Graduate Medical Education Accreditation and Compliance Professional

University of Colorado Anschutz Medical Campus 

Department: Graduate Medical Education

Job Title: Academic Services - Open Rank (Intermediate to Senior)

Working Title: Graduate Medical Education Accreditation and Compliance Professional

Position #: 00841190– Requisition #:38049

Job Summary:

As an integral member of a four-person Accreditation & Compliance (A&C) team in the Office of Graduate Medical Education (GME) within the CU School of Medicine, this position supports GME Office program directors/managers with tracking, monitoring, and reporting of compliance with Accreditation Council for Graduate Medical Education (ACGME) and GME requirements for approximately 119 ACGME-accredited programs and 113 non-ACGME GME programs.  The Academic Services Professional helps design systems for monitoring compliance, communicates directly with directors (physicians) and coordinators of GME programs, serving as a resource to assist them in fulfilling regulatory requirements for maintenance of accreditation.  This position is responsible for analyzing data and using data visualization skills to communicate trends and areas of importance to GME leadership and the greater GME community.  Cross responsibilities and accountabilities occur among the A&C Team.

Supervision Received: The position reports to the A&C Program Director (Position ID 694595)

Supervision Exercised: None

Key Responsibilities:

Accreditation – Program/Institutional Compliance (30%)

• Develop and maintain instructional and informational materials, including presentations to support GME process and procedure (Annual Program Evaluations, program handbooks, etc.).

•        Develop communications to program coordinators and program directors regarding program outcomes and completion status of required materials.

•        Respond to and resolve questions from program directors and coordinators in a timely manner, providing quality customer service.

•        Extract supervision policies from program handbooks, track details specific to moderate sedation, and provide policies and details to affiliated hospitals/participating sites.

•        Assist the A&C team in monitoring program submission by key deadlines, ensuring timely follow-up and resolution through GMEC and ACGME processes.

•        Execute follow-up actions on items approved during monthly GMEC meetings, including drafting communications to programs on behalf of the DIO to confirm approvals, and maintaining and updating message templates as needed.

Data Systems Management & Compliance Tracking (25%)

•         Initiate and proactively manage tracking systems to monitor program compliance with ACGME and GME deadlines and document submission (e.g.,