CARIBBEAN ACCREDITATION A UTHORITY (MEDICWE 1
AND OTHER HEALTH PROFESSIONS)
THE CADBEAN ACCREDITATION AUTHORITY A C ~
(MEDICINE AND OTHER HEALTH PROFESSIONS)
9 of tOO6.
ACT
[ I Ith August, 2006.1
1. This Act may be cited as the Caribbean Accreditation Shorttitle.
Authority (Medicine and other Health Professions) Act.
2. In this Act, unless the context otherwise requires- Inter-
pretation.
"Agreement" means the Agreement Establishing the
Caribbean Accreditation Authority for Education in
Medicine and other Health Professions, signed at
Castries, St. Lucia on the 13th day of November, 2003
of which the text of the Articles is set out in the
Schedule; Schedule.
"Authority" means the Caribbean Accreditation Authority
for Education in Medicine and other Health
Professions, established by Article 2 of the Agree-
ment.
3. The provisions of Articles 14, 15 and 16 of the Agreement -in pro-
shall have the force of law in Jamaica. visions of Agreement
to have
force of law
in Jamaica.
4. All sums required to be paid to the Authority by the provisions. Financial
Government for the purpose of meeting the obligations of
Jamaica under the Agreement are hereby charged on the
Consolidated Fund.
5. The Minister may, by order, make such provisions as he
considers necessary or expedient for giving effect to the Agree- make imple-
ment. mating orders.
6.--(1) Where any amendment to the Agreement is accepted ~ S ~ ~ ~ u ~ t
by the Government, the Minister may, by order, amend the andconse-
Schedule by including therein the amendment so accepted. quentiat matters.
(2) Any order made under this section may contain such
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CARIBBEAN ACCREDITATION A UTHORITY (MEDICINE
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consequential, supplemental or ancillary provisions as appear to
the Minister to be necessary or expedient for the purpose of
giving effect to the amendment accepted under subsection (I),
and without prejudice to the generality of the foregoing, may
contain provisions amending references in this Act to the
specific provisions of the Agreement.
(3) An order made under this section shall be subject to
negative resolution.
(4) Where the Schedule is amended pursuant to this
section, any reference to the Agreement in this Act or any other
instrument shall, unless the context otherwise requires, be
construed as a reference to the Agreement as so amended.
CA R I B B W ACCREDITATION A UTHORITY (MEDICINE
AND OTHER HEALTH PROFESSIONS)
SCHEDULE (Sections 2 and 6)
Agreement Establishing the Caribbean Accreditation
Authority for Education in Medicine
and other Health Professions
THE CONTRACTING PARTLES
I Recallinq the provisions of the Revised Treaty of Chaguaramas
establishing the Caribbean Community, including the CARICOM Single
Market and Economy signed at Nassau, the Bahamas, on 5 July, 200 1 :
Concerned that international trends in the accredtation of training
programmes in certain fields, in particular, the regional accreditation
initiatives of the.European Union will have implications for the traditional
methods of accrediting medical programmes offered by institutions in the
Caribbean Community:
Acknowledaing the absence of a regional system of accreditation for
,training programmes in the h b b e a n Community in medicine and other
health professions:
Recognizing that the establishment of such a system is essential within the
Caribbean Community and that such a system must be internationally
recognized:
Conscious that the primary focus of accdtation and quality assurance
initiatives in the Caribbean Community must be on the delivery of
programmes of study aimed at achieving recogtuzed, predetermined quality
standards, by Universities and like institutions in the Caribbean Community
engaged in providing training in medicine and other health professions:
Aware of the critical importance of international comparability of
programmes of study accredited by a body established within the Caribbean
Community:
Determined to establish in the Caribbean Community a regional
mechanism for the accreditation of training programmes in medicine and
other health professions:
Have agreed as follows:
I
ARTICLE 1
Use of Terms
1. In-this Agreement, unless the context otherwise requires-
"accredit" means the according of recognition by the Authority, on the
basis of an informed evaluation, that the programmes of study
offered by an institution and any award it confers, satisfy
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CARIBBEAN ACCREDITATION A UTHORITY (MEDICINE
AND OTHER HEALTH PROFESSIONS)
standards prescribed or approved by the Authority; and
