College of Medicine

Al-Imam Mohammad Ibn Saud Islamic University

Key Performance Indicators (KPIs)

2018/2019
 Introduction
KPIs Selection:

The KPI subcommittee of accreditation principal committee conducted several meetings to

review in depth the selection of KPIs in the academic year 2018/2019. The KPIs selection
approach was according to the following steps:
1. Identification of the applicable KPIs from the following sources:
 NCAAA KPIs
 IMAM- QMS KPIs
2. Creation or adoption of KPIs based on needs assessment, collection of data through the
surveys and potential for positive impact on the College and program performance.
3. Prioritization of the importance of KPIs based on internal benchmark and contribution
towards best achievement of program goals.
4. The KPIs list was proposed and feasibility were checked.
5. The KPIs list was endorsed to the accreditation principal committee.
6. Then, KPIs list was finally approved by the College Board (council).
7. KPIs are measured yearly; followed-up and reported by the AQU.
8. We get external benchmark through collaboration with Al Majmaa and Al Qassim
Universities which has similar conditions with our college.
 Target Actual Internal New Target
External Benchmark
Benchmark Benchmark Benchmark Benchmark
Previously Currently The previous Refer to benchmarks Refers to the
anticipated measured performance level from similar programs establishment of
performance KPI. for the college or institutions that are a new /desired
level/desired /University. outside the performance
outcome (goal/ (previous year or program/institution. level/ goal for
aim) for the average of years) the KPI based on
KPI. the outcome of
the KPI analysis.

Approved Key Performance Indicators (KPIs)

NCAAA requires that 70% of the 27 Program KPIs can be used. Institutions should complete not
less than 22 and program not less than 17 of the following KPIs.
In our KPIs, we have prepared 20 KPIs based on the NCAAA KPIs and an additional 2 KPIs
from the College of Medicine.
NCAAA/ Added
NCAAA Standards Program KPIs
KPIs
Standard 1: Mission Goals & Objectives 1
Standard 2: Program Administration 0
Standard 3: Management of Program Quality Assurance 3
Standard 4: Learning & Teaching 5 1
Standard 5: Student Administration & Support Services 2
Standard 6: Learning Resources 3
Standard 7: Facilities & Equipment 1
Standard 8: Financial Planning & Management 0
Standard 9: Faculty & Staff Employment Processes 2
Standard 10: Research 5
Standard 11: Community Service 1
23 1
Total
24
KPI: S 1.1

Stakeholder’s awareness rating of the mission and objectives

(Average rating on how well the mission is known to teaching staff, and undergraduate and
graduate students, respectively, on a five- point scale in an annual survey)

NCAAA KPI Reference Number: S 1.1

Internal
Target Actual Benchmark External Benchmark New target
Benchmark
Benchmark 2018/2019 2018/2019 Benchmark
2017/2018
Combined: 67.33%
Al Majmaa COM 60 %
Students: 76%
Combined: (3.0)
90% Imam Alumni: 54% 90%
82.2% Al Qassim COM 84 %
Faculty: 72.00% (4.2)

Analysis:

The data shows that 67.33% of stakeholders are aware with mission and objectives. This is an
acceptable percentage especially after updating the mission. However, our new target is to
raise the awareness to reach at least 90%.

Source of data: Online Survey.

https://drive.google.com/drive/folders/17zaPpfcX_QODfORPDz6FjN3uPVAXcd_E?usp=sharing

Recommendations:

1. Keep the awareness level through attaching the mission to the lecture slides by the
faculty.
2. Use the media for more transmission, especially for Alumni.
3. Prepare an awareness video about the mission in Arabic and English.

* Explain:

1. Why this internal benchmark provider was chosen?

To get the ratio of awareness in the last year with that of this year.

2. How was the benchmark calculated?

A survey is performed among students, staff and faculty to get their responses about their satisfaction,
the ratio of respondents to the surveyed students and staff is calculated.

3. Name of the internal benchmark provider.

COM IMAM University.
** Explain:

1. Why this external benchmark provider was chosen?

We chose external benchmark from universities which has Medical program similar to our
Medical program and the College of Medicine established with an equal or nearer number
of staff and students.

2. How was the benchmark calculated?

Communicating with the vice-deanship of Development and Quality at Al Majmaa College
of Medicine and Al Qassim College of Medicine.

3. Name of the external benchmark provider.

COM -Al Majmaa University
COM - Al Qassim University
KPI: S 3.1 (P-02)

Students overall evaluation on the quality of their learning experiences at the institution
(Average rating of the overall quality on a five-point scale in an annual survey of final year
students.)
NCAAA KPI Reference Number: S 3.1 (P-02)

Target Achieved Internal External

New Target
Benchmark Benchmark Benchmark Benchmark
2018/2019 2017/2018 2018/2019
Al Majmaa (3.75)
3.6 M=2.9 (58%) 3.1(62%) Al Qassim M=4.2 3.6
F=3.6
Analysis:
The data shows that the average satisfaction rate of male and female students with their quality of
learning experiences at Imam COM in the academic year (2018-2019) was 2.9 out of 5. In
2017/2018, the quality of the learning experience in the program was 3.1/5. Our ratio of Male
students’ satisfaction is below the rate of the external benchmarks institutes.

