Institutional and Education Programs Accreditation Section

Accreditation is a self and peer review process that provides improvement in the quality of education for the benefit of the public. The sponsoring institute, programs, and participating training sites are assessed for compliance with requirements or standards set by an accrediting organization or body. Upon the analysis of all documents provided and information gathered during interviews, an accreditation status is conferred. The Institution and Education Programs Accreditation Section in OMSB is responsible for setting policies, standards, and criteria related to local accreditation of training programs and participating training sites. The section, with the assistance of the OMSB Accreditation Committee, also ensures that OMSB and its training programs meet the requirements established by the international accrediting organizations.

To ensure that the training programs comply with the Accreditation Guidelines set by OMSB for residency training.

To improve the training programs through accreditation.

· To improve the quality of postgraduate medical education
· To provide a means for objective assessment of new residency programs
· To assist the scientific committees chairmen and program directors in reviewing the conduct and educational quality of their programs.

Main Services Offered:

·         Recommend, develop, maintain, disseminate, and review policies, standards, and criteria related to the local accreditation process of training programs.

·         Apply for international accreditation from relevant International organizations and follow-up the accreditation process.

·         Assess applications for local accreditation of new training programs, existing accredited programs and new participating training sites.

·         Arrange and conduct periodic review and assessment of locally and internationally accredited training programs and participating training sites.

·         Determine the category of local accreditation granted to training programs and participating training sites based on established standards and requirements of accreditation.

·         Monitor the progress and status of identified citations and concerns mentioned in the Letters of Notification by the international accrediting organizations, Annual Program Evaluation Committee Reports and Accreditation Committee Reports.

·         Prepare Program Letters of Agreement for all training programs.

Dr. Rayhanah Al Mjeni

Head of Section


Mrs. Manar Al Ishaqi

Accreditation Specialist


Ms. Xyllene Reynanldo

Medical Program Executive


Ms. Vernaliza Diaz

Medical Program Executive

Shortly after the inception of OMSB in 2006, the Accreditation Committee was formed in 2007 and has continued to function as the accrediting body for the various OMSB training programs under the Oman Medical Specialty Board. It continued to do so until 2015 when OMSB decided to seek accreditation from the Accreditation Council for Graduate Medical Education-International (ACGME-I). At that point, the Accreditation Committee assumed all the functions of an Internal Review Committee for OMSB programs as required by the ACGME-I Regulations. However, the Committee continued to carry out its other duties unrelated to ACGME-I. Thus, it was renamed “Accreditation/Internal Review Committee” and covers both Committee duties to date. Also, the Accreditation Committee/Internal Review Committee now reports to the Graduate Medical Education Committee instead of reporting directly to the Executive President.


In 2017, the Accreditation Committee/Internal Review Committee started to carry out accreditation reviews of fellowship training programs under OMSB.

1)  Reviews procedures for accreditation of training sites and training programs.
2)  Conducts periodic evaluation of training programs recognized by OMSB to determine the status of accreditation to be conferred for each training program.
3)  Visits health institutions that apply for accreditation to ensure that they meet all the requirements for accreditation.
4)  Studies requests for accreditation of training sites for each training program in the site.
5)  Conducts periodic visits to training sites to ensure that the training programs’ standards and requirements are applied regularly.
6)  Recommends re-accreditation of training sites or training programs that had their accreditation refused, suspended, or, withdrawn previously.
7) Reviews the policies related to the accreditation process to ensure that the accreditation procedures relating to the training sites and OMSB training programs are updated and effective.
8)  Discusses issues referred from the concerned/related authorities at OMSB.

During reviews, the Committee Members and Surveyors of the Accreditation Committee are there to represent only the Accreditation Committee and not their own Education Committee or Training Program.


All Members and Surveyors are to adhere to the principles of confidentiality. All proceedings and deliberations of the Accreditation Committee are strictly confidential and only the information that is contained in the Accreditation Committee report can be divulged, and only after the report is released. Even then, information can be divulged only to individuals directly concerned with the reviewed training programs and/or training sites.


Committee Members and Surveyors are specifically reminded that any details of the discussion of any program and/or training site reviews during meetings and site visits cannot be disclosed to non-Members/Surveyors, not even their own Education Committee/Training Program, not even after the report is out.


