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Site Visit

The Accreditation Site Visit

The accreditation process for Sponsoring Institutions and programs includes on-site visits to assess compliance with the Institutional and Program Requirements, as applicable. All accreditation site visits for Sponsoring Institutions and programs are performed by Accreditation Field Representatives who are employed by the ACGME.

Types of Site Visits

Program Applications: A site visit is conducted to review all specialty (core) and many subspecialty programs when an application for accreditation is submitted. The site visit seeks to verify and clarify the application documents in which institutional and program leadership have described the resources of the program and how it will comply with the Program Requirements. Applications for Sponsoring Institutions and some subspecialty programs are reviewed without a site visit.

American Osteopathic Organization (AOA)-Approved Programs with Pre-Accreditation Status: The site visit for an AOA-approved program with Pre-Accreditation status is similar in many ways to a site visit for an application as described above. Osteopathic Sponsoring Institutions with Pre-Accreditation status are reviewed without a site visit.

Institutions and Programs with Initial Accreditation: All Sponsoring Institutions and programs undergo a full site visit at the end of their two-year Initial Accreditation period and prior to a Review Committee’s decision to grant Continued Accreditation.

Annual Data-Prompted Visits and Other Visits Scheduled at the Discretion of the Review Committee: Sponsoring Institutions and programs undergo an annual review of accreditation data collected by the ACGME via the Accreditation Data System (ADS). If the review suggests a potential problem, the Committee may schedule a site visit to clarify and address aspects of the institution or program that need attention or follow-up. Site visits also are scheduled annually to evaluate Sponsoring Institutions or programs with probationary accreditation statuses, and may be scheduled to assess complaints or serious conditions, or other situations, at the discretion of the Review Committee.

10-Year Accreditation Site Visits: All Sponsoring Institutions and programs undergo a full accreditation site visit every 10 years. This is preceded by a comprehensive Self-Study process that includes a description of how the Sponsoring Institution or program creates an effective learning and working environment, and how this leads to desired educational outcomes. For the Self-Study, programs are also asked to review their aims and conduct an analysis of strengths, areas for improvement, external opportunities, and threats, and to formulate and document plans for improvement.

Click here for Eight Steps to Prepare for the 10-Year Accreditation Site Visit

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