What are the perceptions of faculty and academic leaders regarding the impact of accreditation on the continuous quality improvement process of undergraduate medical education programs at Caribbean medical schools?


Journal

BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679

Informations de publication

Date de publication:
19 Jul 2024
Historique:
received: 11 04 2024
accepted: 24 06 2024
medline: 20 7 2024
pubmed: 20 7 2024
entrez: 19 7 2024
Statut: epublish

Résumé

Accreditation and regulation are meant for quality assurance in higher education. However, there is no guarantee that accreditation ensures quality improvement. The accreditation for Caribbean medical schools varies from island to island, and it could be mandatory or voluntary, depending on local government requirements. Caribbean medical schools recently attained accreditation status to meet the Educational Commission for Foreign Medical Graduates (ECFMG) requirements by 2024. Literature suggests that accreditation impacts ECFMG certification rates and medical schools' educational processes. However, no such study has examined accreditation's impact on continuous quality improvement (CQI) in medical schools. This study aims to gather the perceptions and experiences of faculty members and academic leaders regarding the impact of accreditation on CQI across Caribbean medical schools. This qualitative phenomenological study inquiries about the perceptions and experiences of faculty and academic leaders regarding accreditation's impact on CQI. Purposive and snowball sampling techniques were used. Participants were interviewed using a semi-structured interview method. Fifteen participants were interviewed across ten Caribbean medical schools representing accredited medical schools, accreditation denied medical schools, and schools that never applied for accreditation. Interviews were audio recorded, and thematic data analysis was conducted. Thematic analysis yielded six themes, including accreditation and CQI, CQI irrespective of accreditation, faculty engagement and faculty empowerment in the CQI process, collecting and sharing data, ECFMG 2024 requirements, and organizational structure of CQI. There is ongoing quality improvement at Caribbean medical schools, as perceived by faculty members and academic leaders. However, most of the change process is happening because of accreditation, and the quality improvement is due to external push such as accreditation rather than internal motivation. It is recommended that Caribbean medical schools promote internal quality improvement irrespective of accreditation and embrace the culture of CQI.

Sections du résumé

BACKGROUND BACKGROUND
Accreditation and regulation are meant for quality assurance in higher education. However, there is no guarantee that accreditation ensures quality improvement. The accreditation for Caribbean medical schools varies from island to island, and it could be mandatory or voluntary, depending on local government requirements. Caribbean medical schools recently attained accreditation status to meet the Educational Commission for Foreign Medical Graduates (ECFMG) requirements by 2024. Literature suggests that accreditation impacts ECFMG certification rates and medical schools' educational processes. However, no such study has examined accreditation's impact on continuous quality improvement (CQI) in medical schools. This study aims to gather the perceptions and experiences of faculty members and academic leaders regarding the impact of accreditation on CQI across Caribbean medical schools.
METHODS METHODS
This qualitative phenomenological study inquiries about the perceptions and experiences of faculty and academic leaders regarding accreditation's impact on CQI. Purposive and snowball sampling techniques were used. Participants were interviewed using a semi-structured interview method. Fifteen participants were interviewed across ten Caribbean medical schools representing accredited medical schools, accreditation denied medical schools, and schools that never applied for accreditation. Interviews were audio recorded, and thematic data analysis was conducted.
RESULTS RESULTS
Thematic analysis yielded six themes, including accreditation and CQI, CQI irrespective of accreditation, faculty engagement and faculty empowerment in the CQI process, collecting and sharing data, ECFMG 2024 requirements, and organizational structure of CQI.
CONCLUSIONS CONCLUSIONS
There is ongoing quality improvement at Caribbean medical schools, as perceived by faculty members and academic leaders. However, most of the change process is happening because of accreditation, and the quality improvement is due to external push such as accreditation rather than internal motivation. It is recommended that Caribbean medical schools promote internal quality improvement irrespective of accreditation and embrace the culture of CQI.

Identifiants

pubmed: 39030576
doi: 10.1186/s12909-024-05699-2
pii: 10.1186/s12909-024-05699-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

781

Informations de copyright

© 2024. The Author(s).