Any discussion by Members of the Committee of Surveyors with anybody else is regarded as a breach of confidentiality.

Chairman: Dr. Ammar Al Kashmiri

Deputy Chairman: Dr. Naeema Al Balushi

Members:
Dr. Abdulhakim Al Rawas
Dr. Adil Al Lawati
Dr. Badria Al Hatali
Dr. Farida Al Balushi
Dr. Faryal Al Lawati
Dr. Fathiya Al Shereiqi
Dr. Marwa Al Riyami
Dr. Mazin Al Khabouri
Dr. Mohamed Al Shamsi
Dr. Mohammed Al Sajwani
Dr. Mohsin Al Naamani
Dr. Narayan Swamy
Dr. Nihal Al Riyami
Dr. Rayhanah Al Mjeni
Dr. Yousef Obeid

Invited Member: Prof. Neela Al Lamki

Rapporteur: Xyllene Grace R. Reynaldo

Click on the links below to download the Accreditation Committee Forms:


·        APPLICATION FORMS FOR ACCREDITATION OF TRAINING PROGRAMS

o     Application Form for Accreditation of Residency Training Program

o     Application Form for Accreditation of Fellowship Training Program



·        ANNUAL PROGRAM EVALUATION FORMS

o    Annual Program Evaluation Committee (PEC) Checklist (Form I)

o    PEC Form II Part A:  Institution-Specific

o    PEC Form II Part B:  Anatomical Pathology (Histopathology)

o    PEC Form II Part B:  Anesthesia

o    PEC Form II Part B:  Clinical Biochemistry

o    PEC Form II Part B:  Dermatology

o    PEC Form II Part B:  Emergency Medicine

o    PEC Form II Part B:  Family Medicine (Primary Health Care)

o    PEC Form II Part B:  Family Medicine (Tertiary Care)

o    PEC Form II Part B:  General Dentistry

o    PEC Form II Part B:  General Surgery

o    PEC Form II Part B:  Hematopathology

o    PEC Form II Part B:  Internal Medicine

o    PEC Form II Part B:  Medical Microbiology

o    PEC Form II Part B:  Obstetrics and Gynecology

o    PEC Form II Part B:  Ophthalmology

o    PEC Form II Part B:  Oral and Maxillofacial Surgery

o    PEC Form II Part B:  Orthopedic Surgery

o    PEC Form II Part B:  Otolaryngology-Head and Neck Surgery

o    PEC Form II Part B:  Psychiatry

o    PEC Form II Part B:  Pediatrics

o    PEC Form II Part B:  Radiology


·         TRAINING SITE FORMS AND TEMPLATES

o    PEC Form II Part A:  Institution-Specific

o    PEC Form II Part B:  Program-Specific (refer to the above list)

o    Application for New Training Site:  No Objection Letter Template

o    Training Site Application Report Template

o    Training Site Progress Report Template

 

·         REPORT TEMPLATES

o    Accreditation Committee Review Report Template

o    Annual PEC Report Template

Dr. Rayhanah Al Mjeni

Head of Section
rayhanah.m@omsb.org 
+968 2418 1625

Manar Al Ishaqi

Accreditation Specialist
manar.i@omsb.org
+968 2418 1162

Badriya Al Habsi
Assessment Specialist
badriya.a@omsb.org
+968 2418 1138

Manahil Al Farsi
International Accreditation Specialist
manahil.f@omsb.org
+968 2418 1607

Xyllene Grace Reynaldo
Medical Program Executive, Accreditation
xyllene.r@omsb.org
+968 2418 1096

Kristel Malibiran
Medical Program Executive, Quality Assurance, Accreditation
kristel.m@omsb.org
+968 2418 1618

Gabriel Bautro Fortu

Medical Program Executive
gabriel.f@omsb.org
+968 2418 1617

 

Office Address:

Local and International Accreditation Section, Education Department 
3rd floor, Oman Medical Specialty Board 

Address: Building #:18, Plot No: 404, Block No: 244, Way No: 4443, Area: Athaiba North,

 P. O. Box: 1422, P. C 132 - Al Khoudh, Sultanate of Oman P. O. Box: 1422, P. C 132 - Al Khoudh, Sultanate of Oman