Source of data:
Online survey for final years students
Average rating of the overall quality on a five-point scale in an annual survey of final year
students

https://docs.google.com/spreadsheets/d/1LLFwwvhwKutCx0aBtcnEJkGWTTW-
TM3H/edit?usp=sharing&ouid=110282485803478824782&rtpof=true&sd=true

Sample size:
(56) 5th year male students.
No 5th year females.

Recommendations:
1. Improvement of the facilities and the services provided to the students at the college and
the university levels.
2. Improvement of the relation of the faculty with the students.
3. Improvement of guidance and counselling services.
KPI: P 03
Students overall rating on the quality of their courses (Average rating of students on a five
point scale on overall evaluation of courses)
NCAAA KPI Reference Number: P 03

Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018

Al Majmaa COM:
M&F: M&F: 75% (3.75)
75% 4.0 (80%)
3.75 (75%) 3.65 (73%) Al Qassim COM: 78%
(3.9)

Analysis:
The data shows that the average rating of students to the courses was 3.65 (73%)in the last
academic year (2017-2018), while in this year 2018/2019, the students’ satisfaction about
courses was 3.75 (75%) which is similar to the external benchmark. It is recommended to keep
the new target of 80% student’s satisfaction for the next two years.

Source of data:
Data are collected from the course evaluation reports received from the university.
All the students participated in the survey conducted by the university to evaluate the courses
through a 5-score questionnaire containing 30 questions.

Annexes:
https://drive.google.com/drive/folders/1VMHIKLKTGsZZ2K3vqF5A8oT0KwoLxu46?usp=shar
ing

Strengths:
- The ratio of quality of the courses is increasing from year to year that reflects the increasing
quality of the educational activities.

Recommendations:
- Agreement with a qualified company to perform the courses’ evaluation in the College of
Medicine which has special questions in addition to that of the university.
KPI: S 3.2
Proportion of courses in which student evaluations were conducted during the year

NCAAA KPI Reference Number: S 3.2

Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
Al Majmaa COM: 95%
100% (100 %) 63.4% 100% courses
Al Qassim COM 100%

Analysis:

The data shows that proportion of courses in which student evaluations were conducted during
the last academic year (2017-2018) was 63.4% (26:41) which is less than the internal and
external benchmark while in this academic year 2018/2019 it reached 100%.

Source of data:
Data are collected from the course evaluation reports received from the university.

Annexes:
https://drive.google.com/drive/folders/1VMHIKLKTGsZZ2K3vqF5A8oT0KwoLxu46?usp=sharing

Strengths:
- The rate of Course reports submission is improved.
- Administrative and support manpower was provide to the Central Quality Unit.
-Preparing a new questionnaire for medical students for proper evaluation of medical courses
is under processing.

Recommendations:

- Adding opinions open-ended questions in the course evaluations to reflect students’ own
opinions.
- Providing the Central Quality Unit with new statistical program for performing course
/faculty and organizers evaluations.
KPI: S 4.1
Ratio of students to teaching staff (Based on full time equivalents).
NCAAA KPI Reference Number: S 4.1
Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
(5.5:1)
Al Majmaa COM: 3.9:1
5:1 M: 5.2:1 M&F (4.3:1) 4.5:1
F: 5.8:1 Al Qassim COM: 4.9:1

Analysis:

The data shows that ratio of students to teaching staff was: Males & females 4.3:1 during the
last academic year (2017-2018). This academic year 2018/2019 after increasing the admission
of female students and stability of the staff number, the ratio became for Males (5.2:1) and for
Females 5.8:1 with an average of 5.5:1.

Source of data: Data are collected from

- The deanship of Human Resources
- Vice deanship of academic affairs and students’ affairs.
- Deanship of Registration and admission .

Annexes:
https://drive.google.com/drive/folders/1UNaB47-Uuhewwx5TSrNBAxTwfqAj-9WF?usp=sharing

Strengths:

- The ratio of students to staff still valid, hoping to reach the new target (4.5) in near future.
- Fair number of highly qualified faculty available for teaching our students

Recommendations:

 Increase the number of female staffs to be consistent with the increased number of Female
students’ admission.
KPI: S 4.3
Proportion of teaching staff with verified doctoral qualifications

NCAAA KPI Reference Number: S 4.3

Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
89.4% 86% Al Majmaa COM: 94%
90% 90%
(152/170) (147:171) Al Qassim COM: 97.7%

Analysis: This data shows that 89.4% of teaching staff have verified doctoral qualification in
academic year 2018-2019 which is improved than the internal benchmark which was 86%. It
is recommended to increase the teaching staff with verified doctoral qualification to reach the
target benchmark of 90%.

