Transcription
Penang Medical CollegeQuality Improvement PlanThis Penang medical College Quality Improvement Plan (PMC QIP) was prepared in response to the 2014 Joint RCSI/UCDTransnational Institutional Review (under the auspices of Quality and Qualifications Ireland regulations).
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 201415.1 Strategic Oversight(a) The Board of Directors should, as a matterof urgency, oversee the production of aprioritised medium to long-term strategic planfor PMC which: Is aligned with the institutional plansof UCD and RCSI Resolves the status of PMC as aUniversity College or branch campus Takes account of the whole 5/6 yearsof the MB BCh BAO programme Uses the strength of all parties inwidening the portfolio Identifies the impact on all threeinstitutionsThe strategic plan should be accompanied by aplan for implementation which identifiespriorities, time-scales, roles and responsibilitiesand any attendant risksPMCRef.ReportReference13.3Response/Action Planned1.1 Develop comprehensive strategic plan1.1.1 Renewal of vision, mission and corevalues1.1.2 Agree programme for capitalinvestment within PMC Campus andclinical sites1.2 Approve strategic plan and ensurealignment with institutional plans of RCSI &UCD1.3 Resolve status as Foreign University BranchCampus or other options1.4 Develop clinical relations strategy1.5 Devise a strategy and timeline for thecontinued development of postgraduateprogrammes1.6 Develop recommendations for upgradingand development of capital resources underStrategic Plan1.6.1 Review student facilities withinclinical sites includingaccommodation & night callarrangements1.6.2 Consider branding and engagementopportunities with hospitals1.6.3 Review educational resources andacademic materials (e.g. librarybooks) and presentrecommendations1.6.4 Review physical relocation of libraryfor practicality and increased usagePrivate & Confidential. Not for circulation. Version dated Thursday, 18 December 2014Owner(s) (Department, Individual,Committee)1.1 Strategy Workshops informedby PMC Board; Dean, VicePresident Academic Affairs &Chief Operating Officer1.2 PMC Board1.3 PMC Senior Management &Shareholders1.4 Dean and Vice PresidentAcademic Affairs1.5 Vice President AcademicAffairs, Assistant Registrar,Academic, AcademicExecutive & Academic Council1.6 Chief Operating Officer1.6.1Vice President AcademicAffairs, AssistantRegistrar, Academic1.6.2Dean, Vice PresidentAcademic Affairs & ChiefOperating Officer1.6.3Assistant RegistrarAcademic1.6.4Vice President AcademicAffairs and AssistantRegistrar Academic1.6.5Chief Operating OfficerDeadline /TimeframeQ1-2015Outcome /StatusPendingQ1-2015Q1-2015Q3 - 2015Q2 – 2015Q1 – 2015Q1 – 2015Q1 – 2015Q4 – 2014Q1 – 2015Q2 - 20152
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 2014(b)The three institutions should worktogether to draft a strategic recruitment planwhich takes into account the changingenvironment for PMC, is based on a rootcause analysis, reliable market research andbrings a clear focus to the recruitmentexercise(c) UCD and RCSI should work together withPMC as a matter of priority to carry out a fullrisk analysis of PMC arrangement in order tomitigate future risks, include this in all threeinstitutional risk registers and refresh theanalysis on a regular basis.15.2 Governance & Accountability(a) UCD & RCSI should establish formalreporting lines for finance/risk and businessinterests into the governing authorities ofeach institution and should ensure thatreports from Academic Council are submittedto the UCD Academic Council and theMedicine and Health Sciences Board in RCSI.