordingly and marked with the word Update in the header along with the year shown (e.g., Update ). Note that changing the header will affect all pages of a database section; therefore, a fresh (blank) copy of the database section should be used for updates. If requested information is available from the medical school s Web site, print a copy of the Web site information for the master database maintained by the school. Changes to such documents after completion of the self-study should be printed, stamped Updated to indicate that they have been revised, and included in the updated database. In addition, database pages that list URLs of modified Web pages should indicate that the Web site information has been altered from the original data available to the self-study groups. The database copies sent to the LCME Secretariat, and to the CACMS Secretariat for Canadian Schools, should include printed copies of any information referred to by Web site URL. If the document is long, please include the table of contents and only the relevant sections. The Secretariat is required to maintain complete print records of all database information.
2 For U.S. medical schools, most of the Key Quantitative Indicators (Part A of each database section) can be completed using information contained in the Longitudinal Statistical Summary Report (LSSR). This report is prepared annually by the AAMC Mission Support staff and sent directly to the dean. For Canadian schools, most of the key Quantitative Indicators can be completed using information contained in the AFMC Statistical Summary Report. This report is prepared annually by AFMC staff and sent directly to the dean. The AFMC also sends Canadian schools a version of the Accreditation Database, based on AFMC data holdings. Canadian Schools are encouraged to use these AFMC data resources when completing the Key Quantitative Indicators section. SPECIAL INSTRUCTIONS FOR SECTION IV: FACULTY Definitions: Full-time faculty: all faculty members who are considered by the medical school to be full-time, whether funded by the medical school directly or supported by affiliated institutions and organizations. Reporting of full-time faculty members should include those who meet the preceding definition and who are based in affiliated hospitals or in schools of basic health sciences, or who are research faculty. Do not include residents and clinical fellows or faculty members who do not receive full-time remuneration from institutional sources (i.e., medical school, parent university, or an affiliated hospital or healthcare organization). If the names of departments at the institution do not correspond to the names supplied in the tables, replace the supplied names with those used at the institution. Add or delete rows from the tables, as needed, to accommodate the medical school s departmental structure. When reporting faculty numbers by department, full-time faculty holding joint appointments should be counted only once, in whichever department is considered to be the department of primary appointment.
3 SECTION IV. FACULTY Part A: Key Quantitative Indicators Indicate, in the table below, the total number of faculty full-time equivalents (FTEs) in basic science departments and the number of full-time, part-time, and volunteer faculty in basic science and clinical departments (Source: AAMC Longitudinal Statistical Summary Report [LSSR] or school data). Provide data for the academic year, as available. For Canadian schools, data are available from the AFMC Annual Faculty of Medicine survey. Academic Year # of Faculty FTEs in Basic Science Departments Full-Time Faculty Part-Time Faculty Volunteer Faculty Basic Basic Basic Clinical Clinical Clinical Science Science Science
4 SECTION IV. FACULTY Part B: Narrative Data and Tables NOTE THAT STANDARD FA-1 HAS BEEN REPLACED WITH STANDARD IS-16.
5 FA-2. A medical education program must have a cohort of faculty members with the qualifications and time needed to deliver the curriculum and to meet the other needs and missions of the institution. In determining the number of faculty needed for the medical education program, consideration should be given to the responsibilities that its faculty may have in other academic programs and activities related to research, service, and patient care. Complete the following tables for the indicated basic science and clinical departments. See the instructions for completing the database for the definition of full-time faculty. a. Basic Science Departments Faculty Numbers Department* Professor Associate Professor Full-Time Faculty Assistant Professor Instructor/ Other Vacant Part-Time Faculty Anatomy Biochemistry Microbiology Pathology** Pharmacology Physiology Other (specify) *Replace indicated department names with school-specific names, as needed. **Report Pathology data here only if the school reported Pathology as a basic science department in the faculty counts for Part A of this database section. Teaching Responsibilities Department** Medical Students Graduate Students Number of Courses Taught per Year* Dental Students Nursing Students Allied Health Students Undergraduate (Baccalaureate) Students Anatomy Biochemistry Microbiology Pathology** Pharmacology Physiology Other (specify) *List only courses for which departmental faculty have primary and ongoing responsibility (e.g., for reporting final grades to the registrar) ** Replace indicated department names with names used at the school, as needed. ***Report Pathology data here only if the school reported Pathology as a basic science department in the faculty counts for Part A of this database section.