Références

Boulet J, van Zanten M. Ensuring high-quality patient care: the role of accreditation, licensure, specialty certification and revalidation in medicine. Med Educ. 2014;48(1):75–86. https://doi.org/10.1111/medu.12286
doi: 10.1111/medu.12286
Davis DJ, Ringsted C. Accreditation of undergraduate and graduate medical education: how do the standards contribute to quality? Adv Health Sci Educ Theory Pract. 2006;11(3):305–13. https://doi.org/10.1007/s10459-005-8555-4
doi: 10.1007/s10459-005-8555-4
Tackett S, Boulet JR, van Zanten M. Medical School Accreditation factors Associated with certification by the Educational Commission for Foreign Medical Graduates (ECFMG): a 10-Year International Study. Acad Med. 2021;96(9):1346–52. https://doi.org/10.1097/ACM.0000000000004047
doi: 10.1097/ACM.0000000000004047
Roy M, Wood TJ, Blouin D, Eva KW. The Relationship Between Accreditation Cycle and Licensing Examination Scores: A National Look. Academic Medicine. 2020;95(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 59th Annual Research in Medical Education Presentations): S103-S108. https://doi.org/10.1097/ACM.0000000000003632
White J, Paslawski T, Kearney R. Discovery learning’: an account of rapid curriculum change in response to accreditation. Med Teach. 2013;35(7):e1319–26. https://doi.org/10.3109/0142159X.2013.770133
doi: 10.3109/0142159X.2013.770133
Arja SB, Arja SB, Fatteh S, Challa KT, Somagutta MKR, Blouin D. Impact of accreditation on Caribbean medical schools’ processes. Can Med Educ J. 2021;12(4):79–88. https://doi.org/10.36834/cmej.71333 . Published 2021 Sep 14.
doi: 10.36834/cmej.71333
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
doi: 10.1111/medu.13461
Blouin D, Tekian A. Accreditation of Medical Education Programs: moving from student outcomes to continuous quality improvement measures. Acad Med. 2018;93(3):377–83. https://doi.org/10.1097/ACM.0000000000001835
doi: 10.1097/ACM.0000000000001835
Barzansky B, Hunt D, Moineau G, 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
doi: 10.3109/0142159X.2015.1031735
Bogue EG. Quality assurance in higher education: the evolution of systems and design ideals. New Dir High Educ. 1998;99:7–18.
Zwanikken PA, Peterhans B, Dardis L, Scherpbier A. Quality assurance in transnational higher education: a case study of the tropEd network. BMC Med Educ. 2013;13:43. https://doi.org/10.1186/1472-6920-13-43 . Published 2013 Mar 27.
doi: 10.1186/1472-6920-13-43
Abiaziem FU, Bako ZF. The effect of total quality management on students’(consumers’) satisfaction in tertiary institutions. (a study of federal polytechnic, Ilaro, Ogun state). J Manage Technol [JORMATECH]. 2019;5(1):1–14.
Al-Shehri AM, Al-Alwan I. Accreditation and culture of quality in medical schools in Saudi Arabia. Med Teach. 2013;35(Suppl 1):S8–14. https://doi.org/10.3109/0142159X.2013.765544
doi: 10.3109/0142159X.2013.765544
Alrebish SA, Jolly BC, Molloy EK. Accreditation of medical schools in Saudi Arabia: a qualitative study. Med Teach. 2017;39(sup1). https://doi.org/10.1080/0142159X.2016.1254746 . S1-S7.
Scrivens E. Putting continuous quality improvement into accreditation: improving approaches to quality assessment. Qual Health Care. 1997;6(4):212–8. https://doi.org/10.1136/qshc.6.4.212
doi: 10.1136/qshc.6.4.212
Blouin D. Quality improvement in medical schools: vision meets culture. Med Educ. 2019;53(11):1100–10. https://doi.org/10.1111/medu.13926
doi: 10.1111/medu.13926
Stratton TD. Legitimizing continuous quality improvement (CQI): navigating rationality in Undergraduate Medical Education. J Gen Intern Med. 2019;34(5):758–61. https://doi.org/10.1007/s11606-019-04875-1
