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Accreditation is, arguably, the most significant non-governmental system in higher education for quality improvement. Within music and music education, NASM accreditation has become a perceived marker of quality and status. However, some believe NASM accreditation poses concerns regarding the homogenization of curricula and creates challenges to the renewal and diversification of higher music education. This presentation draws from a qualitative study aiming to understand these realities through the voices of individuals who have direct contact and close participation in these processes: namely, deans, directors, and leaders of schools of music. Data from institutions who have left NASM, as well as institutions still accredited, present complex relations, challenges, limitations, and paint a picture of diminishing returns regarding current NASM accreditation processes.