Source of data:
Office of the Vice Dean for Educational Affairs and the Directorate of Human Resources at
the university.

Annexes:
https://drive.google.com/drive/folders/19giLaZLp4hFwxJDZkof5VRlpxISAcTrw?usp=sharing

Strengths:
 Fair number of faculty with different ranks in the College.

Recommendation:
- Increase the number of female teaching staff in the basic science departments with
verified doctoral qualifications to increase our ratio to the target benchmark of 90%.
KPI: S 4.4
Retention rate; Percentage of students entering programs who successfully complete first
year.
NCAAA KPI Reference Number: S 4.4

Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
M: 89.4% M: 85.71% Al Majmaa COM:
F:97.2% F:92.54% 84.5% M:95%
95%
Average Average Al Qassim COM: F: 100%
(93.3%) (89.13%) 90.7%

Analysis: This data shows that an average of Male and Female students about 93.3% of
undergraduate students were eligible to proceed to second year after their first academic year in
academic year 2018-2019. The average in 2017/2018 was 89.13%. It is recommended to keep
the new target of 95% for Males and 100% for Females for which all academic staff will be
needed to achieve the same level of instruction.

Source of data: Office of Vice Dean for Educational Affairs

Annexes:
https://drive.google.com/drive/folders/1GqqKgbAtVXXSFT4UMldUlhNCtRWsV0v6?usp=shari
ng

Strengths:

- Availability of robust curriculum, proper academic counselling and educational facilities and
infrastructure.

Recommendations:

- Keep the new target of 95 to100% for Male and Female students respectively.
- Concentrate on first year academic counselling.
KPI: S 4.5

Completion rate: Proportion of students entering undergraduate programs who

complete those programs in minimum time.

NCAAA KPI Reference Number: S 4.5

Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
67% 75% Al Majmaa COM 66%
75% 80%
(95/142) (60/80) Al Qassim COM: 64.3 %

Analysis: These data show that 95 students out of 142 graduated on 2018/2019 completed the
program in the minimum time (67%), while in 2017/2018 there were 60 students graduated in
minimum time from the cohort admitted in 1433 who was 80 students with ratio of 75%. This
actual benchmark is lower than the internal benchmark and higher than the external
benchmark.

Source of data: Office of Vice Dean for Educational Affairs –student’s affairs unit.
https://drive.google.com/drive/folders/142epPr_1mPALHKmRQd9q3JEmb-r8a2JD?usp=sharing

Strengths:

- The ratio of graduated students at a minimum time is acceptable.

- Availability of educational facilities and infrastructures that assisted the students to
complete the program in time.

Recommendations:

- Keep the new target of 80 %.

- Provide extra counselling sessions for the students for support.
KPI: S 4.6 (P 07)

Proportion of students who are employed or enrolled in postgraduate programs in the first
year after graduation.

NCAAA KPI Reference Number: S 4.6

Achieved Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
Al Majmaa COM: 100%
Employed
73.1% 71% Al Majmaa COM: 75%
75%
85.7%
Enrolled in
PG studies
53% 51.3% NA 55%
60%

Analysis: This data shows that 73.1% of graduated students are employed in academic year
2018-2019 during 1 year after graduation, while this ratio was 71% on 2017/2018. It is
recommended to keep the new target of 75%, which still below the external benchmark.
About 53% of the graduates are enrolled in postgraduate studies in 2018/2019 while this ratio
was 51.3% in 2017/2018 lagging behind the external benchmark.

Source of data:
1-Directorate of human resources at the university and the alumni unit.
2-Alumni were contacted personally and a survey were filled by the secretary.

Strengths:
- Our graduates are attracted by different governmental and private sectors.
- Our graduates were accepted in the most compatible post graduates specialties.

Recommendations:
- Encourage and guide all the graduates to be enrolled in postgraduate programs as soon as
finished their internship training, by workshops and awareness activities.
- Provide counselling sessions for the graduates about career planning and employment.

Annex: Number and ratio of Al Imam graduates Employment and PG program enrolment – 3 successive years
https://docs.google.com/spreadsheets/d/1vUfd4pzzkREk_Il4Yvz7Q1muuhHB9xmLdvBaD0obrfk/edit?usp=sharing
https://docs.google.com/spreadsheets/d/1W6cJRcIVJgVQmue6GqWoT8xFgF9jGv4c3JDBDCzr0sU/edit?usp=sharing
https://drive.google.com/file/d/1Imf0-aJaqCkTmvBx9nxgrJZ5gOYuVuop/view?usp=sharing
KPI: S 5.3
Student evaluation of academic and career counselling.
(Average rating on the adequacy of academic and career counselling on a five-point scale).