6 b. Clinical Departments Faculty Numbers Department* Professor Associate Professor Full-Time Faculty Assistant Professor Instructor/ Other Vacant Part- Time Volunteer Anesthesiology Dermatology Family Medicine Internal Medicine Neurology Obstetrics/Gynecology Ophthalmology Orthopedics Otolaryngology Pathology** Pediatrics Physical Medicine Psychiatry Pub Hlth/Prev Med** Radiology Surgery Urology Other (specify) *Replace indicated department names with names used at the school, as needed. **Report data for these departments here only if the school reported them as clinical departments in the faculty counts for Part A of this database section.
7 Teaching Responsibilities Department** Medical Students from this Medical School Number of Courses/Clerkship Rotations Taught per Year* Medical Allied Students Dental Nursing Health from Students Students Students Other Schools Other Students (specify) Family Medicine Internal Medicine Neurology Obstetrics/ Gynecology Pathology** Pediatrics Psychiatry Surgery Other (specify) *List only courses or clerkships/clerkship rotations (for Canadian medical schools) for which departmental faculty have primary and ongoing responsibility (e.g., for reporting final grades to the registrar) **Replace indicated department names with names used at the school, as needed. ***Report Pathology data here only if the school reported Pathology as a clinical department in the faculty counts for Part A of this database section. c. Describe the extent to which requirements for productivity in teaching or research, or insufficient faculty numbers overall or in specific disciplines, have affected the medical school s ability to support the educational program. List the courses or clerkships/clerkship rotations where instruction has been modified to compensate for the decreased availability of faculty to participate in teaching (e.g., increasing the size of small groups, increasing the number of students assigned to a clinical skills preceptors, or limiting the number of clinical skills or small group sessions). Note whether and where in the curriculum resident physicians or graduate students are being used to compensate for limited faculty availability. d. List all faculty with substantial teaching responsibilities for required courses or clerkships who are on site for fewer than three months during an academic year. e. Provide the amount of protected time that course and clerkship directors and other individuals with major leadership responsibilities for the educational program have for the noted activity (i.e., list the specific percent of their salaries covered by the medical school based on their roles in the educational program). i. Percent protected time for preclinical course directors (include range if not consistent) ii. Percent protected tine for clerkship directors (include range if not consistent) iii. Percent protected time for the chair of the curriculum committee (if not an administrator)
8 f. Provide evidence that teaching is valued in the medical school. For example, is teaching a requirement for faculty retention/promotion? Do faculty have protected time for teaching? See also Part A for this section, and information for standard IS-12 in Section II: Educational Program for the M.D. Degree and standard ER-3 in Section V: Educational Resources.
9 FA-3. A person appointed to a faculty position in a medical education program must have demonstrated achievements commensurate with his or her academic rank. FA-7. There must be clear policies in place at a medical education program for faculty appointment, renewal of appointment, promotion, granting of tenure, and dismissal that involve the faculty, the appropriate department heads, and the dean. The following questions relate to standards FA-3 and FA-7. a. Provide a brief description of each faculty employment track, including the qualifications required for each. b. Briefly summarize, by employment track, the institution-wide (medical school or parent university) policies and procedures for the appointment, renewal of appointment, promotion, granting of tenure (if applicable), and dismissal for all faculty members. Include a copy of the written appointment, reappointment, tenure and promotion, and dismissal guidelines or the Web site URL at which these policies are posted. c. Explain any variation in the policies across tracks or in the application of policies across departments. d. Describe how faculty members are informed about the various tracks and how they are assigned to a specific track. Note if a faculty member is able to change to another track at some point in his or her employment.
