Application for Program accreditation for the Physician Assistant by 05Z4QU1

VIEWS: 6 PAGES: 49

									7.29.08




   Accreditation Review Commission on
   Education for the Physician Assistant

          Application for Continuing Accreditation
            For Programs with one or more DISTANT CAMPUS sites


      For Accreditation Standards, third edition, with clarifying changes
                               as of March, 2008
(Includes changes for B7 Supervised Clinical Practice, use of CV template)




NOTE: This application “protected” so that the user can only enter information in
                             the spaces indicated.
ARC-PA Application for Continuing Accreditation                   Standards 3rdedition
Programs with Distant Campus                                                  7.29.08

                  Technical Directions for Completing the Application

This form is “protected” in such a way that the user can enter information only in the
gray boxes or spaces on the worksheet.

In order to put an “X” mark in a box, left click in the gray box where you want the X. An
X will appear in the box. To remove the X, just click again.

In areas where comments or other text are to be entered, click in the gray box and enter
whatever information is called for, such as names or additional commentary. Although
the box appears to be small, when you begin typing in the gray area, the box will
expand to allow as much text as you need. If the text extends beyond the page, the
program will automatically make another page and change page numbers following this
“new page.”

In the protected format, you will be unable to insert or delete pages, or modify anything
that is not inside a gray box. If you find that you need to extend a table to add additional
lines for entries, contact the ARC-PA offices for assistance.

CAUTION: Do not unprotect the document. If you unprotect the document, there is a
strong possibility that all entered data will be lost.

After you have completed the application, you should use the “Save” or “Save As”
command under the File menu. You should not remove the “protection” before saving
the document.

If you have any difficulties or questions, contact the ARC-PA offices at 770-476-1224.

Please return the completed application to the ARC-PA office as directed at the end of
this document.
ARC-PA Application for Continuing Accreditation                                                             Standards 3rdedition
Programs with Distant Campus
                                                                                                                               7.29.08



                                                        Table of Contents


General Program Information ............................................................................................................... 1
Institution Information ............................................................................................................................ 1
Sponsorship (Standards A1.01-A1.05)................................................................................................ 2
Financial Information (Standard A1.07a) ........................................................................................... 2
Personnel: Responsibilities (Standard A1.07b, c).......................................................................... 4
Professional Development (Standards A2.16 A2.17)...................................................................... 7
Physical Resources (Standard A1.07d, A1.08) ................................................................................. 7
Fair Practices and Admissions (Standards A3.03-A3.11) ........................................................... 10
Institutional Affiliations (Standards A1.03) ..................................................................................... 13
Institutional and Program Records (Standards A1.06c, A3.13, A3.14, A3.15) ....................... 14
Admission Policies and Procedures (Standard A3.05) ................................................................ 15
Information Technology (Standards A3.03, A3.07) ....................................................................... 16
Student Services (Standards D1.01, D1.02, D1.03, D1.04, D2.03) .............................................. 16
Curriculum (Standards B2-B6) ........................................................................................................... 18
Instruction (Standards B1.08-B1.10) ................................................................................................. 20
Curriculum (Standards B2-B6) ........................................................................................................... 21
Instructional Methods (Standards A3.03, B1.03, B1.04, B1.06, B2-B7) .................................... 24
Faculty Coordination and Supervision (Standards A2.05g, A2.05h, A2.18, A2.19, B1.07) . 25
Supervised Clinical Practice (Standard B7.03, B7.04).................................................................. 29
Student Evaluation (Standards C3.01, C3.02, C3.03, C3.04, C3.05, C3.06) ............................. 32
Progression (Standards C3.04, C3.05) ............................................................................................. 33
PANCE Results (Standard C2.01b7).................................................................................................. 34
Self Study Report (Standard C2.01) .................................................................................................. 36
Appendices (updated 11.05) ............................................................................................................... 41
SELF-STUDY REPORT INSTRUCTIONS ........................................................................................... 42
ARC-PA Material List for Continuing Accreditation Visits (updated 7.08) Error! Bookmark not
defined.35
ARC-PA Application for Continuing Accreditation                      Standards 3rdedition
Programs with Distant Campus
Page 1                                                                       Rev 7.29.08



General Program Information

Please review the attached Institutional and Program Data Sheet and alter as
necessary.

Institution Information

List all undergraduate and graduate health profession programs offered by the sponsoring
institution: (Standard A1.04)

Program/Curriculum offered                        Specialty (if   Credential(s) awarded
                                                  applicable)




Comment:
ARC-PA Application for Continuing Accreditation                          Standards 3rdedition
Programs with Distant Campus
Page 2                                                                             Rev 7.29.08




Sponsorship (Standards A1.01-A1.05)
Name of Sponsoring Institution (Standard A1.02):

Institutional Accreditation: Complete the following regarding accreditation of the sponsoring
institution:

       Name of Institutional Accrediting Body                        Date              Date for
                                                                     Awarded           Next Review
       Liaison Committee on Medical Education
       American Osteopathic Association
       Middle States Association of Colleges and Schools-
       Commission on Higher Education
       New England Association of Schools and Colleges-
       Commission on Institutions of Higher Education
       North Central Association of Colleges and Schools- The
       Higher Learning Commission
       Northwest Commission on Colleges and Universities
       Southern Association of Colleges and Schools-
       Commission on Colleges
       Western Association of Schools and Colleges-
       Accrediting Commission for Senior Colleges and
       Universities

Resources (Standards A1.07-A1.08)

Financial Information (Standard A1.07a)
Estimated current total Tuition & Fees that each student incurs for the entire professional
component of the PA Program:

       Resident:                                               Non-resident:

Identify major sources of financial support for the program:

Source                                      Amount               Expiration date     OR    Ongoing
Internal (sponsoring                   $      per year
institution)
Endowments                             $          per year
State grant/contract                   $          per year
Federal grant/contract                 $          per year
Private foundation: specify            $          per year

Other: specify                         $          per year
Other: specify                         $          per year
Other: specify                         $          per year
ARC-PA Application for Continuing Accreditation   Standards 3rdedition
Programs with Distant Campus
Page 3                                                    Rev 7.29.08

Comments:
ARC-PA Application for Continuing Accreditation                           Standards 3rdedition
Programs with Distant Campus
Page 4                                                                            Rev 7.29.08



Personnel: Responsibilities (Standard A1.07b, c, A2.05, A2.11, A2.13)
List below the institutional and program personnel to include core faculty and administrative
support staff. Identify their responsibilities by the list provided. Use second table if there are
more than 12 individuals in total at the main and DISTANT CAMPUS(es).


                                                    Individual Name and Title




     Responsibilities




Assigned to Main campus
Assigned to DISTANT
CAMPUS
Administration
Administrative assistance
Alumni activities
Clinical practice
Clinical site development
Clinical site monitoring
Community Service
Coordination of instruction
Curriculum development
Curriculum evaluation
Faculty coordination
Faculty development
Institution service
Program committee service
Secretarial
Research & Scholarly
activities
Student advising/counseling
Student research
supervision
Student recruitment
Student evaluation
Student selection
Teaching and instruction

Comments:
ARC-PA Application for Continuing Accreditation                      Standards 3rdedition
Programs with Distant Campus
Page 5                                                                        Rev 7.29.08




                                                  Individual Name and Title




     Responsibilities




Assigned to Main campus
Assigned to Distant campus
Administration
Administrative assistance
Alumni activities
Clinical practice
Clinical site development
Clinical site monitoring
Community Service
Coordination of instruction
Curriculum development
Curriculum evaluation
Faculty coordination
Faculty development
Institution service
Program committee service
Secretarial
Research & Scholarly
activities
Student advising/counseling
Student research
supervision
Student recruitment
Student evaluation
Student selection
Teaching and instruction


