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Institutional Review. Prof. Wagdy Talaat EMRO, WHO Consultant for Health Manpower Development EMRO Project Director for Accreditation in HPE. The purpose of the institutional review ?.

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Institutional review

Institutional Review

Prof. Wagdy Talaat

EMRO, WHO Consultant for Health Manpower Development

EMRO Project Director for Accreditation in HPE

The purpose of the institutional review

The purpose of the institutional review?

  • Meeting the public interest in knowing that the institutions are providing higher education awards and qualifications of an acceptable quality and appropriate academic standards.

Institutional review

The scope of the review

Effectiveness of quality

assurance and standards

mechanisms with evidences

Of continuous quality

improvement and working

within efficient and cost

effective process

The completeness

and reliability

of the published information to

a wide range of stakeholders

about the quality of learning


Conduct of review

Conduct of Review

Characteristics of review process

Characteristics of Review Process

  • Consistent( same process in different institutions)

  • Equitable( all institutions are treated equally).

  • Fair

  • Respectful( respects the institution’s mission& chosen aims).

  • Disciplined( conforms with protocols of AB).

  • Collegial

  • Constructive

  • Open

  • Transparent

Conduct of review1

Conduct of Review

  • Good preparation by the following three involved parties is essential:

  • Accrediting Body( AB)

  • Reviewing Team

  • Institution

Preliminary action by the ab

Preliminary Action by the AB

  • In sequence

  • Identification of subject sectors to be reviewed( Medicine, Nursing, Pharmacy, Dentistry, etc.).

  • Identification of institutions to be reviewed within a given time slot.

  • Institutions informs the AB of subject specialisms within the provision.

Preliminary action by the ab1

Preliminary Action by the AB

  • In sequence

  • Determination of magnitude of review in man-days.

  • Selection of Chairman and agreed number of subject specialist reviewers.

  • Agreement between the AB and institution on precise commencement date of review.

Preliminary action by the ab2

Preliminary Action by the AB

  • In sequence

  • Selection of peer Reviewers and acceptance by institution.

  • Institution sends agreed documentation to AB 6-8 weeks prior to first day of review.

  • AB makes documentation available to chairman.

Preliminary action by institution

Preliminary Action by Institution

  • Initial submission to the AB.

  • Documentation to be sent to AB/ Review Team in advance of the review.

  • Preparation of academic staff to respond to review.

  • Allocation of responsibility for aspects of review.

  • Nomination of an institutional facilitator to liaise between the review team and institution.

  • Documentation to be made available to review team during review.

  • Allocation of a suitable, remote place for the review team.

Scope of review

Scope of Review

  • Governance and Administration

  • Educational programs

  • Research and other scholary activities ( services)

  • Academic staff performance

  • Students activities

  • Community involvement

  • Continuous renewal.

Research and other scholary activities

Research and other scholary activities

  • Range of activities

  • Publications

  • Projects( interdisciplinary/ intersectorial/ interpreunorial).

Students activities

Students Activities

  • Experience of students as learners in a favourable learning environment.

  • Engagement of students in the planning, evaluation, and reviewing of their institution’s program( internal/ external audit)

  • Procedures of students complaints.

  • Students are invited to submit their own report to the review team during their participation in the review sessions.

Community involvement

Community involvement

  • Community Empowerment

  • Community Participation

  • Community Partnership

Activities during visit

Activities during visit

  • Meeting with top administration

  • Meeting with academic staff

  • Meeting with students and other stake holders

  • Observation of resources: library, labs, class/ lecture rooms, audiovisual unit, teaching hospital, etc.

  • Attending sample of teaching/ learning activities.

  • Time for Reviewers to scrutinise new documents

Institutional review


Documents to be sent in advance portable

Documents to be sent in advance( portable)

  • Self study/ mid-annual/ annual reports

  • Current course and program specifications

  • Latest course and program reports

  • Strategic study, if available.

Documents available at time of visit bulky

Documents available at time of visit( bulky)

  • Teaching timetables

  • Samples of students work, exam results

  • Documentary films/ video clips/ Albums

  • Institution/Academic Staff Awards

  • Minutes of significant meetings

  • Questionnaires raw data

Self study analysis

Self-study analysis

  • Is there a clear, shared, vision for the whole institution?