doi: 10.1007/s11606-019-04875-1
Caribbean Accreditation Authority for Education in Medicine and Other Health Professions (CAAM-HP). (2022). Documents for Medical Schools and Educational Programme section (ED-2). https://caam-hp.org/medical-schools/ (accessed December 2022).
Accreditation Commission on Colleges of Medicine. (2022). Standards of Accreditation for Schools of Medicine. https://accredmed.org/standards/ (accessed December 2022).
Ramani S, Mann K. Introducing medical educators to qualitative study design: twelve tips from inception to completion. Med Teach. 2016;38(5):456–63. https://doi.org/10.3109/0142159X.2015.1035244
doi: 10.3109/0142159X.2015.1035244
Hale ED, Treharne GJ, Kitas GD. Qualitative methodologies I: asking research questions with reflexive insight. Musculoskelet Care. 2007;5(3):139–47. https://doi.org/10.1002/msc.109
doi: 10.1002/msc.109
Hanson JL, Balmer DF, Giardino AP. Qualitative research methods for medical educators. Acad Pediatr. 2011;11(5):375–86. https://doi.org/10.1016/j.acap.2011.05.001
doi: 10.1016/j.acap.2011.05.001
Creswell JW. Qualitative inquiry and research design: choosing among five approaches. Thousand Oaks: Sage; 2013.
Blouin D. Accreditation of Canadian Undergraduate Medical Education Programs: a study of measures of effectiveness. Acad Med. 2020;95(6):931–7. https://doi.org/10.1097/ACM.0000000000003065
doi: 10.1097/ACM.0000000000003065
LaDonna KA, Artino AR Jr, Balmer DF. Beyond the Guise of Saturation: Rigor and qualitative interview data. J Graduate Med Educ. 2021;13(5):607–11. https://doi.org/10.4300/JGME-D-21-00752.1
doi: 10.4300/JGME-D-21-00752.1
Tactiq T. May. Tactiq n.d. https://tactiq.io/ . Accessed 11 2023.
Birt L, Scott S, Cavers D, Campbell C, Walter F. Member checking: a Tool to enhance trustworthiness or merely a nod to Validation? Qual Health Res. 2016;26(13):1802–11. https://doi.org/10.1177/1049732316654870
doi: 10.1177/1049732316654870
Rowlands J. Interviewee Transcript Review as a Tool to Improve Data Quality and participant confidence in Sensitive Research. Int J Qualitative Methods. 2021;20. https://doi.org/10.1177/16094069211066170
Hagens V, Dobrow MJ, Chafe R. Interviewee transcript review: assessing the impact on qualitative research. BMC Med Res Methodol. 2009;9. https://doi.org/10.1186/1471-2288-9-47 . :47. Published 2009 Jul 6.
Lacey A, Luff D, Qualitative Research Analysis. (2009). The NIHR RDS for the East Midlands / Yorkshire & the Humber.
Braun V, Clarke V. Thematic analysis. In: Cooper H, editor. APA handbook of research methods in psychology. 2012; Vol. 2, research designs. Washington (DC): American Psychological Association.
Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE Guide 131. Med Teach. 2020;42(8):846–54. https://doi.org/10.1080/0142159X.2020.1755030
doi: 10.1080/0142159X.2020.1755030
Ryan GW, Bernard HR. Techniques to identify themes. Field Methods. 2003;15(1):85–109. https://doi.org/10.1177/1525822X02239569
doi: 10.1177/1525822X02239569
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2006;3(2):77–101. https://doi.org/10.1191/1478088706qp063oa
doi: 10.1191/1478088706qp063oa

Auteurs

Sateesh B Arja (SB)

Avalon University School of Medicine, Willemstad, Curaçao. sarja@avalonu.org.
MGH institute of Health Professions Education, Boston, USA. sarja@avalonu.org.

Bobbie Ann Adair White (BAA)

MGH institute of Health Professions Education, Boston, USA.

Praveen Kottathveetil (P)

Avalon University School of Medicine, Willemstad, Curaçao.

Anne Thompson (A)

MGH institute of Health Professions Education, Boston, USA.

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