www.lcme.

org
CLASS SIZE INCREASE
NOTIFICATION FORM
Please use this form to notify the Liaison Committee on Medical Education (LCME), and for Canadian
programs, the Committee on the Accreditation of Canadian Medical Schools (CACMS), of an enrollment
increase. This includes both an increase in the size of the entering class or the acceptance of transfer
students. Detailed instructions and reuirements follo! "elo! the form.
#his form should "e completed "y schools that plan to do one of the follo!ing:
$) %ncrease their entering class si&e "y $'(, or $) students (!hiche*er is smaller), in one year, or "y
+'( in three years, or
+) Accept a total of at least $' transferring medical students into any year(s) of the curriculum.
Date of Submission:
School Name:
Date or academic
year change will
become efective:
Description of
proposed
enrollment
increase:
SUBMI SSI ON INSTRUCTI ONS
,otifications must "e su"mitted "y Decem"er $
st
t!o years "efore the e-pected implementation. Please
return the completed form as a PD. to lcmesu"missions/aamc.org. Canadian schools should also send
the form to cacms/afmc.ca. Please include a dated and signed co*er letter !ritten on letterhead.
OVERVIEW
Year One Year Two Year Three Year Four
urrent
!nrollment
"roposed
#ncrease$
$%Number of new or transferring students
1. EDUCATIONAL FACILITIES
a. 0sing the ta"le "elo! and e-panding the num"er of ro!s as necessary, descri"e the educational space
used for reuired courses in the pre1cler2ship curriculum. 3Only complete this item if the proposed
increase in class size affects the pre-clerkship years.4
Type of &oom' Seating apacity (ain !ducational )se%s*+
$
%ncludes lecture hall, multidisciplinary la", conference room, small1group discussion room, etc. %f se*eral
rooms of similar type and seating capacity are used, indicate the total num"er of such rooms in
parentheses.
+
%ncludes lectures, small1group discussion, dissection, slide study, !et la", simulations, clinical s2ills
practice or testing, etc.
". Pro*ide a "rief narrati*e assessment of the adeuacy of other physical facilities, including li"rary
resources, information technology or ser*ices, clinical s2ills learning and e*aluation areas, and study
space, !hich !ould accommodate the proposed increase in class si&e.
2. INSTRUCTIONAL STAFF
a. Summari&e any faculty recruitment that has occurred to support the proposed increase in class si&e.
". 0sing the ta"le "elo!, and e-panding the num"er of ro!s as necessary, list each reuired course and
cler2ship that !ould increase instructional staff to accommodate the proposed increase in class si&e.
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+
ourse or ler3ship
Title
Number of New
Staf
'
#nstructional &esponsibilities of New
Staf
+
'#ncludes full4time5 part4time5 and community4based %volunteer* faculty5 residents5
graduate students5 and others with teaching responsibilities6
+#ncludes lectures5 small4group precepting5 lab or clinical supervision5 etc6
c. .or each reuired course or cler2ship that is NOT increasing the num"er of instructional staff, pro*ide
a "rief assessment of the adeuacy of faculty or other instructional staff to accommodate the proposed
increase in class si&e.
d. Descri"e any changes to student1faculty ratios or group si&e for dissection, la" super*ision, small1group
discussions, etc., that !ould result from the proposed increase in class si&e.
e. 5riefly descri"e any changes in the num"er of standardi&ed patients that !ould "e needed to
accommodate the proposed increase in class si&e.
3. CLINICAL FACILITIES
a. 0sing the ta"le "elo!, descri"e any new clinical teaching sites that !ould "e used to accommodate the
proposed increase in class si&e.
