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Academic Governance, Regulatory Compliance, and International Quality Assurance Statute

Doctors Academy Group of Educational Establishments

Document Title: Academic Governance, Regulatory Compliance, and International Quality Assurance Framework
Approved by: Educational Board
Authority: Head and Director of Programmes
Corporate Entity: IndoBritish Academy of Science and Technology (Company Incorporated in England and Wales)
Version: 16.0
Effective from: January 2026 (First Created in 2010)
Review Cycle: Annual (Earlier Upon Regulatory, Statutory, or Institutional Change)

 

  1. Legal Status, Corporate Structure, and Institutional Character

Doctors Academy Group of Educational Establishments functions as an integrated educational entity under the corporate umbrella of IndoBritish Academy of Science and Technology, a company duly incorporated in England and Wales under the Companies Act 2006. Doctors Academy operates as the principal trading name within this corporate structure and delivers postgraduate medical and surgical education both within the United Kingdom and internationally.

The Group incorporates the following affiliated divisions, subsidiaries and educational arms:

Each division operates within a unified governance structure overseen by the Educational Board and the Head and Director of Programmes. Academic standards, financial probity, ethical neutrality and quality assurance principles are consistent across all entities within the Group.

Financial accounts are prepared and maintained by qualified professional accountants and submitted annually in accordance with statutory requirements to Companies House and HM Revenue and Customs. Annual returns and tax documentation are filed as prescribed by law. Financial records are retained in accordance with statutory retention obligations and are subject to independent review and audit processes.

The organisation operates on a structured non-profit basis. It is expressly not constituted as a profit-maximising commercial training enterprise. Fees from educational activities are levied solely to ensure operational sustainability and to cover legitimate educational expenditure including infrastructure, faculty honoraria, digital platforms, administrative support, equipment procurement and maintenance, publication activities, academic journal operations, certification processes, venue hire, insurance and compliance obligations.

Any operational surplus is reinvested exclusively into educational infrastructure, academic programme development, publication quality enhancement, technological systems, simulation resources, and international educational expansion. No dividends are distributed and no external shareholders derive personal financial benefit. The institutional character is therefore educational and advancement focused rather than commercial.

 

  1. Institutional Purpose and International Regulatory Alignment

Doctors Academy Group of Educational Establishments is an international provider of structured postgraduate medical and surgical education. It delivers competency-aligned programmes to doctors, surgeons and healthcare professionals across multiple jurisdictions.

Through its divisions, including DoctorExams, International Postgraduate Surgical Education and Training, Structured International Medical Education, the College of Physicians and Surgeons of Cardiff, and its postgraduate certificate programmes, the Group supports examination preparation, continuing professional development, academic publication, and formal certification pathways.

The Governance Framework aligns with, and is informed by, principles consistent with:

Although Doctors Academy does not function as a clinical healthcare provider, where cadaveric dissection, simulated procedures, structured examination practice, or skills-based training are delivered, governance standards reflect the highest applicable ethical, safety and professional principles.

Across all affiliates and divisions, the following commitments apply:

Academic integrity: All programmes are curriculum mapped, competency aligned and consultant supervised where applicable.

Regulatory defensibility: Educational activities are designed to withstand scrutiny by national and international regulatory authorities.

Data governance: Personal data, examination results, certification records and publication submissions are managed within secure systems compliant with data protection legislation.

Corporate neutrality: The Group does not accept pharmaceutical, corporate or commercial funding that may compromise academic independence.

International quality assurance: Standards are benchmarked against globally recognised frameworks to ensure consistency of educational delivery irrespective of jurisdiction.

 

  1. Institutional Autonomy, Independence, and Corporate Neutrality

Doctors Academy operates as a self-regulated, self-funded, and autonomous educational institution. The organisation does not accept financial sponsorship from pharmaceutical companies, medical device manufacturers, corporate entities, or commercial stakeholders in relation to the delivery of courses.

No corporate grants, advertising revenue, promotional sponsorship, or industry funding are accepted in monetary form. The organisation does not host commercial advertisements on its website, digital platforms, printed materials, or course documentation. It does not distribute promotional material for companies, nor does it permit sponsored branding within educational environments.

Industry entities may, where pedagogically necessary, provide equipment for training purposes. Such provision is strictly limited to physical equipment required for skill development and does not confer influence over the curriculum design, faculty selection, educational content, or delegate engagement. No financial remuneration is accepted in exchange for visibility, endorsement, or marketing access.

