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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

EXPLORING THE ROLE OF
ACCREDITATION IN ENHANCING
QUALITY AND INNOVATION IN
HEALTH PROFESSIONS EDUCATION

Proceedings of a Workshop

Patricia A. Cuff and Megan M. Perez, Rapporteurs

Global Forum on Innovation in Health Professional Education

Board on Global Health

Health and Medicine Division

image

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and Academic Collaboration for Integrative Health, Academy of Nutrition and Dietetics, Accreditation Council for Graduate Medical Education, Aetna Foundation, Alliance for Continuing Education in the Health Professions, American Academy of Nursing, American Association of Colleges of Nursing, American Association of Colleges of Osteopathic Medicine, American Association of Colleges of Pharmacy, American Board of Family Medicine, American College of Nurse-Midwives, American College of Obstetricians and Gynecologists/American Board of Obstetrics and Gynecology, American Council of Academic Physical Therapy, American Dental Education Association, American Medical Association, American Occupational Therapy Association, American Psychological Association, American Society for Nutrition, American Speech-Language-Hearing Association, Association of American Medical Colleges, Association of American Veterinary Medical Colleges, Association of Schools and Colleges of Optometry, Association of Schools and Programs of Public Health, Association of Schools of the Allied Health Professions, Athletic Training Strategic Alliance, Council on Social Work Education, Ghent University, Health Resources and Services Administration, The Jonas Center for Nursing and Veterans Healthcare, Josiah Macy Jr. Foundation, Kaiser Permanente, National Academies of Practice, National Association of Social Workers, National Board for Certified Counselors, Inc. and Affiliates, National Board of Medical Examiners, National Council of State Boards of Nursing, Inc., National League for Nursing, Office of Academic Affiliations—Veterans Health Administration, Organization for Associate Degree Nursing, Physician Assistant Education Association, Society for Simulation in Healthcare, THEnet—Training for Health Equity Network, Uniformed Services University of the Health Sciences, and the University of Toronto. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-44925-0
International Standard Book Number-10: 0-309-44925-1
Digital Object Identifier: 10.17226/23636

Additional copies of this publication are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2017 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the role of accreditation in enhancing quality and innovation in health professions education: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

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Reports document the evidence-based consensus of an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and committee deliberations. Reports are peer reviewed and are approved by the National Academies of Sciences, Engineering, and Medicine.

Proceedings chronicle the presentations and discussions at a workshop, symposium, or other convening event. The statements and opinions contained in proceedings are those of the participants and have not been endorsed by other participants, the planning committee, or the National Academies of Sciences, Engineering, and Medicine.

For information about other products and activities of the National Academies, please visit nationalacademies.org/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

PLANNING COMMITTEE FOR THE ROLE OF ACCREDITATION IN ENHANCING QUALITY AND INNOVATION IN HEALTH PROFESSIONS EDUCATION1

NEIL HARVISON (Co-Chair), American Occupational Therapy Association, Inc.

ERIC HOLMBOE (Co-Chair), Accreditation Council for Graduate Medical Education

JENNIFER BUTLIN, American Association of Colleges of Nursing, Commission on Collegiate Nursing Education

JUDITH HALSTEAD, National League for Nursing Commission for Nursing Education Accreditation

PAMELA JEFFRIES, George Washington University School of Nursing

DEBORAH KOCHEVAR, Tufts University Cummings School of Veterinary Medicine

MIGUEL PANIAGUA, National Board of Medical Examiners

JO ANN REGAN, Council on Social Work Education

ZOHRAY TALIB, George Washington University Medical School

PETER H. VLASSES, Accreditation Council for Pharmacy Education

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

GLOBAL FORUM ON INNOVATION IN HEALTH PROFESSIONAL EDUCATION1,2

MALCOLM COX (Co-Chair), University of Pennsylvania, formerly U.S. Department of Veterans Affairs

SUSAN SCRIMSHAW (Co-Chair), The Sage Colleges

ROBERT (BOB) ADDLETON, Alliance for Continuing Education in the Health Professions