NCAAA KPI Reference Number: S.5.3

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
Al Majmaa COM: 3.2 (64%)
4.0 (80%) 2.5 (50%) 3.04 (60.8%) 4.0 (80%)
Al Qassim COM: 3.8 (76%)

Analysis:
The data shows that 50% of students in the academic year 2018/219 reported that they have
received counselling in the program compared to 60.8% of students in academic year 2017-
2018. It is recommended to keep the new target of (4.0) 80% especially after the establishment
of fully-functioning Academic Counselling unit for male and female students.

Source of data:
Online Survey (SurveyMonkey)
A survey is performed among students to get their responses about their evaluation of academic and
career counselling .

Students satisfaction survey 2018/2019:

https://drive.google.com/drive/folders/1TpRbayUL8tgDdtN0AsVsRvlA6weJgKuf?usp=sharing

Strengths:

1. Participation of qualified faculty in the newly established counselling unit.

Recommendations:

1. Full Activation of academic counselling unit for male and female students.
2. Provision of social worker and psychiatry clinic for counselling.
KPI: S 6.1
Number of book titles held in the library as a proportion of the number of students.

NCAAA KPI Reference Number: S 6.1

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
15:1 7.9:1 10.8:1 Al Qassim COM 24:1 15:1

Analysis:

The data shows that proportion of book titles to the number of students during the academic
year (2018-2019) was 7.9:1 due to increased number of students compared to 2017/2018
where the ratio was 10.8:1. It is recommended to add more books to reach the new target
benchmark of 15:1.
This ratio of the external benchmark (Qassim University) is over our benchmarks
(https://drive.google.com/file/d/1U98PISfxfsakpi7Efjpb3Gt0wKVL4vIC/view?usp=sharing ). Our plan is to
reach the new target (15:1). According to our new planning about the upgradation of the
library, we will add 1500 book titles to the library.

Source of data: Library records

Strengths:
1. Availability of a well-structured wide library in the middle of the college building
according to the international standards.
2. Availability of rigorous borrowing system and highly-qualified librarians.
3. Availability of professional librarian holding doctoral degree.

Recommendations:
1. Upgrading the library, with adding new titles to the library with recent editions in
different medical fields.
2. Encouraging the students to use the Central University Library .
KPI: S 6.4
Stakeholder evaluation of library services. (Average rating on adequacy of library services
on a five- point scale).

NCAAA KPI Reference Number: S 6.4

Actual Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
Students: Students:
Al Majmaa COM: 3.7 (74%)
70 % (St): 3.4 (68%) St: 3.2 (64 %) 75 %
Al Qassim COM: 3.7 (74 %)
(Fac): 3.35 (67%) Fac:3.62(72.6%)

Analysis:
The data clearly showed that we achieved 68% satisfaction rate of the library services by the
students in the academic year 2018/2019 compared to 64% in 2017/2018 and the faculty scored
67% satisfaction in 2018/219 compared to 72.6% in 2017/2018. It is recommended to increase
this percentage to reach the target of 75% for which the library staff will be encouraged and their
co-operation will be needed.

Source of data: SurveyMonkey

Strengths:
1. Presence of a variety of learning facilities and resources.

Recommendations:
1. Improving the learning facilities to the female campus.
2. Establishment of IT local service point in the Male & Female campuses to respond to the
urgent requests of the students and faculty in joining SDL.

Satisfaction survey 2018/2019:

Students (18/19) https://drive.google.com/file/d/1L24ZWKmBj5Q33MKMtJ2uHHYmaimCx9ez/view?usp=sharing

KPI- ( P-06)
Students' performance in the professional and/or national examinations
NCAAA KPI Reference Number: ( P-06)

External
Target Actual Internal
Benchmark Benchmark New target
Benchmark Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
Al Majmaa:
M F M F M F
95% 95%
88% - 92% - 83%

Analysis:
The national professional exam is provided and controlled by Saudi Commission of Healthcare
Specialties (SCFHS) for all medical graduates annually. Also, there is an annual progress test
exam held at the same time for all Medical Colleges as a formative test to evaluate students
achievements in their courses and filling the gaps that may be present.
This data shows that the performance of our graduates in the licensing exam of SCFHS in
2018/2019 was 88% pass rate almost higher than that of the external benchmark and lower
than the internal benchmark.

These data are collected through data provided by SCFHS exam statistics website (LINK) .

Strengths:
- The level of Al Imam graduates is mostly the same as the level of other universities
graduates.

Recommendation:
- Providing extensive awareness workshops, courses and MOCK exams to prepare the students and
graduates to their national and licensure exams.

