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Required Appendices for the Data Collection Instrument - AY 2021-2022AppendixStandard/ElementSupporting DocumentationAttached1 a1Map illustrating the location of any campuses and sites used for longitudinal integrated clerkships.(also for Core Appendix)?1.1 a1.1The strategic plan for the medical education program that includes the executive summary, the outcomes and how they will be measured and the estimated timeline for achievement of these outcomes.(also for Core Appendix)?1.1.1 a1.1.1The mission statement of the medical school with the words that articulate social accountability highlighted.?1.2 a1.2Policies and procedures intended to prevent or address financial or other conflicts of interest including recusal from discussions or decisions if a potential conflict occurs among governing board members, university administrators and medical school academic and educational leaders (dean, vice-dean, department chairs, and other relevant positions), and senior administrators (e.g., Chief financial officer), and faculty.?1.4 a1.4The signed/executed affiliation agreement (requirements a-e highlighted) for each clinical teaching site at which students complete the inpatient portions of required clinical learning experiences including integrated longitudinal clerkships. This does not include clinical teaching sites only used for electives or selectives.?1.5 a1.5The table of contents of the faculty bylaws or similar policy documents that apply to the medical school, and the link to the electronic document.?2.3 a2.3Organizational chart illustrating the relationship of the medical school dean to university administration, to the deans of other schools and colleges, and to the administrators of the health science center and affiliated teaching hospitals (if relevant).(also for Core Appendix)?2.3 b2.3Dean’s position description. (also for Core Appendix)?2.4 a2.4Organizational chart of the dean’s office. (also for Core Appendix)?2.5 a2.5Organizational chart illustrating the reporting relationship of each campus(es) principal academic officer (e.g., regional/vice/associate/assistant dean or site director) and other campus administrators to the medical school dean/chief academic officer and/or other members of the central medical school administration. (also for Core Appendix)?2.5 b2.5Position description for the principal academic officer (e.g., regional/vice/associate/assistant dean or site director) at each campus.?2.6 a2.6Organizational chart(s) for each year of the MD program illustrating the relationship among the directors of all required learning experiences at all sites and campuses.?3.3 a3.3Policies aimed at achieving mission-appropriate diversity in medical students, faculty, and senior academic and educational leadership.?3.4 a3.4The medical school and its clinical affiliates’ anti-discrimination policy. ?3.6 a3.6The medical school policy(ies) that define(s) mistreatment; highlight the definition in the policy(ies). ?3.6 b3.6Formal medical school or university documents stating the expectations of how medical students and visiting medical students should be treated by those with whom they interact as part of the medical education program (individuals noted in the element).?3.6 c3.6Formal policies and/or procedures for responding to allegations of medical student mistreatment, including the avenues for reporting and mechanisms for investigating reported incidents.?4.3 a4.3Medical school or university policies for initial faculty appointment, renewal of appointment, promotion, granting of tenure, remediation and dismissal. Note when these policies were last reviewed and approved.?4.5 a4.5A list of the faculty development programs by campus (e.g., workshops, lectures, seminars) provided during the most recent academic year used to assist faculty in developing their skills in teaching and student assessment, curricular design, instructional methods, program evaluation or research, including general topic and number of attendees, and the locations where these programs were offered.?5.1 a5.1An expenditures summary for the fiscal year in which the full site visit takes place (based on budget projections) and for each of the prior three fiscal years. Use the format and row labels of sections A, B and C from the school’s completed AFMC Canadian Financial Questionnaire. (also for Core Appendix)?5.1 b5.1A copy of the most recent financial statements for the medical school. ?5.7 a5.7The medical school or university policies and procedures to ensure student safety.?5.7 b5.7The emergency and disaster preparedness policies, procedures, and plans, as they relate to medical students, faculty, and staff.?5.12 a5.12Copies of the CACMS/LCME transmittal letter(s) in response to notifications made by the medical school of changes in a-e of the element.?6 a6A schematic or diagram that illustrates the structure of the curriculum. The schematic or diagram should show the approximate sequencing of, and relationships among, required learning experiences in each academic year.?6 b6If the structure of the curriculum has changed significantly since the DCI and self-study were completed (i.e., a new curriculum or curriculum year has been implemented), include a schematic of the new curriculum, labeled with the year it was first introduced.?6 c6A schematic of any parallel curriculum.?6.3 a6.3Schedules that illustrate the amount of time in the first and second years of the curriculum that medical students spend in self-directed learning sessions.