Graduate Medical Education Institutional Program Manager

Overview

Job No: 538422

Work Type:
Full Time

Location:

Main Campus (Gainesville, FL)

Categories:
Office/Administrative/Fiscal Support, Health Care Administration/Support

Department:  - MD-HOUSE STAFF

Classification

Title:

Program Manager

Job Description: The Graduate Medical Education Institutional Program Manager provides institutional-level coordination, oversight, and operational support for Graduate Medical Education (GME) accreditation activities at both the institutional and program levels. The GME Institutional Program Manager plays a central role in supporting and maintaining compliance with Accreditation Council for Graduate Medical Education (ACGME) Institutional and Program Requirements across all accredited residency and fellowship programs sponsored by the University of Florida College of Medicine.

This position is responsible for managing accreditation processes; maintaining institutional accreditation data and reporting systems; supporting GME governance committees; and serving as a liaison among GME leadership, program leadership, institutional partners, and the ACGME. This role requires independent judgment, strong regulatory knowledge, and the ability to manage complex, multi-program processes that directly affect institutional accreditation status. Comprehensive online management systems support many functions and processes.

Proficiency in systems such as the ACGME Accreditation Data System (ADS) and residency management systems (e.g., New Innovations) is required.

• Maintain expertise in current and approved ACGME Standards and assist in developing and implementing systems and processes to establish and maintain records for ACGME, GME, trainees/house staff and sponsoring programs.
• Manage compliance with accreditation standards and enrollment management support for GME programs in various databases and/or online management systems such as ADS and NI.
• In collaboration with department leadership, ensure submission of annual reports, milestones, status letters, progress reports, or other letters that maintain accreditation requirements indicate compliance with ACGME regulations, hospital, and institutional requirements.
• Monitor the accreditation activities of the sponsoring institution and its programs to ensure strict compliance with the ACGME Institutional Requirements and Common Program Requirements.
• Monitor and assure that all ACGME ADS data are current for all programs. Work with the DIO to review any potential non-compliance issues indicated by these data.
• Serve as the primary institutional coordinator for ACGME reviews, site visits & accreditation correspondence.
• Support the GME office in preparation for institutional reviews and site visits, providing recommendations, assisting with needed reports and coordinating institutional site visit logistics.
• Support the Director of Accreditation by communicating with and assisting programs in the preparation and review of documents requested for program-level self-studies and site visits, and by assisting with required reports.
• Collaborate with other GME personnel to ensure internal audits and/or mock site visits of GME programs are complete when requested to ensure initial and continued accreditation compliance. Contribute to written reports for results of audits and/or mock site visits.
• Participate in both program and institutional level logistics for site visits (e.g. agenda development, room reservations, technology needs, interview scheduling, etc.) including follow-up for completion.

• Collaborate with university and hospital administrators regarding institutional GME policies and procedures.
• Evaluate programs, policies, and procedures. Analyze outcomes of programs and reports outcomes as requested. Assist in developing and implementing alternatives and changes in order to attain desired outcomes.
• Provide high-level accreditation-related support to the Program Directors and Program Coordinators.
• Develop and maintain institutional dashboard and tracking tools to support oversight of training programs.
• Contribute to development and maintenance of GME office websites and shared resources.
• Maintain organized GME electronic records and ensure final GME work products are stored on shared drives in accordance with institutional standards.

• Coordinate, attend and provide minutes for the GMEC meetings, establishing the agenda in conjunction with the Designated Institutional Official (DIO), document and code all minutes with appropriate ACGME institutional, common or program requirements, and assure appropriate communication within the institution.
• Prepare, code, and maintain GMEC minutes in alignment with applicable ACGME Institutional, Common, and Program Requirements.
• Work with other programs to obtain GMEC approval for other requests such as changes in resident complement or program directors.
• Participate in development, implementation, review and maintenance of GME policies, objectives, short-and long-range planning; develop and…