This policy is instituted to eliminate actual or perceived conflicts of interest, prevent bias, avoid favouritism, and preserve academic neutrality. Educational content is determined exclusively by trainee need, professional standards, and regulatory alignment.

 

  1. Governance Structure and Leadership Accountability

The ultimate academic and institutional accountability rests with the Head and Director of Programmes, who bears responsibility for academic integrity, regulatory compliance, safety governance, and quality assurance.

Operational governance is exercised by a Director of Operations, who oversees venue logistics, equipment management, digital infrastructure, catering coordination, and administrative compliance.

An Educational Board provides independent academic oversight. The Board reviews programme approvals, monitors curriculum alignment, evaluates quality assurance metrics, and conducts annual governance review.

Each course is led by a Course Convenor, who must be either a consultant clinician or, for foundation-level programmes, a senior trainee under consultant supervision. The Convenor defines the aims, learning outcomes, and curriculum alignment of the course. Each course additionally appoints a Course Director and Facilitator to ensure academic coherence and operational integrity.

Academic Design and Pedagogical Standards

  1. Academic Design and Pedagogical Standards

Courses are designed following systematic identification of the needs of trainees and practitioners. The programme design is grounded in competency-based medical education principles and structured to align with relevant professional domains.

Each programme contains clearly defined aims and measurable learning outcomes. Academic content is developed exclusively by senior clinicians and academics with demonstrable subject-matter expertise.

Courses are frequently delivered in intensive formats which extend across full teaching days. This format is pedagogically justified to maximise immersion, reinforce retention, and, where appropriate, simulate examination conditions. Examination preparation programmes are intentionally structured to reflect the pace and pressure of high-stakes assessments.

The institution is widely recognised for delivering high-quality, rigorous and focused postgraduate medical and surgical education. Its standing derives from academic excellence, faculty expertise, structured curriculum mapping, and consistent positive delegate outcomes rather than commercial marketing or promotional sponsorship.

Faculty Governance and Professional Standards

  1. Faculty Governance and Professional Standards

Faculty selection is conducted through a structured process which requires evidence of expertise, professional standing, and teaching competence. Faculty must demonstrate good standing within their regulatory jurisdiction.

All new faculty initially participate as supervised trainee faculty. Teaching is observed, performance is reviewed, and formal approval is granted prior to independent delivery.

Faculty receive explicit learning objectives, teaching guidance, and a Code of Conduct. The Code mandates professional communication, respectful behaviour, adherence to confidentiality, and maintenance of psychologically safe learning environments.

Faculty participation is frequently motivated by professional commitment to education rather than financial incentive. Many consultants contribute out of dedication to teaching and professional mentorship. Honoraria are structured to recognise contribution, but they do not constitute commercial remuneration.

Membership Framework

  1. Membership Framework

Doctors Academy maintains a membership section that is open to clinicians and educators interested in contributing to teaching. Membership is entirely free of charge. There are no annual subscription fees, renewal fees, retention charges, or financial barriers to participation.

This open membership model ensures inclusivity, encourages academic contribution, and reinforces the non-commercial ethos of the organisation. Participation is based on professional merit and educational commitment rather than financial subscription.

Delivery Standards and Delegate Experience

  1. Delivery Standards and Delegate Experience

Face-to-face courses are delivered within structured timetables and supported by dedicated operational teams. Refreshments and lunch are provided at all in-person courses. Catering services are managed by a designated catering team to ensure delegate welfare and professional hospitality standards.

Venues are selected based on educational suitability, compliance with safety standards, and accessibility requirements. Audiovisual systems and teaching equipment are verified prior to delivery.

Hybrid and virtual programmes are governed by equivalent standards, including secure digital platforms, attendance verification, structured learning outcomes, and faculty briefing protocols.

Institutional Partnerships, Collaborative Delivery, and Franchise Governance

  1. Institutional Partnerships, Collaborative Delivery, and Franchise Governance

Doctors Academy Group of Educational Establishments maintains formal collaborative relationships and franchise arrangements with recognised national and international institutions in order to deliver structured, curriculum-aligned postgraduate and professional education.

9.1 Royal College and Statutory Partnerships

Doctors Academy delivers specific educational programmes on behalf of recognised institutions, including:

Franchise programmes, including the Basic Surgical Skills Course, are delivered in strict accordance with the franchising institution’s educational specifications, quality assurance processes, faculty eligibility criteria, and assessment standards.