)sed For &e7uired ler3ships #n
Facility Name Fam6
(ed
#nt6 (ed Neurol O8.9yn "ed "sych Surg
". .or each new inpatient facility noted in the preceding ta"le, pro*ide the follo!ing information6
Facility Name No6 of
8eds
:vg6 Daily
Occupanc
y &ate
:vg6
,ength
of Stay
No6 of
:dmissions.Y
r
No6 of
Outpatien
t ;isits.yr
No6 of !&
;isits.Yr
c. .or existing clinical teaching sites, "riefly descri"e any change in the num"er of students per clinical
rotation and the num"ers of faculty mem"ers or residents that !ould "e reuired to accommodate the
proposed increase in students per rotation.
d. .or each reuired cler2ship, pro*ide a "rief assessment, "ased on re*ie! of patient logs or other
rele*ant data, of the adeuacy of patient *olume and mi- to accommodate the proposed increase in class
si&e.
4. STUDENT SERVICES
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Pro*ide a "rief narrati*e assessment of the capacity of each of the follo!ing student ser*ices to handle the
proposed increase in class si&e6
.inancial aid6
Student health6
Personal counseling6
#utorial assistance6
Career ad*ising6
5. APPLICANT POOL
a. Complete the follo!ing ta"le !ith data on the entering class in each of the preceding fi*e years. 3This
item applies to schools increasing the size of the entering class.]
Four years
prior
Three years
prior
Two years
prior
One year
prior
urrent
year
:pplicatio
ns
'
#nterviews
:cceptanc
es
(atricula
nts
'
#nclude only the number of admissions applications considered by the admissions
committee6
". Complete the follo!ing ta"le !ith data on ne!ly matriculating students in each of the past fi*e years.
3This item applies to schools increasing the size of the entering class.]
:verage Four Years
"rior
Three Years
"rior
Two Years
"rior
One Year
"rior
urrent
Year
Total 9":
Science
9":
(:T 8S
(:T "S
(:T ;&
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(:T =S
c. Pro*ide a "rief narrati*e description of the e-pected impact of the proposed class1si&e increase on the
geographic scope of the applicant pool and on student di*ersity.
6. FINANCIAL SUPPORT
a. 5riefly descri"e any increase in re*enue that !ill "e pro*ided "y go*ernment sources, the parent
uni*ersity, or other sources to accommodate the proposed increase in class si&e.
". Pro*ide an assessment of the e-pected impact of the proposed increase on scholarship support,
including any pro7ected increases in institutional funding for need1"ased and merit1"ased scholarships,
and the sources for such additional funding.
7. ADDITIONAL SUPPORTING DATA
,ote any other rele*ant data that you thin2 the LCME should ta2e into consideration !hen e*aluating the
adeuacy of resources to support the proposed increase in class si&e.
CLASS SI ZE INCREASE
NOTI FICATI ON REQUI REMENTS AND INSTRUCTI ONS
CURRENT ACCREDITATION PROCEDURES
Purpose of LCME and CACM accreditation. #he accreditation of medical education programs
leading to the M.D. degree ser*es to ensure that national standards of educational uality are met. #he
cyclical process of institutional self1study and assessment, coupled !ith e-ternal *alidation "y a team of
professional peers, pro*ides a po!erful mechanism for ongoing uality impro*ement. Accreditation "y
the LCME and the CACMS is essential for the credentialing of medical education programs in the 0.S.
and Canada.
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!alance bet"een student enroll#ent and total resources. Accreditation is a!arded to a program of
medical education "ased on a 7udgment of appropriate "alance "et!een student enrollment and the total
resources of the institution, including faculty, physical facilities, appropriate num"ers and mi- of patients,
and operating "udget. Significant changes to the educational program, student enrollment, or to the
resources of the institution may distort this "alance. Although medical education programs are not
accredited "y the LCME or the CACMS for a specific class si&e, a su"stantial im"alance in student
enrollment relati*e to resources may ha*e a negati*e impact on educational program uality, and thus lead
to ree*aluation of a program8s accreditation status "y the accrediting "odies.