10 FA-4. A member of the faculty in a medical education program must have the capability and continued commitment to be an effective teacher. Effective teaching requires knowledge of the discipline and an understanding of curricular design and development, curricular evaluation, and methods of instruction. Faculty members involved in teaching, course planning, and curricular evaluation should possess or have ready access to expertise in teaching methods, curricular development, program evaluation, and medical student assessment. Such expertise may be supplied by an office of medical education or by faculty and staff members with backgrounds in educational science. Faculty involved in the development and implementation of a course, clerkship rotation, or larger curricular unit should be able to design the learning activities and corresponding student assessment and program evaluation methods in a manner consistent with sound educational principles and the institution s stated educational objectives. A community physician appointed to the faculty of a medical education program, on a part-time basis or as a volunteer, should be an effective teacher, serve as a role model for medical students, and provide insight into contemporary methods of providing patient care. Among the types of evidence indicating compliance with this standard are the following: Documented participation of the faculty member in professional development activities related specifically to teaching and assessment. Attendance at regional or national meetings on educational affairs. Evidence that the faculty member s knowledge of his or her discipline is current. FA-11. A medical education program must provide opportunities for professional development to each faculty member to enhance his or her skills and leadership abilities in education and research. The following questions relate to standards FA-4 and FA-11. a. Describe the availability of centralized or departmental resources to assist faculty in course/clerkship planning, course/clerkship evaluation, and instructional methods. b. Describe any centralized or departmental activities to assist faculty members in improving their skills in teaching and assessing medical students. For the formal programs that were offered, provide the number of faculty who participated in such activities during the most recently completed academic year and the sourses of funding available to support such activities. c. Describe the elements of faculty teaching skills (e.g., content mastery, ability to lecture or lead a small group, ability to provide feedback, professionalism) that are formally evaluated by medical students. Describe the means by which the results of such evaluations are communicated to faculty. d. Describe the means by which any problems identified with faculty teaching skills are addressed and the resources that are available to support the remediation of deficits.
11 e. Describe any centralized or departmental activities to assist faculty members in enhancing their skills in research methodology, publication development, and grant procurement. Include the number of faculty who participated in such activities during the most recently completed academic year and the sources of funding available to support such activities. See also information for standards ED-30 and ED-47 in Section II: Educational Program for the M.D. Degree and standard FA-5 in this section.
12 FA-5. A faculty member in a medical education program should have a commitment to continuing scholarly productivity that is characteristic of an institution of higher learning. a. Provide the following data, by department (basic science and clinical), for the most recently completed year (academic or calendar year, whichever is used in the medical school s accounting of faculty scholarly efforts). Department* Articles in Peerreviewed Journals Number of: Books and Book Chapters Published Number of Departmental Faculty Members Who Are: Journal Members of National Editors or PIs on Study Sections or Members of Extramural Committees Editorial Grants Boards *Indicate the academic or calendar year that is the source of these data. b. Describe the means by which faculty scholarship is fostered in the medical school. Is there a formal mentorship program for junior faculty to assist them in their development as scholars? Note any informal opportunities for mentorship or other types of support for faculty scholarly activities. c. Describe the institution s expectations for faculty scholarship. Is documentation of scholarship required for retention and promotion of all or some full-time faculty? See also information for standard IS-13 in Section I: Institutional Setting and Part A, item (e.) in Section V: Educational Resources.
13 FA-8. A medical education program should have policies in place that deal with circumstances in which the private interests of a faculty or staff member may be in conflict with his or her official institutional or programmatic responsibilities. a. Check each area in which the medical school or the university has a faculty conflict of interest policy. Include a copy of each policy in the Appendix or provide the Web site URL at which the policy can be viewed. Conflict of interest in research Conflict of private interests of faculty/staff with academic/teaching responsibilities Conflict of interest in commercial support of continuing medical education b. Summarize the institutional efforts or programs that address research ethics, scientific misconduct, conflicts of interest, and human subjects protection. Is participation in such programs required or optional for faculty? c. Describe the means by which adherence to the conflict of interest policies is monitored.