The Basic Surgical Skills Course incorporates structured technical skills teaching and formal Objective Structured Assessment of Technical Skills methodology. Delivery complies with Royal College specifications, including faculty ratios, equipment standards, assessment design, and certification processes, in addition to compliance with this Governance Framework.

Where franchise programmes are delivered, Doctors Academy acts as an approved delivery partner and is accountable for:

9.2 Academic Collaboration and Communication Skills Partnerships

Doctors Academy works closely with The Academy for Advanced Scientific Communication in English (www.advancedcommunication.org) in the development and delivery of structured communication and professional development programmes.

Collaborative programmes include:

These programmes are designed to align with competency-based medical education principles and with regulatory expectations concerning communication, professionalism and ethical practice. Governance oversight ensures academic integrity, faculty credential verification, and compliance with safeguarding and data protection standards.

9.3 NHS Hospital Delivery Sites

Since 2008, Doctors Academy programmes have been delivered within recognised NHS hospital environments, subject to local institutional or departmental approval and governance compliance.

Delivery sites have included, among others:

Where programmes are delivered within NHS premises, institutional governance arrangements include:

Doctors Academy does not provide clinical healthcare services. However, where patient-based teaching or skills training is undertaken within NHS facilities, delivery reflects the highest applicable ethical, safety and professional standards consistent with NHS governance frameworks.

9.4 International and Cross-Institutional Standards

All institutional partnerships operate under unified governance principles. These include:

Partnership arrangements do not compromise the non-profit and autonomous character of Doctors Academy Group of Educational Establishments.

Continuing Professional Development Governance

  1. Continuing Professional Development Governance

CPD points are calculated based on structured educational contact hours, ordinarily at a rate of one CPD credit per verified hour of teaching or learning, excluding scheduled breaks. Feedback is collected through secure and encrypted digital systems. Certificates of Attendance are issued only upon receipt of completed feedback and verification of attendance.

Feedback is reviewed by the Course Convenor and Director. Concerns are documented and addressed. Aggregated feedback is circulated to faculty as part of the quality improvement cycle.

Corporate Social Responsibility and Educational Outreach

  1. Corporate Social Responsibility and Educational Outreach

Doctors Academy supports numerous medical student conferences and educational events without financial charge as part of its Corporate Social Responsibility commitment. Support is provided in kind and may include IT infrastructure, administrative assistance, website support, generation of certificates, approval of CPD, lanyards, name badges, and digital registration systems.

The organisation also delivers teaching for A-level students interested in applying to medical school. This outreach initiative reflects a commitment to widening participation, inclusivity, and the promotion of equitable access to medical education.

These initiatives are undertaken without expectation of commercial return and are consistent with the institution’s non-profit educational mission.

Ethical Advertising and Platform Governance

  1. Ethical Advertising and Platform Governance

Doctors Academy maintains a strict prohibition on commercial advertising across all platforms. No corporate banners, promotional materials, sponsored content, or paid advertisements are permitted on the organisation’s website or educational materials.

This prohibition ensures neutrality, prevents corporate influence, and preserves trust in the academic environment.

Quality Assurance, Audit, and Continuous Improvement

  1. Quality Assurance, Audit, and Continuous Improvement

All programmes undergo structured academic and operational review. Analysis of feedback informs curriculum refinement and faculty development. Documentation is retained to permit external audit by regulatory authorities, Royal Colleges, accreditation bodies, and institutional partners.

The Educational Board conducts an annual governance review. It may initiate an earlier review upon regulatory, statutory, or safety developments.

Institutional Declaration of Academic Integrity

  1. Institutional Declaration of Academic Integrity

Doctors Academy affirms its identity as a non-profit, autonomous, self-funded educational institution dedicated to delivering high-quality postgraduate medical and surgical education free from corporate influence.

The organisation does not accept pharmaceutical or commercial funding, does not host advertisements, and does not permit promotional influence within its educational environment. Surplus funds are reinvested into infrastructure and educational development.

Governance systems are designed to withstand scrutiny by regulators, accreditation authorities, institutional partners, and external auditors. Academic integrity, ethical neutrality, professional responsibility, and international compliance remain central to institutional operations in all its divisions.