REQUIREMENTS FOR PRIOR NOTICE
5ecause su"stantial changes in either student enrollment or in the total resources of the institution may
lead to ree*aluation of a program8s accreditation status, the LCME (and the CACMS, for Canadian
schools) must recei*e prior notice of the proposed changes. %ncreases of the follo!ing magnitude re$uire
prior notification6 $) in any gi*en year, an increase in entering class si&e of $'( or greater, or an a"solute
increase of $) students, !hiche*er is smaller9 %& +) a cumulati*e increase in the entering class si&e of
+'( or more o*er three years. Such notice must include sufficient information, as descri"ed a"o*e, to
permit the LCME and:or the CACMS to ma2e a reasoned decision regarding the need for further
e*aluation (e.g., through a sur*ey *isit), and must "e pro*ided far enough in ad*ance for a final decision
to "e made prior to the program accepting the additional students. ,otification should "e pro*ided no
later than Decem"er$
st
for consideration "y the LCME (and the CACMS, for Canadian schools) at their
.e"ruary meetings.
Although the thresholds descri"ed a"o*e apply to the need for prior notification, enroll#ent increases
belo" the thresholds also re$uire reporting to the LCME (and the CACMS, for Canadian schools). %n
general, if a planned increase in the entering class si&e results in a first1year enrollment greater than the
largest first1year class si&e (including repeating students) during the pre*ious fi*e years, it should "e
reported to the LCME (and the CACMS, for Canadian schools). Such reports should "e su"mitted "efore
the "eginning of the academic year in !hich the planned increase ta2es effect.
DOCUMENTATION REQUIRED FOR CLASS SIZE INCREASES
#he follo!ing types of information should "e pro*ided as supporting documentation !hen reporting class
si&e increases. Please use the attached form.
$. A summary of the space and educational facilities a*aila"le to accommodate the increased class si&e for
the preclinical curriculum (e.g., data on seating capacity of lecture halls and small1group meeting rooms,
dissection facilities, !et la" space, etc.) and an assessment of the sufficiency of li"rary resources and
space, clinical s2ills assessment centers, information technology, general study space, or any other
rele*ant facilities for the larger class si&e.
+. #he adeuacy of instructional staff (faculty and residents) for reuired courses, cler2ships and electi*es
including the num"er of small1group preceptors.
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;. #he adeuacy of clinical facilities and patient *olume for reuired cler2ships and electi*es.
<. Capacity of student ser*ices (e.g., student affairs, financial aid, academic and career counseling,
student health, confidential counseling, etc.) to handle the larger *olume.
). Depth and uality of the applicant pool relati*e to the school8s admissions reuirements.
%f the increase in class si&e is the conseuence of creating a ne! geographically separate campus or
educational trac2, prior notification to the LCME (and the CACMS, for Canadian schools) regarding the
ne! campus or trac2 is also reuired, as specified in the LCME Rules of Procedure. %n this case, the
notification should occur no later than May $ of the calendar year preceding the creation of the campus or
trac2, to allo! sufficient time for the LCME (and the CACMS, if appropriate) to determine if an on1site
e*aluation is reuired.
ACCREDITATION ACTIONS
#he LCME (and the CACMS, if appropriate) !ill re*ie! the information pro*ided "y the school at its
ne-t regularly scheduled meeting and decide if additional documentation or action is reuired. #he
decision !ill "e "ased on !hether continuing compliance !ith accreditation standards can "e ensured.
$. %f continued compliance !ith accreditation standards is e*ident, the LCME=s re*ie! of the report (and
the re*ie! "y the CACMS, if appropriate) !ill suffice and no further action !ill "e needed.
+. #he LCME and the CACMS may reuire additional information in the form of a report from the dean.
;. #he LCME and the CACMS may reuire that additional information "e collected "y a sur*ey team,
either through a Secretariat fact1finding *isit or a limited (focused) sur*ey *isit.
<. %f the LCME or the CACMS is not assured of continued compliance !ith accreditation standards, the
school !ill "e notified that the acceptance of a larger class under the plans su"mitted to the accrediting
"odies could result in pro"ationary status or !ithdra!al of accreditation.
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