COMMISSION ON OSTEOPATHIC COLLEGE ACCREDITATION (COCA)



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COMMISSION ON OSTEOPATHIC COLLEGE ACCREDITATION (COCA) Confronting the Challenges of Assuring Quality and Protecting the Public Thomas A. Cavalieri, D.O., FACOI, FACP Chairperson, COCA

The COCA Mission The COCA serves the public by establishing, maintaining, and applying accreditation standards and procedures to ensure that academic quality and continuous quality improvement delivered by the COMs reflect the evolving practice of osteopathic medicine. The scope of the COCA encompasses the accreditation of COMs.

COCA Goals 1. To serve the public and the community of interest by ensuring the continued effectiveness of the COCA. 2. To develop, maintain, apply and periodically review the COCA s accreditation processes and the accreditation standards for COMs.

COCA Goals 3. To foster continuous quality improvement of osteopathic medical education by encouraging innovation and creativity in COM s programs and institutions. 4. To assure the continued effectiveness of the accreditation process by the development and application of continuous quality assurance, self-assessment, and external review of the COCA.

Changing Environment for Medical Education and Accreditation Growth of Osteopathic Medical Schools Graduate Medical Education Changing Health Care Environment ACA Changing Delivery System Patient Centered Medical Home Aging Population Physician Shortage Projections

Changing Environment for Medical Education and Accreditation Innovations in Medical Education MOOC s Competency-Based Learning EPA s Interprofessional Education Information Technology

The American Association of Colleges of Osteopathic Medicine (AACOM) 30 Colleges at 41 Locations in 28 States Representing: Over 23,000 medical students (about 1 in 4 entering U.S. medical students) Over 37,000 faculty Nearly $100 million research grants/contracts Copyright 2013, AACOM. All rights reserved.

Colleges of Osteopathic Medicine (August 2013) Copyright 2013, AACOM. All rights reserved

Total Enrollment and Number of Colleges Copyright 2013, AACOM. All rights reserved.

Applicants to Osteopathic Medical Colleges (Source: AACOM) AACOMAS submitted applications final -- 4/30/2013 16000 14000 12000 10000 8000 6000 11519 11850 12872 13386 14275 15176 16705 4000 2000 0 2007 2008 2009 2010 2011 2012 2013 Copyright 2013 AACOM. All rights reserved.

By 2016, there will be 45% more physicians trained yearly at U.S. medical schools than in 2002 MD 16,488 (84.3%) DO 3,079 (15.7%) 2002 2010 % Increase 2016 18,665 13% 21, 376 (75.5%) 5,233 70% 6,917 (24.5%) % Increase 30% 125% Combined 19,567 23,898 22% 28,293 45% Sources: AAMC Dean s Enrollment Survey: 2012 AACOM 2011 Survey on Osteopathic Medical School Growth Plans Copyright 2013, AACOM. All rights reserved.

Projections and System Change Copyright 2013, AACOM. All rights reserved.

Actual and Projected Numbers of Medical School Graduates Entering Graduate Medical Education (GME) Training Positions, as Compared with Three Scenarios of Available Positions (2001 2020). Iglehart JK. N Engl J Med 2011;365:1340-1345. Copyright 2013, AACOM. All rights reserved.

Commission on Osteopathic College Accreditation Represents both the osteopathic profession and the public. Assures actions are within the framework of the Accreditation of Colleges of Osteopathic Medicine: COM accreditation standards and procedures. Recognized accrediting authority of the U.S. Secretary of Education.

COCA Membership (17 Voting Members) Public COM Dean (1) Private COM Dean (1) COM Educators (2) DME (1) Hospital Administrator (1) Public Members (3) Members-At-Large (8)

COCA Operations and Policies Meetings On-Site Visit Process Progress Reports Review Annual Report Review Evaluators Registry Consultants List Conflict of Interest Policy COCA Committees

The U.S. Department of Education and the COCA and its Committees United States Department of Education COCA AOA BOT (Report Only) (17 Members) COCA Appeal Panel COCA Executive Committee Support COCA Decision. No further action OR or Remand decision. Return to COCA Committee for College Accreditation Training (CCAT) Annual Report Review Committee Standards Review Committee

COM Accreditation Standards Standard One Standard Two Mission, Goals and Objectives Governance, Administration & Finance Standard Three Facilities, Equipment Standard Four Faculty and Resources

COM Accreditation Standards Standard Five Standard Six Students Curriculum Standard Seven Research and Scholarly Activities Standard Eight Graduate Medical Education Outcomes

COMMISSION ON OSTEOPATHIC COLLEGE ACCREDITATION (COCA) Confronting the Challenges of Assuring Quality and Protecting the Public Questions?