Legal Disclaimer and Limitation of Liability

  1. Legal Disclaimer and Limitation of Liability

15.1 Nature of Educational Provision

Doctors Academy provides postgraduate medical and surgical education and professional development activities. The organisation does not provide clinical care, medical advice to patients, diagnostic services, or healthcare treatment. Participation in any course, programme, workshop, or training activity does not create a doctor–patient relationship between the organisation, its faculty, or any participant.

All educational content is provided for professional development and examination preparation purposes only. Participants remain solely responsible for exercising independent clinical judgement in their own professional practice and for complying with the regulatory, legal, and ethical requirements of their respective jurisdictions.

Nothing within any programme delivered by Doctors Academy shall be construed as constituting clinical instruction intended to replace formal supervised clinical training within a recognised healthcare institution.

15.2 Professional Responsibility of Participants

Participants in all courses and educational activities acknowledge that:

  1. they retain full responsibility for their professional conduct and clinical decision-making.
  2. they must practise within the scope of their own training, competence, and regulatory authorisation.
  3. they remain subject to the professional standards and requirements of their national regulatory body.
  4. educational participation does not confer certification of clinical competence beyond the scope explicitly stated within the programme.

Where practical skills are demonstrated or practised in simulated environments, cadaveric laboratories, or animal tissue stations, such activities are conducted solely for educational purposes within controlled environments and do not constitute authorisation for unsupervised clinical performance.

15.3 Assumption of Risk in Practical Training

Certain programmes may include practical elements such as simulated procedures, cadaveric dissection, or animal tissue stations. Participation in such activities is voluntary.

Doctors Academy undertakes reasonable measures to ensure compliance with applicable safety standards, including risk assessment, equipment inspection, infection prevention protocols, and institutional oversight where required.

Participants acknowledge that engagement in practical skills training carries inherent risks associated with handling instruments, sharps, biological materials, or laboratory equipment. By participating, delegates accept personal responsibility for adhering to safety instructions and protocols.

Nothing in this clause excludes or limits liability for death or personal injury caused by negligence, fraud, or any other liability which cannot lawfully be excluded under English law.

15.4 Limitation of Liability

To the fullest extent permitted by law:

  1. Doctors Academy shall not be liable for indirect, incidental, consequential, or economic losses arising from participation in educational programmes, including but not limited to examination failure, loss of earnings, reputational impact, or professional progression outcomes.
  2. the organisation does not guarantee examination success, employment progression, or certification by external regulatory bodies.
  3. liability for any claim arising out of participation in a course shall be limited to the course fee paid by the participant, except where such limitation would be unlawful.
  4. the organisation shall not be responsible for the independent actions or statements of faculty outside the scope of formally delivered educational content.

This limitation applies to contractual claims, negligence claims, statutory claims, and any other cause of action, save where exclusion would be contrary to law.

15.5 Third-Party and External Platform Disclaimer

Where educational activities are delivered on behalf of, or in partnership with, external institutions including Royal Colleges or educational bodies, governance responsibilities may be shared in accordance with contractual agreements. Doctors Academy shall not be liable for policies, decisions, accreditation outcomes, or regulatory determinations made independently by such external bodies.

Where digital platforms or third-party services are utilised for course delivery, registration, or certification, reasonable steps are taken to ensure data security and functionality. However, the organisation shall not be liable for disruption caused by external platform failure beyond its reasonable control.

15.6 Force Majeure

Doctors Academy shall not be liable for failure or delay in performance of its obligations where such failure arises from events beyond its reasonable control, including but not limited to:

In such circumstances, reasonable steps will be taken to mitigate disruption, including rescheduling or alternative delivery formats where feasible.

15.7 Intellectual Property

All educational materials, course content, branding, and documentation remain the intellectual property of Doctors Academy or the relevant faculty contributors unless otherwise agreed in writing.

Unauthorised reproduction, distribution, recording, or commercial use of materials is prohibited. Participation in a course does not confer licence for redistribution of educational content beyond personal professional development use.

15.8 Governing Law and Jurisdiction

This Governance Framework, and any dispute arising in connection with participation in Doctors Academy activities, shall be governed by and construed in accordance with the laws of England and Wales.

The courts of England and Wales shall have exclusive jurisdiction, subject to any mandatory provisions of consumer or international law applicable to overseas participants.