(b) PMC should build on the effectiveness ofthe Academic Executive Committee by: Taking immediate steps to ensure thatthe 5/6 year MB BCh BAO programmeis addressed as an entity Expanding the terms of reference ofthe Group for the next year to includea formal holistic review of qualityassurance of the programmePMCRef.ReportReferenceResponse/Action Plannedof resources1.6.5 Review Information Technologyfacilities and recommendations forimprovement1.7 Develop PMC Marketing Strategy16.313.11.8 Conduct a risk analysis and develop a riskregister for PMC (include root cause analysisrelating to withdrawal of sponsorship)1.9 Review hospital agreements and ensurecompliance23.43.5As above 1.823.63.10Owner(s) (Department, Individual,Committee)Deadline /TimeframeOutcome /Status1.7 Chief Operating OfficerQ1-2015Pending1.8 Chief Operating Officer1.9 Chief Operating Officer &Assistant Registrar, AcademicQ1-2015Q3 - 2015PendingPending2.1 Ensure compliance with established reportingprocess2.1 Dean2.2 Review PMC Governance; devise formalterms of reference for PMC Committee’s andworking groups which link to RCSI and UCDgovernance2.2 Vice President AcademicAffairs & PMC Senior ManagementQ1-20152.3 Enhance and expand AEC agenda to includecontributions and issues from RCSI & UCD2.3 Dean & Academic ExecutiveCommitteeQ4-2014Adoption of Holistic view, see 15.3Private & Confidential. Not for circulation. Version dated Thursday, 18 December 20143
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 2014 PMCRef.ReportReference23.23.7Response/Action PlannedOwner(s) (Department, Individual,Committee)Deadline /TimeframeOutcome /StatusConsidering a formal reportingmechanism for the subsidiaryacademic committees into theAcademic Executive Committee ratherthan solely to the President.(c) The Board should ensure, with immediateeffect that the new executive structureprovides for clear delineation ofresponsibility for the delivery of the strategicplan, that job descriptions are provided for allofficers and that the structure is reviewedregularly for effectiveness.15.3 Holistic Programme View(a) UCD and RCSI should work together, as amatter of priority, to address the need for anoverarching set of general regulations for thePMC collaboration (addressing for example,registration periods, intermission, complaintsand appeals procedures) and to clarify theacademic regulations (governing assessment,operation of the examination board etc.) forthe clinical component of the MB BCh BAOprogramme taken at PMC and therequirements for the final award.(b) PMC students should, as from nextacademic year, be provided with atransparent and easily accessible overview ofthe MB BCh BAO programme which includesboth pre-clinical and clinical components.2.4 Develop Organisational chart2.5 Define clear job descriptions of all seniorpositions2.6 Formulate the optimum structures &appointments, leveraging existing resources /relationships with UCD and RCSI in relation to:a. Medical Education;b. Student Support - local andinternational;c. Quality Enhancement2.4 Dean & Vice PresidentAcademic Affairs2.5 Dean & Vice PresidentAcademic Affairs2.6PMC Board & PMC SeniorManagementQ4-2014Q4 -2014Q1-201533.104.79.63.1 Review and consolidate joint student policies,procedures & regulations across the continuumof the programme(s) in RCSI, UCD and PMC(including professionalism/ clinical behaviour;admissions; progression; appeals)3.1 Vice President AcademicAffairs & Assistant Registrar,AcademicQ3-201533.105.711.23.2 Develop a Curriculum Map. Circulate thecurriculum map to students and include in thepre-departure orientation for Dublin and PMCorientation.3.3 Formalise / expand the assessment Blueprint3.2 Assistant Registrar (with thePMC Academic Executive (PMCAE)Q1-20153.3 Medical Education UnitQ2-2015Private & Confidential. Not for circulation. Version dated Thursday, 18 December 2014PendingPending4
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 201415.4 Quality & Standards(a) The locus of responsibility of the academicquality and the setting and maintenance ofacademic standards should be clarified in theexecutive structure and the academicgovernance structure with immediate effect.(b) An annual review of quality and standardsshould be held which takes into account allavailable data sources including staff andstudent views, external examiner reports andadmission, progression and completion dataand elicits the views of a wider range ofstakeholders regarding the enhancement ofquality. This review should be pro-active,across all departments, consider the five yearprogramme as a whole and identify issues forimprovement and examples of good practicefor wider dissemination and systematicadoption.