  • Is there a documented, public Mission?

  • Does the self study addresses all academic activities( educational programs, research, and community involvement?

  • Does the evaluation of each activity informed by a clear statement of aims and are these aims) related to the mission( mission sensitive)

  • Does the self study comply with the criteria for self study?

  • Are the evaluations supported by evidence?

  • Does the self study demonstrate a commitment to accountability, and reflect true developmental engagement procedures?

Institutional review

  • Reporting

Institutional review

  • Draft 1: Reviewers finalise their sections of the Report and send it to the Chair Reviewer.

  • Draft 2: Chairperson edits to avoid repetition, contradiction, and to ensure protocols have been preserved.

  • Report returns to Peer Reviewers for any comments on edited draft on matters of fact, substance, or tone.

  • Draft 3: Chairman incorporates reviewers comments and send it to the Editor who makes suggestions for improvement.

  • Draft 4: Chair consider editor’s comments and send the final draft to AB for publication.

Role of peer reviewer

Role of Peer Reviewer

Qualities required

Qualities Required

  • Subject/ discipline expert

  • Credibility with the subject area academic community( Heads of institutions and Managers in Sector Committees of SCU)

  • Clear oral and written communication skills

  • Freedom to commit the time required for the review process

  • Ability to organize and chair meetings

  • Ability to work according to a prescribed set of protocols and procedures

  • Ability to work well in a small team

  • Ability to work intensively to deadlines

  • Ability to form judgment based on evidence and to report professionally

Ethical considerations

Ethical Considerations

  • Reviewers are not appointed to teams reviewing their own institutions

  • No conflict of interest with reviewed institution

Institutional review

  • I wish you a very peaceful and fruitful peer reviewing process.

  • Thank you

Outline of the review process

Outline of the review process

-Preliminary visit: 36 weeks before the visit assistant director visits and provides briefing on the review process guidance on the SED and students submission.

-12 weeks before the visit: the agency appoints the review team and notify the institution and receives the SED and the students submission.

-Briefing visit: 5 weeks before the review visit undertaken by the review team and the AD at the management level of the institution, it contains detailed lines of enquiry for the review.

-Review visit: lasts 5 days AD joins team for the final day, discussion with staff and students, and pursues selected thematic trails.

-Review visit+2 week: letter outlining the review finding sent to the


-Review visit +8 weeks:draft report sent to the institution.

-Review visit +12 weeks: institution responds to the report.

-Review visit +20weeks: report is published.

What are the resources the information get from

What are the resources the information get from?

-use of reference points: the information required as part of the quality assurance and standards framework.

  • A self evaluation document (SED).

    -the mid-cycle progress report.

    -information submitted by representative of students.

    -reports on the institution by the agency or other relevant bodies within the duration of the review cycle.

    -information acquired during the briefing visit, and the review visit.

Judgment and report

Judgmentand report

Broad confidence: the institution is managing quality and standards soundly and effectively and the future capacity for maintaining quality and standards appears good.

Limited confidence:the agency has doubts either about the current assurance of quality and standardsor the capacity to maintain quality.

No confidence: very occasionally the team may make such judgment.

Institutional review

Key areas?

Two areas must be given particular attention, in making such


Strong use of independent external examiners in summative

assessment procedures.

Similar use of independent external persons in the internal periodic

review of the disciplines or programmes.

Institutional review

Thematic trials

The trials are concerned with testing how well institutional processes work and how effective they are in practice at the level of individual disciplines, programmes, and/or academic departments, the selection of the thematic trials is made at the briefing visit .

Points to be explored in the review visit

Points to be explored in the review visit

  • The institution approach to quality assurance.

  • The relationship between institutional procedures and their operation.

  • The institution’s interaction with the university, where appropriate.

  • The role collaborative partner institutions, where appropriate.

  • The ways in which the institution is using the external reference points.

  • Procedures for student complaints and academic appeals

  • Complete and reliable published information.

  • The ways of students support and optimizing the learning opportunities.

  • The ways in which the quality of the teaching staff is assured

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