15.9 Severability

If any provision within this Governance Framework is found by a court of competent jurisdiction to be unlawful, invalid, or unenforceable, the remaining provisions shall remain in full force and effect.

Risk Management and Incident Reporting Framework

  1. Risk Management and Incident Reporting Framework

16.1 Institutional Commitment to Risk Governance

Doctors Academy recognises that effective risk management is integral to maintaining academic integrity, operational resilience, safety compliance, and regulatory defensibility. The organisation adopts a structured and proportionate approach to the identification, assessment, mitigation, monitoring, and review of risks associated with its educational activities.

Risk governance is overseen by the Head and Director of Programmes, with operational implementation coordinated by the Director of Operations. The Educational Board retains oversight responsibility for systemic or high-level risks.

The organisation’s risk management approach is informed by principles consistent with:

Risk management is embedded within programme design, delivery, and review processes.

16.2 Risk Categorisation

Risks within Doctors Academy are categorised into the following domains:

  1. Academic Risk: including curriculum misalignment, inaccurate content, faculty underperformance, or educational quality concerns.
  2. Clinical Simulation and Skills Risk: including hazards associated with cadaveric dissection, handling of animal tissue, sharps, instruments, laboratory environments, or simulated procedures.
  3. Operational Risk: including venue suitability, equipment failure, AV malfunction, catering incidents, or logistical disruption.
  4. Regulatory and Compliance Risk: including data protection breaches, accreditation non-compliance, or failure to meet statutory requirements.
  5. Financial Risk: including budgetary miscalculation, misallocation of funds, or accounting irregularities.
  6. Reputational Risk: including delegate dissatisfaction, faculty misconduct, or breach of neutrality policies.
  7. Strategic Risk: including dependency on external institutions, regulatory change, or force majeure events.

Each identified risk is assessed according to likelihood and potential impact.

16.3 Risk Identification and Pre-Course Assessment

Prior to delivery of any programme, a structured pre-course review is conducted. This review includes:

Where practical or procedural teaching is involved, risk assessments are conducted in accordance with institutional laboratory or anatomy centre requirements. Identified risks are documented, and mitigating actions are implemented prior to the commencement of the course.

16.4 Incident Reporting Mechanism

Doctors Academy maintains a structured incident reporting system to ensure transparency, accountability, and continuous improvement.

An “incident” is defined as any event that:

All faculty, facilitators, administrators, and delegates are encouraged to report incidents without fear of retaliation. Incident reporting channels include:

Anonymous reporting may be accommodated where appropriate.

16.5 Incident Classification and Escalation

Incidents are classified according to severity:

Level 1 – Minor Incident
No injury or regulatory breach. Managed locally with documented resolution.

Level 2 – Moderate Incident
Potential safety or professional impact. Requires formal review and documented corrective action.

Level 3 – Serious Incident
Significant safety concern, professional misconduct, or potential regulatory breach. Requires immediate escalation to the Head and Director of Programmes and review by the Educational Board.

Where legally required, appropriate external authorities or institutional partners will be notified.

16.6 Investigation and Corrective Action

Upon receipt of an incident report:

  1. an initial assessment is conducted to determine the severity and immediate risk mitigation needs.
  2. relevant documentation is collected.
  3. individuals involved are invited to provide statements where appropriate.
  4. a review outcome is documented.
  5. corrective or preventive measures are implemented.

Corrective actions may include:

All serious incidents are recorded in a central register.

16.7 Data Protection and Confidentiality Incidents

Any suspected data breach is immediately escalated to the Director of Operations and Head and Director of Programmes. Investigation will determine:

Where required, appropriate reporting to the Information Commissioner’s Office (ICO) will be undertaken within statutory timelines.

16.8 Safeguarding and Professional Conduct Concerns

Concerns relating to professional behaviour, discrimination, harassment, bullying, or safeguarding are treated with particular seriousness. Reports are handled confidentially and investigated proportionately. Where necessary, faculty involvement may be suspended pending review.

The organisation maintains a zero-tolerance policy toward:

Corrective measures may include removal from faculty or reporting to relevant professional bodies where warranted.

16.9 Risk Register and Periodic Review

Doctors Academy maintains a central Risk Register which documents:

The Risk Register is reviewed annually by the Educational Board or sooner where significant change occurs.

Systemic trends identified through feedback or incident analysis inform policy revision and operational enhancement.