Describe how and how often the program’s mission statement is reviewed and revised:
(Standard A2.05a)


Describe how the program’s medical director is “an advocate for the program within the medical
and academic community.” (A2.14d)
ARC-PA Application for Continuing Accreditation   Standards 3rdedition
Programs with Distant Campus
Page 6                                                    Rev 7.29.08
ARC-PA Application for Continuing Accreditation                          Standards 3rdedition
Programs with Distant Campus
Page 7                                                                           Rev 7.29.08



Professional Development (Standards A2.16 A2.17)

Indicate which of the following are offered by the program/institution for the core faculty.

       non-vacation time to attend continuing education conferences
       funding to attend continuing education conferences
       non-vacation time to attend professional organizational meetings
       funding to attend professional organizational meetings
       time for clinical practice
       time for research/scholarly activities
       time to pursue advanced degree
       tuition remission for advanced degree




Physical Resources at MAIN CAMPUS (Standard A1.07d - A1.07h, A1.08,
A3.02)

Resource                           Dedicated      Shared        Seating Capacity
Classrooms
Lab (wet) space
Physical diagnosis lab space
Computer lab
Faculty offices                                                          N/A
Medical director office                                                  N/A




Question                                                         Yes      No
Explain all “NO” answers below
Each faculty has ready access to a pc or laptop
There is a medical library on campus
The program has its own meeting/conference room
The program has space for confidential academic
counseling of students by core faculty
The program has secure storage for student files

Provide narrative to support program’s compliance in having “sufficient instructional materials
for the faculty and staff to perform their duties.” (A1.07f)


Provide narrative to support program’s compliance in having “access to and training in the use
of the internet, including medical and other health-related electronic databases, for core faculty
and students.”(A1.07g)
ARC-PA Application for Continuing Accreditation                        Standards 3rdedition
Programs with Distant Campus
Page 8                                                                         Rev 7.29.08




Provide narrative to support program’s compliance in having “readily available access to the
full text of current books, journals, periodicals, and other reference materials related to the
curriculum for students and faculty.” (A1.07h)


Provide narrative to support program’s compliance in having “sufficient seating, lighting,
heating, and ventilation to facilitate learning in classrooms and laboratories.”(A1.08a)



Physical Resources at DISTANT CAMPUS (Standard A1.07d - A1.07h,
A1.08, A3.02)

Resource                           Dedicated      Shared      Seating Capacity
Classrooms
Lab (wet) space
Physical diagnosis lab space
Computer lab
Faculty offices                                                        N/A
Medical director office                                                N/A




Question                                                       Yes      No
Explain all “NO” answers below
Each faculty has ready access to a pc or laptop
There is a medical library on campus
The program has its own meeting/conference room
The program has space for confidential academic
counseling of students by core faculty
The program has secure storage for student files


Provide narrative to support program’s compliance at the distant campus in having “sufficient
instructional materials for the faculty and staff to perform their duties.” (A1.07f)



Provide narrative to support program’s compliance at the distant campus in having “access to
and training in the use of the internet, including medical and other health-related electronic
databases, for core faculty and students.”(A1.07g)
ARC-PA Application for Continuing Accreditation                        Standards 3rdedition
Programs with Distant Campus
Page 9                                                                         Rev 7.29.08

Provide narrative to support program’s compliance at the distant campus in having “readily
available access to the full text of current books, journals, periodicals, and other reference
materials related to the curriculum for students and faculty.” (A1.07h)



Provide narrative to support program’s compliance at the distant campus in having “sufficient
seating, lighting, heating, and ventilation to facilitate learning in classrooms and
laboratories.”(A1.08a)



Provide additional narrative as needed to support program’s compliance in “providing
students and faculty at geographically distant locations access to services and resources
equivalent to those on the main campus.” (A3.02) Address classrooms in terms of capacity and
technology, library/computer resources, student counseling, student health.
ARC-PA Application for Continuing Accreditation                      Standards 3rdedition
Programs with Distant Campus
Page 10                                                                      Rev 7.29.08



Fair Practices and Admissions (Standards A3.03-A3.11)

                                                  Published     Published by      Available on
Announcements/Policies/Documents
                                                    by the      the program        the WEB
relating to:
                                                  institution
Program goals (A3.03)
Admission requirements (A3.07a,b)
Pre-requisite coursework (A3.07b)
Advanced placement (A3.07c)
Transfer credit policies (A3.07c)
Technical standards (A3.07d)
Academic standards(A3.07d)
Requirements for progression (A3.07d)
Required curriculum (A3.07e)
Clinical site/preceptor placement (A3.06)
Academic credit (A3.07f)
Academic costs (A3.07g)
ARC-PA Accreditation Status (A3.07h)
PANCE pass rates (A3.07i)
Withdrawal policies (A3.07j,k)
Student work policies (A3.07l)
Student grievance policies (A 30.7m, A3.09a)
Dismissal policies and procedures (A3.07m)
Faculty grievance policies (A3.09b)
Expected student competencies/outcomes
(B1.05)
Graduation requirements (B1.05)

Comments:

Provide narrative describing how the program assures that “all personnel and student policies
are consistent with federal and state statutes, rules, and regulations.” (A3.04)


Complete the following regarding advanced placement, check all that apply (Standard
A3.08):

       The program does not grant advanced placement to any applicant.
       Advanced placement is granted based on an evaluation of the applicant’s transcripts.
       Advanced placement is granted based on applicant’s performance on institution required
       standardized exams, like CLEP.
       Explanatory comment required if box checked:
       Advanced placement is granted based on applicant’s performance on program offered
       content exams.
       Explanatory comment required if box checked:
ARC-PA Application for Continuing Accreditation                      Standards 3rdedition
Programs with Distant Campus
Page 11                                                                      Rev 7.29.08

How many students have been given advanced standing by the program for the last 3 admitted
classes?       Explain.

Other Comments regarding advanced placement:

How and when are students first notified of the following? (Standard A3.03, A3.07)

                                             Notification mechanism and time
                          By mail at    By mail       By web At time of After         Only
     Information
                          time of       with          site    interview accepted      upon
      distributed
                          application   application                      as a         request
                          request       packet                           student
Program goals
(A3.03)
Admission
requirements
(A3.07a,b)
Pre-requisite
coursework (A3.07b)
Advanced placement
(A3.07c)
Transfer credit
policies (A3.07c)
Technical standards
(A3.07d)
Academic
standards(A3.07d)
Requirements for
progression (A3.07d)
Required curriculum
(A3.07e)
Clinical site/preceptor
placement (A3.06)
Academic credit
(A3.07f)
Academic costs
(A3.07g)
ARC-PA
Accreditation Status
(A3.07h)
PANCE pass rates
(A3.07i)
Withdrawal policies
(A3.07j,k)
Student work policies
(A3.07l)
Student grievance
policies (A 30.7m,
A3.09a)
ARC-PA Application for Continuing Accreditation                     Standards 3rdedition
Programs with Distant Campus
Page 12                                                                     Rev 7.29.08

                                             Notification mechanism and time
                         By mail at     By mail       By web At time of After        Only
     Information
                         time of        with          site    interview accepted     upon
      distributed
                         application    application                      as a        request
                         request        packet                           student
Dismissal policies
and procedures
(A3.07m)
Expected student
competencies/
outcomes (B1.05)
Graduation
requirements (B1.05)

Comments:
ARC-PA Application for Continuing Accreditation                                                                                         Standards 3rdedition
Programs with Distant Campus
Page 13                                                                                                                                                    Rev 7.29.08



Institutional Affiliations (Standards A1.03)
Please list the affiliated institutions that are substantively involved in the didactic and preclinical
phases of the educational program and indicate the services provided by each institution.

