NCAMC

01-The council vision: Raise level of the health care in Iraq to level of expectations of the community.

02-Mission:  upgrading medical colleges’ education according to the National Standards and in harmony with regional and international Standards.

03-Objectives:

  1. Assess the current situation of the colleges.
  2. Supervise the application of the Iraqi standards.
  3. Supervise the implementation of self-assessment study in the colleges.
  4. Update the NCAMC members’ capabilities on a regular basis.
  5. Update the “National Assessors “members’ capabilities on a regular basis.
  6. Supervise the peer review evaluation of the colleges’
  7. Conduct Site-visit evaluation of the colleges to award accreditation.
  8. Continuing follow-up of the accredited college to ensure high quality performance.

 

04- Accreditation overview 

What is Accreditation? It is the formal evaluation of the program of medical college against best practice standards (National Standards for Accreditation of Medical Colleges).

As a Status: It signifies that the program of medical college meets standards of quality set forth by the National council for accreditation of medical colleges (NCAMC).

As a Process: It involves self-assessment study (SAS) of program against currently accepted standards, followed by site visit of an evaluation team, and a subsequent decision by the accrediting body (NCAMC).

Who we are?  NCAMC is a national accrediting body found in 2015; as an extension of the National Committee for Accreditation of Medical Colleges in Iraq which was established in 2007. Its mission is to grant accreditation to medical colleges when the later achieve the standards.

The council is linked to the office of the Minister of Higher Education and has its own authorities and others derived from the minister.

NCAMC consists of sixteen members; the council supported by advisory board of nine member.

The council works in collaboration with WHO which provide logistical support for the implementation of workshops and contract with experts from EMRO and WFME.

 

What we do? The main aim is improve the quality of health services in Iraq by ensuring competent medical college graduates,

 

Professor Dr. Yusra AR. Mahmood

Head of NCAMC

 

05-The Council Members

1 Prof. Dr. Yusra  AR. Mahmood  MBChB, CABP Chairman of NCAMC, Consultant Pediatrician

Aliraqi University,

College of Medicine

[email protected]

2 Prof. Dr. Talib J. Kadhim Ph.D  Deputy of Council, Anatomist, Dean College of Medicine

University of Diyala

[email protected]

3 Assist. Prof. Dr. Ali K. Shaaeli MBChB, FACS.,FRCSI Executive Director of the Council, Consultant Surgeon

University of Babylon,

College of Medicine

[email protected] , [email protected]

4 Prof. Dr.Faris A. Kareem MBChB, CABM, FRCPed

 

University of Baghdad,

Alkindy College of Medicine

[email protected]

 

5 Prof. Dr. Ihsan M. Ajeena MBChB, MSc, PhD. Neurophysiology,

University of Kufa,

College of Medicine

[email protected]

6 Assist. Prof. Dr. Abdudheem Y.A. Albarrak

BSc, MSc, PhD, MBSI

Immunologist,

University of Almustansria, College of Medicine.

[email protected]

7 Assist.Prof. Dr. Amal S. Al-Samerraee

MBChB, FICMS

Community Medicine,

College of Medicine,

University of Alnahrain.

[email protected]

8 Assist.Prof. Dr. Alaa J. Hassin MBChB, CABS, MRCSI Head of Surgical dept., Head of Medical Education Unit

University of Thi-Qar ,

College of Medicine

[email protected]

9 Assist.Prof. Dr.Firas T. Ismaeel.

 MBChB, FIBMS

Orthopedic surgeon

University of Tikrit,

College of Medicine

[email protected]

10 Assist.Prof. Dr.Hilal B.Alsafar.

MBChB, CABM, FRCP

Consultant Cardiologist, Head of Medical Education Unit

University of Baghdad,

College of Medicine

[email protected]

11 Assist. Prof. Dr. Mousa M. Ali MBChB, CABOG University of Kerbala,

College of Medicine

[email protected]

12 Assit. Prof. Dr. Dhafer B. Al-youzbaki

M.B.Ch.B. , M.Sc. (PH) , Ph.D. (PH)

University of Al-Iraqia

College of Medicine

[email protected]

13 Dr. Hassan Muslem

Abdulhussein

MBChB, DCM,FICMS(O&E)

Consultant Occupational Physician

Chair Deputy of Community Scientific Council ,Arab Board ,Ministry of Health

[email protected]

14 Assist. Prof. Dr. Nazar S.Haddad

M.B.Ch.B. FIBMS (Chem. Path.)

