Continuous Quality Improvement | Larner College of Medicine | The University of Vermont(title)

The Larner College of Medicine fosters a culture of continuous quality improvement to identify areas for further attention in our effort to provide a medical education second to none.

Monitoring Requirements

The Liaison Committee on Medical Education (LCME) requires that all medical schools report on a set of twelve standards which are pre-defined educational areas. They are identified from the following categories:

  • Elements that include an explicit requirement for monitoring or involve a regularly-occurring process
  • New or recently-revised or changes in LCME expectations related to performance in elements
  • Elements that could be reviewed to ensure that policies are congruent with current operations
  • Elements that directly or indirectly effect the core operations of the school
  • Elements that were cited in the medical school’s previous accreditation surveys
  • Elements that were commonly cited in the last three years
  • Other elements that were identified through program evaluation processes, the Medical Curriculum Committee, or via Larner School of Medicine leadership

The CQI Committee functions according to the Bylaws of the Faculty (PDF) of the Larner College of Medicine.

CQI Standard Monitoring

Standard 1: Mission, Planning, Organization, and Integrity
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
1.1 Strategic Planning and Continuous Quality ImprovementAnnually Dean & Senior Associate Deans
1.2 Conflict of Interest PoliciesEvery 3 YearsDean & Senior Associate Deans
1.3 Mechanisms for Faculty ParticipationEvery 3 YearsDean & Senior Associate Deans; Associate Dean for Faculty Affairs 
1.4 Affiliation AgreementsEvery 3 YearsDean & Senior Associate Deans
1.5  BylawsEvery 3 YearsDean & Senior Associate Deans
1.6. Eligibility RequirementsEvery 3 YearsDean & Senior Associate Deans
Standard 2: Leadership and Administration
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
2.1 Administrative Officer and Faculty AppointmentsEvery 3 YearsAssociate Dean for Faculty Affairs
2.2 Dean's QualificationsEvery 3 YearsDean
2.3 Access and Authority of the DeanEvery 3 YearsDean
2.4 Sufficiency of Administrative StaffEvery 2 YearsDean & Senior Associate Deans
2.5 Responsibility of and to the DeanEvery 2 YearsDean
2.6 Functional Integration of the Faculty Every 2 YearsDean & Senior Associate Deans; Senior Associate Dean for Medical Education; Associate Dean for Medical Education, CT Campus
Standard 3: Academic and Learning Environments
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
3.1 Resident Participation in Medical Student EducationEvery 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Medical Education, CT Campus
3.2 Community of Scholars/Research OpportunitiesEvery 3 YearsSenior Associate Deans
3.3 Diversity Programs and PartnershipsAnnuallyDean & Senior Associate Deans; Associate Dean for Diversity, Equity, & Inclusion
3.4 Anti-Discrimination PolicyEvery 3 YearsDean & Senior Associate Deans
3.5 Learning Environment/ ProfessionalismAnnuallyDean & Senior Associate Dean for Medical Education
3.6 Student MistreatmentAnnuallySenior Associate Dean for Medical Education
Standard 4: Faculty Preparation, Productivity, Participation, and Policies
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
4.1 Sufficiency of FacultyEvery 2 YearsDean & Senior Associate Deans; Associate Dean for Faculty Affairs; Chairs 
4.2 Faculty Appointment PoliciesAnnuallyDean; Associate Dean for Faculty Affairs
4.3 Scholarly ProductivityEvery 3 YearsDean; Senior Associate Dean for Research; Chairs; Associate Dean for Faculty Affairs
4.4 Feedback to FacultyEvery 2 YearsSenior Associate Dean for Medical Education; Chairs
4.5 Faculty Professional DevelopmentEvery 3 YearsSenior Associate Dean for Medical Education; Senior Associate Dean for Research; Associate Dean for Faculty Affairs
4.6 Responsibility for Medical School Policies Every 3 YearsDean & Senior Associate Deans 
Standard 5: Educational Resources and Infrastructure
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
5.1 Adequacy of Financial ResourcesEvery 2 YearsDean & Senior Associate Deans
5.2 Dean's Authority/ResourcesEvery 3 YearsDean & Senior Associate Deans
5.3 Pressures for Self-FinancingEvery 2 YearsDean & Senior Associate Deans