Annex: SMLE passing rate

https://drive.google.com/file/d/1yB2S6XqwudUPQ4t32fRILpO7TXzTpLFv/view?usp=sharing
KPI- ( P-08)
Average students number in the class.
NCAAA KPI Reference Number: ( P-08)

External
Target Actual Internal
Benchmark Benchmark New target
Benchmark Benchmark 2018/2019
2018/2019 2017/2018
Al Majmaa:
Classroom M F M F M F
M F
 Lecture 50 75 50 50 40 40 50 40
 Practical 20 20 10 15 10 25 - 20 10
 PBL 10 10 10 10 10 10 10 10

Analysis:
These data show that the distribution of students in the classes (Lecture, Practicals and PBL
classes) among the different years is consistent with the capacity of each class. The Lectures
are given in big classrooms and the Practical sessions usually conducted in the labs with a
capacity of 15-20 students. The distribution of students in the external benchmarked colleges
is similar to that of Al Imam COM as all are chronographically near each other.
These data are collected from the office of vice-dean for educational affairs.

Strengths:

- Presence of good number of classrooms suitable for lecture, practicals and PBL sessions.
- Availability of educational facilities and state-of-arts equipment in the labs.

Recommendation:

- Keeping the good distribution of the students between the classrooms.

KPI: P 09
Employers' evaluation of the program graduates’ proficiency
NCAAA KPI Reference Number: P 09

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
80 % 4.0 (80%) 3.8 (76) % NA 90 %

Analysis:
The data shows that the actual target of this academic year 2018/2019 of employers’
satisfaction with the quality of our graduates’ skills and competencies achieved 80% which is
better than their satisfaction in 2017/2018 where they achieved 76%.
We would like to increase our target benchmark to be (90%) and work towards achieving it by
the co-operation of all the faculty and college administration.

Source of data: Online survey (SurveyMonkey)

Satisfaction survey 2017/2018:
Employers: https://drive.google.com/file/d/1ZN3jCXWxiiwLnIdzJBZcswRqzZ1v1J32/view?usp=sharing

Satisfaction survey 2018/2019:

Employers: https://drive.google.com/drive/folders/1nBYK1RaD8ub4VY5xzIPTiNakk_HLz3CQ?usp=sharing

Strengths:
- High performance of our graduates
- Our graduates were known with their high ethics and discipline as noted from the survey
open comments section.

Recommendations:
- Communicate the results to surgery, medicine departments and simulation center to set up
an improvement plan for clinical and surgical skills.
- Continuous communication with the preparatory year deanship to follow up the
performance of students in the health track and improve the English language of graduates.
- The program should sign agreements with professional hospitals for students training.
KPI: P 10
Average overall Students’ evaluation of the services (Average rating on a five-point scale).

NCAAA KPI Reference Number: P 10

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
Al Majmaa
COM:
M: 3.4 (68 %)
3.4 (68%)
3.5 (70 %) F: 2.9 (58%) 3.25 (65%) 3.5 (70 %)
Al Qassim COM:
M: 4.1(82%)
F:3.8 (78%)

Analysis:

The data shows that the actual target of this academic year 2018/2019 of students’ satisfaction
with the services achieved an average of 6.3% (3.15) in both male and female sections . where
they achieved 65% satisfaction with the services provided to them in academic year 2017-2018.
We would like to keep our target benchmark as 3.5/5 (70%) and work towards achieving it by
the co-operation of the college administration to provide the required services to students e.g.
improving IT services, bookstore, car parking, food court etc..

Source of data:
Online survey
https://drive.google.com/drive/folders/1SYTb4wkE2TMoknHqdzrNPpkrmW0rWFE_?usp=shari
ng

Strengths:

There is a variety of services provided to the students in the college either curricular or
extracurricular.

Recommendations:

- Improve the quality of provided services to the students especially those related to
recreation, food court, waiting places, reading areas, bookstore… etc.
KPI: S 9.1
Proportion of teaching staff leaving the institution in the past year for reasons other than
age retirement.

NCAAA KPI Reference Number: S 9.1

Actual Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
M: 1.78%
Al Majmaa COM: <1%
0% F: 0.59% 1.13 % 0%
Al Qassim COM: 3.2 %
Combined:1.1%

Analysis:

The rate of faculty left the institution for any reason other than age retirement this academic year
2018/2019 was 1.1% compared to (1.13%) in 2017/2018.

Source of data:
Office of Vice Dean for Administrative Affairs
https://drive.google.com/drive/folders/1h-y8EHwhi1e0iWYaD4YO1uF8PRptP7Jk?usp=sharing

Strengths:

1- Cooperative administration and healthy work environment in the college encouraged the
faculty for continuation.

Recommendations:

1- Rewarding the distinguished faculty in teaching and research.