16.10 Business Continuity and Contingency Planning

The organisation maintains contingency protocols to mitigate disruption arising from:

Where disruption occurs, reasonable efforts will be made to:

Force majeure principles apply, as outlined in Section 15 of this document.

16.11 Institutional Culture of Safety

Doctors Academy promotes a culture of openness, accountability, and continuous improvement. Risk management is not solely reactive but proactive.

Faculty and staff are encouraged to:

The objective is to foster an educational environment that is:

16.12 Senate-Level Assurance Statement

The Educational Board affirms that risk governance within Doctors Academy is proportionate, structured, documented, and subject to annual review. Incident reporting mechanisms are transparent, escalation pathways are defined, and corrective processes are documented.

Through formal risk management and incident reporting systems, Doctors Academy ensures that safety, regulatory compliance, academic quality, and institutional integrity remain central to all activities.

Appendix A: Institutional Governance Matrix

Status: Approved Governance Appendix
Authority: Educational Board
Applies to: All educational, operational, financial, and regulatory activities of Doctors Academy
Review Cycle: Annual

This Governance Matrix delineates institutional authority, executive accountability, operational responsibility, and oversight mechanisms across all domains of organisational activity. It is intended to provide clarity of governance architecture for Senate level scrutiny, external regulatory review, and institutional audit.

A1. Corporate Governance and Legal Compliance

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Finance Lead; Director of Operations

Doctors Academy operates as the trading name of IndoBritish Academy of Science and Technology, incorporated in England and Wales. Corporate compliance includes submission of annual returns to Companies House, statutory filings to HMRC, maintenance of audited accounts, and adherence to applicable financial reporting standards. Its institutional autonomy and non-profit operational structure are safeguarded at an executive level.

A2. Strategic Academic Oversight

Accountable Authority: Educational Board
Operational Responsibility: Head and Director of Programmes

The Educational Board exercises strategic academic oversight. Responsibilities include annual programme review, approval of new programme families, regulatory alignment monitoring with GMC, Royal Colleges and WFME standards, review of quality assurance data, oversight of institutional risk, and formal annual governance audit.

A3. Executive Academic Accountability

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Course Convenors; Course Directors

The Head and Director of Programmes holds ultimate responsibility for curriculum quality, delivery standards, compliance, ethical neutrality, faculty governance, and academic direction.

A4. Programme Design and Approval

Accountable Authority: Educational Board
Operational Responsibility: Course Convenor

All programmes must be formally approved. Responsibilities include development of structured curriculum, articulation of measurable learning outcomes, competency mapping, regulatory alignment, determination of supervision ratios, and academic justification of programme format.

A5. Curriculum Alignment and Regulatory Mapping

Accountable Authority: Educational Board
Operational Responsibility: Course Convenor

Programmes are mapped to examination frameworks, training competencies, recruitment domains, competency based medical education standards, and relevant international postgraduate education benchmarks.

A6. Faculty Governance and Appointment

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Faculty Leads; Course Convenor

This domain includes faculty credential verification, supervised trainee faculty pathway, performance review, structured briefing, and enforcement of the institutional Code of Conduct.

A7. Membership Governance

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Administrative Team

Membership for teaching participation is maintained free of charge. There are no subscription fees, renewal fees, or retention charges. Governance ensures inclusivity, non-commercial engagement, and merit-based participation.

A8. Operational Governance and Delivery

Accountable Authority: Director of Operations
Operational Responsibility: Operations Team

Responsibilities include venue coordination, contractual compliance, audiovisual readiness, catering provision, scheduling, contingency planning, and accessibility compliance.

A9. Equipment and Technical Oversight

Accountable Authority: Course Convenor
Operational Responsibility: Operations Team

Responsibilities include preparation of equipment lists, safe setup and breakdown, consumable management, laboratory safety compliance, and asset tracking.

A10. Hybrid and Virtual Delivery Governance

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Programme Lead; IT Support

Responsibilities include secure digital platform configuration, attendance verification, data protection compliance, and structured online supervision.

A11. Risk Management and Incident Reporting

Accountable Authority: Educational Board
Operational Responsibility: Director of Operations; Course Convenor

Responsibilities include maintenance of institutional Risk Register, incident classification and escalation, documentation of corrective actions, safeguarding procedures, and annual risk review.

A12. Safety and Laboratory Compliance

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Health and Safety Liaison

Responsibilities include enforcement of personal protective equipment standards, infection prevention protocols, laboratory and tissue safety compliance, and risk assessment documentation.