"reaccredit". "accreditation" and other cognate expressions shall
be construed accordingly;
"Associate Member" means a state or temtory that is admitted to
associate membership of the Community under Article 231 of
the Revised Treaty of Chaguaramas signed at Nassau, the
Bahamas, on 5 July. 200 1 ;
"Authority" means the Authority established by Article 2;
"award means a degree, diploma, certificate or other evidence that
prescribed programmes of study in medicine and other health
professions have been completed successfully;
"Contracting Party" means a Member State or an Associate Member
State of the Community for which this Agreement is in force;
"Community" means the Caribbean Community, including the
CARICOM Single Market and Economy established by the
Revised Treaty of Chaguaramas signed at Nassau, the Bahamas,
on 5 July, 2001;
"Executive Director" means the Executive Director appointed by
Article 11;
"medicine" includes dental medicine and veterinary medicine;
"other health professions". means any health profession other than
medicine specified by the Authority pursuant to paragraph 4 of
Article 9;
"quality assurance" means a system or process of ensuring that
awards granted or progmnmes of study offered in medicine and
other health professions by Universities or like institutions
satisfy standards prescribed or accepted by the Authority;
"Secretariat" means the Secretariat established by the ~uthority by
Article 10;
"Secretary-General" means the Secretary-General of the Community;
"standard means a clearly defined level of academic achievement
employed as a measurement of the quality of education.
2. For the purposes of this Agreement any reference in the following
Articles to the Community shall include a reference to an Associate Member.
ARTICLE 2
Establishment of the Authority
1. There is hereby established the Caribbean ~ccredi&on Authority for
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CARIBBEAN ACCREDITATION A UTHORITY (UEDICINE
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Education in Medicine and other Health Professions having the objectives,
powers and functions set out in this Agreement
2. The Headquarters of the Authority shall be located in a Member State
of the Community to be determined by the Contracting Parties.
Objectives of the Authority
The Authority shall have the following objectives-
(a) the achievement and maintenance of standards of excellence in
programmes of study in medicine and other health professions
offered by institutions in the Community;
(b) the establishment of an efficient system of regulation in relation
to the standards and quality of progmnmes of study in medicine
and other health professions;
(c) the securing of international recognition of the programmes of
study in medicine and other health professions;
( 4 maintaining the confidence of the peoples of the region in the
quality of training offered in the Community in medicine and
other health professions.
Composition of the Authority
1. Subject to this Article and to Article 5, the Authority shall consist of
the following members:
(a) three (3) persons nominated jointly by academic institutions in
the Community offering training in medicine (other than dental
medicine and veterinary medicine);
(b) one (1) person nominated jointly by academic institutions in the
Community offering training in dental medicine;
(c) one (1) person nominated jointly by academic institutions in the
' Community offering training in veterinary medicine;
( 4 two (2) persons nominated jointly by regional organizations
representing civil society;
(e) two (2) students enrolled in training programmes in medicine at
academic institutions in the Community and nominated by the
institutions;
V) two (2) persons from outside the region who have expertise in the
accreditation of training programmes in medicine or other health
professions;
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CARIBBEAN ACCREDITATION AUTHORITY (MEDICNE
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(g) one person representing the Caribbean Association of Medical
Councils (CAMC);
(h) three (3) persons, each appointed by a Contracting Party selected
by the Secretary-General on a rotational basis;
(i) the Executive Director, who shall be an ex-oficio member.
2. Persons referred to in sub-paragraphs (a), (b), (c), (4, and (g) of para-
graph 1 and sub-paragraph (a) of paragraph 6 s& be appointed for a term
of three years and shall be eligible for reappointment for a fiuther term of
three years. No such persons may be appointed for more than six consecutive
Years.
