Accreditation Compliance and Continuous Monitoring
- Coordinate ongoing LCME accreditation activities to support continuous compliance with LCME standards, elements, and accreditation requirements.
- Monitor changes to LCME standards, elements, white papers, guidance documents, annual questionnaires, and accreditation expectations; assess impact and communicate recommendations to leadership and stakeholders.
- Identify, track, and evaluate accreditation risks, compliance concerns, and opportunities for quality improvement; escalate issues as appropriate.
- Develop and maintain accreditation policies, procedures, bylaws, and supporting documentation.
Data Collection Instrument (DCI) Management
- Coordinate the collection, validation, and analysis of institutional data required for the LCME Data Collection Instrument (DCI).
- Collaborate with faculty, staff, and institutional stakeholders to obtain and verify information required for accreditation reporting.
- Draft, edit, and maintain DCI responses to ensure completeness, accuracy, consistency, and compliance with LCME requirements.
- Coordinate annual DCI updates and incorporate feedback from institutional leadership and external accreditation consultants.
- Monitor compliance with LCME standards and elements through ongoing data review and trend analysis.
Survey Administration, Data Analysis, and/or Reporting
- Coordinate and administer annual internal student survey (ISS) by cohort, including survey planning, logistics, catering, communications, and data collection activities, to achieve a minimum 85% response rate per cohort. Review annual Graduation Questionnaire (GQ). Analyze survey data, identify trends and areas of concern, and prepare reports, dashboards, presentations, and recommendations for leadership and governance committees to review and/or share. Maintain accreditation metrics and data systems to support continuous quality improvement and institutional decision-making.
- Administer an annual teacher attestation survey by coordinating the collection of faculty teaching rosters for required courses, developing and distributing attestation surveys, monitoring completion rates, and partnering with course directors and coordinators to achieve 100% compliance.
- Administer annual student attestation surveys for second year students, ensuring 100% compliance.
Accreditation Committees and Governance Support
- Serve as an accreditation resource to UME committees, subcommittees, task forces, and leadership groups.
- Attend and support curriculum and governance committee meetings to monitor accreditation compliance and identify emerging issues.
- Prepare accreditation-related reports, presentations, agenda materials, and briefing documents for leadership, committees, and stakeholders.
- Coordinate accreditation-focused meetings and facilitate communication among faculty, staff, students, and institutional partners.
Compliance and Monitoring
- Monitor data and educational program metrics related to LCME standards, including pre-clerkship instructional/unscheduled hours and other accreditation requirements. Present findings to relevant stakeholders and committees as directed.
- Analyze curriculum and program evaluation data to identify trends, gaps, and propose opportunities for improvement.
- Support phase-based curriculum reviews and curriculum-as-a-whole reviews through data collection, analysis, and reporting.
Self-Study, Continuous Quality Improvement, and Student Engagement
- Support institutional self-study activities, independent student analysis (ISA) processes, focus groups, and accreditation task forces.
- Coordinate meetings, events, documentation, and follow-up actions associated with accreditation reviews and continuous quality improvement initiatives.
- Monitor corrective action plans and prepare progress reports to support sustained compliance and institutional improvement efforts.
LCME Site Visit Coordination
- Serve as a primary coordinator for LCME accreditation site visits and mock site visits.
- Develop and manage site visit logistics, schedules, documentation, stakeholder communications, meeting coordination, lodging, transportation, catering, and other operational activities.
- Coordinate requests from site visitors and ensure timely provision of supporting documentation, data, and additional information.
- Facilitate site visit preparation activities to ensure institutional readiness and successful accreditation reviews.
Other duties as assigned by Senior Associate Dean, Education