Executive Director, Surgical Specialties

Job Title:

Executive Director

Department:

Accreditation, Recognition, and Field Activities

FLSA Status:

Exempt

Reports to:

Chief Accreditation Officer or Senior Vice President, Accreditation

The following describes the various aspects of the designated job. Some or all of these aspects may be changed over time, with or without notice, at the sole discretion of the ACGME.

Applicants must be currently authorized to work in the United States (US) on a full-time basis. The ACGME will not provide employment sponsorship for this position (e.g., H-1B Visa or other US employment authorization).

JOB OVERVIEW

Oversees the accreditation/recognition process for the assigned specialties, subspecialties, and recognitions. Directs the flow and execution of work for the assigned Review/Recognition Committee(s), and provides guidance to committee members on ACGME requirements, policies and procedures. Oversees the planning, execution, and follow-up for Review/Recognition Committee meetings. Serves as an internal and external subject matter expert on the accreditation/recognition requirements of assigned specialties/subspecialties/areas of recognition. Ensures program reviews adhere to ACGME policies and procedures and that Review/Recognition Committee decisions and actions receive proper follow-up. Oversees all communications related to assigned Review/Recognition Committee(s) and provides information and guidance to the graduate medical education (GME) programs to assist them in understanding and following the accreditation/recognition processes and requirements. Analyzes departmental processes to measure and enhance departmental operations, including accreditation/recognition process quality and its impact on the quality of GME.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Directs every aspect of Review/Recognition Committee meeting preparation.
• Reviews annual program data and determines the need for committee review, administrative action, or other information.
• Oversees the handling of non-accreditation/interim requests from programs and determines items to be reviewed by the committee and those to be handled administratively.
• Evaluates reviewer findings for consistency and adherence to accreditation/recognition requirements and confers with committee Chair or reviewers on accreditation/recognition recommendations.
• Directs, with Review/Recognition Committee Chair, the execution of committee meetings and agendas.
• Directs and oversees the recognition process for assigned types of recognition, including development and maintenance of related data collection elements, site visit procedures and materials, specific communication, policies and procedures.
• Advises on policies, procedures, and the application of the relevant ACGME requirements and precedents; incorporates data from ACGME sources to generate analysis for committee decision-making.
• Facilitates group consensus on accreditation/recognition actions; uses expertise of policy implications of decisions and ensures the committee decisions adhere to the policies and procedures of the ACGME.
• Oversees communication of annual accreditation decisions and follow-up after committee/review meetings to ensure fairness, consistency, and the presence of data or a requirement to support every citation.
• Drives communication on behalf of the assigned committee(s) to respective stakeholders on all issues impacting specialty/subspecialty accreditation/recognition; serves as a resource to program and institutional staff members regarding the accreditation/recognition process.
• Directs the development, revision, and dissemination of specialty/subspecialty/recognition requirements, Frequently Asked Questions and application forms and adheres to established formats set by the Accreditation Standards team; guides the work of subcommittees; analyzes and describes the impact of proposed changes to requirements and prepares a summary for review by the ACGME Committee on Requirements.
• Serves as the external facing representative and subject matter expert for assigned Review/Recognition Committee(s); maintains relationships and collaborates with specialty/subspecialty boards and organizations regarding shared goals; represents the ACGME at specialty/subspecialty organization meetings as well as ACGME-hosted events.
• Presents at and participates in major conferences and specialty/subspecialty meetings, including the ACGME Annual Educational Conference) by submitting abstracts for consideration, providing accreditation-related updates, serving on panels, and meeting with program directors and other members of the GME community.
• Leads and/or collaborates with other internal and external units in the development, review and approval of new subspecialties, Monitoring Committee reports, Case Logs, and other related issues.
• Directs and monitors the recruitment, onboarding and ongoing training and mentoring of Review/Recognition Committee members.
• Leads and establishes efficient and effective procedures and processes to complete accreditation/recognition-related tasks and projects and improve department-wide operations; serves on departmental committees and leads standardization, quality assurance and quality improvement initiatives as assigned.
• Develops and monitors adherence to annual budgets for assigned Review/Recognition Committees; ensures compliance with ACGME financial policies related to expense reimbursement.
• Oversees the development and maintenance of all content for assigned Review/Recognition Committee web pages.
• Other duties as assigned.

SUPERVISORY RESPONSIBILITY

Supervises, directs, and evaluates assigned staff member(s). Supervisory functions include: making hiring and termination decisions; prioritizing assignments and directing work; developing and overseeing employee work schedules and approving time away from work; providing and/or facilitating employee training and development; approving/processing employee concerns and problems and counseling or disciplining as appropriate; completing employee performance appraisals; determining or making recommendations regarding new hire salaries and salary changes; and acting as the liaison between employees and Management.

QUALIFICATIONS

Minimum

• Masters’ degree in a relevant field of study
• Ten years’ relevant experience in graduate medical education, health care, accreditation, or educational.
• Basic statistical knowledge.
• Knowledgeable in GME, accreditation/recognition, certification systems, program evaluation, or educational research.
• Proficient with use of the internet, web-based programs, online meeting software, and computer software applications of Word, Power Point, and Excel.

Preferred

• PhD or equivalent terminal degree in a relevant discipline.
• Experience with the assigned specialties/subspecialities and area of recognition.

REQUIRED KNOWLEDGE, SKILL SETS, AND ABILITIES

• Proven interpersonal and diplomatic skills, including the ability to work with physicians, act as a liaison with various groups, and achieve consensus with disparate stakeholders,
• Ability to interact credibly with those involved in GME.
• Demonstrated ability to successfully manage multiple simultaneous ongoing projects.
• The ability to communicate effectively in writing, and polished verbal and public speaking skills.
• Ability to prepare well-written correspondence appropriate to ACGME stakeholders (medical professionals in particular).
• Analytical and conceptual thinking skills, and the ability to clearly communicate analysis and ideas.
• Ability to work with and interpret data to make and justify decisions.
• Demonstrated management and team-building skills.
• Ability to lead change efforts.
• Familiarity with higher education programs and their structure, application, and accreditation.

WORK ENVIRONMENT/CONDITIONS

• This position is based in a typical office environment with no specific or unusual physical or environmental demands.
• Most of the work performed is normally done in the ACGME office and/or home office with the typical physical demands of an office environment.
• This position has travel requirement based on organizational and departmental needs.

The ACGME is an Equal Opportunity/Affirmative Action/Pro Disabled and Veteran Employer. The ACGME welcomes differences in the form of gender, race, ethnicity, disability, geography, socioeconomic status, age, politics, religion, philosophy, sexual orientation, gender identity, or expression status. All applicants who share this goal are encouraged to apply.