3. Persons referred to in sub-paragraph (e) of paragraph 1 and sub-
paragraph (b) of paragraph 6 shall be appointed for a term of one year and
shall be eligible for reappointment for another one-year term. No such
persons may be appointed for more than two consecutive years.
4. Persons referred to in sub-paragraph V) of paragraph 1 shall be
appointed for a single term not exceeding three years.
5. Persons referred to in sub-paragraph (h) of paragraph 1 shall be
appointed for a term of three years.
6. Where under paragraph 4 of Article 9, the Authority specifies which
professions are to be treated as other health professions, membership of the
Authoriv shall be extended to include-
(a) two (2) persons nominated jointly by academic institutions
offering training in other health professions in the Community;
(b) two (2) students enrolled in training programmes in other health
professions in institutions in the Community nominated jointly by
those institutions.
7. Where the institutions fail, within the time specified in the request, to
nominate any person under this Article, the Secretary-General may designate
such person.
8. Where a member is unable to act or resigns, the competent institutions
shall nominate another person to act in the place of that member.
9. A member may resign by transmitting a written notice in that behalf to
the Chairman. In the case of the Chairman, such notice should be transmitted
to the Vice-chairman
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CARIBBEAN ACCREDITATION A WUORITY VMEDICINE 7
AND OTHER HEALTH PROFESSIONS)
ARTICLE 5
Criteria for membership ofthe Authority
1. The members nominated pursuant to paragraph 1 (a) of Article 4 shall
currently hold, or have held, a faculty appointment at an academic institution
referred to in that paragraph or otherwise have knowledge and experience in
the process of accrediting programmes of study in medicine.
2. The members nominated pursuant to paragraph 1 (6) or (c) of Article 4
shall hold the appropriate academic qualifications, and be actively engaged in
or have recent experience in the practice of their discipline.
3. The members nominated pursuant to paragraph 1 (4 of Article 4 shall,
by virtue of education, experience and public service, possess qualifications
which enable them to provide a public perspective in evaluating programmes
of study in medicine or other health professions.
4. The members nominated pursuant to paragraph 1 (e ) of Article 4
should normally be in their penultimate year of training, be in good academic
standing and should be students drawn from among institutions in the
Community.
5. The members nominated pursuant to paragraph 6 (a) of Article 4 shall
currently hold, or have held, a faculty appointment at an academic institution
referred to in that paragraph or otherwise have knowledge and experience in
the process of accrediting programmes of study in other health professions.
6. The members nominated pursuant to paragraph 6 (6) of Article 4
should normally be in their penultimate year of training, be in good academic
standmg and should be students drawn from among institutions in the
Community.
7. Subject to Article 25, the Secretanat shall be responsible for soliciting
nominations for membership.
Chairman and Vice-chairman
1. At its first meeting, and as required thereafter, the Authority shall elect
a Chairman and Vice-chairman, from among its members referred to in para-
graph 1 (a), (b), (c), (4, and (g) and paragraph 6 (a) of Article 4 .
2. The Chairman and Vice-Chairman shall each hold office for three
years and shall be eligible for reelection.
3. The Chairman may resign from the office of Chairman by notice in
writing addressed to the Vice-Chairman and the resignation shall take effect
on the date of receipt of the notice.
4. The Vice-chairman may resign from that position by notice in writing
addressed to the Chairman and the resignation shall take effect on the date of
receipt of the notice by the Chairman.
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CARIBBEAN ACCRELXTATION A UTHORITY (MEDICINE
AND OTHER HEALTH PROFESSIONS)
5. The Chairman shall preside at all meetings of the Authority and in the
event of the Chauman's absence the Vice-chairman shall preside.
6. If both the Chamtun and the Vice-chairman are absent from a
meeting, the members present shall elect one of the members qualified under
paragraph 1 to act as Chairman or Vice-chairman at that meeting.