MARY BARGER, American College of Nurse-Midwives

TIMI AGAR BARWICK, Physician Assistant Education Association

DAVID BENTON, National Council of State Boards of Nursing

MARY BETH BIGLEY, Health Resources and Services Administration

JOANNA CAIN, American Board of Obstetrics and Gynecology/American College of Obstetricians and Gynecologists

MARILYN CHOW, Kaiser Permanente

THOMAS WARREN CLAWSON, National Board for Certified Counselors, Inc. and Affiliates

DARLA SPENCE COFFEY, Council on Social Work Education

DARLENE CURLEY, Jonas Center for Nursing and Veterans Healthcare

JAN DE MAESENEER, Ghent University

MARIETJIE DE VILLIERS, Stellenbosch University

KATHRIN (KATIE) ELIOT, Academy of Nutrition and Dietetics

ELIZABETH (LIZA) GOLDBLATT, Academic Collaborative for Integrative Health

GARTH GRAHAM, Aetna Foundation

CATHERINE GRUS, American Psychological Association

NEIL HARVISON, American Occupational Therapy Association, Inc.

ERIC HOLMBOE, Accreditation Council for Graduate Medical Education

ELIZABETH HOPPE, Association of Schools and Colleges of Optometry

EMILIA IWU, Jonas Center for Nursing and Veterans Healthcare

PAMELA JEFFRIES, George Washington University

DARRELL KIRCH, Association of American Medical Colleges

SANDEEP (SUNNY) KISHORE, Young Professionals Chronic Disease Network

ANDREW MACCABE, Association of American Veterinary Medical Colleges

LUCINDA MAINE, American Association of Colleges of Pharmacy

BEVERLY MALONE, National League for Nursing

MARY E. (BETH) MANCINI, Society for Simulation in Healthcare

ANGELO MCCLAIN, National Association of Social Workers

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

2 This is the list of Forum members as of April 22, 2016.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

LEMMIETTA G. MCNEILLY, American Speech-Language-Hearing Association

MARK MERRICK, Athletic Training Strategic Alliance

DONNA MEYER, Organization for Associate Degree Nursing

WARREN NEWTON, American Board of Family Medicine

BJORG PALSDOTTIR, Training for Health Equity Network (THEnet)

MIGUEL PANIAGUA, National Board of Medical Examiners

RAJATA RAJATANAVIN, Mahidol University

SCOTT REEVES, Kingston University & St. George’s, University of London

ELENA RIOS, National Hispanic Medical Association

EDWARD SALTZMAN, American Society for Nutrition

KAREN SANDERS, Veterans Health Administration

NELSON SEWANKAMBO, Makerere University College of Health Sciences

STEPHEN SHANNON, American Association of Colleges of Osteopathic Medicine

SUSAN SKOCHELAK, American Medical Association

HARRISON SPENCER, Association of Schools and Programs of Public Health

RICHARD (RICK) TALBOTT, Association of Schools of the Allied Health Professions

ZOHRAY TALIB, George Washington University

MARIA TASSONE, University of Toronto

GEORGE THIBAULT, Josiah Macy Jr. Foundation

DEBORAH TRAUTMAN, American Association of Colleges of Nursing

RICHARD (RICK) W. VALACHOVIC, American Dental Education Association

SATYA VERMA, National Academies of Practice

PATRICIA HINTON WALKER, Uniformed Services University of the Health Sciences

HOLLY WISE, American Council of Academic Physical Therapy

XUEJUN ZENG, Peking Union Medical College

BRENDA ZIERLER, University of Washington

Global Forum Staff

PATRICIA A. CUFF, Senior Program Officer

MEGAN M. PEREZ, Research Associate

BRIDGET CALLAGHAN, Research Assistant (until January 2017)

AMBAR SAEED, Research Assistant (from February 2017)

BETTINA REDWAY, Intern

FAYE HILLMAN, Financial Officer

PATRICK W. KELLEY, Senior Board Director, Board on Global Health (until August 2016)

JULIE PAVLIN, Board Director, Board on Global Health (from October 2016)

