The Caribbean Accreditation Authority for Education in Medicine and other Health Professions (CAAM-HP) is an accrediting body for the education programmes and schools of medicine, dentistry, veterinary medicine, nursing and other health professions in the 15 member nations of the Caribbean Community (CARICOM). [1] [2] CAAM-HP was established in 2003 [3] and is headquartered in Kingston, Jamaica. [1]
The US Department of Education's National Committee on Foreign Medical Education and Accreditation (NCFMEA) recognizes CAAM-HP as a standard comparable to the standards used in medical schools in the United States. [4]
From 1948 until 2001, universities and colleges in the Commonwealth Caribbean could and often were accredited by the General Medical Council (GMC) of the United Kingdom. Primarily this occurred with the University of the West Indies (UWI) receiving full accreditation (with periodic visits and assessments as changes were made in medical education) and with some of the other schools established since 1974 in the Commonwealth Caribbean receiving limited registration status from the GMC. [1] [5] This international recognition of their degrees meant that the medical education programme offered at UWI allowed graduates to register freely in the UK and many other Commonwealth countries in order to practice. [1] [5]
This practice by the GMC however was ended in 2001 as it sought to replace the original two-tier system of registration of overseas qualified doctors with a single method in keeping with European Union regulations regarding academic and professional training programmes. As a result the proposed system rendered unnecessary the need to continue accrediting overseas institutions, even those with previously recognized qualifications, leaving the UWI and other institutions without accreditation by an internationally recognized body. [1] [5] [6]
In parallel to these events there was a raft of establishments of "offshore" medical schools in the Caribbean starting in the 1970s, which catered almost exclusively to international students mainly from the United States and Canada. [1] These medical schools were easier to establish in the Caribbean than in mainland North America, in part because unlike the medical schools in the US or Canada, they are not required by the Liaison Committee on Medical Education (LCME; the accrediting body for medical education in the US and Canada) to do research and perform clinical training. Sometimes only needing a business licence in order to be opened, these offshore medical schools had been able to list in the International Medical Education Directory (IMED), which qualifies their students to undergo the Educational Commission for Foreign Medical Graduates (ECFMG) certification process in order to begin residency or fellowship programmes in the US or Canada. The departments of education from both United States and Canada contacted the ECFMG and have required that all Caribbean offshore medical schools be at the standard of United States and Canadian medical schools. [7] The ultimate outgrowth of this over the time was the announcement in 2010 by the ECFMG that effective in 2023, physicians applying for ECFMG Certification will be required to graduate from a medical school that has been appropriately accredited through a formal process that uses criteria comparable to those established for US medical schools by the LCME or that uses other globally accepted criteria, such as those put forth by the World Federation for Medical Education (WFME). [8]
As a result of these developments up to 2001-2002 and the regional desire to ensure quality education and training within CARICOM for the UWI and other medical schools in the Caribbean, such as those established the University of Suriname in 1969 and at the University of Guyana in 1985, as well as the offshore medical schools, a regional accreditation system was established. [1] [5]
Thus, the Agreement establishing the Caribbean Accreditation Authority for Education in Medicine and Other Health Professions [9] was signed in November 2003 by 5 CARICOM Member States [10] and the authority itself was launched shortly after in July 2004. [1] As of 2019, 13 CARICOM Member States have signed up to the Agreement on CAAM-HP and are participating territories: Antigua & Barbuda, The Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Jamaica, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, Suriname, and Trinidad & Tobago. [10] Participation is open to all other CARICOM Member States and Associate Member States according to the Agreement, [9] with the British Virgin Islands becoming the first Associate Member to sign on to the Agreement on 18 February 2020 at the 31st Intersessional Meeting of the CARICOM Heads of Government. [11] [12] On 20 May 2019, CAAM-HP also signed a Memorandum of Understanding (MOU) with the Ministry of Higher Education Science and Technology (MESCYT) of the Dominican Republic in Santo Domingo to provide accreditation services for medical training programmes and to facilitate their acceptance by the 11 Universities of the Dominican Republic that have medical schools. [13]
Once established Authority looked at the standards of the GMC and the LCME, and developed comparable standards. [5] These standards and processes were then adjudged to be compliant with international standards in 2012, following a review in 2011 by the WFME and the Foundation for Advancement of International Medical Education and Research (FAIMER). [14] With such international recognition granted only a few years after ECFMG's announcement concerning the need for prospective applicants to have graduated from appropriately accredited schools, it meant that CAAM-HP could continue the process of accrediting the Caribbean offshore medical schools as well as regional medical schools.