ARTICLE 7
Procedures ofthe Authority
1. The Authority shall meet in ordmry session at least once in every
year and in special session as often as circumstances may require. Special
sessions of the Authority shall be convened upon the written request of two-
thirds of the members in that behalf.
2. Decisions of the Authority shall be made by a two-thirds majority of
the members of the Authority who are eligible to vote. A simple majority of
such members of the Authority shall constitute a quorum. .
3. Where circumstances warranf the Authority may make decisions
without meeting in formal session.
4. Minutes of the proceedings of the Authority shall be kept in proper
form.
5. Subject to this Agreement, the Authority shall establish its rules of
procedure.
The Seal ofthe Authority
1: The Authority shall have and use as occasion may require a Seal
having a device or impression with the inscriNon "Caribbean Accredmtion
Authority for Education in Medicine and Other'Health Professions".
2. The Seal of the Authority shall be kept in the custody of the Executive
Director and shall be affixed to documents pursuant to a resolution of
the Authority in the presence of the Chairman and any other member of the
Authority and the Executive Director.
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BROADCASTING AND RADIO RE-DIFFUSION
( 2 ) Every person who contravenes the provisions of
subsection ( 1 ) shall be guilty of an offence against this section
and shall be liable on summary conviction before a Resident
Magistrate to a fine not exceeding five hundred thousand dollars
or to imprisonment for a term not exceeding three years or to
both such fine and imprisonment.
( 3 ) Where a person has been convicted of an offence
under subsection (2 ) , the Court may, in addition to any other
penalty, order that any equipment used in committing the
offence be forfeited to the Crown.
1 lB.---(1) A company referred to in subsection ( 2 ) shall be
ehg~ble for
eligible to be licensed to offer subscriber television service to llcenceto
the public. operate sub-
scr~ber tele-
( 2 ) A company mentioned in subsection ( 1 ) is a
company which-
( a ) is incorporated in Jamaica or any other Member 3712004
State; and S. 29.
( b ) is controlled by persons who are nationals of 3712004
Jamaica or another Member State. s. 29.
( 3 ) Any company which-
( a ) provides telecommunication service and has a
monopoly in any area of that service; or
( b ) is an approved organization as defined in section 2
of the Office of Utilities Regulation Act,
shall not be eligible to apply for or be granted any licence to
operate subscriber television service.
(4) For the purposes of subsection ( 2 ) ( b ) "contrsl" in
relation to a company means the power of a person to secure by
means of the holding of shares or the possession of voting
power in or in relation to that company, or by any agreement or
by virtue of any other powers conferred by the articles of
association or other document regulating the comp'any, that the
affairs of the company are conducted in accordance with the
wishes of that person.
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CARIBBEAN ACCREDITATION A UTHORITY (MEDICINE
AND OTHER HEALTH PROFESSIONS)
(m) appoint an auditor;
(n) determine the fees payable by institutions in connection with the
accreditation of their progt-dmmes;
(0) do all such other acts and things as may be required for the
achievement of the objectives of the Authority.
3. The Authority may-
(a) establish committees of the Authority and invite persons to serve
on such committees;
(b) delegate to such committees, the functions of the Authority
specified in the instrument of delegation, provided that a person
invited pursuant to sub-paragraph (a) shall not be deemed to be a
member of the Authority.
4. The Authority shall specify the professions which are to be treated as
other health professions for the purposes of this Agreement. The Executive
Director shall not@ the Contracting Parties of such decisions of the
Authority.
The Secretariat
1. The Authority shall establish a Secretariat which shall be responsible
for the general administration of the affairs of the Authority.
2. The Secretariat shall comprise an Executive Director and such pro-
fessional, administrative and other staff as may be required to c . out its
functions.
3. The appointment of the Executive Director and professional,
administrative and other staff shall be subject to such terms and conditions as
the Authority shall determine.