(also for Core Appendix)?8.1 a8.1An organizational chart for the management of the curriculum that includes the curriculum committee and its subcommittees, other relevant committees, the undergraduate dean or equivalent, and the individuals or groups with involvement in curriculum design, implementation, and evaluation. (also for Core Appendix) ?8.1 b8.1The terms of reference of the curriculum committee and note the source of its authority (e.g., the faculty bylaws). (also for Core Appendix) ?8.1 c8.1The terms of reference of subcommittees of the curriculum committee. (also for Core Appendix) ?8.1 d8.1A list of curriculum committee members, including their voting status and membership category (e.g., faculty, student, educational leader, or administrative staff).?8.1 e8.1The minutes of two curriculum committee meetings from the most recently completed academic year, and of two curriculum committee meetings from the year prior that illustrate the activities and priorities of the committee. Note: Three years of curriculum committee minutes should be available on-site for the site visit team.?8.2 a8.2One example from a required learning experience in the first two years and one from a required clinical learning experience illustrating the way in which the learning objectives are linked to the medical education program objectives.?8.3 a8.3A sample review of one required learning experience in the first two years and one required clinical learning experience.?8.8 a8.8The policy or equivalent document(s) related to the amount of time per week that students spend in required learning activities during the non-clinical portion of the curriculum.?8.8 b8.8The policy or equivalent document(s) related to the time students spend in educational and clinical activities during required clinical learning experiences, including on-call requirements.?9.4 a9.4Any data from internal sources (e.g., completion of MiniCEX forms, confirmation by the preceptor or resident, or student perceptions) regarding observation of history taking and performance of a physical examination. (also for Core Appendix)?9.7 a9.7Any medical school policy or similar document requiring that medical students receive formative feedback by at least the mid-point of required learning experiences of four weeks (or longer) duration.?9.7 b9.7Any medical school policy or similar document requiring that medical students receive formative feedback approximately every six weeks for longer required learning experiences (half year, year-long or longitudinal integrated clerkship).?9.8 a9.8Policy or directive that specifies the timeframe for the reporting of grades.?9.10 a9.10The medical school policies to address situations, once identified, in which a student’s personal health reasonably poses a risk of harm to patients.10.2 a10.2An excerpt from the medical school bylaws or other formal document that specifies the terms of reference of the admission committee (including its mandate, composition of the committee and its subcommittees (if any) and the rules for its operation, including voting membership and definition of a quorum at meetings.?10.3 a10.3Policies and procedures for the selection, assessment, advancement and graduation of medical students, and the policies and procedures for disciplinary action.?10.3 b10.3The terms of reference of the medical student advancement committee(s).?10.5 a10.5The medical school’s technical standards for the admission, retention, and graduation of applicants and students.?11.5 a11.5The policy or equivalent document for the collection, storage, disclosure and retrieval of student records that is in compliance with relevant privacy legislation.?11.6 a11.6Medical school policies and procedures related to medical students’ ability to review and challenge their records, including the length of time it takes for students to gain access to their records.?12.2 a12.2Policy for refunding tuition and fee payments to medical students who withdraw or are dismissed from the medical education program.?12.4 a12.4Policy or guidance document that specifies that medical students may be excused from classes or clinical activities in order to access health services.?12.5 a12.5Policies and/or procedures that specify that providers of health and psychiatric/psychological services to a medical student will have no involvement in the academic assessment of or in decisions about the advancement of that student.?12.5 b12.5Documentation pertaining to the security, privacy, confidentiality and accessibility of medical student health records.?12.7 a12.7School or university document stating the immunization requirements for students.?12.8 a12.8Relevant policies on medical student exposure to infections and environmental hazards.?12.8 b12.8Policies related to the implications of infectious and/or environmental disease or disability on medical student learning experiences.? ................
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