14 FA-9. A medical education program should provide each faculty member with written information about his or her term of appointment, responsibilities, lines of communication, privileges and benefits, and, if relevant, the policy on practice earnings. a. Describe how faculty members are notified about the following items: i. Term and conditions of employment ii. Benefits iii. Compensation, including policies on practice earnings b. Describe the means by which and the times at which newly hired and existing faculty members are informed about their responsibilities in teaching, research, and, where appropriate, patient care. c. If there is a faculty handbook, include a copy or provide the Web site URL at which the handbook can be viewed.
15 FA-10. A faculty member of a medical education program should receive regularly scheduled feedback on his or her academic performance and progress toward promotion and, when applicable, tenure. Feedback should be provided by departmental leadership or, if relevant, by other programmatic or institutional leadership. a. Briefly describe any medical school or university policies ensuring that faculty members receive regular feedback on their performance and their progress toward promotion and, if relevant, tenure. b. Describe the times at which and the means by which faculty members receive formal feedback from departmental leaders (i.e., the chair or division or section chief) on their academic performance and their progress toward promotion and, if relevant, tenure. Also see information for standards FA-4 and FA-5.
16 FA-6. The faculty of a medical education program must make decisions regarding the admission, promotion, and graduation of its medical students and must provide academic and career counseling for medical students. FA-12. At a medical education program, the dean and a committee of the faculty should determine policies for the program. The committee that, with the dean, determines policies for the medical education program typically consists of the heads of major departments and may be organized in any manner that brings reasonable and appropriate faculty influence into the governance and policymaking processes of the program. FA-13. A medical education program should ensure that there are mechanisms in place for direct faculty involvement in decisions related to the program. Important areas in which direct faculty involvement is expected include admissions, curriculum development and evaluation, and student promotions. Faculty members also should be involved in decisions about any other missioncritical areas. Strategies for assuring direct faculty participation may include peer selection or other mechanisms that bring a broad faculty perspective to the decision-making process, independent of departmental or central administration points of view. The quality of an educational program may be enhanced by the participation of volunteer faculty in faculty governance, especially in defining educational goals and objectives. The following questions relate to standards FA-6, FA-12, and FA-13. a. List in the table below all major permanent committees of the medical school. Note whether each committee is charged with making recommendations (R), empowered to take action (A), or both (B). Committee Number of Members Appointed or Elected by: Reports to: Authority (R/A/B) b. Describe how the selection process for faculty committees ensures a broad faculty bring a broad faculty perspective to the decision-making process, independent of departmental or central administration points of view. c. Describe the means by which the dean obtains input from department heads and faculty members regarding institutional planning and decision-making. Note how often the dean meets with department heads, members of the dean s staff, and other medical school leadership groups (e.g., Executive Committee, Faculty Council). See also information for standard IS-4 in Section I: Institutional Setting and for standards MS-4, MS-18, MS-19, and MS-33 in Section III: Medical Students.
17 FA-14. A medical education program must establish mechanisms to provide all faculty members with the opportunity to participate in the discussion and establishment of policies and procedures for the program, as appropriate. Participation by all faculty members in the discussion and establishment of policies and procedures for the program may be facilitated, for example, by: Ease of access to committee meeting agendas and minutes; Program-wide dissemination of draft policies and procedures for faculty members review; Provision of opportunities for faculty members to comment on draft policies and procedures to program leaders prior to their finalization and implementation; or Faculty meetings. a. List the number and type of general faculty meetings held during the past academic year. Indicate whether these meetings were in person or virtual (e.g., Web cast) meetings. Describe the major agenda items for these meetings and the means by which faculty were made aware of meeting agendas. b. Describe the means by which faculty members are informed about upcoming meetings. Describe the means by which faculty who are not present learn about the discussions at and/or outcomes of these general faculty meetings (e.g., through the circulation of meeting minutes). c. Describe the types of policy changes that require faculty input and how copies of draft policies and procedures are distributed for faculty comment. Provide examples of opportunities made available during the past academic year for faculty members to comment on such drafts. d. In addition to meetings, describe any other mechanisms (e.g., written or electronic communications) that exist at the medical school to inform faculty members about medical school matters. END OF SECTION IV
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