4. In addition to any functions which may be assigned to it by the
Authority, the Secretariat shall inter ah--
(a) conduct research on accreditation and quality assurance so as to
inform the work of the Authority;
(b) manage the accreditation cycle for programmes subject to the
Authority's accreditation process;
(c) communicate with and provide guidance and advice to institutions
that are engaged in or propose to be engaged in the Authority's
accreditation process;
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CARIBBEAN ACCREDZTATZON AUTHORITY (UEDICINE
undertake or arrange for the training of persons as assessors of
programmes;
provide information on the work of the Authority to the
Contracting Parties, institutions providing training in medicine and
other health professions and to members of the public;
maintain a record of all activities;
prepare an annual report of the Authority's work;
maintain, on behalf of the Authority, contacts with bodies outside
of the Community having functions in relation to accreditation and
quality assurance;
prepare the draft budget of the Authority and submit it for the
consideration and approval of the Authority;
prepare and submit for the consideration and approval of the
Authority, the staff regulations and financial regulations of the
Authority;
prepare an annual Work Programme and present it to the Authority
for approval;
service meetings of the Authority and any committee, thereof.
Executive Director
1. The Executive Director shall be appointed by the Authority for a
term of three (3) years, on such other terms and conditions as may be
specified in the instrument of appointment, and shall be eligible for
reappointment.
2. The Executive Director shall attend and participate in all meetings of
the Authority but shall have no right to vote on any matter before the
Authority.
3. The Executive Director shall be responsible for the day-today
management and operations of the Secretariat and without limiting the
generality of the foregoing-
(a) shall ensure the efficient use and management of the resources of
the Authority;
(b) shall make recommendations for and in relation to the achievement
of the objectives set out in M c l e 3;
(c) shall implement the directives of the Authority;
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CARIBBEAIV ACCREDITATION A UTHORITY (MEDICINE
AND OTHER HEALTH PROFESSIONLV
( 4 may enter into contracts and sign instruments and documents on
behalf of the Authority:
(e) shall carry out such other duties as may be assigned by the
Authority.
The Executive Director shall appoint such staff as may be required for the
operations of the Secretariat.
ARTICLE 12
Financial Provisions
1. The funds of the Authority shall comprise-
(a) annual contributions from the Contracting Parties;
(b) grant funds received from donor agencies;
(c) income derived from earnings for services provided by the
Authority;
( 4 fees from institutions whose programmes are accredited by the
Authority;
(e) monies received from any other source of funding.
2. The draft budget prepared by the Secretariat shall be presented to the
Authority for approval (with or without modifications).
3. Upon approval of the draft budget, the Authority shall submit it to the
Council for Human and Social Development (an organ of the Community so
named in paragraph 2 of Article 10 of the Treaty) for approval.
4. The Executive Director shall cause proper accounts of the Authority
to be kept and such accounts shall be audited annually by an auditor
appointed by the Authority under Article 9.
5. The Authority shall, within tlurty (30) days of the receipt of the report
of the auditor and the audited accounts of the Authority, transmit copies of
the report and audited accounts to the Contracting Parties and the Council for
Human and Social Development.
Provisional Budgetary Measures
The Authority is empowered to commit provisionally and pending
approval of the budget, expenditure not exceeding one-fifth (115) of the
regular Budget of the previous year.
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CARIBBEAN ACCREDITATION A UTHORITY (MEDICUVE 13
AND OTHER HEALTH PROFESSIONS)
Exemption from Taration
1, The income of the Authority shall be exempt f ~ o m income tax.
2. The Authority shall be exempt from property tax and stamp duty in
respect of instruments executed by or on its behalf.
3. The Authority shall be exempt from customs duties and taxes on
goods imported, purchased or taken out of bond and used for the execution of
its functions.
Legal Status of the Authority
1. The Authority shall possess full legal capacity and in particular full
capacity-
(a ) to contract;
(h) to acquire and dispose of movable and immovable property; and
(c) to institute and defend legal proceediilgs.
2. The Authority may enter into agreements with any entity for the
achievement of its objectives.
3. The Authority shall conclude with the contracting Party in which the
Headquarters is to be located. an agreement relating to the privileges and
immunities to be granted or accorded to the Authority.