(c) PMC should work with the Dublininstitutions to develop appropriateprocedures for defining and settingassessment standards which should beimplemented as from next year. All threeinstitutions should take a morecomprehensive approach to monitoringstandards and metrics should be developedto provide a more objective approach to theregular review and comparison of standardsbetween students on the same degree acrossthe partners (UCD, RCSI and the PMCprogramme). In addition, it may be useful forPMC to benchmark Key PerformanceIndicators against Malaysian comparators.PMCRef.ReportReference43.63.73.104.1 Establishment of Medical Education function3.4 Vice President AcademicAffairs & PMC SeniorManagementQ4-201443.104.24.94.2 Introduction of Annual Report4.2 Vice President AcademicAffairs, Assistant RegistrarQ4-201543.104.84.9Response/Action Planned4.3 Develop PMC graduate evaluation and keymetrics for data analysis4.4 Develop a comprehensive approach tomonitoring standards and metricsPrivate & Confidential. Not for circulation. Version dated Thursday, 18 December 2014Owner(s) (Department, Individual,Committee)Deadline /TimeframeOutcome /StatusPendingQ4-20154.3 Vice President AcademicAffairs, Assistant Registrar,Academic, Admissions4.4 Vice President AcademicAffairs, Assistant Registrar,Academic RCSI & UCD programmedirectors/officesQ3-20155
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 2014PMCRef.ReportReferenceResponse/Action Planned(d) The current student record arrangementsshould be replaced as a matter of urgencywith a comprehensive, integrated and securedatabase for student information.15.5 Learning opportunities(a)PMC should consider deploying supportand training in order to exploit educationaltechnology and in particular MOODLE, to thefull.44.104.5 Evaluate Student Record ManagementSystem and present recommendations4.5 Chief Operating Officer, VicePresident Academic Affairs &Assistant Registrar, AcademicQ4-201455.55.1 Develop staff training programmes in core ITsystems (e.g. Moodle)5.2 Explore opportunities to enhanceeducational IT support5.1 Chief Operating Officer & HRDepartment5.2 Vice President AcademicAffairsQ3-2015(b) A holistic approach to the development ofa learning, teaching and assessment strategyacross the whole 5/6 years of the MB BChBAO programme should be adoptedforthwith taking account of the differences incurricula and pedagogic approach betweenthe alternative UCD & RCSI pre-clinicalcomponents. UCD/RCSI and PMC shouldwork together as partners to enhance thecurriculum and anticipate and pre-emptissues which might arise from the twoseparate pre-clinical streams.15.6 Research(a)Drawing on expertise from RCSI and UCD,PMC should continue to develop asustainable and prioritised research strategywhich includes enhanced opportunities forstudents to develop research skills andactively engage in research.15.7 Student Support(a) UCD, RCSI and PMC should review thestudent support area to: Ensure appropriateinduction/orientation and re-53.105.65.3 Analyse current (‘as is’) teaching content andmethodologies and presentrecommendations to achieve ‘holistic’approach5.3 Assistant Registrar (with thePMC Academic Executive (PMCAE)Q1-2015Pending67.36.1 Continue to develop a sustainable researchstrategy and research culture6.1 Vice President AcademicAffairs & PMC SeniorManagement TeamQ4-2014Pending79.37.1 Enhance induction, orientation & transfer&student communication processes7.2 Develop language supports where required;7.3 Develop visa assistance supports for7.1 Vice President AcademicAffairs & Assistant Registrar,Academic7.2 Assistant Registrar, AcademicQ1 – 2015PendingPrivate & Confidential. Not for circulation. Version dated Thursday, 18 December 2014Owner(s) (Department, Individual,Committee)Deadline /TimeframeOutcome /StatusPendingQ3- 2015Q1 – 20156