5.4 Sufficiency of Buildings and EquipmentEvery 3 YearsDean & Senior Associate Deans
5.5 Resources for Clinical InstructionEvery 3 YearsDean & Senior Associate Deans
5.6 Clinical Instructional Facilities/Information ResourcesEvery 3 YearsDean & Senior Associate Deans
5.7 Security, Student Safety, and Disaster PreparednessEvery 3 YearsDean & Senior Associate Deans
5.8 Library Resources/StaffEvery 3 YearsDean & Senior Associate Deans
5.9 Information Technology Resources/StaffEvery 3 YearsDean & Senior Associate Deans
5.10 Resources Used by Transfer/Visiting StudentsEvery 3 YearsDean & Senior Associate Deans
5.11 Study/Lounge/Storage Space/Call RoomsAnnuallyDean & Senior Associate Deans
5.12 Required Notifications to the LCMEAnnuallyDean & Senior Associate Deans
Standard 6: Competencies, Curricular Objectives, and Curricular Design
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
6.1 Program and Learning ObjectsEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.2 Required Clinical ExperiencesEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.3 Self-Directed and Life-Long LearningEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.4 Inpatient/Outpatient ExperiencesEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.5 Elective OpportunitiesEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.6 Service-Learning/Community Service Every 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.7 Academic EnvironmentsEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
6.8 Education Program DurationEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
Standard 7: Curricular Content
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
7.1 Biomedical, Behavioral, Social SciencesEvery 2 yearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.2 Organ Systems/Life Cycle/Prevention/ Symptoms/Signs/ Differential Diagnosis, Treatment PlanningEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.3 Scientific Method/Clinical/Translational ResearchEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.4 Critical Judgment/Problem-Solving SkillsEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.5 Societal ProblemsEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.6 Structural Competencies, Cultural Competence, and Health InequitiesEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.7 Medical EthicsEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.8 Communication SkillsEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
7.9 Interprofessional Collaborative SkillEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
Standard 8: Curricular Management, Evaluation, and Enhancement
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
8.1 Curricular ManagementEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
8.2 Use of Medical Educational Program ObjectivesEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
8.3 Curricular Design, Review/Content MonitoringAnnuallySenior Associate Dean for Medical Education; Medical Curriculum Committee
8.4 Evaluation of Educational Program OutcomesAnnuallySenior Associate Dean for Medical Education; Medical Curriculum Committee
8.5 Medical Student FeedbackEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
8.6 Monitoring of Completion of Required Clinical ExperiencesEvery 2 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
8.7 Comparability of Education/Assessment AnnuallySenior Associate Dean for Medical Education; Medical Curriculum Committee; Associate Dean for Medical Education, CT Campus
8.8 Monitoring Student TimeEvery 3 YearsSenior Associate Dean for Medical Education; Medical Curriculum Committee
Standard 9: Teaching, Supervision, Assessment, and Student and Patient Safety
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
9.1 Preparation of Resident and Non-Faculty Instructors AnnuallySenior Associate Dean for Medical Education; Associate Dean for Medical Education, CT Campus
9.2 Faculty Appointments AnnuallySenior Associate Dean for Medical Education; Associate Dean for Faculty Affairs, Associate Dean for Medical Education, CT Campus
9.3 Clinical Supervision of Medical Students Annually Senior Associate Dean for Medical Education;   Associate Dean for Medical Education, CT Campus, Medical Curriculum Committee
9.4 Assessment SystemAnnuallySenior Associate Dean for Medical Education;   Associate Dean for Medical Education, CT Campus, Medical Curriculum Committee
