Significant changes to an accredited medical education programme require GMDC’s approval before they are implemented
What is a substantive change?
A programme is accredited against GMDC’s standards as they stood at the time of review. Medical education programmes are dynamic, so any intention to make a significant change must be made known to GMDC, which then determines whether it is a substantive change. Substantive changes are not automatically included within the scope of a programme’s accreditation: the medical school must seek approval before implementing them.
A significant increase in the number of students enrolled: a change of 10% or more in one year, or 20% or more over three years.
A material change in the medical school’s ownership, legal status or governance.
A significant change in faculty, facilities or finances, including creating or closing a regional or branch campus, relocating the school, or contracting a non-Title IV eligible institution to deliver 25–49% of the programme.
A major modification or creation of the curriculum, including substantial changes to its structure, content or length. Routine curricular improvement is not a substantive change.
A material change in the institution’s mission and vision that affects governance, curricular focus, financial aid eligibility or resources.
GMDC may direct a school to seek approval for any change it believes could affect compliance with the standards. If you are unsure whether a change is substantive, contact the Executive Director for guidance.
The process
Step 1
Send written notice to the Executive Director using the Substantive Change Notice Form at least 60 days before implementation.
Step 2
Provide the Substantive Change Detail Form and supporting documentation, also at least 60 days before implementation.
Step 3
Within 30 days, GMDC reviews whether the change could affect the school’s ability to meet its mission or comply with the Accreditation Standards.
Step 4
GMDC may request more information or a site visit. Schools must respond within 10 days.
Step 5
The Governing Body may accept the change, request more information, or deny it. Approved changes are brought within the scope of the programme’s accreditation.
Where exigent circumstances affect timing, schools should notify GMDC as soon as practicable and request an expedited review. Full procedures, including non-substantive changes, are set out in the Accreditation Procedures Manual.
Send queries and notifications in writing to the Executive Director of the Accreditation Secretariat.