 

Consultant Chemical Pathologist

Vice Dean for Scientific Affairs

University of Basrah

College of Medicine

[email protected]

[email protected]

15 Jawad
16 Assist prof.Haitham Issa Bahoo Al-Banna

 

Hawler Medical University college of Medicine

[email protected]

 

 

 

 

06- The Advisory Board

1 Prof. Dr. NIGEL D S. BAX  MD.FRCP

 

Emeritus Professor, University of Sheffield.

Consultant Physician Emeritus, Sheffield Teaching Hospitals, NHS foundation

[email protected]

2 Prof. Dr. GHANIM ALSHEIKH 

 MBChB, PHD, FFPH-RCP

 

WHO Collaborating Center for Public Health Education and Training,

School of Medicine, Imperial College London.UK

Former Founding Dean of Medicine (Tikrit and Hadhramout),

Former WHO Coordinator (HRD and ME).

[email protected]

[email protected]

3 Dr. MOHAMMED AL-UZRI   MBChB, M Med Si, FRCP sych Divisional Clinical Director and Consultant Psychiatrist,

Leicestershire Partnership NHS Trust

[email protected]

4 Prof.Dr. ALA`ALDIN ALHUSSAINI ,

MBChB, DPM, MRCPsych, FRCPsych

 

Member Omani Authority for Academic Accreditation,

Sultan Qaboos University Medical School,

Former Dean of Medicine (Baghdad and Arabian Gulf University),

Seeb, Muscat Oman          [email protected]

[email protected]  

5 Prof. Dr. NABIL D. SULAIMAN    MD, MPH, FFPHM, PhD, FRCP

 

Department of Family and Community Medicine and Behavioral Sciences

Director of Sharjah Clinical and Surgical Training Centre Chairman

University of Sharjah, College of Medicine

[email protected]

[email protected]

 

6 Assist. Prof Mudhafar J.Ahmed  BA. MA Ph D.

 

Phsychological Evaluation

Educational and Psychological Research Center, University of Baghdad

[email protected]

 

 

07-The National Assessors

 

01-General regulations:

  1. Accreditation is a mandatory process.
  2.  NCAMC depends on the National Standards for Accreditation of Medical Colleges (NSAMC), based on the World Federation for Medical Education Standards (WFME).
  3.  The process of accreditation begins by a request from the college to the NCAMC.
  1. The college should provide the NCAMC with their final report of the SAS, and other required documents.

 

02-Accreditation stages: 021-First stage:

                       Self-Assessment Study (SAS) conduction:

  1. The College Council nominates the committees of SAS and Data Collection (DC).
  2. SAS is carried out by the college accreditation committees, according to Council standards. During which, visits by committees formed by the NCAMC for follow-up and assistance may be conducted.
  3. Information gathering stage by the College according to the standards set by NCAMC, and based on the evidence of the INSAMC

 

These committees are: 1-1 Steering Committee (StC):

  1. Dean of the College —————————— ————-  Head
  2. Associate Dean for Academic Affairs——————————member
  3. Associate Dean for Administrative Affairs———————–member
  4. Director of the Teaching Hospital———————————-member
  5. Member of the provincial council ———————————-member
  6. Director of the university QA Dept.– ——————————member
  7. Head of the Medical Association —- ——————————member
  8. Students representative ———————————————member
  9. Other experienced members according to the college need.—–member Steering committee tasks:
  10. Leads the all accreditation process.
  11. Formation of the Head Committees (HC) and subcommittees (SC), on the basis of the standards set by the NCAMC.
  12. Provide support for the HC and SC when they face technical and administrative problems.
  13. Increase awareness about accreditation and build the capacity and capabilities of the college staff in this regard. Awareness campaigns should cover accreditation standards, indicators, the mechanisms of action, and follow-up developments work with subcommittees.
  14. Setting a schedule for the achievement of tasks, and monitoring the process of SAS.
  15. Approval of the recommendations made by the SC and follow up their implementation
  16. Approval of the final Self-Assessment report (SSR) supported by all required documents.

