International Association of Medical Colleges
Advisory Council’s Organizational Meeting
La Guardia Marriott Courtyard
December 9th, 2006
Summary of Minutes
Bernie Ferguson, President served as Chair of the IAOMC meeting. Attendees were
reminded the meeting was being taped to keep their voices up and identify
themselves for the transcriber . Luncheon menus were before each to preorder to
save time. Each of those present introduced themselves. They were; Henry Haddad,
former President of the Quebec Medical Association and the Canadian Medical
Association, Montreal, Leo Sullivan, former Assoc. Dean Tufts Medical,
consultant to the NYS Regents, IAOMC expert, New Hampshire, Dulip Karnick,
Director Pediatric neurology, Austin, Texas, Mahendra Patel President, Hope
Medical Institute, Virginia, Betty Ferguson, Bernie’s wife, Rhode Island, Steve
Rodger, Board Chair, St. Matthews, Connecticut, Joshua Kerr, International
Director, American Osteopathic Association, Chicago Berend Mets, Chair
Anesthesiology, Penn. State, Hershey, PA, Michael Goldin, Chair, NY State Board
of Medicine, New York, Kathy McGrath, Admissions, SGU, New York, Nancy Perri,
Dean, Ross University, New Jersey, Charlie Modica, Chancellor, SGU, Florida,
Dorian Shillingford, Chair, Dominica Medical Board, Dominica, Michael Gordon,
Professor Univ. of Toronto, Baycrest Geriatric Center, Canada, Jim Appleyard,
Former President World Medical Association, and Vice President of the British
Medical Association, United Kingdom, and Dick Gumport, Assoc. Dean for Academic
Affairs, University of Illinois, Urbana. Mala Chinoy, Professor Surgery Penn.
State and Rob Crausman, Executive Director Rhode Island Board expressed their
Bernie advised we need to review the present status of schools submissions. Site
visitors had to plan their schedules long in advance. Steve Roger reported St.
Matthews University had completed a draft of its documents and they were
awaiting Board approval. Nancy Perri believed Ross will file in the last week in
December. Charlie Modica did not know the details and suggested checking with
the person in charge of the Committee. Mahendra Patel opinioned the Universities
of Silesia and Lublin would be filed but there were problems with the agencies
delays in Poland and can’t give a date. Two days before the meeting Yife Tien
called Bernie and said AUC had not begun preparation for accreditation review.
At this point he was uncertain if they will ever submit to IAOMC accreditation.
The decision would be before March 17th, 2007. David Fredrick emailed that
something had arisen that precluded his attendance. We have not received Saba’s
Oversight Committee schedule. Bernie pointed out that after March 17th, 2007 the
provisional voting membership privilege ends. Steve felt this would be harsh for
those unable to complete their documents and moved that for an appropriate
reason a 30 day extension be granted. Nancy seconded the motion and Mahendra and
After discussion it was agreed new schools should be advised we will accept
their application for accreditation at our annual meeting March 17, 2007. Leo
opinioned it would take them a minimum of six months to put their data base and
self study together.
Our initial founding members had established a budget of $47,000.00 for each
school to develop the International Association of Medical Colleges. We are on a
fiscal year that expires in March, 2007. There is a need for a new financing
formula to accommodate smaller schools and those from poorer countries. Nancy
Perri accepted the Chair of an IAOMC Committee to consider future financing and
report to the Trustees.
There is a problem with a site team’s review of all clinical sites. Our team
composition is; two basic scientists, two clinical scientists and one
administrator. If site teams were to visit each one of St. George’s, American
University of the Caribbean or Ross’s Hospitals it would exceed the site
visitors’ time capacity. All are exceedingly busy. Various proposals were
suggested. The resolution would be left to the accreditation experts.
We have not developed a system for choosing the three government site visit
observers. Bernie will be recommending at least one observer be from the country
wherein the school is located. And that the observer panel members determine the
selection of observers from established policy limits. Again, thoughts were
exchanged and the final proposal will be submitted to the trustees.
When is the next meeting? March 17th, 2007. We have not fixed a location, but
the United Nations would be ideal. Charlie agreed to make the arrangements.
Each of the three sections three officers were agreed upon as follows;
Experienced, expert medical school administrators or educators. Berend Mets,
Chair, Mala Chinoy, Secretary, and Michael Gordon Treasurer.