2- Activate the weekly or monthly staff gathering with the college administration.
KPI: 9.2
Proportion of teaching staff participating in professional development activities during
the past year

NCAAA KPI Reference Number: S 9.2

Actual Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
Al Majmaa COM: 80%
90 % 98.2% 50 % Al Qassim COM: 92% 100%

Analysis:
This data shows that teaching staff participated in faculty development activity in academic
year 2018/2019 achieving more than the target. From the survey distributed to the Faculty,
about 166 out of 169 faculty responded that they have participated in FD activities with a ratio
of 98.2% compared with 50% in the academic year 2017-2018. It is recommended to keep the
new target of 100% participation of teaching staff in faculty development activity for which all
academic staff will be encouraged and their co-operation will be needed.

Source of data: Faculty Development Program and Faculty surveys.

Satisfaction survey 2017/2018:

Faculty: https://drive.google.com/file/d/1P4rlrBbT8UsdgVeW_Q_moQtnhvmd87MY/view?usp=sharing (Q #:12)

Satisfaction survey 2018/2019:

Faculty: https://drive.google.com/file/d/1NR7C0C8ObteLXqFMLxZIs0babQzEc3Pg/view?usp=sharing (Q #:4)

Strengths:
- Availability of FDU providing annual developmental programs to the faculty

Recommendations:
1. Diversity of activities need to be provided including; academic, research, assessment
and administrative activities.
2. Using the faculty evaluations and taking the faculty opinions in determining the
required FDA annualy.
KPI: S 10.1
Number of refereed publications in the previous year per full time equivalent member of
teaching staff (Publications based on the formula in the Higher Council Bylaw excluding
conference presentations).
NCAAA KPI Reference Number: S 10.1
Actual Internal External
Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
M: 1:1.72
F: 1: 0.94 Al Majmaa
1:5 1: 1.04 1:2
1: 2.25 (45%)
1:1.33

Analysis:

These data show that the ratio of refereed publications in the academic year 2018/2019 were in
the Male side 1:1.72 and in the Female side 1:0.94 (combined 1:1.33) , compared to a ratio
of 1:1.04 in the year 2017/2018. It is recommended to keep the new target of 1: 2 publications
in the next year per full time members of teaching staff for which all academic staff will be
encouraged to perform researches and publish their output.

Source of data:
Office of Vice Dean for PG & Research and Faculty online surveys.
https://drive.google.com/drive/folders/1Fnm2gW2vnsU34F_WnqkXp03SKSAbbAtp?usp=sharing

How it was calculated:

The rate of published research per faculty member is computed through the following formula:

Strengths:
- Availability of well-equipped research center.
- Increased rate of Male faculty who has research output compared to previous years.

Recommendation:
- Recruiting more research assistants and technologists.
- Involving the faculty with collaborative research projects with the students and other
institutions with partnership with college.
KPI: S 10.2
Proportion of full-time members of teaching staff with at least one refereed publication
during the previous year.

NCAAA KPI Reference Number: S 10.2

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
M: 59.7% Al Majmaa COM:
70% 56% 70%
F: 54.3% 48%

Analysis:

This data shows that 59.7% of the male staff and 54.3% of the female staff has at least one
refereed publication during 2018/2019 compared with 56% of the total teaching staff in the
academic year 2017-2018. It is recommended to keep the new target of 70% of the total teaching
staff will have at least one refereed publication for which all academic staff will be encouraged
for more research and publications.

Source of data:
Office of Vice Dean for Research and Faculty Surveys
https://drive.google.com/drive/folders/1x3YiDw8aNDGVmCuFDrZkv_XN1ErGIq7J?usp=shari
ng

It is computed through the following formula:

Strengths:

- Availability of well-equipped research center.

- Increased rate of Male faculty who has research output compared to previous years.

Recommendation:
- Recruiting more research assistants and technologists.
- Involving the faculty in collaborative research projects with the students, and with other
institutions which has partnership with the college.
KPI: S 10.3
Number of citations in refereed journals in the previous year per full time
equivalent teaching staff.

NCAAA KPI Reference Number: S 10.3

Actual Internal
Target External Benchmark New target
Benchmark Benchmark
Benchmark 2018/2019 Benchmark
2018/2019 2017/2018
M: 37.2:1 Al Majmaa COM: 3.6:1
30:1 15:1 50:1
F: 7.4:1 Al Qassim COM: 11:1

Analysis:
This data shows that the citation of the publications in refereed journals of the total staff in the
year 2018/2019 was 37.2:1 for males and 7.4:1 for females, while in the previous academic
year 2017/2018, it was 15:1. It is recommended to increase the new target to 50:1 for the
citations of the total teaching staff publications who will have at least one refereed publication
where the staff will be encouraged for more research and publications .

