Dominica 09/25/2018 08/20/2018 Final Review Redetermination

U.S. Department of Education

Redetermination Report


Prepared September 2018

Background

In October 1997, the National Committee on Foreign Medical Education Accreditation (NCFMEA) initially determined that the accreditation standards used by the Dominica Medical Board (DMB) to evaluate medical schools in Dominica were comparable to those used in the United States. The NCFMEA reaffirmed its prior determination that the standards and processes used by the country for the evaluation of its medical schools remained comparable in 2001 and 2007. The NCFMEA requested that the country submit periodic reports describing its continuing accreditation activities. Dominica's next petition for continued comparability was reviewed at the Fall 2013 NCFMEA meeting. Due to concerns raised at that meeting, the Committee deferred its decision concerning the country's comparability pending the review of additional information. At the Fall 2015 NCFMEA meeting, the Committee reviewed the additional information that was provided by the country in response to the Fall 2013 concerns and again deferred a decision regarding the country's comparability. At the Fall 2016 NCFMEA meeting, the Committee reviewed the additional information that was provided by the country in response to the Fall 2015 concerns and again deferred a decision regarding the country's comparability. At that time, the country was requested to provide additional information and documentation for review. Due to the lack of a comparability decision over an extended period of time, the country was asked to provide a full petition for comparability, in addition to the information and documentation requested at the Fall 2016 NCFMEA meeting, and that petition is the subject of this report.


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. -- The Committee may wish to ask more about the relocation of Ross University School of Medicine and the effect of that relocation on the Dominica Medical Board and its operations. [Accreditation of Medical Schools] -- The Committee may wish to request the limited site visit report and any action taken by the Dominica Medical Board to confirm the evaluation of outcomes data and the school's effectiveness in this area. The Committee may also with to inquire further regarding the attrition rate and graduation rate data provided by Ross University School of Medicine. [Student Achievement, Question 4] -- The Committee may wish to request the limited site visit report and any action taken by the Dominica Medical Board to confirm the re-evaluation and monitoring activities to ensure continued compliance with standards. [Re-evaluation and Monitoring, Question 1] -- The Committee may wish to discuss further the use of student achievement data by the Dominica Medical Board in its accreditation decision-making process. [Accrediting/Approval Decisions, Question 4]

Staff Analysis