New and Updated Streamlined SASA-ARC/STSA Forms – Surgical Assisting Programs

Effective December 1, 2014, the Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA), and its Sub-Committee on Accreditation for Surgical Assisting (SASA) will implement the following new standardized forms, including an updated ARC/STSA Standards Interpretive Guide – SA [SA-SIG], as part of the initiative to streamline the process for reporting changes and to make demonstrating compliance with CAAHEP Standards easier:

Clinical Affiliate Attestation Form – A SASA-ARC/STSA Clinical Affiliate Attestation Form-SA for each new affiliate should be attached to the applicable subpage of the SA Annual Report. A copy of the clinical affiliation agreement is no longer required to be attached to the SA Annual Report.

Program Personnel Data Forms

  • A completed attestation form in support of a change in President/CEO, Dean, or Program Director should be submitted to the ARC/STSA within thirty (30) day of the change
  • A completed attestation form in support of a change in Medical/Surgical Director or Didactic Faculty should be submitted to the ARC/STSA on the next SA Annual Report.
  • Non-Core Instructor information should be included on the SA Annual Report only if required to demonstrate sufficient faculty for the program’s maximum enrollment capacity.
  • Copies of supporting documentation [résumé, CSFA® or CSA credential, etc.] are no longer required to be submitted for approval of personnel changes.
Please note that failure to provide accurate information on the new SASA-ARC/STSA attestation forms, verified upon ARC/STSA request or during program review [On-Site Evaluation or PRR-SA], will result in a Recommendation for Probationary Accreditation, which can lead to Withdrawal of Accreditation.



Outcomes Tracking Tool-SA– Programs are required to track outcomes using the new, standardized SASA-ARC/STSA Outcomes Tracking Tool-SA for cohorts enrolled on or after August 1, 2014. A copy of the SASA-ARC/STSA Outcomes Tracking Tool-SA Instructions and a sample of a completed tracking tool are available for review on the Forms and Facts page.

SASA-ARC/STSA Plan of Action Form-SA– All plans of action should be developed/submitted using the SASA-ARC/STSA Plan of Action Form-SA, including plans of action submitted in SA Annual Reports, findings letter responses, etc. One (1) Plan of Action Form is used for each plan developed, even if multiple plans of action are requested. A copy of the SASA-ARC/STSA Plan of Action-SA Instructions and a sample of a completed plan of action are available for review on the Forms and Facts page.

Please contact us at info@arcstsa.org or 303-694-9262 if you have any questions regarding the new ARC/STSA forms.


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