Director Graduate Medical Education

Tufts Medicine (TM) is an academic health system committed to the delivery of excellent clinical education, pioneering research, and high-quality patient care. As the primary partner for Tufts University School of Medicine (TUSM), our academic mission includes fostering the development of dedicated clinicians, scientists, public health professionals, and educators to best serve our diverse patient population.

The Office of Clinical Education (OCE) at Tufts Medicine oversees the following components: Graduate Medical Education, Undergraduate Medical Education, Physician Assistant Education and Simulation Education. Our team supports the didactic education, clinical education and co-curricular activities of approximately 470 residents and fellows, 800 TUSM medical students, 100 TUSM physician assistant students and a multitude of interprofessional learners across our organization. Additionally, the OCE is dedicated to expanding opportunities for educational development and innovation for the faculty and providers at all Tufts Medicine clinical education sites including Tufts Medical Center, Melrose Wakefield Hospital, Lawrence Memorial Hospital, Lowell General Hospital and Tufts Care at Home.

As part of the OCE, the Office of Graduate Medical Education (GME) is responsible for oversight, coordination, and general management of 45 ACGME accredited residency programs, 5 ACGME non-standard training programs and 6 non-accredited fellowships serving approximately 470 physician trainees. The Office of GME disseminates and implements ACGME policies, guidelines and compliance measures; ensures compliance with MA BORIM licensure and US visa regulations; coordinates the NRMP match program; interprets and applies state and federal laws, works closely with TUSM and affiliated institutions to develop and assure the quality of education in its training programs and to negotiate affiliation agreements. The Office of GME also administers affiliate reimbursements and selected-GME specific benefit programs.

Location: Onsite Tufts Medical Center, Boston, MA

Job Overview

Under the general direction of the Vice President for Education and Associate CMO for Graduate Medical Education, this position directs and manages the administrative support functions in four (4) major areas of medical education: 1) graduate medical education programs of Tufts Medicine affiliated hospitals; 2) pre-doctoral education for TUSM and visiting medical students rotating to Tufts Medicine affiliated hospitals and other facilities; 3) education for TUSM and visiting Physician Assistant students; 4) Tufts Medicine Simulation Center. Utilizes knowledge of educational activities and related programs to coordinate the operation of information systems and activities of department administrative support personnel. Provides direct administrative support to the Associate CMO for Graduate Medical Education, TM Entity Medical Education Physician Leaders and the Director of Simulation, as needed.

This position is responsible for directly managing the Office of GME annual budget ($50M - includes resident/fellow compensation, GME office staff/fees, and contracts with other institutions etc.) and for assuring that Tufts Medicine's annual IRIS Reports (CMS Cost Report) are accurate and complete.

This position is accountable for educational administrative management, leading strategic, financial, and operational aspects of Tufts Medicine's educational enterprise. In collaboration with Academic and Clinical Education leadership (Chief Academic Officer, Vice President of Education and the Associate CMO for GME), takes full accountability for strategic business plan development, the achievement of annual and long-term operational goals for the educational enterprise, including educational excellence, accreditation compliance and effective financial management.

In addition, this position is responsible for operational management, budget and financial management, quality assurance and compliance, staffing and our staff experience, and learner satisfaction.

Job Description

Minimum Qualifications:

1. Bachelor's degree in business management, health care administration or a related field from an accredited college or university.

2. Ten (10) years of progressively more responsible experience related to coordinating medical education programming in an integrated health system, preferably in a similarly diverse and operationally complex academic medical center.

3. Experience should demonstrate an exemplary level of written and oral communication skills and the ability to conceptualize, plan, develop, manage, and evaluate services in support of medical education programs.

Preferred Qualifications:

1. Master's degree in Healthcare or Business Administration.

2. Experience in a highly matrixed academic medical center.

3. Prior experience with the ACGME initial accreditation processes is strongly preferred.

4. New Innovations Super User, or equivalent

5. Licensure or certification: National Board for Certification of Training for Administrators of Graduation Medical Education Certification (C-TAGME).

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Directs the day-to-day operations of the Graduate Medical Education office.

2. Develops and manages budget to meet goals of GME, system education administration and Simulation. Includes house staff salary costs centers at all affiliates.

3. Monitors, analyzes and reconciles budget variances and billing activity reports related to graduate medical education, system education and simulation.

4. Prepares written reports of findings for Physician Leaders, Hospital Administration, and the Financial Administration.

5. Works in conjunction with GME leadership, program teams and the general counsel to create or update affiliation agreements, program letters of agreement, financial agreements related to residents, rotators, and medical students

6. Researches and prepares reports and analyses for discussion with physician and administrative leadership or others as appropriate.

7. Maintains an advanced level of knowledge of and expertise in developments of medical education at all levels by participating in ongoing self-development, independent study, and professional activities.

8. Participates in or leads various hospital committees, quality improvement teams and/or task forces as needed.

9. Collaborates with Staff and Leaders in the Medical Staff Offices to ensure coordination of electronic systems, and other shared processes.

10. Directs and prioritizes administrative support activities related to collection, organization, preparation, distribution and record keeping of large volume of information necessary to meet documentation and information requirements.

