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LCME Strategic Visioning

At its June 2024 meeting, the LCME engaged in a mini-retreat that launched a multi-year strategic visioning initiative aimed at ensuring that accreditation standards and elements are current and effective in the context of the changing medical education environment.

At the November 2024 AAMC Learn Serve Lead meeting in a session entitled, “Identifying and Addressing Headwinds in the Decade Ahead: The LCME Strategic Visioning Process for Its Standards and Your Role in It,” the LCME Secretariat presented an overview of the initiative and facilitated an interactive exchange among session participants. To view the presentation slides and read more about the process, click here.

Updates to LCME Strategic Visioning

Updates on the status of the project, including information on how constituent input has been considered and utilized by the LCME, are highlighted below.

February 2025 LCME Meeting

  • The LCME reviewed and discussed all the comments received from session participants during the November 2024 Learn Serve Lead session and from others throughout the two-month online comment period that followed. The comments received were aligned with the ten challenges identified by the LCME in June 2024; no additional challenges were identified.
  • The LCME discussed Challenge #1: Financing medical school/health care and organizational models of medical education/interaction of health systems and medical education programs. The discussion was framed around review of modifications proposed by the LCME Planning Subcommittee and mapped by the Secretariat to specific elements and DCI items associated with Standards 2, 4, 5, and 9. Those changes that were approved by the LCME to “move forward” are being incorporated into an evolving DCI, which is the scaffolding upon which the results of the entire strategic visioning process will be consolidated in an ongoing fashion. This process will be applied to each challenge until all recommended changes have been discussed and, if approved to move forward, incorporated in this evolving DCI. At this point, Stage 1 (see presentation slides) of this multi-stage process will be complete.
  • The LCME discussed and approved changes proposed by the LCME Standards Subcommittee to the organizational structure of Standards 6 and 7 and some of their associated elements. These changes incorporate input obtained from the Medical Education Senior Leaders (MESL) group last year. As was done for the proposed changes related to Challenge #1, DCI modifications will be developed to correspond to the proposed changes to the Standard 6 and 7 elements and, after consideration by the LCME, be incorporated into the evolving DCI.

March 10, 2025 Council of Deans Meeting

  • The LCME Co-Secretaries presented the LCME strategic visioning framework and introduced three specific challenges of particular interest to the deans: Challenge #1 (above); Challenge #3: Competition for clinical clerkship sites and residency positions; and Challenge #6: Political interference with accreditation and the practice of medicine. Further work on these challenges will be on the LCME’s agenda for the remainder of this calendar year, with input and comment from COD members throughout the process.