Note: Didactic instruction includes such instruction given at any time during the professional
phase of the PA program. Thus, it may include basic sciences or other pre-clinical phase
content. Do not include institutions used solely for supervised clinical sites in this table.

                                                                                                             Nature of Affiliation




                                                        Didactic /preclinical instruction




                                                                                                                                                            Graduate Degree Articulation

                                                                                                                                                                                           Formal agreement in place
                                                                                                               Computer access to www
           Institution, City, State




                                                                                                                                          Student health
                                                                                            Library access




                                                                                                                                                                                                                       Other




Comments:
ARC-PA Application for Continuing Accreditation                       Standards 3rdedition
Programs with Distant Campus
Page 14                                                                       Rev 7.29.08



Institutional and Program Records (Standards A1.06c, A3.13, A3.14, A3.15)
Records kept by the program/ institution include:

                                     Maintained: yes/no                 Where Maintained
         Document              Yes (if yes, for how                Program      Elsewhere in
                                                        No
                               long)                                 files        institution
Students admission record
Educational transcripts
Results of selection
interviews
Students didactic
performance
Students clinical
performance
Clinical rotation
assignments
Academic advising records
Disciplinary action records
Remediation records
Dismissal records
Students health records
Assurance of health
screening
Assurance of
immunization
requirements
Faculty teaching
assignments
Core faculty job
descriptions
Core faculty CVs
Course director CVs
Program minutes (specify
below)



Other:


Provide narrative describing which, if any of the above are maintained at the distant campus.


If any of the above are temporarily found on the distant campus, but later maintained at the
main campus, describe how this transfer occurs.

Additional Comments:
ARC-PA Application for Continuing Accreditation                       Standards 3rdedition
Programs with Distant Campus
Page 15                                                                        Rev 7.29.08




Admission Policies and Procedures (Standard A3.05)

Admission screening measures include which of the following?

       application                        standardized exams             community service
                                          (i.e., GRE)

       personal statement                 reference                      CASPA
                                          letters/forms

       essays submitted with              GPA                            personal interviews
       application

       review of transcripts              healthcare experience          narrative writing at
                                                                         time of interview

                                                                         psychological
                                                                         screening



Complete the following regarding how individuals participate in the selection process.

                                                                               Final
                                            Application
                     Individual                           Interviewing       selection
                                            Screening
                                                                             decision
         Core faculty
            Program Director
            Medical Director
         Didactic instructors
         Clinical preceptors
         Students
         Alumni
         Community organizations
         representatives
         PA employers
         Community PAs
         Community MDs/DOs
         Program admission staff
         Institutional representatives:
         (specify below)


         Other (specify below)
ARC-PA Application for Continuing Accreditation                       Standards 3rdedition
Programs with Distant Campus
Page 16                                                                       Rev 7.29.08

Comments:



Information Technology (Standards A3.03, A3.07)
Complete the following regarding Informational technology literacy expectations of entering
students. Check all that apply.

                                                                            Instruction in use
                                                    Expected to know
               Software Product                                              provided during
                                                  upon entry to program
                                                                                 program
Word processing (i.e., Word®)
Internet browsing (i.e. Netscape®, Internet
Explorer®)
Spreadsheets (i.e. Excel®, Lotus®)
Data base (i.e. Access®, Lotus®)
Presentation software (i.e., PowerPoint®)
Course development software (i.e.
Blackboard®, WebCt®)
Use of medical data bases (i.e. Medline®)
Statistical Analysis (i.e., SPSS®)
Other: specify:
Other: specify:


Student Services (Standards D1.01, D1.02, D1.03, D1.04, D2.03)
                                                              Yes                   No
Students submit a medical history at program entry
Students submit a physical exam at program entry
Students update their medical history                             (when?)
Students update their physical exams                              (when?)
Students document a current PPD at program entry
There is a student health service on MAIN campus
There is a student health service on DISTANT campus
Core faculty work in the student health services or in
settings to which PA students are referred if ill (Comment
below if ‘Yes” **)

To whom are students referred for academic counseling on
MAIN campus?
To whom are students referred for personal counseling on
MAIN CAMPUS?
To whom are students referred for academic counseling on
DISTANT campus?
To whom are students referred for personal counseling on
DISTANT CAMPUS?
Who reviews student health records prior to program
entry?
ARC-PA Application for Continuing Accreditation                    Standards 3rdedition
Programs with Distant Campus
Page 17                                                                    Rev 7.29.08

Records of students’ PPDs are kept where on MAIN
CAMPUS?
Records of students’ immunizations are kept where on
MAIN CAMPUS?
Records of students’ PPDs are kept where on DISTANT
CAMPUS?
Records of students’ immunizations are kept where on
DISTANT CAMPUS?

** Comment on how program assures that core program faculty are not participating as health
care providers for students in the program:
ARC-PA Application for Continuing Accreditation                       Standards 3rdedition
Programs with Distant Campus
Page 18                                                                       Rev 7.29.08



Curriculum (Standards B2-B6)
Using the codes identified below, present a schematic representation of the program components
and their sequences in the horizontal spaces as appropriate. Programs that offer preprofessional
coursework at their institution should only include the coursework considered in the professional
phase of the PA program.

BMS     Basic Medical Sciences                     IL    Information Literacy
B&SS    Behavioral and Social Sciences             SCP   Supervised Clinical Practice
CPS     Clinical Preparatory Sciences              V     Vacation/Time off
HP      Health Policy & Professional Practice

Note: Begin the table in the top row with the month your program begins. Be sure to add the
month abbreviation. Place all of one curriculum category on the same line, and only one category
per line (see sample below).

                           SAMPLE YEAR (program begins in July)
 July    Aug      Sept     Oct  Nov   Dec    Jan    Feb     Mar             Apr     May      June

BMS     BMS      BMS      BMS
                 B&SS     B&SS                                             B&SS
                                  CPS              CPS    CPS     CPS      CPS
IL                                IL               IL                      IL
                                                                                   SCP       SCP
                          V                V                      V                          V


Note: In this sample no HP is listed in year one as that is conducted in year 2 of the program.
Therefore, in this sample not each horizontal line will have data entered.

                                                YEAR 1




                                                YEAR 2
ARC-PA Application for Continuing Accreditation        Standards 3rdedition
Programs with Distant Campus
Page 19                                                        Rev 7.29.08

                                              YEAR 2


                                              YEAR 3




                                              YEAR 4




Comments:
ARC-PA Application for Continuing Accreditation                         Standards 3rdedition
Programs with Distant Campus
Page 20                                                                         Rev 7.29.08



Instruction (Standards B1.08-B1.10)

Describe how the program educates students regarding issues related to intellectual honesty
and academic and professional conduct, and where this occurs in the curriculum:

Describe how the program prepares students to provide medical care to patients from diverse
populations:

Complete the following re offering curricular by different means to some students.

Does the program offer curricular by different means to some students?          yes     No
If YES, complete the following two questions:

       If the program offers curricula by different means to some students, are students given
       the option to choose the delivery method, ie, on-line or face-to-face?    yes     No
       Explain:

Complete the following section related to geographically distant instruction:

If the program offers curricula by different means to some students than for others, (ie, on-line,
web enabled, satellite or simulcast, PBL or any other way when some students have a different
delivery experience than others), OR if the program offers geographically distant instruction (ie,
instruction provided via satellite, simulcast, separate lecturers) explain how you assure
educationally equivalency of course content, student experience and access to didactic and lab
materials: (B1.102&b)

Does your program offer international clinical experiences?                           yes      no

If YES, complete the following:

Are international experiences offered for required clinical experiences?              yes      no
        Explain as needed:

Are international experiences offered for elective clinical experiences?              yes      no
        Explain as needed:

Do you have program-established as well as student-established rotations?             yes      no
      Explain:

Are international experiences offered to all students enrolled in the
program?                                                                              yes      no
        Explain as needed:

Do you have affiliation agreements for international experiences offered?             yes      no
      Explain as needed:

Does your program advertise the international experiences?                            yes      no
      If yes, does the information address travel, housing and other                  yes      no
ARC-PA Application for Continuing Accreditation                          Standards 3rdedition
Programs with Distant Campus
Page 21                                                                          Rev 7.29.08

       expenses?
       Explain as needed:

       Is the student responsible for any of the above costs?                         yes         no
       Explain:

How are student competencies/course objectives developed for the international experiences?


