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U.S. Department of Education

 

Special Report for Cayman Islands

 
Prepared March 2016
 
Background
 
In September 2002, the National Committee on Foreign Medical Education and Accreditation (NCFMEA) first determined that the Cayman Islands' standards and processes to evaluate medical education programs leading to the M.D. (or equivalent) degree are comparable to the standards of accreditation used to evaluate medical education programs in the United States. The NCFMEA most recently affirmed the country's comparability in March 2009 and recieved a special report from the Cayman Islands on its accrediting activities in 2013.

The Accreditation Commission on Colleges of Medicine (ACCM) is the entity responsible for evaluating the quality of medical education in the Cayman Islands.

In Spring 2015, a redetermination of the Cayman Islands comparability was scheduled. Cayman Islands was asked to submit the following narrative for review. The report here is in response to a follow up request and is the subject of this analysis.This analysis provides an update report that was requested by the committee for review of the Cayman Islands' following that determination.
 
Summary of Findings
 
Additional information is requested for the following questions. These issues are summarized below and discussed in detail under the Staff Analysis section.

-- NCFMEA may wish to request documentation of this information following the submission of the annual report information and following the onsite inspection demonstrating the review of the CAO.
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-- NCFMEA may wish to ask for documentation demonstrating the agreement with Merrifield Center.
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-- NCFMEA may wish to request a completed annual report to demonstrate the collection of MCAT attempt information.
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Staff Analysis
 
This information will be reported to NCFMEA during the Spring 2016 meeting during a special update report.
 
Outstanding Issues
Further clarification regarding the role of Dr. John Randall, Chief Academic Officer, further details about the ways in which he carried out his role, and the way in w hich his performance was reviewed by the University and the ACCM.
 
Country Narrative
For future reference in relation to the role of CAO:
ACCM will request reports regarding review of CAO's performance from the medical school (to be included as part of the ACCM questionnaire - Annual Database).
At each site inspection visit to the medical school, ACCM will interview the CAO which will include a review of performance (including any written documentation).
ACCM will request and keep a record of dates and reports of medical campus clinical site visits by the CAO.
 
Analyst Remarks to Narrative
This information will be reported to NCFMEA during the Spring 2016 meeting during a special update report.

 
Analyst Remarks to Response
The country was asked to provide details about the interviews conducted of the Chief Academic Officer during the site visit. ACCM has reported that documentation of the CAO’s performance will be captured in the annual report and a formal interview will be included and documented during the onsite inspection.

NCFMEA may wish to request documentation of this information following the submission of the annual report information and following the onsite inspection demonstrating the review of the CAO.
 
Staff Conclusion: Additional Information requested
 
What progress has been made in the area of the suggestions by the Northern Virginia Mental Health Institute staff that students may be able to attend the private outpatient clinics by Staff Psychiatrics?
 
Country Narrative
ACCM to check with SMU/NVMHI clinical team if there has been any change in the institutions teaching programme which has been checked out and progress made.
St. Matthew’s University is establishing an outpatient psychiatric training program for all medical students who have core clinical rotations at Northern Virginia Medical Health Institute (NVMHI). This training will be provided at the Merrifield Center (MC) and coordinated by Dr. Colton Hand, the Medical Director of MC. Student preceptors include Dr. Hand and his fellow psychiatrists who are employed full-time as attending physicians at MC. SMU students will gain exposure to patients engaged with the full spectrum of services provided at MC.(Exhibit 1)
 
Analyst Remarks to Narrative
This information will be reported to NCFMEA during the Spring 2016 meeting during a special update report.
 
Analyst Remarks to Response
There had been some questions at the last NCFMEA meeting about students being exposed to both outpatient and inpatient medical settings for their clinical rotations. ACCM had previously demonstrated inpatient experience for these students. Now, St. Matthew’s University is establishing an outpatient psychiatric training program for all medical students who have core clinical rotations at Northern Virginia Medical Health Institute (NVMHI). This training will be provided at the Merrifield Center (MC).

NCFMEA may wish to ask for documentation demonstrating the agreement with Merrifield Center.
 
Staff Conclusion: Additional Information requested
 
Have the number of times applicants to the medical school attempts to MCAT been requested and noted by the ACCM?
 
Country Narrative
ACCM has amended the ACCM questionnaire (Annual/Profile Databases) to include a question about the number of times each student has taken MCAT which has now been added and will be recorded for future purposes.
Yes, ACCM has requested this information from the medical school. We have received information from the school regarding MCAT scores (Exhibit 2).
 
Analyst Remarks to Narrative
This information will be reported to NCFMEA during the Spring 2016 meeting during a special update report.

 
Analyst Remarks to Response
In regards to the collection of MCAT attempts for its students, ACCM has requested this information from the medical school. ACCM indicates that they have received information from the school regarding MCAT scores and provided an example report of information to the Department. The agency has further explained that they will collect this information on the Annual/Profile Database but has not provided a completed report to the Department.

NCFMEA may wish to request a completed annual report to demonstrate the collection of MCAT attempt information.
 
Staff Conclusion: Additional Information requested
 
What further information is available regarding the methods by which the Commissioners who inspected the university campus and clinical sites were able, without bias, to make a decision regarding accreditation of the medical school?
 
Country Narrative
NCFMEA were informed that the decision was not solely made by the Commissioners who visited the medical school site. All information regarding the school which included inspection of the University campus and clinical sites was submitted in a written Report to a full hearing of ACCM Board and a decision was made by the full Committee. Prof. Lee read to the NCFMEA Committee a list of the Commissioners with their titles and short précis of their experience relevant to their position as Commissioners to highlight the seriousness and competence of the commissioning body.
The Committee requested a copy of signed Conflict-of-interest Forms by all Commissioners. These are available for each Commissioner, sample submitted (Exhibit 3).
 
Analyst Remarks to Narrative
This information will be reported to NCFMEA during the Spring 2016 meeting during a special update report.

 
Analyst Remarks to Response
ACCM has provided information regarding the country’s conflict of interest policies. They have also provided updated signed documentation as requested.
 
Staff Conclusion: Comprehensive response provided