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Is the Accreditation in Medical Education an Opportunity or a Burden?

의학교육 평가인증, 기회인가 부담인가?

  • Jung, Hanna (Department of Medical Education, Yonsei University College of Medicine) ;
  • Jeon, Woo Taek (Department of Medical Education, Yonsei University College of Medicine) ;
  • An, Shinki (Department of Medical Education, Yonsei University College of Medicine)
  • 정한나 (연세대학교 의과대학 의학교육학교실) ;
  • 전우택 (연세대학교 의과대학 의학교육학교실) ;
  • 안신기 (연세대학교 의과대학 의학교육학교실)
  • Received : 2020.01.29
  • Accepted : 2020.02.11
  • Published : 2020.02.28

Abstract

The accreditation process (AccP) is both an opportunity and a burden for medical schools-which one it becomes depends on how medical schools recognize and utilize the AccP. In other words, if a medical school recognizes the AccP only as a formal procedure or as a means for continuing medical education, it will be a burden for the medical school. However, if a medical school recognizes the real and positive value of the AccP, it can be both an opportunity and a tool for developing medical education. The educational value of the AccP is to improve the quality, equity, and efficiency of medical education, along with increasing the options of choice. In order for the AccP to contribute to the development of medical education, accrediting agencies and medical schools must first be recognized as part of an "educational alliance" working together towards common goals. Secondly, clear guidelines on the accreditation standards should be periodically reviewed and shared. Finally, a formative evaluation using self-evaluation as a system that can utilize the AccP as an opportunity to develop medical education must be introduced. This type of evaluation system could be developed through collaboration among medical schools, academic societies for medical education, and the accrediting authority.