How are students oriented to the role of the PA/mid-level practitioner in the rotation country?


How does the program evaluate international clinical sites and ensure that the sites provide the
student access to the physical facilities, patient populations, and supervision necessary to fulfill
the program’s expectations of the clinical experience? (Standards C4.02,C4.03)

How is student performance assessed during international experiences?

Describe the health care services available to students during international experiences.
(Standard D1.03)

How are students covered for liability/malpractice issues on international rotations?

What measures are taken to ensure student safety during international experiences? (Standard
A1.06e)


Curriculum (Standards B2-B6)

Indicate in which curricular component(s), i.e. module or course, the following content is
presented.

Instructional area                       Program curricular components/courses where
                                         found
Basic Medical Sciences
Human anatomy (B2.02a)
Physiology (B2.02b)
Pathophysiology (B2.02c)
Pharmacology and
pharmacotherapeutics(B2.02d)
Genetics and molecular mechanisms
(B2.20e)
Behavioral and Social Sciences
Counseling of patients (B4.01)
Patient Education (B4.01)
Psychological development (B4.02a)
Substance abuse (B4.02b)
Human sexuality (B4.02c)
ARC-PA Application for Continuing Accreditation                 Standards 3rdedition
Programs with Distant Campus
Page 22                                                                 Rev 7.29.08

Instructional area                       Program curricular components/courses where
                                         found
End of life issues (B4.02d)
Response to illness, stress (B4.02e)
Violence identification and
prevention(B4.01f)
Clinical Preparatory Sciences
Interviewing and the medical history
(B3.02a)
Physical examination skills (B3.02b)
Generation of differential diagnosis
(B3.02c)
Ordering and interpreting diagnostic
studies (B3.02d)
Development/Implementation of
treatment plans (B3.02e)
Presenting patient data orally
(B3.02f)
Documentation of patient data
(B3.02g)
Referral of patients (B3.02h)
Clinical Medicine (B3.03)
Preventive care (B3.04a)
Acute Care (B3.04b)
Chronic Care (B3.04c)
Rehabilitative care (B3.04d)
End of life care (B3.04e)
Information Literacy
Searching the literature (B5.01)
Evaluating and interpreting the
literature (B5.01)
Using evidence in patient care
(B5.01)
Health Policy and Professional
Practice
Impact of socioeconomic issues
(B6.01a)
Health care delivery systems and
policy (B6.01b)
Reimbursement issues (B6.01c)
QA and risk management (B6.01d)
Legal issues of health care (B6.01e)
Cultural issues and their impact on
health policy (B6.01f)
Respect for self and others (B6.02a)
Professional responsibility (B6.02b)
Privilege, confidentiality, patient
ARC-PA Application for Continuing Accreditation                 Standards 3rdedition
Programs with Distant Campus
Page 23                                                                 Rev 7.29.08

Instructional area                       Program curricular components/courses where
                                         found
consent (B6.02c)
Commitment to patient welfare
(B6.02d)
History of the PA profession
(B6.03a)
Current trends in the PA profession
(B6.03b)
Physician-PA team (B6.03c)
PA political and legal issues
(B6.03d)
PA professional organizations
(B6.03e)
PA program accreditation (B6.03f)
Certification & recertification
(B6.03g)
Licensure (B6.03h)
Credentialing (B6.03i)
Professional liability (B6.03j)
Laws and regulations regarding
prescriptive practice (B6.03k)
Patient referral to others

Comments:
ARC-PA Application for Continuing Accreditation                                                                                                          Standards 3rdedition
Programs with Distant Campus
Page 24                                                                                                                                                                   Rev 7.29.08



Instructional Methods (Standards A3.03, B1.03, B1.04, B1.06, B2-B7)
List all required and elective didactic courses and supervised clinical practice experiences,
listing required courses first. For each course, indicate the instructional methods used in the
course.

                                                                                           Instructional Methods




                                                                                                                                                           Core faculty site visits
                                                                    Computer simulations

                                                                                           On line coursework
                                     Group discussions




                                                                                                                                                           Self Instructional
                                                                                                                Clinical skills lab
Course Number and




                                                                                                                                                                                      Interactions with
Title




                                                                                                                                      Laboratory




                                                                                                                                                                                      preceptors
                                                         Seminars
                          Lectures




                                                                                                                                                           module
                                                                                                                                                   PBL
ARC-PA Application for Continuing Accreditation                          Standards 3rdedition
Programs with Distant Campus
Page 25                                                                          Rev 7.29.08

Course Number and
                                                  Instructional Methods
Title




Are the same instructional methods used at the MAIN CAMPUS and DISTANT CAMPUS sites
for each course?     yes        No (explain if NO:


Comments:


Faculty Coordination and Supervision (Standards A2.05g, A2.05h, A2.18,
A2.19, B1.07)

Identify the program member(s) responsible for coordination of the didactic coursework at
the MAIN CAMPUS.

Name/Title:
Employer:

Name/Title:
Employer:

Comments:

Identify the program member(s) responsible for coordination of the didactic coursework at
the DISTANT CAMPUS.

Name/Title:
Employer:

Name/Title:
Employer:

Comments:

Criteria considered in selecting individuals as instructors in the didactic component of the
program include: (Standard A2.18)

    availability at time of need
ARC-PA Application for Continuing Accreditation                       Standards 3rdedition
Programs with Distant Campus
Page 26                                                                       Rev 7.29.08

    experience in content to be taught
    previous experience with students
    assignment by sponsoring institution
    academic preparation
Other:




Indicate which of the following are used to orient, coordinate, supervise, and provide feedback
to didactic phase instructors and faculty at the MAIN CAMPUS.

       Meeting with individual instructors before the course begins
       Meeting with individual instructors as the course progresses
       Meeting with individual instructors after the course has ended
       Meeting with all instructors for a team taught course before the course begins
       Meeting with all instructors for a team taught course as the course progresses
       Meeting with all instructors for a team taught course after the course has ended
       Distribution of instructional objectives/expected student competencies to instructors
       Core faculty attend class sessions of others
       Core faculty review written exams before they are given
       Core faculty review exam results
       Core faculty review student course evaluations
       Core faculty provide feedback to instructors during the course
       Core faculty provide feedback to instructors after the course has ended
       Other:
       Other:
       Other:
       Other:

Indicate which of the following are used to orient, coordinate, supervise, and provide feedback
to didactic phase instructors and faculty at the DISTANT CAMPUS.

       Meeting with individual instructors before the course begins
       Meeting with individual instructors as the course progresses
       Meeting with individual instructors after the course has ended
       Meeting with all instructors for a team taught course before the course begins
       Meeting with all instructors for a team taught course as the course progresses
       Meeting with all instructors for a team taught course after the course has ended
       Distribution of instructional objectives/expected student competencies to instructors
       Core faculty attend class sessions of others
       Core faculty review written exams before they are given
       Core faculty review exam results
       Core faculty review student course evaluations
       Core faculty provide feedback to instructors during the course
       Core faculty provide feedback to instructors after the course has ended
       Other:
       Other:
       Other:
       Other:
ARC-PA Application for Continuing Accreditation                         Standards 3rdedition
Programs with Distant Campus
Page 27                                                                         Rev 7.29.08




Identify the program member(s) responsible for coordination of the clinical practicum
activities among the various setting used.