Source of data:
Online Survey

https://drive.google.com/drive/folders/1P3fHjRqbHm-fK4agZTSA4B-gH8K-AKmh?usp=sharing

Strengths:

- Increased Citation of the male faculty publications than previous years

Recommendations:

- Encouraging the faculty for performing distinguished research and publish in peer-reviewed
journals.
KPI: S 10.4
Number of papers or reports presented at academic conferences during the past year per
full time equivalent members of teaching staff.

NCAAA KPI Reference Number: S 10.4

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
0.76
One 0.16 presentation Al Majmaa COM:5
presentation per One
presentation per full time staff Al Qassim COM:
full time staff presentation
per FTF members 1.3
members

Analysis:

The data shows that 0.76 presentation or report presented at academic conferences in the
academic year 2018/2019 where there are 126 participations in conferences reported by 166
Faculty compared to 0.16 presentation per full time staff members at academic conference during
the last academic year 2017-2018. It is recommended to increase the number of presentations in
academic conferences for which all academic staff will be encouraged and supported to present
their work at local or international conferences.

Source of data: Feedback from the faculty surveys

Satisfaction survey 2018/2019:

Faculty: https://drive.google.com/file/d/1NR7C0C8ObteLXqFMLxZIs0babQzEc3Pg/view?usp=sharing (Q #:16)

Recommendations:
- Support the faculty for participation in conferences locally & abroad to present their
research output and exchange the expertise.
KPI: S 10.5
Percentage of teaching staff distribution (by academic rank) Professor, Associate Prof.
Assistant Prof. Lecturers, Demonstrators

NCAAA KPI Reference Number: S 10.4

Internal
Target Actual Benchmark External Benchmark New target
Benchmark
Benchmark 2018/2019 2018/2019 Benchmark
2017/2018
Al Majmaa COM
M: 79.30% M: 76.6%
a) By Gender: Males: 79.3%
F:20.70% F: 23.4%
Females: 20.7%
Al Majmaa COM Increase the
Professor 3.55 % Professor 0% ratio of staff
Associate 8.88 % Associate 5.3 %
professor professor to students
Same actual to be 1:4.5
b) By Rank: Assistant 79.29 % Assistant 62 %
professor benchmark professor
Lecturer 2.37 % Lecturer 4%
Demonstrator 5.91% Demonstrator 28.7 %

Analysis:
The data shows that staff members at the College of Medicine, Al Imam university in the
academic year 2018/2019 compared to Al Majmaa COM is distinguished in the higher
designations. The same ratio of staff to students is the same as last academic year 2017/2018 and
it is recommended to increase the target benchmark in the coming year and increase the Female
staff in some specialties in the basic science stage.

Source of data:
Data from the Vice Deanship for Educational affairs & College administration
https://drive.google.com/drive/folders/10l3aZtCgZ0dPY-Epk-3nhJZG1tPR3CJW?usp=sharing

Strengths:
1. Availability of different ranks among the faculty.
2. Number of staffs is consistent with the number of students between males and females.

Recommendations:
1. Support and facilitate the promotion to high ranks.
2. Provide more female staff to the basic science courses.
KPI: S 11.1
Proportion of full time teaching and other staff actively engaged in community
service activities
NCAAA KPI Reference Number: S 11.1

Actual Internal External

Target New target
Benchmark Benchmark Benchmark
Benchmark Benchmark
2018/2019 2017/2018 2018/2019
Al Majmaa 62%
100% (98.2%) (64.4%) 100%
Al Qassim COM: 48%

Analysis: This data shows that the proportion of full-time teaching staff and other staff
actively engaged in community service activities were 166/169 with a ratio of 98.2% in the
academic year 2018/2019 while it was 64.4% in the academic year 2017/2018.
In this academic year 2018/2019, there were 361 activities reported by 166 staff member out
of the 169 included in the survey. These activities include the following:
 Awareness lectures or activities 79 (47.59 %)
 Training services for students or technicians from other institutes 51 (30.72 %)
 Volunteering activities 50 (30.12%)
 Scientific contribution through the media 43 (25.90%)
 External examiners in thesis of PhD or MSc 17 (10.24%)
 Specialized advisory services 25 (15.06%)
 Arbitration of research papers or reports 21 (12.65%)
 I was not involved in any community service in the past year 33 (19.88%)
 Others 15 (9.04%)

It is recommended to increase the new target benchmark as 100 for which all academic staff
will be encouraged and their co-operation will be needed.

Source of data: Online Survey (SurveyMonkey)

Satisfaction survey 2018/2019:

Faculty: https://drive.google.com/file/d/1NR7C0C8ObteLXqFMLxZIs0babQzEc3Pg/view?usp=sharing (Q #:17)
 Strengths:

1. Increased rate of participation of faculty and students in community services.

2. Participation of students in the national events as pilgrimage season, vaccination events
and international days for awareness about infectious and chronic diseases.

Recommendations:
1. Activation of Community Services Unit to organize the activities of the college
employees in community services.

