UNIV- LCME Accreditation Manager- COM: Dean's Office

Job Description Summary

The College of Medicine Dean's office is recruiting for a LCME Accreditation Manager to manage all activities related to the COM accreditation for undergraduate medical education program and other accreditations.

Entity

Medical University of South Carolina (MUSC - Univ)

Worker Type

Employee

Worker Sub-Type​

Classified

Cost Center

CC003538 COM DO UME Student Affairs CC

Pay Rate Type

Salary

Pay Grade

University-07

Pay Range

57,334.00 - 81,707.00 - 106,080.000

Scheduled Weekly Hours

40

Work Shift

Job Description

Administer all activities related to the College of Medicine Continuous Quality Improvement (CQI) Process (LCME Element 1.1). (30%)

• Develop and maintain a comprehensive, centralized database for the effective monitoring of compliance with all 92 LCME accreditation standards and elements, including the COM Strategic Plan.
  • Develop and maintain a functional digital dashboard linked to specific outcome data that shares with COM administrators, faculty and stakeholders relevant up-to-date information about ongoing CQI effectiveness.
• Operationalize CQI processes in alignment with each element, including the timetable for CQI reviews and reporting and updates to relevant policies and charters, procedural documents.
  • Coordinate data collection efforts and collaboration of various stakeholders; assign tasks and provide guidance to personnel responsible for specific functions or phases of a project.
  • Manage CQI projects and document improvement steps and timelines.
  • Prepare and distribute CQI and accreditation reports, participate in MEPIC discussions about CQI administration and data collection processes.

Administer all activities related to the College of Medicine accreditation for the undergraduate medical education program (LCME) and other accreditation entities. (20%)

• Maintain an up-to-date LCME Data Collection Instrument (DCI) database of program compliance status with all LCME standards and elements, including annual LCME updates to the template; update LCME DCI with data relevant to ongoing CQI efforts and at regular intervals for defined program outcomes in collaboration with the Office of Assessment, Evaluation and Quality Improvement as specified in the college’s CQI policies.
• Maintain the master calendar for accreditation follow up reports, the pre- self-study year, the institutional self-study, preparation of the DCI and the LCME report, and planning for the survey visit.
• Conduct quarterly reviews of published LCME standards and the LCME Functions and Structure document and incorporate necessary changes into the DCI; notify administrators of changes, track, report and prepare updates regarding the changes and expectations for the SADME, Associate Deans, MEPIC, UCC and UCC subcommittees in a timely manner.
• Oversee the administrative organizational planning and preparation for the  LCME self-study.
  • Organize meetings for LCME Self-Study Task Force and specified LCME Self-Study Committees.
  • Develop a communication strategy for keeping self-study committees informed.
  • Track the preparation of Self-Study documentation, organizes files, and monitor versions to maintain accuracy; maintain documentation of changes as teams update, proof and edit select documentation with guidance.
  • Track the team meeting dates/time and materials for all Self-Study teams.
• Distribute invitations to monthly webinars with LCME secretariat, attend and record webinar, indexing the content by element; create a reference system for finding all webinar information about a specific element; take notes; maintain archive of webinar recordings, slides, notes, and other materials for LCME teams.
• Organize the LCME Mock Visit and the LCME Survey Visit.
• Prepare reports for AAMC, LCME, SACS, CHE, and MUSC Office of Institutional Effectiveness for review by the SADME and curriculum leaders
  • Complete the data gathering and initial draft for the annual LCME Annual Medical School Questionnaire Part II based on the guiding document; monitor completion and ensure timely submission.
  • Complete the data gathering and initial draft for the annual AAMC Curriculum SCOPE Survey; monitor completion and ensure timely submission.
  • Collaborate with the OEM Office of Financial Aid and the Office of Assessment, Evaluation and Quality Improvement (OAEQI) to ensure that the LCME Part I-B is completed two weeks before the due date each September, and data is confirmed by the COM finance office.

Manage the Education Governance Committee Structure for the College of Medicine including the Undergraduate Curriculum Committee (UCC) and the Medical Education Policy and Improvement Council (MEPIC) Activities. (30%)

• Plan the UCC agendas in collaboration with the chair for all meetings and retreats to align with the 2-year curriculum planning cycle; arrange presentations, and prepare relevant materials for distribution in a timely way prior to meeting with assignments as needed; attend education committee meetings and create meting summaries of committee decisions and action steps, including documentation of quorum per policy.