Senior government medical regulators or certifying administrators or medical
board members. Michael Goldin, Chair, Dorian Shillingford Secretary and
Robert Crausman, Treasurer (Subject to his acceptance).
Distinguished, Knowledgeable representatives of various countries or regions
of the world, or eminent existing associations or organizations. Henry
Haddad, Chair, Jim Appleyard, Secretary and temporary Treasurer. Each of the
roles must be defined more clearly. No office can be allowed to be an
excessive burden and the responsibility should be delegated and shared. The
current financial projections need to be evaluated.
The Executive Committee’s
officers were determined to be;
Dick Gumport, Chair, Jim Appleyard Secretary and Michael Gordon Treasurer.
The founding school’s meeting was closed and the group adjoined for lunch. After
lunch the attendees reconvened.
Dick Gumport, Chair of the Advisory Council’s Executive Committee presided over
its first meeting.
The first issue referred to the Advisory
Committee was, what are the limits to computer assisted learning? A
questionnaire sent to US State licensing boards. Responses indicated this
issue was one of their concerns. The reason is that the U.S. licensing
system requires a medical school be listed by the World Health Organization
as chartered in one of the worlds 192 nations. If so certified, and a
graduate of such a school passes a series of tests, that person is eligible
for graduate training and licensure. Preliminary discussion suggested
further study was required before any recommendation could be made for
either guideline being issued or accreditation standards be modified to
include this subject.
The Council was asked to address an additional
classification of IAOMC certification. The problem is that presently many
nations cannot afford to deliver first world medicine. They need not train
doctors to prescribe drugs they cannot provide or order tests that are not
available. Their training is constrained to serve the nations population
within the political and economic circumstance. Some opinioned there was no
need for another classification. We imply we would be delivering a
certificate, a piece of paper without value. But that the accrediting
process itself could be helpful for a new school or one in the developing
countries to advise them of pathways to achieve the full standard. Bernie
advised we needed to define the procedure for schools that were starting.
Possibly data base document outlining what they were intending to do with a
modified site visit, repeated annually. Others felt certification would
merely diminish the meaning of accreditation. Either they are qualified or
Dick Gumport had to be excused to catch a plane and asked Bernie to accept
the position of Chair. Others also had to catch the hotel’s shuttle to the
airport. Bernie continued the meeting.
On June 2, 2006 IAOMC’s provisional school
members voted to develop recognition of comparable standards. If comparable
standards are found we then develop a more focused limited review process
for schools that been accredited under standards and process, “comparable”
to IAOMC’s global standards. The Board requests guidelines as to when
standards and process are comparable. And recommendations on the
verification process for IAOMC.
Next issue was also recommended by U.S. States
licensing Boards. The background to their current upset may be found in some
newer medical schools indicating they will award credits for advanced
standing for applicants that had been trained in other academic disciplines
that appeared to be not the equal to an MD or DO training. The background to
this issue began in the 1980s when two Dominican schools (Cifias and Cetec)
had a recruiting agent who was advertising credits would be given for
courses taken in allied health sciences. Marc Grimm, the newly appointed
Executive Director of the California Board, questioned how they could
possibly have e received a degree from a school in the Dominican Republic
when they were never in that country? Up to that time the academic
prerogative of the appointed faculty member charged with the responsibility
to evaluate transfer credits had been unquestioned. It was discovered that
nurses and others educated in the allied health sciences basic sciences
educations were accepted for the basic science training provided to a
doctor. Thereafter, the “students” were given advanced standing and entered
the clinical sciences. If they could find a person to provide a certified
letter they had trained the student in a medical facility credit would be
granted without any questions. The applicants for California licenses agreed
to tell the entire story provided they would get their licenses. Mr. Grimm
was told one Pedro De Maisones needed $10,000.00 to make the arrangements.
The Dominican Republic closed the schools. Pedro De Maisones charged with
fraud, was tried and convicted. He was sentenced to a federal penitentiary.
That flagrant abuse of academic discretion seemed to end. However, once
again newer schools seem to be restoring the former practices.
The issue for future financing will be
deferred to the Treasurers accessing anticipated expenses up to March 17th
2006, the end of the IAOMC’s fiscal period.
The meeting was closed at approximately 4 pm.
Prepared by President Bernard Ferguson in the absence of Secretary David