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

Reviewers

This Proceedings of a Workshop has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published Proceedings of a Workshop as sound as possible and to ensure that the Proceedings of a Workshop meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this Proceedings of a Workshop:

YU-MEI Y. CHAO, Taiwan Higher Education Evaluation and Accreditation Center and National Taiwan University College of Medicine

DEBBIE L. HETTLER, Office of Academic Affiliations, Veterans Health Administration

MARY ANNE KODA-KIMBLE, University of California, San Francisco, School of Pharmacy

MIGUEL PANIAGUA, National Board of Medical Examiners

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the Proceedings of a Workshop before its release. The review of this Proceedings of a Workshop was overseen by KATHLEEN DRACUP, University of California, San Francisco, School of Nursing. She was responsible for making certain

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

that an independent examination of this Proceedings of a Workshop was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this Proceedings of a Workshop rests entirely with the rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

Acknowledgments

Tremendous thanks goes to the workshop planning committee for developing and executing a timely agenda for studying lessons from past experiences in accreditation that can guide a path forward. In particular, the National Academies of Sciences, Engineering, and Medicine would like to thank the workshop planning committee co-chairs, Neil Harvison and Eric Holmboe, who deserve recognition for their leadership in this endeavor, as well as the planning committee members, Jennifer Butlin, Judith Halstead, Pamela Jeffries, Deborah Kochevar, Miguel Paniagua, Jo Ann Regan, Zohray Talib, and Peter H. Vlasses, for their support throughout the workshop. Such an event could not have happened without the keen dedication of the Global Forum on Innovation in Health Professional Education staff, including Patricia Cuff, senior program officer and Forum director; Megan Perez, research associate; Bridget Callaghan, research assistant; and Bettina Redway, intern. Special appreciation goes to Patrick Kelley, Board on Global Health director, for envisioning and establishing the Forum. And most importantly, thanks goes to the 45 sponsors and 57 members of the Forum who make it possible to host events like the workshop described in this proceedings.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×

Acronyms and Abbreviations

AAVMC

Association of American Veterinary Medical Colleges

ACPE

Accreditation Council for Pharmacy Education

ARC-PA

Accreditation Review Commission on Education for the Physician Assistant

AVMA

American Veterinary Medical Association

CARF

Commission on Accreditation of Rehabilitation Facilities

DG

Directorate-General

DVM

doctor of veterinary medicine

ECTS

European Credit Transfer and Accumulation System

EPA

entrustable professional activity

FDA

U.S. Food and Drug Administration

HPAC

Health Professions Accreditors Collaborative

IAWG

International Accreditors Working Group

ICM

International Confederation of Midwives

IOM

Institute of Medicine

IPE

interprofessional education

IPEC

Interprofessional Education Collaborative

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
×
NCSBN

National Council of State Boards of Nursing

NOSM

Northern Ontario School of Medicine

OAA

Office of Academic Affiliation (of the U.S. Department of Veterans Affairs)

OHCEA

One Health Central and Eastern Africa

OIE

World Organization for Animal Health

PA

physician assistant

PACT

patient-aligned care team

PCORI

Patient-Centered Outcomes Research Institute

THEnet

Training for Health Equity Network

VA

U.S. Department of Veterans Affairs

WHO

World Health Organization

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2017. Exploring the Role of Accreditation in Enhancing Quality and Innovation in Health Professions Education: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/23636.
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The purpose of accreditation is to build a competent health workforce by ensuring the quality of training taking place within those institutions that have met certain criteria. It is the combination of institution or program accreditation with individual licensure—for confirming practitioner competence—that governments and professions use to reassure the public of the capability of its health workforce. Accreditation offers educational quality assurance to students, governments, ministries, and society.

Given the rapid changes in society, health, and health care, the National Academies of Sciences, Engineering, and Medicine hosted a workshop in April 2016, aimed to explore global shifts in society, health, health care, and education, and their potential effects on general principles of program accreditation across the continuum of health professional education. Participants explored the effect of societal shifts on new and evolving health professional learning opportunities to best ensure quality education is offered by institutions regardless of the program or delivery platform. This publication summarizes the presentations and discussions from the workshop.

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