DUCOM Accreditation Standards and Procedures Complaint Form

DUCOM Accreditation Standards and Procedures Complaint Form
Duquesne University College of Osteopathic Medicine (DUCOM) has established a complaint review procedure to protect the integrity and the maintenance of accreditation standards and procedures as they relate to the proposed (COM) having recognition from the COCA. The complaint review procedures are set forth in the DUCOM policies and procedures document Policy 2.4 Complaints Related to Accreditation Standards.

Please note that this complaint review procedure is not an appeal process for decisions made by the COM. The complaint review procedure is to address issues raised related to accreditation issues. Anonymous complaints cannot be considered.

In order to facilitate a complainant’s submission of allegations that relate to accreditation standards, DUCOM encourages the use of the following form. Upon completion, please submit the form to the Dean's Office with the subject line “Complaint Regarding DUCOM Accreditation Standards.”
Your Full Name:*
Email:*
Telephone:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of COM:
Your affiliation to this COM:

StudentFacultyStaffPublic

Factual Allegations (What happened to give rise to this complaint?):
Identify all individuals involved:
What Accreditation Standards and Elements do you allege to have been violated?:
The Accreditation Standards may be accessed here: https://osteopathic.org/accreditation/standards/

As to each Accreditation Standard or Element alleged to have been violated, please correlate every factual allegation that supports your allegation of the violation. Please be as specific as possible.

Example: “Standard/Element X was violated because ….”
Standard/Element was violated because:
Standard/Element was violated because:
Standard/Element was violated because:

What documents support your allegations? Identify and attach all documents you believe will assist the DUCOM in reviewing your allegations.

Cancelof
What actions have been taken to resolve the problem through the recommended route through the COM’s administration and what were the outcomes of those actions?

By signing below, I attest that the information provided above is true an accurate to the best of my knowledge.
Signature*

Clear
Date*

MonthDayYear
Please submit the form and supporting documentation to the Dean's Office.
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