LCME

CQI Monitoring

CQI Monitoring Requirements

The LCME requires that all medical schools report on a set of twelve standards which are pre-defined educational areas. Within the twelve standards there are specific elements to be monitored, and they are identified from the following categories:

  • Elements that include an explicit requirement for monitoring or involve a regularly-occurring process
  • New or recently-revised or changes in LCME expectations related to performance in elements
  • Elements that could be reviewed to ensure that policies are congruent with current operations
  • Elements that directly or indirectly effect the core operations of the school
  • Elements that were cited in the medical school’s previous accreditation surveys
  • Elements that were commonly cited in the last three years
  • Other elements that were identified through program evaluation processes, the Curriculum Committee, or via School of Medicine leadership

To view a complete list of elements that are monitored, please click through the tabs below.

Elements that are Monitored

Timing of Review 

Monitored By
1.1 Strategic Planning and Continuous Quality Improvement Strategic Blueprint data will be presented annually; the element should be reviewed every 3  years; Blueprint revisions will occur in concert with whole curriculum review (Q5 years) Assistant Dean for Curricular Affairs and Special Projects; Associate Dean for Curricular Integration Assessment
1.2 Conflict of Interest Policies Q 3 years Dean's Office
1.3 Mechanisms for Faculty Participation Q 3 years Dean's Office
1.4 Affiliation Agreements Q 3 years Dean's Office
1.5 Bylaws Q 3 years Dean's Office
1.6 Eligibility Requirements  Q 3 years Dean's Office

Elements that are Monitored

Timing of Review 

Monitored By
2.1 Administrative Officer and Faculty Appointments Q 3 years Dean's Office
2.2 Dean's Qualifications Q 3 years Dean's Office
2.3 Access and Authority of the Dean  Q 3 years Dean's Office
2.4 Suffieciency of Administrative Staff Annually  Dean's Office

Elements that are Monitored

Timing of Review 

Monitored By
3.1 Resident Participation in Medical Student Education Q 3 years Associate Dean for Advanced Clinical Learning
3.2 Community of Scholars/Research Opportunities Q 2 years Department of Science Education
3.3 Diversity/Pipeline Programs and Partnerships Annually Office of Diversity and Inclusion
3.4 Anti-Discrimination Policy Q 2 years Dean's Office
3.5 Learning Environment/Professionalism Annually Associate Deans for Curricular Integration and Assessment; Case-Based Learning; Advanced Clinical Learning; Student Affairs
3.6 Student Mistreatment Annually  Offices of Student Affairs and Graduate Medical Education

Elements that are Monitored

Timing of Review 

Monitored By
4.1 Sufficiency of Faculty Q 3 years Office of Faculty Affairs and Dean's Office
4.2 Scholarly Productivity Q 3 years Library Services and the Office of Faculty Affairs
4.3 Faculty Appointment Policies Q 3 years Office of Faculty Affairs and Dean's Office
4.4 Feedback to Faculty Q 3 years Office of Faculty Affairs 
4.5 Faculty Professional Development Q 3 years Office of Faculty Affairs
4.6 Responsibility for Educational Program Policies Q 3 years Dean's Office

Elements that are Monitored

Timing of Review 

Monitored By
5.1 Adequacy of Financial Resources Q 2 years Assistant Dean for Curricular Affairs and Special Projects; Associate Dean for Curricular Integration Assessment
5.2 Dean’s Authority/Resources Q 2 years Dean's Office
5.3 Pressures for Self-Financing Q 2 years Dean's Office
5.4 Sufficiency of Buildings and Equipment Q 2 years Dean's Office
5.5 Resources for Clinical Instruction Q 2 years Associate Dean for Advanced Clinical Learning 
5.6 Clinical Instructional Facilities/Information Resources Q 2 years Associate Dean for Advanced Clinical Learning 
5.7 Security, Student Safety, and Disaster Preparedness Q 2 years Associate Dean for Student Affairs
5.8 Library Resources/Staff Annually Library Services
5.9 Information Technology Resources/Staff Annually Dean's Office
5.10 Resources Used by Transfer/Visiting Students Q 2 years Dean's Office
5.11 Study/Lounge/Storage Space/Call Rooms 55 Annually Dean's Office
5.12 Required Notifications to the LCME Annually Dean's Office

Elements that are Monitored

Timing of Review 

Monitored By
6.1 Program and Learning Objectives Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
6.2 Required Clinical Experiences Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
6.3 Self-Directed and Life-Long Learning Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
6.4 Inpatient/Outpatient Experiences Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
6.5 Elective Opportunities Q 3 years Associate Dean for Advanced Clinical Learning and Assistant Dean for Clinical Preparation for Residency
6.6 Service-Learning Annually Associate Dean for Student Affairs
6.7 Academic Environments Q 2 years Associate Deans for Curricular Integration and Assessment; Graduate Medical Education
6.8 Education Program Duration Q 3 years Assistant Dean for Curricular Affairs and Special Projects