4. In any legal proceedings the Authority shall be represented by the
Executive Director.
ARTICLE 16
Protection from Legal Process
No action. suit or other proceeding shall be instituted against any member
i of the Authority or any member of the staff of the Sccretariat for any act done honajide in the esecution of their hnctions under this Agreement.
Signature
This Agreement shall be open for signature by any Member State or
Associate Member of the Community.
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CA RIBBEAIV ACCREDITATION A UTHOHITY (MEDICINE
AND OTHER HEALTH PROFESSIONS)
Entry into Force
T h ~ s Agreement shall enter into force on signature by all Member States
of the Community.
Provisional Application
This Agreement may be provisionally applied on signature by not less
than four Member States of the Community.
ARTICLE 20
Depositary
This Agreement shall be deposited with the Secretary-General (here-
inafter called "the Depositary"). The Depositary shall transmit copies of this
Agreement to each Contracting Party.
Accession
1. After its entry into force any Member State or Associate Member of
the Community may accede to this Agreement.
2. Instruments of Accession shall be deposited with the Depositary.
Amendment
1. A proposal for the amendment of this Agreement shall be transmitted
ky the Chairman of the Authority to each Contracting Party within 30 days of
the date of the proposal.
2. The amendment shall have effect upon the acceptance thereof by the
'Contracting Parties.
ARTICLE 23
Withdrawal
1. A Contracting Party may withdraw from this Agreement by giving
twelve months' notice in writing to the Depositary who shall promptly not@
the other Contracting Parties accordingly and the withdrawal shall take
effect one year after the date on which the notice has been received by the
- - - - - - - -
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CARIBBEAN ACCREDITATION A UTHORITY (MEDICINE 15
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Depositary, unless the Contracting Party, before the withdrawal becomes
effective, notifies the Depositary in writing of the cancellation of its notice of
Withhwal.
2. A Contracting Party that withdraws from this Agreement undertakes to
honour financial or other obligations duly assumed as a Contracting Party.
Implementation
The Contracting Parties shall take all necessary action, whether of a
legislative, executive or administrative nature, for the purpose of giving
effect to this Agreement. Such action shall be taken as expeditiously as
possible, and the Executive Director shall be informed accordingly.
Inaugural Meeting
Upon the provisional application of this Agreement, the Secretary-
General shall take the necessary steps to secure the nomination of the
members of the Authority, referred to in Article 4 and to convene the
Inaugural Meeting of the Authority.
IN WITNESS WHEREOF the undersigned duly authorized in that behalf
by their respective Governments have executed this Agreement.
DONE at Castries, Saint Lucia, on the 13th day of November, 2003.
Signed by
for the Government of Antigua and Barbuda on the 13th day of November,
2003, at Castries, Saint Lucia.
Signed by
for the Government of the Bahamas on the day of -2003.
at
Signed by
for the Government of Barbados on the day of
at
Signed by
for the Government of Belize on the 13th day of November. 2003. at
Castries, Saint Lucia.
Signed by
for the Government of the Commonwealth of Dominica on the day of
, 2003. at
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CARIBBEAN ACCREDITATION AUTHORITY (MEDICINE
AND OTHER HEALTH PROFESSIONS)
Signed by
for the Government of Grenada on the day of : 2003:
at
Signed by
for the Government of the Co-operative Republic of Guyana on the day
of , 2003, at
Signed by
for the Government of Republic of Haiti on the day of
2003, at
Signed by
for the Government of Jamaica on the 13th day of November, 2003, at
Castries, Saint Lucia.
Signed by
for the Government of Montserrat on the day of : 2003,
at
Signed by
for the Government of St. Kitts and Nevis on the day of ,2003:
at
Signed by
for the Government of Saint Lucia on the day of ,2003,
at
Signed by
for the Government of St. vinknt and the Grenadines on the day of
,2003, at
Singed by
for the Government of the Republic of Suriname on the 13th day of
November, 2003, at Castries, Saint Lucia.
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