Name/Title:
Employer:
Campus:

Name/Title:
Employer:
Campus:

Comments:


Check all who serve to directly supervise students as preceptors in the clinical setting:
(Standards A2.20, A2.21)

       Physicians
       Residents
       PAs
       NPs
       Clinical psychologists




Criteria considered in selecting individuals as preceptors for the clinical component of the
program include: (Standard A2.18)

    licensure/certification
    previous experience with teaching PA students from your program
    previous experience with teaching PA students from other programs
    previous experience with teaching students from other health professions
    distance from campus
    patient load
    patient mix
Other:




Indicate which of the following are used to orient, coordinate, supervise, and provide feedback
to clinical phase preceptors:

       Meeting with preceptor before clinical rotation
       Meeting with preceptor during clinical rotation
       Phone contact with preceptor before rotation
ARC-PA Application for Continuing Accreditation                       Standards 3rdedition
Programs with Distant Campus
Page 28                                                                       Rev 7.29.08

       Phone contact with preceptor during rotation
       Distribution of instructional objectives/expected student competencies
       Distribution of preceptor manual
       Core faculty review student evaluations of experience
       Core faculty provide feedback to preceptors during the clinical experience
       Core faculty provide feedback to instructors after the clinical experience has ended
       Other:
       Other:
 ARC-PA Application for Continuing Accreditation                                                                                                                                                      Standards 3rdedition
 Programs with Distant Campus
 Page 29                                                                                                                                                                                                                               Rev 7.29.08

Supervised Clinical Practice (Standard B7.03, B7.04, E1.14) [updated 10.07]
List all clinical facilities, to include institutions, clinics, private offices, etc, that are used on a
regular basis in the supervised clinical practice component of the program. Indicate the type of
setting for each facility and identify which sites are used to provide access to which types of
patients.


      Name of Facility                                          Setting                                                                            Clinical Experiences Offered
   Place an * behind those
   sites that are new) since




                                                                                                                                                                                                        Prenatal care/women’s health




                                                                                                                                                                                                                                                                                        Psych / behavioral conditions
  your last ARC-PA site visit




                                                                                                                                                                                                                                                                 Emergency management
                                                                                                                     Infants through adolescents
                                               Emergency Department




                                                                                                                                                                             Elderly (medical care)



                                                                                                                                                                                                                                       Inpatient surgical care
   Place an ** behind those




                                                                                                                                                                                                                                                                                                                        Other (specify below)
                                                                                                                                                     Adults (medical care)
   sites that are further than
  50 miles from the principle

                                                                                   Operating Room

                                                                                                    Long term care
    campus of the program
                                  Outpatient




   Place a ‘+’ behind those
                                                                      In-patient



   sites for which there is a
       written affiliation
           agreement
ARC-PA Application for Continuing Accreditation                                                                                                                                                     Standards 3rdedition
Programs with Distant Campus
Page 30                                                                                                                                                                                                                              Rev 7.29.08


    Name of Facility                                          Setting                                                                            Clinical Experiences Offered
 Place an * behind those
 sites that are new) since




                                                                                                                                                                                                      Prenatal care/women’s health




                                                                                                                                                                                                                                                                                      Psych / behavioral conditions
your last ARC-PA site visit




                                                                                                                                                                                                                                                               Emergency management
                                                                                                                   Infants through adolescents
                                             Emergency Department




                                                                                                                                                                           Elderly (medical care)



                                                                                                                                                                                                                                     Inpatient surgical care
 Place an ** behind those




                                                                                                                                                                                                                                                                                                                      Other (specify below)
                                                                                                                                                   Adults (medical care)
 sites that are further than
50 miles from the principle




                                                                                 Operating Room

                                                                                                  Long term care
  campus of the program


                                Outpatient
 Place a ‘+’ behind those




                                                                    In-patient
 sites for which there is a
     written affiliation
         agreement




 Please specify other experiences offered:
NOTE: if you need additional space beyond that available in the table above, complete the
additional table found at the end of this application and indicate here that you have done so


Clinical Site Evaluation (Standard C4.01, C4.03)

Describe the program’s process for the initial and ongoing review of all sites and preceptors
used for supervised clinical practice experiences.

How does the program ensure that each clinical site provides access to the physical
facilities, patient populations and supervision necessary to fulfill the program’s expectations
for the clinical experience?
ARC-PA Application for Continuing Accreditation                        Standards 3rdedition
Programs with Distant Campus
Page 31                                                                        Rev 7.29.08

Supervised Clinical Practice Experiences (Standard B7.04d, B7.05)

Describe how the program assures that every student has supervised clinical practice
experiences with patients seeking care for conditions requiring inpatient surgical management,
including pre operative, intra operative, and post operative care.


Describe how the program assures that every student has supervised clinical practice
experiences with residency-trained physicians or other licensed health care professionals
experienced in the principle areas as described in B7.05.
ARC-PA Application for Continuing Accreditation                      Standards 3rdedition
Programs with Distant Campus
Page 32                                                                      Rev 7.29.08




Student Evaluation (Standards C3.01, C3.02, C3.03, C3.04, C3.05, C3.06)

Indicate which methods of evaluation are used during the didactic and supervised clinical
practicum components of the program. Also indicate the methods used for the summative
evaluation of the student.

Example:
                               Didactic Phase             Clinical Phase        Summative
 Evaluation Method         Used Frequency or #          Used Frequency      Used   When
                                                                or #                or #
Written exams                       Periodically                Twice/             During final
                                    during course,              rotation:          month of
                             X                            X                   X
                                    midterm, & final            pre and            program
                                                                post

                              Didactic Phase              Clinical Phase        Summative
 Evaluation Method         Used Frequency or           Used Frequency or    Used When
                                  #                            #                   or #
Written exams
Practical exams
Oral exams
Oral presentations
Group projects
Objective Structured
Clinical Exam (OSCEs)
H & Ps submitted to
faculty
Research project
Preceptor evaluation
Student self-evaluation
Patient logs (paper)
Patient logs
(electronic)
Procedure list
Drug cards


Other: specify:
Other: specify:
Other: specify:

Professional Behaviors (Standard C3.04)

Describe how and when the program assesses and documents student demonstration of
professional behaviors.
ARC-PA Application for Continuing Accreditation                         Standards 3rdedition
Programs with Distant Campus
Page 33                                                                         Rev 7.29.08


Summative Evaluation: (Standard C3.06)

Standard C3.06 requires that the program document a summative evaluation of each student
toward the end of the program to assure that students are prepared to enter clinical practice.
The summative evaluation is defined as “an assessment of the learner conducted by the
program to assure that the learner has the knowledge, interpersonal skills, patient care skills,
and professionalism required for entry into the profession.”

Describe the program’s summative evaluation process, indicating its timing during the program
and what occurs if a student does not meet defined performance expectations.

Progression (Standards C3.04, C3.05)

If a student demonstrates deficiencies in knowledge or skills, how is the student
accommodated within the program and what means of remediation is available?


How many students have repeated aspects of the program within the last four admitted
classes?

 For academic reasons?
 For personal reasons?

How many students have been dismissed by the program within the last four admitted
classes?

 For academic reasons?
 For personal reasons?

Who determines that students have successfully completed the educational program and are
prepared to graduate?

Name:
Title:

How is this decision reached? (Identify others in the program, including faculty members and
others, who may participate in the decision-making process.)

Describe the factors that are taken into consideration, such as test results, competency
evaluations, reactions of co-workers and supervising physicians, etc.
ARC-PA Application for Continuing Accreditation                         Standards 3rdedition
Programs with Distant Campus
Page 34                                                                         Rev 7.29.08



PANCE Results (Standard C2.01b7)
In Appendix J include the official print-out from NCCPA for the five most recent years of first
time takers.


