Antigua & Barbuda National Accreditation Board, Ministry of Education, Sports, Youth & Gender Affairs 09/19/2016 08/26/2016 Final Review Redetermination

U.S. Department of Education

Redetermination of Comparabiity for Antigua and Barbuda Draft


Prepared July 2016

Background

The National Committee on Foreign Medical Education and Accreditation (NCFMEA) made an initial determination that the standards used to accredit medical education in Antigua and Barbuda were comparable to the standards used to accredit medical education in the United States at its Fall 2013 meeting. The National Accreditation Board (NAB) was established by the Accreditation Act of 2006 as the entity responsible for the accreditation of post-secondary institutions and programs of study including medical schools that offer educational programs leading to the M.D. (or equivalent) degree in Antigua and Barbuda. The Act was further amended in 2012 establishing the Caribbean Accreditation Authority for Education in Medicine and other Health Professions (CAAM-HP) as the accrediting body for medical schools leading to an M.D. degree or equivalent in Antigua and Barbuda. Medical schools wishing to operate in Antigua and Barbuda must first attain CAAM-HP accreditation prior to NAB accreditation and recommendation to the Minister of Education for approval of medical schools. At the time of its Fall 2013 initial determination of comparability, the country was requested to provide the report of the CAAM-HP's on-site review of the American University of Antigua (AUA), as well as the country's response to the on-site review report. It was also requested to provide routine updates annually prior to its first review for redetermination, which is scheduled to be considered at the Fall 2016 NCFMEA meeting. The information included in this report is for the agency's redetermination.


