The Program Quality Director is a senior elected District Officer responsible for education and training. The Program Quality Position is the #2 position in the District, after the District Director.
The title is sometimes abbreviated "PQD", which sounds much like "P-Cutie" and is sometimes pronounced that way.
In the 2016-17 Toastmasters Year there were two program quality directors, one for the north and one for the south, as the district prepared for the District Split.
See also Club Growth Director, Trio and Top Five.
The closest equivalent at the club level is the Vice President Education.