Accreditation and Quality Improvement Officer

Reporting to the Director, Administration and Operations, Medical Education, and working in close collaboration with the Associate Dean, PGME, Assistant Dean, Accreditation, and other academic and administrative leaders, the Accreditation and Quality Improvement Officer provides project management and expert support for Postgraduate Medical Education (PGME) accreditation and quality improvement activities. Responsibilities may extend to other Medical Education Programs (UGME and CPD) as required.

Job Responsibilities   1. Develops and maintains expert level of knowledge of relevant accreditation standards. Interprets standards and elements to stakeholders within the Faculty of Medicine Builds and maintains collaborative, productive working relationships with relevant accreditation and physician organizations: ex. the Royal College of Physicians and Surgeons of Canada (RCPSC), the College of Family Physicians of Canada (CFPC), and the Collège des médecins du Québec (CMQ) to ensure a nuanced understanding of accreditation requirements and processes Works in collaboration with academic leads and other stakeholders to interpret and define new accreditation requirements Keeps abreast of all process updates and new product developments in accreditation.
2. Manages functioning of and participates in accreditation committees Organizes the collection of accreditation elements for committee review Organizes, assesses, and reports complex, detailed information required for review by relevant accreditation committee(s). Sets up and attends all meetings. Communicates outcomes of the committees to the appropriate stakeholders to generate support for activities related to committee decisions Monitor completion of committee members actions items
3. Manages the acquisition, review, and submission of accreditation reports to accrediting bodies Organizes the completion of:

A) the CanAMS instrument for the PGME Institutional Questionnaire and

B) the CanAMS instrument for the PGME program questionnaires,

C) and any other accreditation or quality improvement related documentation as required Organizes the submission of reports to accrediting bodies, meeting given deadlines Works in close collaboration with academic and administrative leaders in administering the preparation of comprehensive and high-quality self-study reports and progress reports, as necessary Identifies and flags potential threats to accreditation compliance to accreditation Verifies the completeness of report and communication submission and communicates to accrediting bodies Proofreads documents and validates that narrative responses submitted by stakeholders meet the required accreditation standards.

Provides feedback on documents and responses to stakeholders, as appropriate.
4. Working in close collaboration with academic leads, documents and follows up on actions required to address the mandatory areas for improvement generated from program accreditation reviews. Oversees the development of action plans at the program and institution level to address gaps identified in accreditation reviews;
Supports processes to monitor the implementation of action plans on an ongoing basis.
5. Anticipates and plans annual accreditation-related activities based on accreditation cycle and requirements. Oversees all accreditation activities related to internal or external reviews Organizes the organization of meetings, workshops, training sessions, and other events as required. Manages related budgets and reconcile accounts. Acts as a resource person and advisor to faculty and staff on requirements and priorities. Interprets accreditation-related standards, policies, processes, and procedures Responds to inquiries and provides advice to faculty and…