Elements that are Monitored

Timing of Review 

Monitored By
7.1 Biomedical, Behavioral, Social Sciences Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.2 Organ Systems/Life Cycle/Primary Care/Prevention/Wellness/Symptoms/Signs/Differential Diagnosis, Treatment Planning, Impact of Behavioral and Social Factors Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.3 Scientific Method/Clinical/Translational Research Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.4 Critical Judgment/Problem-Solving Skills Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.5 Societal Problems Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.6 Cultural Competence and Health Care Disparities Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.7 Medical Ethics Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
7.8 Communication Skills Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning
7.9 Interprofessional Collaborative Skill Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment

Elements that are Monitored

Timing of Review 

Monitored By
8.1 Curricular Management Q 3 years Associate Dean for Curricular Integration and Assessment
8.2 Use of Medical Educational Program Objectives Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
8.3 Curricular Design, Review, Revision/Content Monitoring Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
8.4 Program Evaluation Annually Associate Dean for Curricular Integration and Assessment
8.5 Medical Student Feedback Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
8.6 Monitoring of Completion of Required Clinical Experiences Q 3 years Associate Dean for Curricular Integration and Assessment
8.7 Comparability of Education/Assessment Q 3 years Associate Dean for Curricular Integration and Assessment
8.8 Monitoring Student Time Q 3 years Associate Dean for Advanced Clinical Learning and Assistant Dean for Curricular Affairs and Special Projects

Elements that are Monitored

Timing of Review 

Monitored By
9.1 Preparation of Resident and Non-Faculty Instructors Annually Associate Dean for Curricular Integration and Assessment and Associate Dean for Educational Skills Development
9.2 Faculty Appointments Annually Office of Faculty Affairs and Dean's Office
9.3 Clinical Supervision of Medical Students Annually Associate Dean for Advanced Clinical Learning 
9.4 Assessment System Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
9.5 Narrative Assessment Q 3 years Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
9.6 Setting Standards of Achievement Q 3 years Associate Dean for Curricular Integration and Assessment
9.7 Formative Assessment and Feedback Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
9.8 Fair and Timely Summative Assessment Annually Associate Deans for Case-Based Learning; Advanced Clinical Learning; Curricular Integration and Assessment
9.9 Student Advancement and Appeal Process Annually Associate Dean for Advanced Clinical Learning and Assistant Dean for Curricular Affairs and Special Projects

Elements that are Monitored

Timing of Review 

Monitored By
10.1 Premedical Education/Required Coursework Q 3 years Admissions Office
10.2 Final Authority of Admission Committee Q 3 years Admissions Office
10.3 Policies Regarding Student Selection/Progress and Their Dissemination Annually Admissions Office
10.4 Characteristics of Accepted Applicants Q 3 years Admissions Office
10.5 Technical Standards Q 3 years Admissions Office and Dean's Office
10.6 Content of Informational Materials Q 3 years Admissions Office
10.7 Transfer Students Q 3 years Associate Dean for Curricular Integration and Assessment
10.8 Visiting Students Q 3 years Dean's Office; Office of Faculty Affairs
10.9 Student Assignment Q 3 years Dean's Office

Elements that are Monitored

Timing of Review 

Monitored By
11.1 Academic Advising Annually Associate Deans for Curricular Integration and Assessment; Case-Based Learning; Advanced Clinical Learning; Student Affairs
11.2 Career Advising Annually Office of Career Advisement
11.3 Oversight of Extramural Electives Q 3 years Associate Dean for Advanced Clinical Learning; Assistant Dean for Curricular Affairs and Special Projects
11.4 Provision of MSPE Q 3 years Assistant Dean for Curricular Affairs and Special Projects; Associate Dean for Curricular Integration and Assessment
11.5 Confidentiality of Student Educational Records Q 3 years Assistant Dean for Curricular Affairs and Special Projects; Associate Dean for Student Affairs
11.6 Student Access to Educational Records  Q 3 years Assistant Dean for Curricular Affairs and Special Projects; Associate Dean for Curricular Integration and Assessment

Elements that are Monitored

Timing of Review 

Monitored By
12.1 Financial Aid/Debt Management Counseling/Student Educational Debt Annually Offices of Student Affairs; Student Finance
12.2 Tuition Refund Policy Q 3 years Assistant Dean for Curricular Affairs and Special Projects; Associate Dean for Student Affairs
12.3 Personal Counseling/Well-Being Programs Annually Office of Student Affairs
12.4 Student Access to Health Care Services Q 3 years Office of Student Affairs
12.5 Non-Involvement of Providers of Student Health Services in Student Assessment/Location of Student Health Records Q 3 years Office of Student Affairs
12.6 Student Health and Disability Insurance Q 3 years Office of Student Affairs
12.7 Immunization Requirements and Monitoring Q 3 years Office of Student Affairs
12.8 Student Exposure Policies/Procedures Q 3 years Office of Student Affairs