1-2. Head committee for SAS:

  1. Dean assistant for Academic Affairs ————————————————head
  2. Head of the college Division of QA————————————————–member
  3. members of teaching module or QA member in  scientific department——– member
  4. Employee representative ————————————————————-member
  5. Students representative (different levels) ——————————————–member
  6. Members of medical education and quality assurance committee—————-member
  7. Other members according to the need————————————————member

 

The Head Committee tasks:

  1. Provide SAS forms, which were prepared by the NCAMC for distribution to SC.
  2. Suggest the members of the SC proposed according to scientific disciplines and nominate each SC according to its domain and provide the proposal to the StC.
  3. Set time schedule for the completion of the subcommittees’ domain which should precedes the time schedule of StC.
  4. Directing and follow-up SC to perform their tasks. Adoption of research methods to gather information (subjects included in the study, sampling method, and data collection tools as a distribution of questionnaires and interviews …).
  5. Support SC to overcome technical and administrative difference of opinion, in coordination with the StC and the administration.
  6. Hold regular meetings to discuss the drafts report and unify them into a single context.
  7. Merge the reports of SC and discuss them in successive meetings, do statistical analyze, and SWOT analysis to identify; strengths, weaknesses, threats, and opportunities. Reports should include presentation of data with appropriate tables and figures, and indicate the percentage of achievement of tasks.
  8. Set recommendations to correct noncompliance, and proposed a plan of action to overcome them. These recommendations supported by all documents are submitted to the StC for approval.

 

1-3: Sub-committees:

  1. Faculty member —————————————————-head.
  2. Faculty members according to needs—————————— members
  3. Employee according to needs .————————————-members
  4. Students Representative (different levels). ———————–member

 

Subcommittees Tasks:

  1. Study and review their task standards and may enlist the opinion when needed
  2. Adoption of research methods to gather information (subjects included in the study, sampling method, and data collection tools as a distribution of questionnaires and interviews …).
  3.  Fill the forms for SAS domains.
  4.  Collect the required documents to  achieve the standards
  5. Prepare the report on that standard and submit it to the HC.

 

022- Second Stage:

                        peer review visit:

  • Colleges may conduct a peer-review visit before submitting the request of accreditation. The purpose of this visit is to exchange experiences and points of view. This should be according to the mechanism prepared NCAMC.
  • Peer review detailed visit report about the college performance has to be submitted to the college and to the NCAMC.

 

023-Third stage:

                       submission of the application:

  1. Submission of a request to the NCAMC to start process of accreditation.
  2. Provide all the required documents

 

024-Fourth stage:

                       Site-visit for evaluation

  1. Carried out by a committee nominated by the NCAMC called the Site-Visit Team.
  2. The committee consists of academic staff and experts (at least five members ) preferably  to add observational trainee faculty members
  3. The college informed about the timing of the visit one month ahead.
  4. The visit will continue for a period ranging between 3-5 working days.
  5. The Committee checks and verify the information written in the final SSR submitted by the college, through: A- Collect documents and results of the statistics. B- Individual interviews (with Dean, heads of departments) C- Group interviews (the relevant committees, students, faculty D- Direct observations.
  6. Writing the final report according to the NCAMC guidelines.
  7. Submit the final report to the NCAMC during a period up to one week, from the end of the visit.

 

025-Fifth stage:

                      The final decision of accreditation:

  • The NCAMC review and approve the report of the site-visit team, The decision will be either:
  • Accreditation: When the college completes the accreditation requirements
  • Conditional accreditation: When the college not full all requirements. The college must fulfill the requirement within two years to be accredited.
  • Denied accreditation: The College is not accredited. The College can reapply for accreditation one year later.
  • The NCAMC follow the accredited colleges through their SSR.

    

        027-Sixth stage:

                                Appeal:

  • The College can appeal the Council decision within fourteen days from the date of issuance of the final decision. in the event of appeals or conflict of interest,
  • The Council accepts or rejects the appeal after reviewing the condition, within one month from the submission of the appeal.