Keywords

References

  1. Gordon D, Karle H. The state of medical and health care education: a review and commentary on the Lancet Commission report. World Med Health Policy. 2012;4(1):1-18. https://doi.org/10.1515/1948-4682.1219
  2. Blouin D, Tekian A, Kamin C, Harris IB. The impact of accreditation on medical schools' processes. Med Educ. 2018;52(2):182-91. https://doi.org/10.1111/medu.13461
  3. Schirlo C, Heusser R. Quality assurance of medical education: a case study from Switzerland. Neth J Med Educ. 2010;29(1):80-6.
  4. Maccarrick G, Kelly C, Conroy R. Preparing for an institutional self review using the WFME standards: an international medical school case study. Med Teach. 2010;32(5):e227-32. https://doi.org/10.3109/0142159X.2010.482396
  5. Tackett S, Zhang C, Nassery N, Caufield-Noll C, van Zanten M. Describing the evidence base for accreditation in undergraduate medical education internationally: a scoping review. Acad Med. 2019;94(12):1995-2008. https://doi.org/10.1097/acm.0000000000002857
  6. Abdalla ME. Social accountability of medical schools: do accreditation standards help promote the concept? J Case Stud Accredit Assess. 2014;3:1-12.
  7. Sethi A, Javaid A. Accreditation system and standards for medical education in Pakistan: it's time we raise the bar. Pak J Med Sci. 2017;33(6):1299-300.
  8. Field MJ. Medical school accreditation in Australia: issues involved in assessing major changes and new programs. J Educ Eval Health Prof. 2011;8:6. https://doi.org/10.3352/jeehp.2011.8.6
  9. Zhang Q, Lee L, Gruppen LD, Ba D. Medical education: changes and perspectives. Med Teach. 2013;35(8):621-7. https://doi.org/10.3109/0142159X.2013.789495
  10. Flexner A. Medical education in the United States and Canada: a report to the Carnegie Foundation for the Advancement of Teaching [Internet]. New York (NY): The Carnegie Foundation for the Advancement of Teaching; 1910 [cited 2019 Jan 10]. Available from: http://archive.carnegiefoundation.org/pdfs/elibrary/Carnegie_Flexner_Report.pdf.
  11. Irby DM, Cooke M, O'Brien BC. Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Acad Med. 2010;85(2):220-7. https://doi.org/10.1097/ACM.0b013e3181c88449
  12. Paul S. The social transformation of American medicine. Lee JC, translator. Seoul: Korean Medical Association; 2012.
  13. Abdalla ME. Accreditation in medical education: concepts and practice. Jazan: Faculty of Medicine, Jazan University; 2012.
  14. Telio S, Regehr G, Ajjawi R. Feedback and the educational alliance: examining credibility judgements and their consequences. Med Educ. 2016;50(9):933-42. https://doi.org/10.1111/medu.13063
  15. Telio S, Ajjawi R, Regehr G. The "educational alliance" as a framework for reconceptualizing feedback in medical education. Acad Med. 2015;90(5):609-14. https://doi.org/10.1097/ACM.0000000000000560
  16. van Zanten M, McKinley D, Durante Montiel I, Pijano CV. Medical education accreditation in Mexico and the Philippines: impact on student outcomes. Med Educ. 2012;46(6):586-92. https://doi.org/10.1111/j.1365-2923.2011.04212.x
  17. World Health Organization. Accreditation of medical education institutions. Geneva: World Health Organization; 2005.
  18. Wall D. Evaluation: improving practice, influencing policy. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice. Oxford: Wiley-Blackwell; 2010. p. 336-51.
  19. Boelen C, Woollard B. Social accountability and accreditation: a new frontier for educational institutions. Med Educ. 2009;43(9):887-94. https://doi.org/10.1111/j.1365-2923.2009.03413.x
  20. Leinster S. Role of accrediting bodies in providing education leadership in medical education. J Health Spec. 2014;2(4):132-5. https://doi.org/10.4103/1658-600X.142779
  21. Mustafa Alsheikh GY. WHO/WFME guidelines for accreditation of basic medical education. Geneva: World Health Organization; 2005.
  22. Korean Institute of Medical Education and Evaluation. KIMEE is recognized by the World Federation of School Education (WFME) as an accreditation agency [Internet]. Seoul: Korean Institute of Medical Education and Evaluation; 2016 [cited 2020 Jan 10]. Available from: http://kimee.or.kr/news-and-events/press-release/?pageid=2&mod=document&uid=189.
  23. Karle H. Global standards and accreditation in medical education: a view from the WFME. Acad Med. 2006;81(12 Suppl):S43-8. https://doi.org/10.1097/01.ACM.0000243383.71047.c4
  24. The Executive Council, The World Federation for Medical Education. International standards in medical education: assessment and accreditation of medical schools' educational programmes: a WFME position paper. Med Educ. 1998;32(5):549-58. https://doi.org/10.1046/j.1365-2923.1998.00302.x
  25. Grant J, Marshall J, Gary N. Evaluation of the implementation in pilot sites of the World Federation for Medical Education's international standards. Milton Keynes: Open University Centre for Education in Medicine; 2004.
  26. General Medical Council. Review of our quality assurance process [Internet]. London: General Medical Council; 2019 [cited 2019 Jan 10]. Available from: https://www.gmc-uk.org/education/standards-guidance -and-curricula/projects/review-of-our-quality-assurance-process.
  27. Liaison Committee on Medical Education. Guidelines for the planning and conduct of accreditation survey visits [Internet]. Washington (DC): Liaison Committee on Medical Education; 2019 [cited 2019 Jan 10]. Available from: https://lcme.org/wp-content/uploads/filebase/guide lines_and_procedures/2019-Guidelines-for-Planning-and-Conduct_2019-05-15.docx.
  28. General Medical Council. Overview of proposed QA process [Internet]. London: General Medical Council [cited 2019 Jan 10]. Available from: https://www.gmc-uk.org/education/standards-guidance-and-curricula/projects/review-of-our-quality-assurance-process/overview-of-proposed-qa-process.
  29. The Academy of Korean Studies. Education policy [Internet]. Seongnam: Encyclopedia of Korean Culture; 2019 [cited 2019 Jan 10]. Available from: https://encykorea.aks.ac.kr/Contents/SearchNavi?keyword=교육정책&ridx=0&tot=15.
  30. Wirt F, Mitchell D, Marshall C. Culture and education policy: analyzing values in state policy systems. Educ Eval Policy Anal. 1988;10(4):271-84. https://doi.org/10.3102/01623737010004271
  31. Kim YI. Educational policy and its intrinsic value. J Korean Educ. 2001;28(1):283-301.
  32. Jung HN. A study on the typological classification of private tutoring market using the latent class analysis [dissertaion]. Seoul: Yonsei University; 2016.
  33. World Federation for Medical Education. Basic medical education WFME global standards for quality improvement [Internet]. Ferney-Voltaire: World Federation for Medical Education; 2015 [cited 2019 Jan 10]. Available from: https://wfme.org/download/wfme-global-standardsfor-quality-improvement-bme/?wpdmdl=831&refresh=5e26a3650f70d1579590501%27;return%20false;%22%3EDownload%3C/a%3E%20%20%20%20%20%20%20%20%20%20%20%20%3C/div%3E%20%20%20%20%20%20%20%20%3C/div%3E%20%20%20%20%3C/div%3E%3C/div%3E%3C/div%3E.
  34. Jeon WT. Accreditation in medical education. Proceedings of the 3rd Medical Education Evaluation Conference; 2019 Dec 3-4; Seoul, Korea. Seoul: Korean Society of Medical Education; 2019.
  35. Geffen L, Cheng B, Field M, Zhao S, Walters T, Yang L. Medical school accreditation in China: a Sino-Australian collaboration. Med Teach. 2014;36(11):973-7. https://doi.org/10.3109/0142159X.2014.917286
  36. Education Research Institute, Seoul National University. The dictionary of educational studies. Seoul: Education Research Institute, Seoul National University; 1994.
  37. Committee on CDP2004 of Yonsei University College of Medicine. Curriculum development 2004 report. Seoul: Committee on CDP2004 of Yonsei University College of Medicine; 2002.
  38. Education Plan Committee of Yonsei University College of Medicine. Curriculum development 2013 report. Seoul: Education Plan Committee of Yonsei University College of Medicine; 2012.
  39. An S. A diachronic study of the curriculum development of the undergraduate medical education: based on the case of Yonsei University Medical College [dissertation]. Seoul: Yonsei University; 2018.
  40. Barzansky B, Hunt D, Moineau G, Ahn D, Lai CW, Humphrey H, et al. Continuous quality improvement in an accreditation system for undergraduate medical education: benefits and challenges. Med Teach. 2015;37(11):1032-8. https://doi.org/10.3109/0142159X.2015.1031735
  41. Lilley PM, Harden RM. Standards and medical education. Med Teach. 2003;25(4):349-51. https://doi.org/10.1080/01421590310001595581