January 2023 Determination: Accreditation for two (2) years, 2023-2025 CAAM-HP paid a visit to Windsor University School of Medicine’s campus in St Kitts and clinical affiliates in Chicago and Jamaica, September 15-23, 2022. This was the school’s third accreditation exercise with CAAM-HP. The CAAM-HP at its meeting held January 31, 2023, considered and accepted the site visit report of the ad hoc assessment team, comprising: 1. Professor Jonas Innies Addae (Team Chair) 2. Dr Sateesh Arja (Team Secretary) 3. Dr Corrine Sin Quee 4. Professor Sandra K. Leeper-Woodford In considering the report of the ad hoc team CAAM-HP noted the following: Areas of Strength • An enthusiastic and dedicated faculty as reported by students. • Upgraded teaching & learning, and student facilities at the St. Kitts campus. At the St. Kitts campus, the school has adequate large classrooms and several small rooms for small group learning activities, including clinical skills instruction, and a dedicated examination hall for NBME exams. • Online learning resources for students, with a strong IT backbone • Multiple pathways for graduates to pursue career advancement. Graduates may apply for post graduate residency training through the National Residency Match Program (NRMP) in the US or other programs in other countries. • Relatively low tuition. Areas of Concern • Almost total reliance on student tuition for revenue • Low student enrolment • High attrition rate of students • Significant differences between student experiences at different clinical sites Areas of Transition • The school has implemented an integrated and modular curriculum in the basic sciences programme which can be evaluated in the future using measurable outcomes. This can be improved to provide defined outcomes to better accomplish educational goals. Decision: The Authority, having carefully considered the team’s report, decided that the programme be granted Accreditation for two (2) years, 2023-2025, with conditions. CAAM-HP expects the school to submit annual progress reports to demonstrate efforts, supported by evidence, to address the areas of concern identified in the report, including but not limited to: • overriding by the Dean of admissions decisions, without a recorded explanation • discrepancies in the passing grade for the NBME CBSE examinations • the seemingly inadequate amount of contact time between the student and attending physician • limited involvement of faculty, and to some extent students, in ongoing quality assurance • verification of the qualification of faculty for teaching, in the absence of terminal degrees in the subject area.