A13. Cadaveric and Animal Tissue Governance

Cadaveric Training:
Statutory Authority: Host University Anatomy Centre
Academic Oversight: Head and Director of Programmes

Animal Tissue Training:
Accountable Authority: Head and Director of Programmes
Operational Responsibility: Programme Lead; Approved Supplier

Compliance with licensing frameworks, ethical standards, hygiene certification, and safe disposal protocols is mandatory.

A14. Corporate Neutrality and Conflict of Interest

Accountable Authority: Educational Board
Operational Responsibility: Head and Director of Programmes

Responsibilities include enforcement of prohibition on pharmaceutical and corporate funding, prohibition of advertising, regulation of in kind equipment provision, and protection of academic neutrality.

A15. Financial Governance

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Finance Lead

Responsibilities include structured fee setting, expense reconciliation, reinvestment oversight, statutory compliance, and audit review.

A16. Certification and CPD Governance

Accountable Authority: Head and Director of Programmes
Operational Responsibility: Programme Administration

Responsibilities include verification of attendance, secure feedback collection, CPD calculation at ordinarily one credit per verified hour, and certificate issuance.

A17. Corporate Social Responsibility and Outreach

Accountable Authority: Educational Board
Operational Responsibility: Director of Operations; Programme Leads

Responsibilities include provision of institutional support to medical student conferences, IT and administrative support, certification processing, CPD accreditation support, and A-level outreach initiatives.

A18. Annual Governance Review

Accountable Authority: Educational Board

Responsibilities include formal annual review of governance framework, audit of risk register, review of financial compliance, and assessment of regulatory alignment.

Appendix B: Institutional Governance Structure

Status: Approved Governance Appendix
Authority: Educational Board
Applies to: All educational, operational, financial, and regulatory activities of Doctors Academy
Review Cycle: Annual

This appendix outlines the formal governance architecture of Doctors Academy, including strategic oversight, executive accountability, operational management, academic delivery structures, financial governance, and corporate neutrality safeguards.

1.  Institutional Governance Structure

Tier

Governance Body / Role

Reports To

Core Function

Key Responsibilities

Supporting Units

Tier 1

Educational Board

N/A

Strategic Academic Oversight

Annual review of programmes; regulatory alignment; risk oversight; governance audit; safeguarding academic integrity; corporate neutrality oversight

N/A

Tier 2

Head and Director of Programmes

Educational Board

Executive Academic and Institutional Accountability

Curriculum quality; compliance; academic neutrality; institutional autonomy; faculty governance; strategic direction

Director of Operations; Course Convenors; Finance Lead

Tier 3A

Director of Operations

Head and Director of Programmes

Operational Governance

Venue coordination; AV readiness; catering oversight; contingency planning; safety implementation; data protection compliance

Operations Team; IT Support; Administrative Team; Health and Safety Liaison

Tier 3B

Course Convenors

Head and Director of Programmes

Academic Programme Design

Curriculum development; learning outcomes; competency mapping; faculty selection; teaching oversight; feedback review

Course Directors; Faculty Leads; Trainee Faculty

Tier 3C

Finance Lead

Head and Director of Programmes

Financial Governance

Fee structuring; reconciliation; statutory reporting; reinvestment oversight; financial transparency

Finance Administration

2.  Oversight and Review Structure

Oversight Level

Authority

Scope

Review Frequency

Strategic

Educational Board

Academic integrity; regulatory alignment; institutional risk; corporate neutrality

Annual

Executive

Head and Director of Programmes

Curriculum quality; compliance; institutional accountability

Continuous

Operational

Director of Operations

Infrastructure; safety; IT governance; logistics

Per programme cycle

Financial

Finance Lead

Statutory compliance; audit; financial reporting

Annual and per financial cycle

3.      Corporate and Ethical Governance

Governance Area

Accountable Authority

Institutional Safeguards

Non-Profit Structure

Head and Director of Programmes

Surplus reinvestment; no shareholder distribution; transparent accounting

Corporate Neutrality

Educational Board

No pharmaceutical or corporate funding; no advertising; no promotional materials

Membership Governance

Head and Director of Programmes

Free membership; no subscription fees; merit-based participation

Corporate Social Responsibility

Educational Board

Support to medical student events; A level outreach; widening participation