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. -- Additional Information Requested: NCFMEA may wish to request an updated annual institutional database that is more recent so that they are able to ensure all of the questions asked in 2011 are still reflected in the current database. [Mission and Objectives, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Mission and Objectives, Question 2] -- NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Mission and Objectives, Question 3] -- NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Mission and Objectives, Question 4] -- Additional Information Requested: NCFMEA may wish to request the completed institutional medical education and the completed medical education continuing professional education databases in order to verify the responses to the questions are relevant to this standard. [Mission and Objectives, Question 5] -- Additional Information Requested: NCFMEA may wish to request a completed annual medical education database from the country. [Governance, Question 1] -- Additional information is requested: The NCFMEA may wish to confirm the adoption of the new standard requiring that a medical schools governing board be external to and independent of the school's administration and the plans for implementation of this policy. [Governance, Question 2] -- NCFMEA may wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Administrative Personnel and Authority, Question 1] -- Additional Information Requested: NCFMEA may wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Administrative Personnel and Authority, Question 2] -- Additional Information Requested: NCFMEA may wish to request an updated annual institutional database and a copy of the self-study that is more recent in order to ensure all of the questions asked in 2011 are still reflected in the current database and self-study. [Administrative Personnel and Authority, Question 3] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Chief Academic Official, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Chief Academic Official, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Faculty] -- NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Remote Sites, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Curriculum, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Curriculum, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Curriculum, Question 3] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Curriculum, Question 4] -- Additional information is requested: The NCFMEA may wish to confirm if the adoption of the new standard requiring that service learning opportunities are available for its medical students. [Curriculum, Question 5] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Curriculum, Question 6] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Curriculum, Question 7] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database that has data included in it so that they can verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent so that they are able to ensure all of the questions asked in 2011 are still reflected in the current database. [Clinical Experience, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database that has data included in it so that they can verify the responses to the questions relevant to this standard. [Clinical Experience, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database and a continuing professional database in order to verify the responses to the questions relevant to this standard. [Clinical Experience, Question 3] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Supporting Disciplines] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Ethics, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Communication Skills, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. [Design, Implementation, and Evaluation, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and faculty databases that has data included in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether the questions asked in 2011 are still reflected in the current database. [Design, Implementation, and Evaluation, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database and faculty database in order to verify the responses to the questions relevant to this standard. [Design, Implementation, and Evaluation, Question 3] -- NCFMEA may wish for more information regarding the collection of data for the evaluation of the quality of the school's admission practices. [Admissions, Recruiting, and Publications, Question 1] -- Additional information is requested: The NCFMEA may wish to further question the country regarding the determination that current standards address the reporting of annual costs for attendance, including tuition, and fees. [Admissions, Recruiting, and Publications, Question 5] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and student databases that has data included in it so that they can verify the responses to the questions relevant to this standard. [ Student Achievement, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and faculty databases that has data included in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether the questions asked in 2011 are still reflected in the current database. [Student Achievement, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and faculty databases that has data included in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether the questions asked in 2011 are still reflected in the current database. [Student Achievement, Question 3] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and student databases that has data included in order to verify the responses to the questions relevant to this standard. [Student Achievement, Question 4] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database that has data included in it so that they can verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent so that they are able to ensure all of the questions asked in 2011 are still reflected in the current database. [Student Achievement, Question 5] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database that has actual data included in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. Finally, NCFMEA may want to seek clarification as to whether the site visit team was able to review the counseling services available for students at AUA. [Student Services, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and faculty databases that has data included in it so that they can verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent so that they are able to ensure all of the questions asked in 2011 are still reflected in the current database. [Student Services, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database that has data included in it so that they can verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent so that they are able to ensure all of the questions asked in 2011 are still reflected in the current database. [Student Complaints, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education and faculty database that has data included in order to verify the responses to the questions relevant to this standard. [Finances, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database that has data included in it so that they can verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent so that they are able to ensure all of the questions asked in 2011 are still reflected in the current database. [Facilities, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [Facilities, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed annual medical education database from the country. [Faculty, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed annual medical education database from the country. [Faculty, Question 2] -- Additional Information Requested: NCFMEA may wish to request a completed medical education annual database in order to verify the responses to the questions relevant to this standard. NCFMEA may also wish to request an updated annual institutional database that is more recent to determine whether all of the questions asked in 2011 are still reflected in the current database. [ Library] -- Additional Information Requested: NCFMEA may wish to request a completed annual medical education database and an example copy of an affiliation agreement. [Clinical Teaching Facilities, Question 1] -- Additional Information Requested: NCFMEA may wish to request a completed annual medical education database from the country. [Onsite Review, Question 2] -- Additional Information is requested: The NCFMEA may wish to further question the country regarding CAAM-HP's plans, if any, to adopt written policies, which specifically addresses the requirements of this question. [Onsite Review, Question 3] -- Additional information is requested: The NCFMEA may wish to further question the country regarding providing documentation that would demonstrate the review and assessment of affiliation agreements for medical schools operation in Antigua and Barbuda. [Onsite Review, Question 4] -- Additional information is needed: The NCFMEA may wish to further question the country regarding CAAM-HP's plans, if any, to establish written policy addressing this question. [Onsite Review, Question 5] -- Additional Information Requested: NCFMEA may wish to ask additional questions about the training for those who serve on the decision and policy making bodies. [Qualifications of Evaluators, Decision-makers, Policy-makers] -- Additional Information Requested: The NCFMEA may desire to raise the question as to whether standards will be adopted to address this question. [Substantive Change] -- Additional Information Requested: The committee may wish to ask for documentation demonstrating the application of this policy. [Conflicts of Interest, Inconsistent Application of Standards, Question 1] -- Additional Information Requested: NCFMEA may wish to ask for clarification regarding if the involvement in medical schools by someone from CAAM-HP and/or the Secretariat is a standard or process. Additionally, the committee may wish to ask for documentation demonstrating the application of this practice. [Conflicts of Interest, Inconsistent Application of Standards, Question 2] -- Additional Information Requested: NCFMEA may wish to request additional details about the conversations relative to accreditation decisions and the performance of medical school graduates. [Accrediting/Approval Decisions, Question 2] -- Additional information is requested: The NCFMEA may which to request further information regarding the degree to which student outcomes data is considered when making accreditation decisions. [Accrediting/Approval Decisions, Question 3] -- Additional information is requested: The NCFMEA may wish to request additional information regarding the extent to which student outcomes data has been discussed by CAAM-HP. [Accrediting/Approval Decisions, Question 4]

Staff Analysis