Current through Reg. 50, No. 249, December 24, 2024
(1) Finances. The substantial cost of
conducting a certified educational program leading to the M.D. or equivalent
degree must be supported by sufficient financial resources. Dependence upon
tuition must not cause schools to seek enrollment of more students than their
total resources can accommodate and provide with a sound education
experience.
(2) General Facilities.
A medical school must have, or be assured use of, buildings and equipment that
are quantitatively and qualitatively adequate to provide an environment
conducive to high productivity of faculty and students. Wide geographic
separation between facilities may reduce the effectiveness of the educational
program. The facilities must include faculty offices, student classrooms and
laboratories, appropriate facilities for students, offices for administrative
and support staff, and a library. Access to an auditorium sufficiently large to
accommodate the student body is desirable. The school should be equipped to
conduct biomedical research and must provide facilities for humane care of
animals when animals are used in teaching and research.
(3) Faculty.
(a) Members of the faculty must have the
capability and continued commitment to be effective teachers. Effective
teaching requires knowledge of the discipline, and an understanding of
pedagogy, including construction of a curriculum consistent with learning
objectives, subject to internal and external formal evaluation. The
administration and the faculty should have knowledge of methods for measurement
of student performance in accordance with stated educational objectives and
national norms.
(b) Persons
appointed to faculty positions must have demonstrated achievements within their
disciplines commensurate with their faculty rank. It is expected that faculty
members will have a commitment to continuing scholarly productivity, thereby
contributing to the educational environment of the medical school.
(c) In each of the major disciplines basic to
medicine and in the clinical medical sciences, a sufficient number of faculty
members must be appointed who possess, in addition to a comprehensive knowledge
of their major disciplines, expertise in one or more subdivisions or
specialties within each of these disciplines. In the clinical sciences, the
number and kind of specialists appointed should relate to the amount of patient
care activities required to conduct effective and intensive clinical
teaching.
(d) In addition,
physicians practicing in the community can make a significant contribution to
the educational program of the medical school, subject to individual expertise,
commitment to medical education, and availability. Practicing physicians
appointed to the faculty, either on a part-time basis or as volunteers, should
be effective teachers, serve as role models for students, and provide insight
into contemporary methods of providing patient care. The quality of an
educational program is enhanced by the participation of volunteer faculty in
faculty governance, especially in defining educational goals and
objectives.
(e) There must be clear
written policies for the appointment, renewal of appointment, promotion,
retention and dismissal of members of the faculty. The appointment process must
involve the faculty, the appropriate departmental heads and the dean. Each
appointee should receive a clear definition of the terms of appointment,
responsibilities, line of communication, privileges and benefits; and policy on
practice earnings, if applicable.
(f) The education of both medical students
and graduate physicians requires an academic environment that provides close
interaction among the faculty members so that those skilled in teaching and
research in the basic sciences can maintain awareness of the relevance of their
disciplines to clinical problems. Such an environment is equally important for
clinicians, for from the sciences basic to medicine comes new knowledge which
can be applied to clinical problems. A medical school should endeavor to
provide a setting in which all faculty members work closely together in
teaching, research and health care delivery in order to disseminate existing
knowledge and to generate new knowledge of importance to the health and welfare
of mankind.
(g) The dean and a
committee of the faculty must determine medical school policies. This committee
typically consists of the heads of major departments, but may be organized in
any manner that brings reasonable and appropriate faculty influence into the
governance and policymaking processes of the school. The full faculty should
meet often enough to provide an opportunity for all to discuss, establish, or
otherwise become acquainted with medical school policies and
practices.
(4) Library.
(a) The medical school library should be a
major component of the school's program of teaching and learning. Attitudes of
lifelong learning can only be instilled by instruction in the production,
storage and retrieval of new knowledge. Use and importance of the library can
be imparted to students by example of faculty.
(b) The medical students and faculty must
have ready access to a well-maintained and catalogued library, sufficient in
size and breadth to support the educational programs offered by the
institution. The library should receive the leading national and international
biomedical and clinical periodicals, the current numbers of which should be
readily accessible. The library and any other learning resources should be
equipped to allow students to learn new methods of retrieving and managing
information, as well as to use self-instructional materials. A professional
library staff should supervise the library and provide instruction in its
use.
(c) If the library serving the
medical school is part of a medical center or a university library system, the
professional library staff must be responsive to the needs of the medical
school, its teaching hospitals and the faculty, resident staff and students who
may require extended access to the journal and reference book collection. The
librarian should be familiar with the methods for maintaining relationships
between the library and national library systems and resources, and with the
current technology available to provide services in non-print materials. If the
faculty and students served by the library are dispersed, the utilization of
departmental and branch libraries should be facilitated by the librarian and by
the administration and faculty of the school.
(d) If the language of instruction in the
medical school is not the principal language of a significant portion of the
students, it is the duty of the library to facilitate translation through
purchase of materials in multiple languages when possible.
(5) Clinical Teaching Facilities.
(a) The medical school must have adequate
resources to provide clinical instruction to its medical students. Resources
must include ambulatory care facilities and hospitals where the full spectrum
of medical care is provided and can be demonstrated. The medical school must
demonstrate the capability of each hospital it uses to provide exemplary care
for all patients. The number of hospital beds required for education cannot be
specified by formula, but it is the responsibility of both the medical school
and hospital to insure that the aggregation of clinical resources must be
sufficient to permit students in each of the major clerkships (medicine,
surgery, pediatrics, obstetrics and gynecology and psychiatry) to work up and
follow several new patients each week.
(b) Since undergraduate medical education is
usually accompanied by the conduct of simultaneous and mutually supportive
programs of graduate medical education, clinical facilities must be adequate
for all levels of medical education for which the faculty and medical school
are responsible. A hospital that provides a base for the education of medical
students and perhaps other students must have adequate library resources, not
only for the clinical staff, but also for the faculty and the students. Ready
access to areas for individual study, for conferences, and for lectures is
necessary.
(c) The nature of the
relationship of the medical school to affiliated hospitals and other clinical
resources is extremely important. There should be written agreements that
define the responsibilities of each party. The degree of the school's authority
should reflect the extent that the affiliated clinical facility participates in
the educational programs of the school. Most critical are the clinical
facilities where required clinical clerkships are conducted. In affiliated
institutions, the school's department heads and senior clinical faculty members
must have authority consistent with their responsibility for the instruction of
students.
(d) It must be recognized
that in the special relationship between the medical school and its affiliated
teaching hospitals, it is imperative that the academic programs remain under
the control of the faculty of the medical school in all medical school-hospital
relationships.
Rulemaking Authority
458.309,
458.314(4) FS.
Law Implemented 458.314
FS.
New 8-24-87, Formerly 21M-42.009, 61F6-42.009,
59R-15.009.