Comments:
ARC-PA Application for Continuing Accreditation                      Standards 3rdedition
Programs with Distant Campus
Page 35                                                                      Rev 7.29.08

Graduate Data (Standard C1.01e)
Total number of program graduates since inception of the program:            :

For the 5 most recent graduating classes indicate the number of graduates whose principal
employment is in the following categories. Count each graduate only once, using their
principal employment category.

                                                                       Subtotal
 a. Employed in clinical practice as a PA                              s
  Of Of these, indicate number in:
             private office practice
             institutional based practice
             ambulatory clinic-based
             practice?
             other settings

 b.    Employed in administration and/or
       education as a PA

  c.   Employed as a dean or associate dean

  d.   Employed in research as a PA

 e.    Employed in the health field in a
       capacity other than as a PA
         Of these, indicate number as:
               Physicians
               nurses
               in other occupations

 f.    Enrolled as full-time students
        Of these, indicate number in:
               medical school
               other post-graduate study
               other study

 g.    Employed in other than the medical
       or health fields

 h     Other
               Not yet employed
               Lost to follow-up
               Deceased
               (specify):


TOTAL NUMBER OF PROGRAM GRADUATES for past 5
graduating classes:
ARC-PA Application for Continuing Accreditation                        Standards 3rdedition
Programs with Distant Campus
Page 36                                                                        Rev 7.29.08




Self Study Report (Standard C2.01)

Applicants are required to provide documentation of ongoing program self-assessment.
Information about this process and the requirements for the Self-Study Report (SSR) follow.

The Self-Study Report must be submitted with this application, as directed by the ARC-PA.


***************************************
 ARC-PA Application for Continuing Accreditation                                                                                                                                                      Standards 3rdedition
 Programs with Distant Campus
 Page 37                                                                                                                                                                                                                               Rev 7.29.08

 Additional Table (Optional)
 To be completed only if table within body of application as not adequate in number of rows.

Supervised Clinical Practice (Standard B7.03, B7.04, E1.14) [updated 10.07]
List all clinical facilities, to include institutions, clinics, private offices, etc, that are used on a
regular basis in the supervised clinical practice component of the program. Indicate the type of
setting for each facility and identify which sites are used to provide access to which types of
patients.


      Name of Facility                                          Setting                                                                            Clinical Experiences Offered
   Place an * behind those
   sites that are new) since




                                                                                                                                                                                                        Prenatal care/women’s health




                                                                                                                                                                                                                                                                                        Psych / behavioral conditions
  your last ARC-PA site visit




                                                                                                                                                                                                                                                                 Emergency management
                                                                                                                     Infants through adolescents
                                               Emergency Department




                                                                                                                                                                             Elderly (medical care)



                                                                                                                                                                                                                                       Inpatient surgical care
   Place an ** behind those




                                                                                                                                                                                                                                                                                                                        Other (specify below)
                                                                                                                                                     Adults (medical care)
   sites that are further than
  50 miles from the principle
                                                                                   Operating Room

    campus of the program                                                                           Long term care
                                  Outpatient




   Place a ‘+’ behind those
                                                                      In-patient




   sites for which there is a
       written affiliation
           agreement
ARC-PA Application for Continuing Accreditation                                                                                                                                                     Standards 3rdedition
Programs with Distant Campus
Page 38                                                                                                                                                                                                                              Rev 7.29.08


    Name of Facility                                          Setting                                                                            Clinical Experiences Offered
 Place an * behind those
 sites that are new) since




                                                                                                                                                                                                      Prenatal care/women’s health




                                                                                                                                                                                                                                                                                      Psych / behavioral conditions
your last ARC-PA site visit




                                                                                                                                                                                                                                                               Emergency management
                                                                                                                   Infants through adolescents
                                             Emergency Department




                                                                                                                                                                           Elderly (medical care)



                                                                                                                                                                                                                                     Inpatient surgical care
 Place an ** behind those




                                                                                                                                                                                                                                                                                                                      Other (specify below)
                                                                                                                                                   Adults (medical care)
 sites that are further than
50 miles from the principle




                                                                                 Operating Room

                                                                                                  Long term care
  campus of the program


                                Outpatient
 Place a ‘+’ behind those




                                                                    In-patient
 sites for which there is a
     written affiliation
         agreement




 Please specify other experiences offered:
ARC-PA Application for Continuing Accreditation                               Standards 3rdedition
Programs with Distant Campus
Page 39                                                                                Rev 7.29.08

ACCREDITATION APPLICATION STATEMENTS
On behalf of the          (INSTITUTION) and           (PROGRAM NAME) (the “Program”), I hereby
apply to the Accreditation Review Commission on Education for the Physician Assistant (“ARC-
PA”) for accreditation of the Program as an Educational Program for Physician Assistants in accordance
with and subject to the procedures and regulations of the ARC-PA. I have read and agree to the
conditions set forth in the ARC-PA’s Standards and other materials describing accreditation and the
accreditation process. I understand and agree that the Program will be subject to denial of accreditation;
to withdrawal of accreditation and forfeiture and redelivery of any credential indicating accreditation
granted by the ARC-PA; and to denial of future eligibility for accreditation in the event that any of the
statements or answers made in this application are false or in the event that the Program violates any of
the rules or regulations governing accredited programs.

I authorize the ARC-PA to make whatever inquiries and investigations it deems necessary to verify the
contents of this application. I understand that this application and any information or material received or
generated by the ARC-PA in connection with the accreditation process will be kept confidential and will
not be released unless the Program has authorized such release or such release is required by law.
However, the fact that the Program is or is not, or has or has not been, accredited is a matter of public
record and may be disclosed. Finally, the ARC-PA may use information from this application for the
purpose of statistical analysis, provided that the Program’s identification with that information has been
deleted.

I hereby agree to hold the ARC-PA, its officers, commissioners, employees, and agents harmless from
any and all actions, suits, obligations, complaints, claims, or damages including, but not limited to,
reasonable attorneys’ fees, arising out of any action or omission by any of them in connection with this
application; the application process; or the denial or withdrawal of the Program’s accreditation or
eligibility for accreditation.

I UNDERSTAND THAT THE DECISION AS TO WHETHER THE PROGRAM QUALIFIES
FOR ACCREDITATION RESTS SOLELY AND EXCLUSIVELY WITH THE ARC-PA AND
THAT THE DECISION OF THE ARC-PA IS FINAL.

I HAVE THE AUTHORITY TO ENTER INTO THIS AGREEMENT ON BEHALF OF THE
PROGRAM.

I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS AND I INTEND FOR THE
PROGRAM TO BE LEGALLY BOUND BY THEM.

APPLICATION FOR ACCREDITATION FILED BY:
(Please type names under signature lines)
                                                              (Chief Administrative Officer of the
                                                              Program’s Sponsoring Institution)



                                                              (Program Director)


(Date of transmittal to ARC-PA)
ARC-PA Application for Continuing Accreditation                            Standards 3rdedition
Programs with Distant Campus
Page 40                                                                             Rev 7.29.08

The program should submit its application electronically as an attachment to arc-pa@arc-pa.org and
mail the original and six copies (plus a copy on CD) of the completed and signed of the completed and
signed application and supporting information to the ARC-PA office..

All copies of the required documents referred to above, including their appendices, should be two
sided and three-hole punched for the ARC-PA and use letter-size, lettered tab inserts (not post-it
note tabs) for each of the Attachments. Put rubber bands around each copy to secure, do not use
paper clips. Please do not send copies of your program’s descriptive brochure or catalog at this time.