• Plan the MEPIC agendas; arrange presentations,  organize meetings, and prepare relevant materials for distribution in a timely way prior to meeting with assignments as needed, attend meetings and create meeting summaries of committee decisions and action steps, including documentation of quorum per policy.
• Maintain a secure portal and archival system for meeting summaries and materials of the UCC and other education governance committees as required by the LCME, with appropriate digital access to members.

• Maintain a secure digital repository of active and archived charters and membership rosters of the UME Education Governance Structure committees and subcommittees; maintain related web pages;
• Proactively identify and schedule follow-up agenda items on the master calendar for review by appropriate committees and subcommittees, groups, or individuals. Manage the distribution of tasks generated from education governance committee meetings to appropriate entities.
• Prepare annual reports for the educational governance committees; prepare notifications and announcements for the medical education web-based update.
• Work with committees/councils to prepare open calls for members in accordance with guidance from the NEC; update NEC spreadsheet monthly; prepare information for the Faculty Council in preparation for voting for UME committee at-large members;
• Monitor for updates to the COM Bylaws related to charter modifications; post updated, approved documents; archive all versions with approved changes noted.
• Maintain current, accurate organizational charts for the COM to include the COM Dean’s Office and Medical Education Governance, etc.
• Maintain the inventory of COM UME Policies
  • Track and initiate policy review by appropriate entities (e.g., UCC, MEPIC);
  • Make edits, ensure accuracy and post updated versions in PolicyTech, work with PolicyTech university staff to trouble-shoot system issues;
  • Maintain an accurate “COM Policies” webpage;
  • Produce the annual COM Education Policy Review modules for faculty, staff and students; provide content for OurDay upload; provide core faculty and UME staff distribution lists to push content through OurDay; Coordinate with GME office for distribution to interns, residents and fellows; partner with AnMed admin team and CHS clinical coordinators to distribute to affiliate faculty; work with Student Affairs to assign through OurDay to students; 

Manage a comprehensive Teaching Faculty Database  (5%)

• Manage an accurate, up-to-date database of all teaching faculty, defined as faculty who teach, assess, advise, counsel or mentor medical students, at all hospitals and clinics throughout the state;
• Monitor faculty appointments for all teaching faculty and confirm that appointments are in place prior to initiation of any educational experiences.

Manage the Academy of Medical Educators (AME)   (15%)

• Manage the administrative infrastructure for the Academy of Medical Educators (AME), including supporting the AME executive committee.
• Track and manage updates to the membership and member engagement, including attendance of all faculty at all teaching development activities; produce membership certificates.
• Coordinate all AME faculty development activities (roughly 16 per year), AME member meetings (fall and spring); member induction ceremony;
• Serve as a point of contact and coordinate logistics for AME presenters, internal and visiting, reserve appropriate space, print materials; coordinate all logistics for visiting speakers' travel and accommodations; complete paperwork for honoraria, process expenses, escort speaker to activities on campus as needed.
• Develop effective strategies for promotion of AME faculty development activities to all COM faculty, to include a description of the event, speaker bio sketch, learning objectives and link to online offerings.
• Record and archive all AME faculty development activities in the COM; post recorded events.
• Maintain the AME website with regular updates to AME members and activities.
• Collect information and process event paperwork required by the COM Office of Continuing Medical Education (CME) to offer CME credit for AME activities; complete annual contract with CME office.
• Develop and maintain a database of all educator faculty development activities in COM to include record of faculty attendance, collaborating with departments, GME and CME leadership and staff:
• Maintain an inventory of medical education publications and presentations by COM faculty members.

Additional Job Description

Minimum Requirements: A bachelor's degree and three years relevant program experience. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to work indoors. (Continuous) Ability to work outdoors in all weather and temperature extremes. (Infrequent) Ability to work in confined/cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to perform 'pinching' operations. (Infrequent) Ability to fully use both hands/arms. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry 15 lbs., unassisted. (Infrequent) Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent) Ability to push/pull objects, up to 15 lbs., unassisted. (Infrequent) Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand. (Frequent) Ability to see and recognize objects at a distance. (Frequent) Ability to match or discriminate between colors. (Frequent) Ability to determine distance/relationship between objects; depth perception. (Frequent) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to hear and/or understand whispered conversations at a distance of 3 feet. (Frequent) Ability to perform gross motor functions with frequent fine motor movements. (Frequent) Ability to work in dusty areas. (Infrequent)

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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