Students of those schools that do not receive accreditation from a regional accrediting body recognized by the World Federation for Medical Education (WFME) [15] will not be able to complete neither USMLE examinations nor MCCQE, and therefore will not be able to become United States or Canadian doctors, if their school is not certified by the year 2023. [16] CAAM-HP is one of the primary accrediting bodies for Caribbean medical schools. [17]
Source: [18]
School | Status | Last updated |
---|---|---|
All American Institute of Medical Sciences | Initial Provisional Accreditation Withdrawn [19] | July 2016 |
All Saints University School of Medicine | Not Accredited | July 2017 |
American International Medical University | Accreditation Denied | July 2018 |
American University of Antigua | Accredited for 4 years, 2018-2022 | July 2018 |
American University of Barbados | Initial Provisional Accreditation for 2 years, 2018-2020 | Sep 2021 |
American University of Integrative Sciences | Full Accreditation Review Pending | Nov 2020 |
Avalon University School of Medicine | Accredited | Provisional Accreditation for 3 years, 2019-2022 |
British International University | Accreditation Withdrawn | July 2009 |
Caribbean Medical University | Accreditation denied | July 2018 |
Commonwealth University College of Medicine | Candidacy for 2 years, 2019-2021 | Jul 2019 |
Global University Schools of Medicine and Public Health | Initial provisional accreditation withdrawn | July 2015 |
Instituto Tecnológico de Santo Domingo | Accreditation with conditions for 5 years, 2018-2023 | July 2018 |
International American University College of Medicine | Accreditation Withdrawn | Nov 2020 |
Ross University School of Medicine | Accreditation Review Pending | May 2020 |
Saint James School of Medicine, Anguilla | Follow-up site visit due whenever travel restrictions are lifted | July 2019 |
Spartan Health Sciences University | Programme placed on Probation for 3 years, 2019 - 2022 | Nov 2020 |
St. George’s University School of Medicine | Voluntarily withdrawn, 2021 [20] | Jan 2021 |
Texila American University | Accreditation for 3 years, 2023 - 2026 | January 2023 |
The University of the West Indies School of Medicine | Accreditation for five years, 2023-2028 | July 2023 |
Trinity Medical Sciences University | Accreditation for 3 years, 2019-2022 | Nov 2020 |
University of Guyana School of Medicine | Accreditation with Conditions, 2017-2022 | Jan 2021 |
University of Science, Arts and Technology | Not accredited | June 2012 |
Vanguard University School of Medicine (Montserrat) | Not accredited | July 2015 |
Western Atlantic University School of Medicine | Provisional Accreditation | July 2024 |
Windsor University School of Medicine | Accreditation for 2 years, 2023 - 2025 | January 2023 |
Xavier University School of Medicine | Voluntarily Withdrawn | Feb 2020 |
School | Status | Last updated |
---|---|---|
The University of the West Indies School of Dentistry, Jamaica | Programme placed on Probation for 3 years, 2020 - 2023 | July 2023 |
The University of the West Indies School of Dentistry, Trinidad | Accreditation for 4 years, 2019-2023 | July 2023 |
The University of Guyana School of Dentistry, Guyana | Accreditation denied | July 2018 |
School | Status | Last updated |
---|---|---|
The University of the West Indies School of Veterinary Medicine | Accreditation With Conditions | July 2023 |
Xavier University School of Medicine | Candidacy | July 2023 |
Schools in CARICOM member countries not appearing above have either not been assessed by CAAM-HP or are pending accreditation.
The University of the West Indies (UWI), originally University College of the West Indies, is a public university system established to serve the higher education needs of the residents of 18 English-speaking countries and territories in the Caribbean: Anguilla, Antigua and Barbuda, The Bahamas, Barbados, Belize, Bermuda, British Virgin Islands, Cayman Islands, Dominica, Grenada, Guyana, Jamaica, Montserrat, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Trinidad and Tobago, and Turks and Caicos Islands. Each country is either a member of the Commonwealth of Nations or a British Overseas Territory.
Instituto Tecnológico de Santo Domingo —or Santo Domingo Institute of Technology, is a private university located in Santo Domingo, Dominican Republic. It was founded on October 9, 1972, by a group of connoted professionals and is considered the best institute of technology in the country.
The Foundation for Advancement of International Medical Education and Research (FAIMER) is a nonprofit organization whose mission is to "support the Educational Commission for Foreign Medical Graduates (ECFMG) as it promotes international health professions education through programmatic and research activities." These activities include:
The American University of Integrative Sciences (AUIS), is a private for-profit offshore medical school with a single campus located in Barbados. Founded in 1999, it was formerly known as the University of Sint Eustatius School of Medicine (USESOM). For a period, the school was based in Sint Maarten, where it was taken over by IEMR LLC, a US-based company. Since October 2017, AUIS has operated in Barbados, and it is currently a candidate for accreditation by the Caribbean Accreditation Authority for Education in Medicine and other Health Professions (CAAM-HP).