        John E. McCarty
        Executive Director
        Accreditation Review Commission on Education for the Physician Assistant
        12000 Findley Road, Suite 240
        Duluth, GA 30097

A completed application consists of:
    The Program Data Sheet
    Application for Continuing Accreditation and required appendices
    The Self-Study Report (as Appendix I)
ARC-PA Application for Continuing Accreditation                        Standards 3rdedition
Programs with Distant Campus
Page 41                                                                        Rev 7.29.08




Appendices for Program with Distant Campus (revised 7.29.08)

Please include the following appendices with the application:

Appendix A             Mission of the Institution, mission and general goals of the program
Appendix B             Functions and tasks that graduates are expected to perform AND
                       technical procedures taught during the program (B1.01, B1.02, B1.04,
                       B3.05)
Appendix C             Technical standards (A3.07d)
Appendix D             Written job descriptions AND Curricula Vitae, using ARC-PA CV template,
                       for
                       Program director (A2.06-A2.08, A2.10-A2.12)
                       Medical director (A2.13-A2.14)
                       Core faculty (A2.01-C2.05)
Appendix E             Diagram or description of the organizations structure of the PA program,
                       to include at a minimum, the core faculty and administrative support staff.
                       AND Diagram or description of the organizational relationship of the PA
                       program to the sponsoring institution. (Include information regarding who
                       has immediate administrative authority over the program director and that
                       person’s position in the administrative structure of the sponsoring
                       institution.) (A2.12)
Appendix F             Time span diagrammatic representations of the didactic/preclinical
                       courses AND of the supervised clinical practice experience (i.e. rotation
                       schedule). (B2-B6)
Appendix G             Sample of information distributed to those inquiring about the program
                       AND the web address for the programs web site. (Note: do not send
                       university/college catalogue) (A3.03-A3.07, A3.11)
Appendix H             All expected student competencies/learning objectives and samples of
                       student evaluation instruments, ( i.e. exams), for the following content
                       areas (B1.01, B1.02,,B1.04-B1.06)
                             physical diagnosis (B3.02b)
                             pharmacology (B2.2d)
                             genetic and molecular mechanisms of health and disease
                                (B2.02e)
                             family medicine {clinical} (B7.04b)
Appendix I             Self Study Report (C2.01)
Appendix J             NCCPA PANCE Pass Rate Summary Report (C2.01b7), with information
                       indicating scores for main campus vs. distant campus students
ARC-PA Application for Continuing Accreditation                            Standards 3rdedition
Programs with Distant Campus
Page 42                                                                             Rev 7.29.08



                               ONGOING SELF-ASSESSMENT GUIDE
                                            And
                       SELF-STUDY REPORT INSTRUCTIONS 
                                                            rd
                                   (For ARC-PA Standards, 3 edition)


BACKGROUND                                             practices or make changes as needed for
                                                       program improvement.
The Accreditation Review Commission on
Education for the Physician Assistant (ARC-PA)         Self-Study Report (SSR) (Standard C2) - The
requires the submission of a written report            SSR is the written product of the process of the
documenting the activities of self-assessment.         ongoing program self-assessment. In addition to
The program must demonstrate by means of the           describing the process of continuous self-
report that 1) it has an established process of        assessment of the program, it is a
on-going self-assessment to monitor and                comprehensive documentation of the processes
document program effectiveness, and 2) that it         and outcomes of the self-assessment. The
collects and critically analyzes outcome data to       report reflects the program’s present status, an
support current activities or make needed              evaluation of its status, and plans for
modifications for improvement. It is important         improvement or changes as a result of the
that program faculty, especially the program           evaluation.
director, are familiar with the concepts of
ongoing program self-assessment and the report         METHODS for CONDUCTING SELF-
which documents self-assessment known as the           ASSESSMENT
Self-Study Report (SSR).
                                                       The ARC-PA does not prescribe particular
DEFINITIONS                                            methods by which ongoing program self-
                                                       assessment should be accomplished. A variety
Ongoing Program Self Assessment                        of methods can be used to achieve the goal of
(Standard C1) - This is a process whereby a            comprehensive program evaluation and
program regularly and systematically reviews           assessment of compliance with the Standards.
the quality and effectiveness of its educational
practices and policies. It is conducted within the     A program and its sponsoring institution should
context of the mission and goals of both the           determine the methods to be used for self-
sponsoring institution and the program and uses        assessment in keeping with the mission, goals
the Accreditation Standards for Physician              and policies of the program, the sponsoring
Assistant Education (Standards) as the point of        institution and the Standards. They should also
reference. It is comprehensive, regular and            determine the resources and time to be devoted
analytical. It occurs throughout the academic          to the effort.
year and in all of the phases of the program. It
critically assesses all aspects of the program         It is not unusual for programs to participate in an
relating to sponsorship, resources, students,          ongoing institutional process of evaluation
operational policies, curriculum, program              conducted by the sponsoring organization.
evaluation and other activities connected with         However, institutional processes of evaluation
the educational enterprise. It identifies strengths    may not be sufficiently comprehensive or
as well as problems, develops plans for                detailed and will likely need supplementation by
corrective intervention and evaluates the effects      other activities specific to PA program evaluation
of the interventions.                                  and the Standards.

Analysis is the study of compiled or tabulated         PARTICIPANTS in the SELF-
data interpreting cause and effect relationships       ASSESSMENT PROCESS
and trends, with the subsequent understanding
and conclusions used to validate current
ARC-PA Application for Continuing Accreditation                        Standards 3rdedition
Programs with Distant Campus
Page 43                                                                         Rev 7.29.08

A variety of participants should be included in     2) The period of time devoted to the
the self-assessment process and the                    preparation of the SSR
preparation of the SSR. Programs should             3) Names and titles of the author(s) and
decide which individuals will be most appropriate      significant contributors to the SSR (e.g.,
to their process.                                      faculty, administration, students, graduates,
                                                       etc.)
Programs often find that participants from the
following categories have been effectively          SECTION II: DESCRIPTION OF CONTINUOUS
included in the process:                            SELF-ASSESSMENT PROCESS (2 pages
                                                    max)
    Program faculty and staff
    Representatives from sponsoring institution    1) This section should include:
     administration and support service offices        (a) A brief but inclusive written description
     (e.g. registrar, financial aid, and student           of the program’s established, formal,
     services)                                             continuous self-assessment process
    Representatives from other academic                   utilized throughout the academic year
     programs within the sponsoring institution            and in all phases of the program.
    Curriculum committee members                      (b) A description of how specific areas of
    Advisory committee members                            the program, following the outline of the
    Students                                              major sections in the Standards, are
    Graduates                                             regularly evaluated.
                                                       (c) The methods of evaluation used by the
    Preceptors and employing physicians
                                                           program, the times of the year that
    External consultants
                                                           evaluations occur, and how the data is
    Representatives of local, state or national           analyzed to discover areas of program
     health care organizations                             strengths and areas of needed
    Consumers of health care                              improvement.
                                                       (d) A description of how the outcomes of
INSTRUCTIONS for the SELF-STUDY                            the continuous assessment process are
REPORT                                                     used to make modifications and
                                                           improvements in the program.
The SSR must be submitted with the application      2) In addition to the written description of the
for accreditation or at a time specified by the        continuous self-assessment as outlined
ARC-PA. The report should not exceed 50                above, there must be a chart, diagram,
pages (Sections I-IV) including appendices.            table, algorithm or other graphic
The ARC-PA requires that the SSR be                    representation of the entire self-evaluation
formatted as follows using a font of no less than      process.
12 point. The SSR has four sections preceded
by:                                                 SECTION III: SELF-ASSESSMENT
                                                    OUTCOMES
A.       Title Page
         The title page should list the name and    This section of the SSR presents information
         location of the program, and date of       about the program as a result of its self-
         submission.                                assessment. It is presented under the same
                                                    content sub-sections as the Standards, i.e.
B.       Table of Contents                          administration, curriculum requirements,
         Include the page location of each major    evaluation, students, educational equivalency,
         section and each subsection of the         and maintaining accreditation.
         SSR.
                                                    FOR EACH AREA SECTION THERE WILL BE:
SECTION I: INTRODUCTION
                                                    1) A brief description of the present status of
This section should include:                           each major component of that section,
1) The mission, educational philosophy and             changes that have occurred since last SSR,
    goals of the program                               followed by an evaluation of that section in
ARC-PA Application for Continuing Accreditation                         Standards 3rdedition
Programs with Distant Campus
Page 44                                                                           Rev 7.29.08

      the form of:                                  F1      Program and Sponsoring Institution
          (a) a statement of strengths,                     Responsibilities (F1.01 – F1.12)
          (b) a statement of areas identified as
               needing attention and plans          SECTION IV: SUMMARY (2 pages max)
               showing how the improvements
               will/have been be implemented to     The last section of the SSR is a succinct
               address self-identified area(s).     concluding summary which

