Overview of accreditation of undergraduate medical education programmes worldwide

TLDR

Undergraduate medical education varies widely worldwide, and while accreditation can drive institutional improvement, evidence linking it to better-trained doctors and patient care remains scarce. The study aims to develop and maintain FAIMER’s Directory of Organizations that Recognize/Accredit Medical Schools (DORA) to investigate international accreditation practices and to link them to educational outcomes. FAIMER developed and continuously updates DORA, a directory compiling national accrediting bodies and related data, which is organized by WHO regions. More than half of countries with medical schools report a national accreditation process, but the authorities and enforcement levels differ widely.

Abstract

Context There is significant variation in the structure and quality of undergraduate medical education around the world. Accreditation processes can encourage institutional improvement and help promote high-quality education experiences. Methods To investigate the overseeing of medical education from an international perspective, the Foundation for Advancement of International Medical Education and Research (FAIMER®) has developed, and continues to update, the Directory of Organizations that Recognize/Accredit Medical Schools (DORA). The directory includes information on the presence of national accrediting bodies and related data. Medical education accreditation information was pooled by World Health Organization (WHO) regions. Results Although over half of all countries with medical schools indicate that they have a national process for accrediting medical education programmes, the nature of the various authorities and levels of enforcement vary considerably. Discussion Despite global trends indicating an increasing focus on the quality of education programmes, data linking accreditation processes to the production of more highly skilled doctors and, ultimately, better patient care are lacking. Investigating current accreditation practices is a necessary step for further research. To this end, we will continue to gather data on medical education around the world and will explore opportunities for relating these processes to outcomes.