GME Accreditation and Compliance Program Manager

University of Colorado Anschutz

Department: Office of Graduate Medical Education (GME)

Job Title: GME Accreditation and Compliance Program Manager

Position #:00851342 – Requisition #: 40649

Job Summary:

The position is one of three full-time Accreditation and Compliance Program Manager team members (along with one professional services team member) who work collaboratively to ensure regulatory compliance for the University of Colorado School of Medicine (CU SOM) Graduate Medical Education (GME) Residency and Fellowship training programs. Members of this team function as institutional experts on Accreditation Council for Graduate Medical Education (ACGME) requirements for maintenance of accreditation at both the institutional and specialty-specific levels. Accreditation and Compliance Program Managers assure that programs deliver effective educational programming and engage in adequate clinical activities to meet the regulatory requirements of the ACGME, its individual specialty/subspecialty Review Committees (RCs), as well as the requirements of the School of Medicine and the Office of the Associate Dean for Graduate Medical Education. The position provides Program Directors (physicians) and Program Coordinators (non-physicians) with educational strategies and methods designed to meet the requirements for maintenance of accreditation and to achieve excellence in education and program administration.

The Accreditation and Compliance team is responsible for ensuring that approximately 118 Graduate Medical Education physician training programs at the University of Colorado School of Medicine maintain accreditation by the Accreditation Council for Graduate Medical Education (ACGME). In addition to the accredited programs, this position provides GME oversight of approximately 112 non-ACGME-accredited GME fellowship programs.  The position provides essential and required communication to stakeholders, including program coordinators, program directors, department chairs, teaching faculty, and residents/fellows.

Key Responsibilities:

ACGME Program Accreditation and Compliance – 40%

• In collaboration with program directors and coordinators, complete extensive GMEC and ACGME accreditation applications to establish new residencies and fellowships, ensuring alignment with institutional policies and ACGME accreditation standards.

• Educate program directors and coordinators on their specialty-specific and institutional ACGME requirements.

• Site visit preparation: Organize and perform timely Midpoint Initial Accreditation Reviews and Mock Site Visits to help programs identify and address areas for improvement leading up to their ACGME site visit. Participate in site visit interviews alongside DIO.

• Ensure that programs provide current information to ACGME within the regulatory guidelines and deadlines through a formal annual Accreditation Data System (ADS) Annual Update, and on an ongoing basis throughout the year, as required.

• Oversee each program’s compliance with GME and ACGME requirements through review of the ACGME program’s Annual Program Evaluation.  Issue a comprehensive compliance metrics dashboard to each ACGME program annually.  Create additional dashboards by department.

• Develop and maintain expe