Section III of the SSR should follow this           (1) highlights program strengths,
order and format:                                   (2) identifies needed improvements relative to
                                                    the Standards, and
Section A: ADMINISTRATION
                                                    (3) describes plans to implement the
A1.       Sponsorship (A1.01 – 1.08)                improvements showing lines of responsibility,
A2.       Program Personnel (A.2.01 – A2.24)        timetables benchmarks and or deadlines.
A3.       Operations (A3.01-A3.15)
                                                    NOTE: The summary will be judged inadequate
Section B: CURRICULUM                               if it is merely a descriptive enumeration that
                                                    does not offer coherent plans and timetables for
B1        Instruction (B1.01 – B1.10)               improvements and the solution of problems.
B2        Basic Medical Sciences (B2.01 – B2.02)
B3        Clinical Preparatory Sciences (B3.01 –    It is very important that the SSR not be merely a
          B3.05)                                    descriptive report. It must include tabular and
B4        Behavioral and Social Sciences (B4.01-    graphic representation of collected data with a
          B4.02))                                   critical analysis and interpretation of that data.
B5        Information Literacy (B5.01)
B6        Health Policy and Professional Practice   The ARC-PA defines analysis as a “study of
          (B6.01 – B6.03)                           compiled or tabulated data interpreting cause
B7        Supervised Clinical Practice (B7.01 –     and effect relationships and trends, with the
          B7.05)                                    subsequent understanding and conclusions
                                                    used to validate current practices or make
Section C: EVALUATION                               changes as needed for program improvement.”
C1        Ongoing Program Self-Assessment           Programs are encouraged to review documents
          (C1.01-C1.02))                            available on the ARC-PA web site (www.arc-
C2        Periodic Self-Study Report (C2.01)        pa.org) regarding data analysis.
C3        Student Evaluation (C3.01-C3.06)
C4        Clinical Site Evaluation (C4.01-C4.03)

Section D: STUDENT SERVICES

D1        Student Health (D1.01 – D1.04)
D2        Student Guidance (D2.01 – D2.03)
D3        Student Identification (D3.01)

Section E: PROVISIONAL ACCREDITATION
       (Completion of this section is not                                Adopted, ARC-PA - 9/9/95, 9/18/99
       applicable unless the program currently                                         EFFECTIVE - 3/1/00
       holds provisional accreditation.)                                                           ARC-PA
                                                                             12000 Findley Road, Suite 240
                                                                                          Duluth, GA 30097
E1        Provisional Accreditation Requirements                                   Property of ARC-PA, Inc
                                                                        Revised 10.5.01 & 1.3.02 & 11.17.05
Section F: ACCREDITATION MAINTENANCE
The following materials must be available for review during the MAIN CAMPUS site visit, even if
submitted in the appendices of the application. Only materials for the current classes of students
are required. Site visitors may request additional materials/documents during the visit.

1)   Program promotional materials and catalogs, access to the program’s web site ((A3.03-A3.07,
     A3.11)
2)   Materials describing technical standards for admission (A3.07d)
3)   Sample of current affiliation agreements with other institutions involved in the program
     (A1.03)
4)   List of required texts / resources for students (B1.01-B1.02)
5)   Line item operational program budget, including details about budget for distant campus. (A1.07)
6)   Student handbooks/manuals containing policies (A3.01, A3.07, A3.11)
7)   Written policies re: faculty and student grievance and appeals process (A3.07m, A3.09)
8)   Sample of student health forms (D1.02)
9)   Student records maintained by program office (A3.13)
10) Faculty records to include written job descriptions and CVs for all core faculty (3.14-A3.15)
11) Syllabi to include expected student competencies for all courses in the curriculum (B1.01, B1.02
     B1.04, B1.06, B2-B7)
12) Student evaluation instruments (written exams, OSCEs, etc) used to evaluate student progress in all
     phases of the program, to include the program summative exam (C3.01-C3.06)
13) Instructor and course evaluation instruments completed by students (C1.01d)
14) List of physicians and their specialties who are currently providing significant portions
     of the supervised clinical practice rotations (A2.17- A2.22)
15) Clinical year rotation/clerkship assignment schedule for current class (B6)
16) Additional self-study materials that support data in the self-study report but which were not included
     with application.
17) Graduate evaluations of curriculum and program effectiveness (C1.01e)
18) Preceptor evaluations of student performance and suggestions for curriculum improvement (C1.01f)
19) A listing of the names of the students, by year, currently in the program, indicating which are at the
     main campus and which are at the distant campus.
20) If the program has appointed an interim program director or new program director since its last
     accreditation visit, the following must also be provided (A2.06-2.12, F1.07, F1.08)
         a) position description for the program director,
         b) copy of advertisement used for hiring,
         c) list of publications and organizations used for placement of the ad,
         d) search committee records regarding applications and qualifications of applicants, without
            personal identifying information
The following materials must be available for review during the DISTANT CAMPUS site visit, even if
submitted in the appendices of the application. Only materials for the current classes of students
are required. Site visitors may request additional materials/documents during the visit.

  1.      Program promotional materials and catalogs, access to the program’s web site ((A3.03-A3.07,
        A3.11)
  2.      Materials describing technical standards for admission (A3.07d)
  3.      List of required texts / resources for students (B1.01-B1.02)
  4.      Line item operational program budget detailing budget for distant campus. (A1.07)
  5.      Student handbooks/manuals containing policies (A3.01, A3.07, A3.11)
  6.      Written policies re: faculty and student grievance and appeals process (A3.07m, A3.09)
  7.      Sample of student health forms (D1.02)
  8.      Student records maintained by program office (A3.13)
  9.      Faculty records to include written job descriptions and CVs for all core faculty (3.14-A3.15)
  10.     For students assigned to this distant campus, syllabi to include expected student competencies
        for all courses in the curriculum (B1.01, B1.02 B1.04, B1.06, B2-B7)
  11.     For students assigned to this distant campus, student evaluation instruments (written exams,
        OSCEs, etc) used to evaluate student progress in all phases of the program, to include the
        program summative exam (C3.01-C3.06)
  12.     Instructor and course evaluation instruments completed by students at this distant campus
        (C1.01d)
  13.     List of physicians and their specialties who are currently providing significant
        portions of the supervised clinical practice rotations (A2.17- A2.22)
  14.     Clinical year rotation/clerkship assignment schedule for current class (B6)
  15.     Additional self-study materials that support data in the self-study report but which were not
        included with application.
  16.     Graduate evaluations of curriculum and program effectiveness, to include those from graduates
        who had been at this distant campus as students. (C1.01e)
  17.     For students assigned to this distant campus at some point during the program, preceptor
        evaluations of student performance and suggestions for curriculum improvement (C1.01f)
  18.     A listing of the names of the students, by year, currently in the program, indicating which are at
        the main campus and which are at the distant campus.

								
To top