Accreditation Administrator

Accreditation Administrator

Job Summary : Under the direction of the Administrative Director of Medical Education, this individual will be responsible for the day to day processes required in accordance with the ACGME Accreditation Status of 35+ training programs and WMC Sponsoring Institution Status.

Responsibilities : This individual is responsible for the routine processes for monitoring, data collection / dissemination and administrative responsibilities required for the effective institutional oversight of 35+ ACGME accredited programs as follows :

• Review of data maintained in the ACGME ADS Data base relevant to the accreditation status of 35+ individual residency and fellowship programs as well as Institutional Accreditation of WMC.
• Schedules meetings of monthly WMC Graduate Medical Education Committee and Wellbeing Subcommittee meetings; prepares and circulates agendas and minutes; maintains attendance records;
• Preparation of data and analysis of information for on-going oversight of GME programs at WMC including, but not limited to CMMS, NYSDOH, ACGME.
• Preparation of reports required by the ACGME for compliance with Sponsoring Institution requirements, including, but not limited to the Annual Institutional Review.
• Keeps current with changing ACGME and other regulatory requirements for GME training programs.
• Schedules / coordinates Special GME Subcommittees convened for Program Review and Program Self-Studies.
• Assists with preparation of ACGME Institutional and Program Site Visits.
• Monitors completion and submission of Annual Program Evaluations; updates and tracks corrective action plans using New Innovations data base.
• Prepares resident / faculty surveys initiated by GME Office as necessitated by Program Reviews and ACGME Accreditation Status decisions.
• Works with individual programs to assure compliance with all necessary program information in ACGME ADS data base; assures timely / accurate update for Annual ADS update.
• Monitors annual ACGME Resident / Fellow Survey Process across all programs; prepares data analysis of survey findings for review by WMC Graduate Medical Education Committee and Hospital Administration.
• Updates and maintains data in National Resident Matching Program and ERAS as needed on an annual cycle.
• Assists individual programs with required updates in NRMP, ERAS and other GME Matches as needed on an annual basis.
• Maintains required GME institutional policies as required by the ACGME; prepares updates as needed for GMEC committee review and Institutional Policy Committees.
• Participates in Faculty / Professional Development activities as organized by WMC GME Office for Program Directors, Core Faculty and Program Coordinator / Administrators.
• Maintains current knowledge of ACGME and other regulatory requirements for GME training; routinely attends annual ACGME meeting.
• Maintains data regarding compliance with limits on educational and clinical work hours of trainees for institutional oversight; prepares annual report for IPRO / NYSDOH regarding work hour and supervision compliance; provides coordination with individual programs for periodic on-site IPRO / NYSDOH surveys.
• Provides additional support of other large scale GME activities such as Incoming House Staff Orientation.
• Identifies opportunities for improvements in methods, procedures and organization to increase efficiency in GME team operations.
• Effectively utilizes various computer applications or other automated systems such as spreadsheets, word processing, calendar, e-mail, Power point, Survey Monkey and database / statistical software in performing work assignments.
• Other duties as assigned

Qualifications / Requirements :

Experience : Minimum of 3 to 5 years’ experience in Graduate Medical Education either at the GME Office or program level with emphasis on program improvement and working as part of a team.

Education : Bachelor's degree, required. Master’s degree, preferred.

Licenses / Certifications : TAGME Certification, preferred.

Other : Demonstrated knowledge ACGME Institutional and Program Requirements; proficiency in Microsoft Excel, Word, PowerPoint, Outlook Calendar and email; other software applications such as Residency Management Systems ( New Innovations, or Med Hub) ability to present sophisticated data, reports and comments; strong verbal / written communication skills; attention to detail / thoroughness; dependability; physical condition commensurate with the demands of the position.

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