Closing Quality loop

2017-2018 action plan follow up

Action Person(s)/units Achievement

No. Actions taken in 2018-2019
Recommendation of 2017-2018 Responsible Status
1. Increasing the awareness CQU -Mission is added to the lecture
slides by the faculty.

sessions for all students and
stakeholders about the program -Mission banners are distributed
mission in the college corridors, COM
website, COM twitter account,
WhatsApp groups.
2. Communication with the CQU -a letter was sent by the dean
Deanship of Admission and office to the dean of the
Registration to include all the
courses to be evaluated by the
admission and registration.
-all the courses are included for 
students. evaluation by the students at the
end of each course.

3. Establishment of an academic Dean of the college- An academic counselling unit

counselling and guidance unit in was established and activated.
Academic affairs
the college to have annual plan
for students’ counselling and
assign groups of counsellors 
from the male and female
faculty.

4. Providing academic counselling The counselling unit is activated

for the low achievers of students and the low achievers have a
Counselling unit

to solve their academic special plan, which is
difficulties and increase the undergoing by the unit.
completion rate.
5. Organization of various events Counselling unit Students are attending the career
such as career day so that our
graduated student explores
day activities

different opportunities.
6. Provide the students with feedback Assessment Unit Students are informed about
about their performance in all
teaching activities and assessments.
their performance in the
formative and summative
exams.

7. Training courses for Blackboard Medical Education The faculty and students are
utilization as a source of
information for students.
Department trained in using online
blackboard in teaching and
learning

8. Motivating the students to CQU Students are motivated by direct


participate in filling the messages that clarify the
questionnaires prepared by the importance of these surveys.
questionnaires committee.
9. Updating the available textbooks Vice dean of PG A letter with the required
in the library by adding recent sources was sent through the
-Library dean office to the deanship of

series in different medical
specialties. libraries. Still waiting to receive
the books . However the Central
library is an excellent facility to
use.
10. Encouraging the students to visit Vice dean of PG Students are more aware now
the Central university library as ,about the Central university
it contains excellent and
sufficient sources.
-Library library. 
11. Establishment of a local service Administrative Affair An IT technician is available
of IT in the College for urgent now onsite.
response to the requests for
services.

12. Providing an announced annual
calendar for the faculty
development activities with
FDU FDU is activated with a clear
plan in collaboration with the
CQU.

Diversity of developmental
activities in the educational,
research, assessment and
administrative fields.

13. Establishment of Community

Services Unit to organize and
support the activities of the college.
Dean of the college Community Services Unit have
been Established. 
14. Considering the community
services as one of the criteria of
Vice dean of quality
-CQU
A new faculty evaluation criteria
and plan is being processed to
be activated.

faculty evaluation
15. Recruit more teaching staff to
improve the value of the ratio of
Heads of departments
-Dean of the college.
New staff joined the program.

students to teaching staff,
especially if the number of
students is increased in the next
year.

New Action Recommendations

KPIs 2018-2019

No Action Person(s)/units Time for action

. Recommendation Responsible
1. Increasing the awareness sessions for all students CQU At the beginning of the year
and stakeholders about the program mission
Through creating awareness videos .

2. Increasing Awareness programs for the newly Vice deanship of Annually at the beginning of
admitted students to clarify their rights and academic affairs the year for 1st year
obligations and the educational queries regarding students
teaching , learning and assessments.
3. Providing extensive awareness workshops, courses -Vice deanship of
and MOCK exams to prepare the students and academic affairs At the end of the academic
graduates to their national and licensure exams. -Medical education year
department
4. Signing agreements with professional hospitals for Vice deanship of
At the start of academic
students training. clinical affairs and
year
training
5. Communicating with the head of simulation centre
Head of simulation
and head of surgery department to Improve surgical At the start of academic
centre and head of
skills of the students by providing extracurricular year
surgery department
activities.
6. Academic counselling sessions to be condensed to
the needy students and the services of the
Counselling Unit Whole the academic year
counselling unit should be announced to the
students
7. The blackboard to be activated for using it as an Vice deanship of
Start of the Academic year
educational facility academic affairs
8. Improving the Relation of the Faculty with their
students by encouraging them to use the office Head of department Whole the academic year
hours for private discussion
9. Providing the Central Quality Unit with new
statistical program for performing course /faculty Vice dean of quality Start of the Academic year
and organizers evaluations.
10. Equalize the facilities usage between Male and College administration Start of the Academic year
Female sections.
11. Improve the quality of provided services to the College administration Start of the Academic year
students especially those related to recreation, food
court, waiting places, reading areas, bookstore
12. Using the faculty evaluations and taking the faculty CQU Whole the academic year
opinions in determining the required FDA annually.

13. Involving the faculty with collaborative research Vice dean of research Start of the Academic year
projects with the students and other institutions with and post graduates.
partnership with college.

***