Saint James School of Medicine (SJSM) is a private for-profit offshore medical school with two basic science campuses, one in British Overseas Territory of Anguilla, and the other in Saint Vincent and the Grenadines, it is considered one school with two campuses. Saint James confers upon its graduates the Doctor of Medicine (M.D.) degree.
Spartan Health Sciences University is a private, for-profit medical school located in Vieux Fort, Saint Lucia, in the Caribbean. Spartan confers upon its graduates the Doctor of Medicine (MD) degree. Spartan graduates can practice medicine in 46 US states. Spartan ceased operations in 2024 after the loss of its accreditation.
The Accreditation Commission on Colleges of Medicine (ACCM) is an international medical review and accreditation agency service for medical schools.
Avalon University School of Medicine (AUSOM) is a private medical school located in Willemstad, Curaçao, in the Caribbean. AUSOM confers upon its graduates the Doctor of Medicine (MD) degree. Administrative offices for the university are located in Youngstown, Ohio.
Destiny University was an offshore private medical school located in Rodney Bay, Saint Lucia. The school's offshore office was located in Butte, Montana. It began operations in 2001 as the College of Medicine and Health Sciences, St. Lucia, under which name it operated until 2008. Then it re-opened at 2013 still as the College of Medicine and Health Sciences, St. Lucia. The Destiny Group of Companies intended to build a new facility for the university in Vieux Fort, which would be fully operational by 2010. When the school began session in 2008, it was functioning as a "distance learning university" in the former Sandy Beach Hotel. The school operated until 2013, at which time it temporarily ceased operations and it re-opened that same year.
American International Medical University (AIMU) is an offshore medical school located on the Caribbean island of St. Lucia. It operates a School of Medicine and a School of Nursing. It partners with universities and hospitals in the United States including Washington Adventist University (WAU) in Takoma Park, Maryland for independent support programs and offers joint classes with WAU for the AIM-U Premedical Science Program on the WAU campus. Future AIM-U programs on the WAU campus may include BSN Completion and Introduction to Clinical Science, as well as the opportunity for AIM-U students to complete the WAU MBA program.
Texila American University (TAU) is an offshore private medical school, owned by the Texila American University Ltd – Hong Kong (TAU-HK). TAU-HK is a project of the ALLTERE Education Management Company. Texila's U.S. offices are in New Jersey. The University is located in Guyana, South America and offers undergraduate and postgraduate degrees in medicine, nursing, public health and allied sciences.
An offshore medical school is a medical school that caters "primarily to foreign students, wishing to practice medicine in the US and Canada" according to the World Bank, compared to local schools that focus on their home nation. Such schools are chiefly located in the Caribbean basin, but also includes schools in other locations, such as Mexico and Australia, which run programs that target American students.
Trinity Medical Sciences University is an offshore private medical school with its Basic Science part of the MD program, Pre-Medical program and Masters program located in Saint Vincent and the Grenadines in the Caribbean and Clinical Science part of the MD program in Warner Robins, Georgia, United States. It opened in 2008 as a fully accredited medical facility to respond to a shortage of physicians in the United States and Canada. It has its administrative headquarters in Roswell, Georgia, and it partners with Milton Cato Memorial Hospital located in Kingstown and Northwest Hospital in Baltimore.
University of Science, Arts and Technology (USAT) is an offshore private medical school located near Olveston, Montserrat. The university opened in 2003 with administrative headquarters in Colorado and its campus located in Montserrat. The school has graduates practicing in both the United States and worldwide and admits both domestic and foreign students.
Atlantic University School of Medicine (AUSOM) was an offshore private medical school, located in St. Lucia from its foundation in 2010 until August 2017 and then for 5 months in St. John's, Antigua and Barbuda until December 2017, when it fully closed.
Washington University of Barbados (WUB) is a defunct medical school which opened in 2017 and closed the following year. The for-profit university received a charter from the Barbados Ministry of Education in 2016, but was unaccredited. Allegedly part of an international scam in which 200 students from India were conned out of ₹25 crore, the CEO and director of the school were arrested by the Royal Barbados Police and charged with fraud in 2018.
World Federation for Medical Education (WFME) is a non-governmental organisation concerned with education and training of medical doctors worldwide. WFME's main objective is to "enhance the quality of medical education worldwide, with promotion of the highest scientific and ethical standards in medical education". The organisation develops standards for medical education and promotes accreditation of medical schools. It also co-manages the World Directory of Medical Schools.
University of the West Indies at Cave Hill is a public research university in Cave Hill, Barbados. It is one of five general campuses in the University of the West Indies system.
The American University of Barbados School of Medicine (AUB), founded in 2011, is a private medical school with its main campus in Wildey, Barbados. When it opened in January 2012, it was the first offshore private medical school in Barbados, started as a branch of Era's Lucknow Medical College and Hospital, based in Lucknow, India.
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