Accreditation Associate

Note: Applications will be accepted until 11:59 PM on the Posting End Date.

Job End Date

This is a 1-year term position with possibility of extension.

At UBC, we believe that attracting and sustaining a diverse workforce is key to the successful pursuit of excellence in research, innovation, and learning for all faculty, staff and students. Our commitment to employment equity helps achieve inclusion and fairness, brings rich diversity to UBC as a workplace, and creates the necessary conditions for a rewarding career. 

Job Summary
This position works within the UBC Faculty of Medicine’s Division of Continuing Professional Development (UBC CPD) and is responsible for supporting the Accreditation portfolio.

The role applies specialized knowledge of accreditation standards, data quality practices, and structured review processes to support the design, delivery, evaluation and administration of continuing professional development (CPD) activities to educational quality standards in compliance with national certification and accreditation standards.

This position reviews and analyzes internal and external accreditation applications, ensuring compliance with national standards as set by the College of Family Physicians of Canada (CFPC) Mainpro+ standards, and the Royal College of Physicians and Surgeons Maintenance of Certification (MOC) standards. The incumbent exercises independent judgment in the interpretation of accreditation standards, assessment of compliance risks, analysis of data, and development of recommendations to support continuous quality improvement initiatives.

The role is responsible for maintaining accurate and high quality data, preparing documents and coordinating structured peer review workflows, identifying trends and process issues, and contributing to reporting and continuous improvement initiatives.
Organizational Status
The University of British Columbia is a global centre for research and teaching, consistently ranked among the top 20 public universities in the world. Since 1915, UBC’s entrepreneurial spirit has embraced innovation and challenged the status quo. UBC encourages its students, staff and faculty to challenge convention, lead discovery and explore new ways of learning. At UBC, bold thinking is given a place to develop into ideas that can change the world.

Ranked among the world’s top medical schools with the fifth-largest MD enrollment in North America, the UBC Faculty of Medicine is a leader in both the science and the practice of medicine, making remarkable discoveries, and helping to create the pathways to better health for our communities at home and around the world.

UBC Faculty of Medicine Vision: To Transform Health for Everyone

The Faculty of Medicine - comprised of approximately 2,700 administrative support, technical/research and management and professional staff, as well approximately 600 full-time academic and over 10,000 clinical faculty members - is composed of 19 academic basic science and/or clinical departments, 3 schools, and 26 research centres and institutes. Together with its University and Health Authority partners, the Faculty delivers innovative programs and conducts research in the areas of health and life sciences. Faculty, staff and trainees are located at university campuses, clinical academic campuses in hospital settings and other regionally based centres across the province.

Reports to the UBC CPD Accreditation Coordinator. Works closely with CPD leadership, physician reviewers, and internal and external interest holders, including accrediting bodies (CFPC and Royal College).

Collaborates with team members across UBC CPD portfolios and interacts regularly with internal FoM departments, healthcare organizations, and external partners.
Work Performed
Accreditation Compliance Review & Analysis

• Conducts independent technical review and analysis of accreditation applications, ensuring compliance with national standards and identifying gaps, inconsistencies, and required revisions prior to developing an accreditation recommendation to physician reviewer.
• Applies and interprets accreditation standards, policies, and guidelines to support consistent and defensible review outcomes and makes recommendations that inform accreditation approval decisions.
• Performs completeness checks and critical evaluation of submission materials to ensure data accuracy and compliance
• Investigates and resolves application discrepancies and escalates complex compliance issues as required

Data Management, Quality Assurance, and Reporting

• Maintains accreditation databases and application tracking systems, ensuring data integrity, completeness, and audit readiness
• Performs data verification and quality assurance checks on accreditation records
• Collects, analyzes, and summarizes accreditation data to identify trends, recurring errors, and operational inefficiencies
• Generates statistical summaries, baseline metrics, and draft reports to support evaluation and annual reporting
• Conducts trend analyses and environmental scans using accreditation and program evaluation data to identify emerging issues, organizational risks, and opportunities for process improvement