03- Templates for Suggested College Plan of Action (POA)

Template 1:

Action

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Formulation of accreditation and
taskforce committees

 

 

 

 

 

 

 

 

 

 

 

 

 

Formulation of administrative orders

 

 

 

 

 

 

 

 

 

 

 

 

 

Awareness campaigns and actions

 

 

 

 

 

 

 

 

 

 

 

 

Performing tasks for each domain
(according to INSAMC

 

 

 

 

 

 

 

 

 

 

 

 

Announce duties of committees and
taskforce teams

 

 

 

 

 

 

 

 

 

 

 

 

Taskforce actions ( questionnaire,
meetings, photo…etc.)

 

 

 

 

 

 

 

 

 

 

 

 

Stastical analysis (and other) as needed

 

 

 

 

 

 

 

 

 

 

 

 

Workshops to discuss and consolidate
feedback

 

 

 

 

 

 

 

 

 

 

 

 

Write reports about each domain by the
subcommittees

 

 

 

 

 

 

 

 

 

 

 

 

Discuss and uniform reports of the
subcommittees

 

 

 

 

 

 

 

 

 

 

 

 

Prepare the SSR along with all required
documents

 

 

 

 

 

 

 

 

 

 

 

 

Management suggestions and overcome
shortcomings

 

 

 

 

 

 

 

 

 

 

 

 

Approve the SSR by the dean and college
council

 

 

 

 

 

 

 

 

 

 

 

 

Conduct peer review visit

 

 

 

 

 

 

 

 

 

 

 

 

Submission of SSR to NCAMC

 

 

 

 

 

 

 

 

 

 

 

 

Send a request to NCAMC and request site
visit

 

 

 

 

 

 

 

 

 

 

 

 

Template II:

 

When Who How Action Objectives
D1 College council, MOH training sites administrators, physicians in contact with students and graduates, university authorities, graduate and community representative. 1-Formulation of (Steering committee (StC) and head committee (HC).

 

To nominate the members of StC.
1st W. Academic staff

Expertise

Nonacademic staff

 

Nomination from the departments and administrative units. 2-Nomination, endorsement of subcommittees Organization of work
4 M Members of StC and HC

 

Weekly meeting using well organized schedule. Awareness during lectures, or using posters, media. 3-Awareness campaign.

 

To prepare staff and students for the accreditation process.

To enhance the  accreditation  knowledge  to academic staff

, Nonacademic staff and

Students.

1 W Members of HC and other members. Weekly meeting

Small groups meeting for each subcommittee to revised its area and subareas.

4-distribute the duties among the subcommittees

 

To perform the task one for each area of  the 11 areas

( standards)

2 M Subcommittee members Direct interview with the departments and units.

 

5-Document collection, for each area, using the available data base and other documents. Fulfill the compliance of the standards.
1 M Members of the subcommittees Design research methodology 6-Preparation of the analytic tools (questionnaires). To get feedback studies from  Academic and Nonacademic staff ,students, graduates , community
2 mo. subcommittees Direct interview, using the proposed tools for evidence generation. 7-Conducting self-study Clarify the real situation of the college on the ground.
1 mo. Members of StC and HC , Subcommittees

And others

Periodic meetings 8-groups workshops Announce the findings and discuss the shortcomings and challenges.
1 M Experts in statistical  analysis Tabulating and analyzing the results 9-Data management

 

Identify strong and weak points for each area, opportunities and threats.
2 W Report subcommittee According to a template 10-Reporting each area.

 

Discuss the finding in a systematize narrative way
2 W Report committee.

 

According to template 11-Unifying the reports To be submitted to the steering committee for discussion.
4M. St.C and HC Corrective action 12-Plan of action To fill gaps and overcome shortcomings
2 W The  StC 13-Approval of the report Official documentation
2 W Dean and StC

 

 

According to the guideline

 

14-Thereafter, either ask for peer review To incorporate the external auditing, exchanging opinions.

 

2 W Dean and StC According to the guideline 15-Submission to NCAMC For approval
Dean and StC

 

According to the guideline 16-Request to the NCAMC for site visit. To get the accreditation

3

4