9.5 Narrative AssessmentEvery 3 Years Senior Associate Dean for Medical Education;   Associate Dean for Medical Education, CT Campus, Medical Curriculum Committee
9.6 Setting Standards of AchievementEvery 3 Years Senior Associate Dean for Medical Education; Medical Curriculum Committee
9.7 Formative Assessment and FeedbackAnnuallySenior Associate Dean for Medical Education;   Associate Dean for Medical Education, CT Campus, Medical Curriculum Committee
9.8 Fair and Timely Summative Assessment AnnuallySenior Associate Dean for Medical Education;   Associate Dean for Medical Education, CT Campus, Medical Curriculum Committee
9.9 Student Advancement and Appeal ProcessEvery 3 Years Senior Associate Dean for Medical Education; COA
Standard 10: Medical Student Selection, Assignment, and Progress
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
10.1 Premedical Education/Required Coursework Every 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Admissions
10.2 Final Authority of Admission Committee AnnuallySenior Associate Dean for Medical Education; Associate Dean for Admissions
10.3 Policies Regarding Student Selection/Progress and Their Dissemination AnnuallySenior Associate Dean for Medical Education; Associate Dean for Admissions
10.4 Characteristics of Accepted ApplicantsAnnuallySenior Associate Dean for Medical Education; Associate Dean for Admissions
10.5 Technical StandardsEvery 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Admissions
10.6 Content of Informational Materials Every 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Admissions
10.7 Transfer StudentsEvery 3 YearsSenior Associate Dean for Medical Education
10.8 Visiting StudentsEvery 3 Years Senior Associate Dean for Medical Education
10.9 Student AssignmentAnnuallySenior Associate Dean for Medical Education; Associate Dean for Medical Education, CT Campus; Associate Dean for Admissions
Standard 11: Medical Student Academic Support, Career Advising, and Educational Records
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
11.1 Academic Advising and Academic CounselingAnnuallySenior Associate Dean for Medical Education; Associate Dean for Student Affairs
11.2 Career Advising AnnuallySenior Associate Dean for Medical Education; Associate Dean for Student Affairs
11.3 Oversight of Extramural ElectivesAnnuallySenior Associate Dean for Medical Education; Associate Dean for Student Affairs
11.4 Provision of MSPEEvery 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Student Affairs
11.5 Confidentiality of Student Educational RecordsEvery 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Student Affairs
11.6 Student Access to Educational RecordsEvery 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Student Affairs 
Standard 12: Medical Student Health Services, Personal Counseling, and Financial Aid Service
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Elements that are MonitoredStandard Monitoring FrequencyMonitored By
12.1 Financial Aid/Debt Management Counseling/Student Educational Debt AnnuallySenior Associate Dean for Medical Education; Associate Dean for Student Affairs
12.2 Tuition Refund Policy Every 3 Years Senior Associate Dean for Medical Education; Associate Dean for Student Affairs
12.3 Personal Counseling/Mental Health/Well-Being Programs Annually Senior Associate Dean for Medical Education; Associate Dean for Student Affairs
12.4 Student Access to Health Care ServicesAnnuallySenior Associate Dean for Medical Education; Associate Dean for Student Affairs
12.5 Non-Involvement of Providers of Student Health Services in Student Assessment/Location of Student Health Records Every 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Student Affairs
12.6 Student Health and Disability Insurance AnnuallySenior Associate Dean for Medical Education; Associate Dean for Student Affairs
12.7 Immunization Requirements and MonitoringEvery 3 YearsSenior Associate Dean for Medical Education; Associate Dean for Student Affairs;
12.8 Student Exposure Policies/ProceduresEvery 3 Years Senior Associate Dean for Medical Education; Associate Dean for Student Affairs
Other Areas
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Elements that are MonitoredFrequencyMonitored By
Vision 2025: Unified Strategic PlanAnnuallyDean & Senior Associate Deans
LCME Independent Student Survey Questions Every 2 YearsDean & Senior Associate Deans