Educational Quality Improvement (EQI)

Overview of EQI Office

The Educational Quality Improvement (EQI) Office, within the School of Medicine’s Academic Affairs, is the leader of continuous quality improvement initiatives across the school, including the Liaison Committee on Medical Education (LCME) accreditation process. Sara Kim, Associate Dean for Educational Quality Improvement and Research Professor of Surgery and Marilyn Cope​, Director of EQI, are leading the effort. ​

Continuous Quality Improvement (CQI)

The EQI unit is dedicated to implementing CQI initiatives across the School of Medicine. Through the work of the EQI Strategic Planning Committee, the unit is implementing a CQI Policy, Procedures and Guidelines  that will ensure the school fulfills its mission, goals and values in accordance with the Medical Student Program Strategic Plan and LCME accreditation standards.

UWSOM’s History of Accreditation

The last LCME site visit occurred in March 2018. In its accreditation decision, the LCME elected to continue accreditation of the medical education program, for an indeterminate period while the school works to resolve 19 citations. LCME identified numerous strengths in our programs and partial or non-compliance with LCME standards are leading the school to strengthen operational and programmatic areas including:

  • ​Student Mistreatment
  • Study and Lounge Space
  • Career Counseling
  • Faculty Appointments Process
  • Training and Orientation for Residents working with UWSOM students
  • Hiring of Additional Staff

CQI Accreditation timeline

LCME Standards

The Liaison Committee on Medical Education (LCME) accredits medical education programs leading to the MD degree in the United States and Canada. LCME accreditation is a voluntary, peer-reviewed process of quality assurance. To achieve and maintain accreditation, a medical education program must meet 12 established standards:

  • Standard 1: Mission, Planning, Organization and Integrity
  • Standard 2: Leadership and Administration
  • Standard 3: Academic and Learning Environment
  • Standard 4: Faculty Preparation, Productivity, Participation, and Policies
  • Standard 5: Educational Resources and Infrastructure
  • Standard 6: Competencies, Curricular Objectives, and Curricular Design
  • Standard 7: Curricular Content
  • Standard 8: Curricular Management, Evaluation and Enhancement
  • Standard 9: Teaching, Supervision, Assessment, and Student and Patient Safety
  • Standard 10: Medical Student Selection, Assignment, and Progress
  • Standard 11: Medical Student Academic Support, Career Advising, and Academic Records
  • Standard 12: Medical Student Health Services, Personal Counseling, and Financial Aid Services

To learn more about the recent LCME site visit and accreditation process, visit the dedicated LCME page.

Team Contacts

Sara Kim, PhD, Associate Dean​​ of EQI & Research Professor of Surgery

Marilyn Cope, MPA, Director​ of EQI

Kelley Goetz, Administrative Manager of EQI

Cory Lumsdaine, MPH, Program Analyst of EQI

EQI email address:​

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