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 2014orientation (on the return to Penang)and support mechanisms inanticipation of an altered studentprofile with higher numbers ofinternational students Ensure appropriate links between thestudent support and the registryfunctions Establish a continuum between thepre-clinical and clinical components sothat student information can betransferred and referral pathways beestablished between Dublin andPenang Ensure consistent statistical reportingin order to identify any trends whichrequire action Keep under scrutiny the adequacy ofthe counselling arrangementsparticularly in the context of adifferent recruitment strategy Develop policies on reasonableadjustments and disability access andcase law on extenuatingcircumstances, taking account of RCSIand UCD approaches15.8 Staff and Staff Development(a)The College should ensure that there areconsistent and transparent communicationswith all staff, ensuring that staff are kept fullyaware of all initiatives, College priorities andplans, vacancies and .8Response/Action PlannedOwner(s) (Department, Individual,Committee)Deadline /Timeframeinternational students;7.4 See 1.1. b above“ leveraging existing resources /relationships with UCD and RCSI inrelation to:b. Student Support - local andinternational”7.5 Develop mentor programme7.6 Map internship requirements forinternational students7.7 Consider establishment of student supportfunctions7.8 Consider introduction of “Careers Day”7.3 Chief Operating Officer &Assistant Registrar, Academic7.4 Vice-President AcademicAffairs7.5 Assistant Registrar, AcademicAssistant Registrar,7.6 Academic, Admissions &Student Recruitment Group7.7 Chief Operating Officer, VicePresident Academic Affairs &PMC Senior Management7.8 Vice President AcademicAffairsQ1 – 20158.1 Develop staff communications strategy8.2 Review staffing policies and procedures (e.g.academic appointments and promotions)8.3 Devise and implement procedures foracademic and academic supportappointments;8.4 Consider opportunities for sabbatical8.1 Dean, Vice PresidentAcademic Affairs and ChiefOperating Officer8.2 Vice President AcademicAffairs and Human ResourcesDepartment8.3 Vice President AcademicQ4-2014Private & Confidential. Not for circulation. Version dated Thursday, 18 December 2014Outcome /StatusQ1 – 2015Q1 – 2015Q3 – 2015Q1 – 2015Q2 - 2015PendingQ2-2015Q4-2015Q3 - 20157
PMC QUALITY IMPROVEMENT PLAN 2014/15Recommendations 2013 / 2014(b)PMC should ensure that honorary andadjunct staff receive adequate and consistentguidance on what is expected in their roles.(c)The College should consider ways ofrewarding the role of professional, technicaland support staff and providing motivation.When recruited, the COO might look atdeveloping effective cross-departmentalworking practices to alleviate pressure pointson administrative functions.15.9 Memorandum of AgreementThe Memorandum of Agreement should bereviewed as a matter of urgency to provideinter alia: clear definition of the roles,obligations and responsibilities of therespective partner institutions; clarificationof the regulations which pertain to each partof the MB BCh BAO programme and whatregulations govern the programme as awhole; clarification of the quality assurancearrangements which apply to the preclinicaland clinical components and the programmeas a ponse/Action PlannedOwner(s) (Department, Individual,Committee)exchange between PMC and RCSI/UCDAffairs8.4 Vice President AcademicAffairs and Chief OperatingOfficerDeadline /Timeframe8.5 Compile and develop materials to provideguidance to honorary and adjunct staff andensure best practice across departments8.5 Review professional developmentopportunities and present recommendations8.6 Review staffing levels and develop plan foraddressing anomalies and recommendations(e.g. Medical Education, Statistics, otherspecialities)8.7 Develop sports & social opportunities8.5 Vice President AcademicAffairsQ2-20158.8 Chief Operating Officer andHuman ResourcesDepartment8.9 Chief Operating Officer andHuman ResourcesDepartment8.10 Chief Operating Officer andHuman ResourcesDepartmentQ2-20159.1 Revise RCSI, UCD, PMC, NUI CorporateAgreement – achieve holistic approach9.1 Shareholders GroupQ1-2015Private & Confidential. Not for circulation. Version dated Thursday, 18 December 2014Q4-2014Outcome /StatusPendingQ4-2014Pending8
This Penang medical College Quality Improvement Plan (PMC QIP) was prepared in response to the 2014 Joint RCSI/UCD Transnational Institutional Review (under the auspices of Quality and Qualifications Ireland regulations). PMC QUALITY IMPROVEMENT PLAN 2014/15 Recommendations 2013 / 2014 PMC