Peer Review and Interest holder Coordination

• Coordinates structured peer review workflows, including compiling and preparing application materials, distributing to physician reviewers, and tracking outcomes
• Liaises with accreditation applicants, reviewers, and accrediting bodies to facilitate timely and accurate review processes
• Receives and reviews time sensitive external and internal accreditation applications, in line with the Accreditation standards
• Provides guidance to applicants regarding submission requirements and standard processes; escalates complex inquiries as needed
• Acts as a primary point of contact for stakeholders throughout the application lifecycle

Process Improvement and Systems Support

• Identifies recurring submission issues, workflow bottlenecks, and system inefficiencies; contributes to process improvement initiatives
• Troubleshoots accreditation platform and application issues; documents and escalates technical concerns
• Participates in system testing, workflow optimization, and implementation of process enhancements

Knowledge Translation, Training, and Documentation

• Maintains current knowledge of accreditation standards, policies, and procedural updates
• Develops and updates accreditation guidance materials, training resources, and onboarding documentation
• Plans and executes the delivery of training sessions for staff, reviewers, and applicants to promote consistent interpretation and application of standards

Research and Scholarship Support

• Supports the design and implementation of research and evaluation activities, including the development of data collection tools, tracking systems, logic models, and evaluation frameworks to assess educational program outcomes
• Conducts literature searches and environmental scans to inform accreditation policies, procedures and quality improvement initiatives; Prepares, collects, summarizes, and analyzes both qualitative and quantitative data from program evaluations and develops recommendations to address areas for improvement
• Collaborate with health care professionals, project team, external consultants, and other team members to develop needs assessments and evaluation instruments; ensures evaluation methodologies are ethical, and aligned with national standards
• Administer surveys and evaluation tools (developed by CPD team and/or investigators) to assess learning outcomes, knowledge retention, practice change, and participant satisfaction.
• Translate research and evaluation findings into reports, practical program improvements, educational content, and policy recommendations. Writes research reports and presents research findings to the Accreditation Coordinator. , Accreditation Council and other interest holders as required.
• Ensures research findings in courses adhere to national and provincial accreditation and certification standards, where applicable.

Financial and Operational Data Support

• Tracks application fees, expenses, and resource usage in alignment with established procedures
• Prepares basic financial summaries and supports reporting inputs for program evaluation and budgeting processes

Records Management and Administrative Support

• Maintains accurate and confidential accreditation records and documentation
• Ensures proper organization and audit readiness of digital files and application materials
• Maintains internal documentation and materials to reflect current processes and standards
• Provides logistical support for Accreditation Council activities
• Provides ad hoc administrative support to Accreditation Coordinator, Medical Director of Program Standards, and other senior leaders as required

Consequence of Error/Judgement
This role requires sound judgment in the interpretation and application of accreditation standards and in managing confidential and sensitive data. Errors in compliance review recommendations, data integrity, or stakeholder communication could negatively impact accreditation outcomes, compromise program credibility, and affect the reputation of UBC CPD.
Supervision Received
Works independently within established frameworks, standards, and procedures. Receives guidance on complex issues from the Accreditation Coordinator.
Supervision Given
May oversee students, temporary staff, or project assistants supporting data management or accreditation processes.
Minimum Qualifications
High School graduation, plus two year post-secondary diploma, plus four years of related experience, or an equivalent combination of education and experience.
- Willingness to respect diverse perspectives, including perspectives in conflict with one’s own

- Demonstrates a commitment to enhancing one’s own awareness, knowledge, and skills related to equity, diversity, and inclusion

Preferred Qualifications

• Excellent written and verbal communication skills

• High level of accuracy and attention to detail

• Strong analytical, critical-thinking, organizational, and problem-solving

• Ability to work independently and manage multiple priorities in a deadline-driven environment

• Experience working in health professions education, accreditation, regulatory, research, or quality improvement environments.

• Demonstrated experience in data management, quality assurance, and reporting

• Experience coordinating structured review processes involving physician and subject matter expert reviewers.

• Strong analytical and problem-solving skills, including ability to identify trends and process improvements

• Ability to interpret policies, standards, and guidelines and apply them consistently

• Demonstrated ability to exercise sound judgment, work independently, collaborate effectively with multidisciplinary teams, and appropriately escalate complex or high-risk issues.

• Demonstrated ability to manage multiple priorities and time-sensitive deliverables while maintaining accuracy and confidentiality