11. May assist in developing federal/private grant applications for educational activities to maximize external funding opportunities.

12. Functions as liaison between TUSM MD and PA program administration and TM educational administrative teams to ensure open communication and cooperation in support of the faculty, students and programs.

13. Manages all administrative aspects of the predoctoral and PA medical education programs and services to students participating in clinical educational activities at Tufts Medicine (affiliated hospitals and integrated network practices).

14. Using a thorough knowledge of pre-doctoral and PA education programs, acts as a resource to students, as well as other hospital personnel, in developing and disseminating programmatic and collateral information.

15. Directs and prioritizes administrative support activities related to collection, organization, preparation, distribution and record keeping of large volume of information necessary to meet documentation and information requirements.

16. Provides support for the graduate medical education programs (approximately 49 programs) and services to house officers (450+) sponsored by Tufts Medical Center as well as graduates of those programs by assuring the development of and maintenance of:

- Initial budgets for residency and fellowship programs (working with the Program Directors as to budget requests and needs, and with the Vice Presidents for Education and Finance as to final budgets.

- Initial program and document development for any new residency or fellowship program applications.

- Preparation and document review for programs with upcoming accreditation reviews

- Assisting any new programs with the development of initial documents such as handbooks and policies/procedures.

- Provides monthly oversight of the program coordinators to ensure budgetary and accreditation compliance.

17. Manages the educational administrative team which includes all program coordinators/administrators.

18. Manages the onboarding and credentialing (and annual re-credentialing) of all Tufts residents and fellows, as well as for approximately 130 visiting residents and fellows annually who rotate to Tufts Medicine affiliate hospitals for aspects of their training.

19. Directs and prioritizes administrative support activities related to collection, organization, preparation, distribution and record keeping of large volume of information necessary to meet recruiting, documentation and information requirements of post-graduate training program specifications and national residency matching programs (NRMP) for residency/fellowship programs, the programs directors and support staff as well as the residents and fellows.

20. Monitors and reviews with appropriate department representatives the quality of training in all GME programs, which includes annual metrics reports received from each program, and then submitted to TUSM to ensure continued affiliation with the medical school, and periodic internal accreditations review of each program to ensure completeness and compliance with established standards. Creates reports on behalf of the internal review teams.

21. Using a thorough knowledge of GME programs, acts as a resource to students and residency and fellowship program participants, as well as other hospital personnel, in developing and disseminating programmatic and collateral information.

22. Collects time, effort and attendance information from departments to compile Medicare cost report and directs audits of same.

23. Ensures that hospitals and departments are accurately charged and/or reimbursed monthly for services performed by house officers during required and elective rotations in accordance with provisions of residency training program interinstitutional agreements.

Physical Requirements:

1. Normal office environment.

2. May be required to work early or late in day depending on time schedule of meetings.

Skills & Abilities:

1. Demonstration of a high level of written and oral communication skills and the ability to conceptualize, develop and manage services in support of multiple levels of medical education processes and programs.

2. An advanced professional's level of applied knowledge of current practices in administration, undergraduate and graduate medical education programming, simulation, and related accreditation and legal standards, and demonstrated success in the integrated deployment and optimization of electronic documentation and recordkeeping systems.

3. Broad knowledge of health professions education industry, including educational concepts, curriculum, and competencies of a specific health profession.

4. Broad knowledge of academic medical center, HR and university policies and processes.

5. Knowledge of relevant federal, state and local laws and regulations including national accrediting organizations and state and federal licensing and regulator offices.

6. Leadership skills in employee supervision and HR administration to effectively lead and motivate others.

7. Conflict resolution skills to resolve personnel issues and counsel assigned staff to develop cooperative working relationships.

8. Demonstrated ability to effectively manage multiple priorities in a complex and highly matrixed environment.

9. Demonstrates adaptability and flexibility, anticipates and effectively handles change.

10. Ability to organize program operations and sites in an efficient and effective manner through improving health professions education program processes, procedures, and systems.

11. Interpersonal skills to maintain professional relationships with peers, learners, multidisciplinary team members, senior management, and assigned staff.

12. Ability to collaborate within and across health professions to integrate / coordinate program activities and resolve problems.

13. Proven skills to quickly evaluate complex issues and identify multiple options for resolution. 14. Demonstrates good problem-solving and analytical skills. Creatively addresses complex or new problems.

14. Verbal and written communication skills to effectively communicate through all mediums and with all groups. Demonstrated abilities to listen actively, persuade, advise, and counsel.

15. In-depth knowledge of educational software and technologies to promote a wide range of teaching and learning goals.

16. Demonstrated understanding of various constituencies including AMA, ACGME, NRMP, Medical Board of California, and others as it pertains to the management of a Graduate Medical Education Office.

Job Profile Summary

This role focuses on supporting the education and development of employees or students by developing education, curricula, materials, and programs to support educational growth. In addition, this role focuses on performing the following Education Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Activities include long-term strategic planning; determining the policies of the organization; allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that manages experienced professionals who exercise latitude and independence in assignments. Responsibilities typically include: policy and strategy implementation for short-term results (1 year or less), problems faced are difficult to moderately complex, and influences others outside of own job area regarding policies, practices and procedures.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.