Deputy Registrar, Accreditation Programs & Quality Assurance

College of Physicians and Surgeons of British Columbia
Deputy Registrar, Accreditation Programs & Quality Assurance


The College of Physicians and Surgeons of British Columbia (CPSBC) is the regulatory body for physicians in the province of British Columbia, Canada. Its primary purpose is to ensure the highest standards of medical practice and patient care. The College sets and enforces standards for physician education, conduct, and ethics, and it also handles complaints and investigations into physician behavior.

The CPSBC was established in 1912, and it has since been responsible for maintaining public confidence in the medical profession. This is achieved through the College's rigorous registration and examination process for new physicians, as well as its continuous monitoring of physician practice through regular audits and assessments. In addition, the College provides a wide range of resources and support to help physicians maintain and improve their skills and knowledge.

The College operates under the authority of the Health Professions Act of British Columbia and is governed by a Board made up of elected physician members and members appointed by the provincial government. The Board is responsible for making decisions on behalf of the College and ensuring that it meets its legal obligations and responsibilities. In addition to its regulatory functions, the CPSBC is also committed to promoting collaboration and communication between physicians, health organizations, and the public.

One of the key ways the College of Physicians and Surgeons of BC fulfills its role is by maintaining a public register of all registered physicians in the province. This register contains information about each physician's education, training, and professional standing, and it is updated regularly to ensure that it reflects the current status of each physician. This information is available to the public and is an important tool for patients and other healthcare providers to use in making informed decisions about their medical care.

To learn more, please visit the College’s website.

The College’s Vision, Mandate, and Values

Serving the public by regulating physicians and surgeons.

The College of Physicians and Surgeons of BC regulates the practice of medicine under the authority of provincial law. All physicians who practice medicine in the province must be registrants of the College.

The College’s overriding interest is the protection and safety of patients. The role of the College is to ensure physicians meet expected standards of practice and conduct.

Regulation of the medical profession is based on the foundation that the College must act first and foremost in the interest of the public. The primary function of the College is to ensure that physicians are qualified, competent, and fit to practice medicine. The College administers processes for responding to complaints from patients and for taking action if a physician is practicing in a manner that is incompetent, unethical, or illegal. The College also administers a number of quality assurance activities to ensure physicians remain competent throughout their professional lives.



  • Regulatory processes and policies are clear, accessible, and applied consistently.
  • Information about the mandate and work of the College is readily available and easy to understand.
  • Relevant information about registrants and accredited facilities is accessible to the public.
  • Public is involved in regulatory proceedings and policy development.


  • Regulatory decisions are evidence-based and rationale is clearly explained and defensible.
  • Board and committee membership is diverse, reflective of the public, and inclusive of a broad range of opinion, perspective, qualification, and experience.


  • Regulatory processes and decisions are unprejudiced and free of bias.
  • Board and committee members identify and address perceived or real conflict of interest in advance of proceedings.
  • All points of view are heard and considered.


  • Regulatory processes and proceedings are conducted according to established rules of order and the law.
  • All individuals are treated equally with dignity, courtesy, and respect, and without discrimination.

As a member of Senior Staff, the Deputy Registrar will be responsible for the oversight and leadership of all aspects of the Accreditation Programs & Quality Assurance. Reporting to the Registrar/CEO, the Deputy Registrar will oversee all matters in accordance with the Health Professions Act (HPA), Health Professions and Occupations Act (HPOA), College Bylaws, policies, procedures, standards, and guidelines.

Duties & Responsibilities:

Oversight and leadership of all aspects of the Accreditation Programs & Quality Assurance

  • Provides direction and supervision to the program directors/managers ensuring that the department/programs goals and objectives are being met, that appropriate policies, and procedures are adhered to, and that the College’s performance management system is carried out,
  • Provides the College Registrar/CEO with direct support to ensure the College’s regulations and ensuing requirements for all regulatory matters are communicated, adhered to, and ensure all regulatory changes or new requirements agreed by the Committee/Board are incorporated and are formally recorded into the appropriate documentation,
  • Implements policy and operational decisions made within the College,
  • Supports the Diagnostic Accreditation Program committee, the Non-Hospital Medical and Surgical Facilities Accreditation Program committee, and the Physician Practice Enhancement Program Panel,
  • Works with the Senior Management Team to agree on various strategies and developmental plans,
  • Works with the Chief Operating Officer (COO) and Operations department on the preparation and development of the annual departmental budgets and business plans,
  • Develops annual departmental/program goals & objectives, including Key Performance Indicators (KPI’s),
  • Oversees the implementation of strategic plans and establishes support structures to enable the achievement of departmental/program goals, objectives and KPI’s,
  • Periodically assesses the management, operations, and structure of the department/programs to ensure effectiveness and efficiency.

Supervision of Department Staff

  • Provides direction, support, training, mentoring and oversight to leadership staff and direct reports within the department /programs,
  • Completes probationary, semi‐annual, and annual performance evaluations for directors/managers and other direct reports within the department/programs,
  • Promotes teamwork and shares appropriate information with staff in a timely manner,
  • Maintains respectful and collaborative relationships with the Senior Management Team.

Planning and Organizing

  • The workload of the Deputy Registrar will be a mixture of self-directed and planned activities (driven by operational objectives and the College’s strategic plan),
  • The Deputy Registrar is required to plan independently, to manage under time pressure ensuring consistent high quality, timeliness, and attention to detail,
  • The Deputy Registrar will also provide input into the development of the longer-term strategic plan, which will outline the key priorities for quality assurance and accreditation programs.

Decision making

  • Assuming a high level of responsibility for implementing policy and operational decisions made within the College,
  • Knowledge of the College Regulations & Bylaws that must be applied to decisions taken,
  • Knowledge of relevant legislation, e.g. HPA, HPOA, FIPPA, etc.


Knowledge, Skills, Abilities & Qualifications

  • Physician preferred,
  • Several years of progressive and senior experience in a professional regulatory environment, health systems leadership role, or in a closely related field,
  • Ability to handle a full, complex, diverse workload in a fast-paced environment with competing demands,
  • Proven ability to mentor, motivate and develop staff,
  • Ability to work collegially and collaboratively in a multidisciplinary environment,
  • Capability to multi-task within own area of responsibility and in support of other departments as required,
  • Ability to use initiative and take appropriate action when unforeseen circumstances arise,
  • Technology skills including Microsoft Office, telecommunications, and other common IT platforms,
  • Excellent leadership and communication skills both verbal and written.

Core Competencies

Leadership Skills - Builds passion and commitment and guides individuals and groups towards desired outcomes by delegating and empowering; thinks and plans strategically; demonstrates a sincere interest in employee well-being; builds and leads effective work teams; builds trust with others through personal authenticity; leads by example; is flexible; generates results.

Change Leader - Can effectively lead and manage change in their areas of responsibility.

Communication Skills - Expresses verbal and written ideas effectively in individual and group situations; creates clear, concise, and informative reports and correspondence; proactively builds and aligns stakeholders and resources to achieve goals.

Risk Management Skills - Anticipates, identifies, and manages risk.

Self-Awareness - Actively practises self-evaluation, self-reflection, and growth. Is committed to being a life-long learner.

COMPENSATION: The salary range for the position is $283,846 - $425,770 with a midpoint of $354,808, plus attractive benefits. The midpoint represents an employee who possesses full job knowledge, qualifications, and experience for the position. CPSBC anticipates the target hiring salary to be between $330,000 and $350,000.

To apply, please visit our website.

Julian Manchon or Greg Longster
#880—609 Granville Street
Vancouver, BC V7Y 1G5
Phone: (604) 688-8422
Email: [email protected]