Getting Promoted in the Clinical Sciences at Duke

Getting Promoted in the Clinical Sciences at Duke Ann Brown MD MHS Associate Vice Dean for Faculty Development 10/27/08

Contact • Office for Faculty Development • Phone: 684-4139 • Email: brown066@mc.duke.edu • Web: facdev.medschool.duke.edu

This presentation will cover: • Guidelines for promotion on each of the 5 tracks • Examples of promotable achievements • Choosing a track • Switching tracks • Tenure clocks • Documenting your achievements • Timeline for promotion review process

Why have Pathways? • Pathways designed to help faculty succeed within the framework of institutional needs • Many ways to develop a career at Duke • Create a consistent set of expectations • Provide guidance to APT* Committees *APT= Appointment, Promotions & Tenure.

Guidelines Apply To… • Clinical Departments • MDs • PhDs • MD/PhDs • Other terminal degree holders in the clinical departments • (Basic Science Departments have a different process. See the following web links: medschool.duke.edu>faculty&staff>School of Medicine APT>Basic Sciences-APT)

What is Tenure? • Tenure is a promise of continued employment, absent malfeasance • A specific salary isn’t promised • For Clinicians who belong to the PDC • Full professor $30K • Associate professor $25K • For faculty who do not belong to the PDC, tenure may have a different meaning

What are the Pathways? • There are five pathways (revised 2006) • Standard Tenure Clock (10 years)* • 1: Clinical / Administrative / Educators • 2: Clinician Researchers • 3: Research focused faculty • Non-clocked – term appointments • 4: Clinicians • 5: Researchers *Basic Science Department tenure clock is 7 years

What are the Ranks? • Medical Instructor (incubator status, tenure clock not active) • Assistant Professor • Associate Professor • Associate Professor with Tenure • Professor* • Professor with Tenure *Tracks 4 and 5 only

What are the Criteria? • Varies with track • The selection of a given track defines the promotion expectations • Track 1: Clinical / Administrative / Educational expectations • Track 2: Mixed Research & Clinical • Track 3: Research • Track 4: Clinical • Track 5: Research

What are the Criteria? • Tenure-eligible pathways require scholarship • Scholarship, Research and Creative Activity means the systematic investigation in some field of knowledge undertaken to discover or establish facts or principles, and the scholarly effort to interpret, integrate or synthesize research findings or the preparation and execution of creative projects

Changing Tracks • Not casual – consult with chair • Transfer within Tracks 1-3 relatively easier • Transfer from Tracks 4 or 5 to Tracks 1-3 requires Dean’s office due to tenure implications

Changing Tracks • Tenure clock starts with first appointment at Assistant Professor rank regardless of track

Path 1: Clinician / Administrator/ Educator • Designed to reward physicians who see patients (typically ≥75%) and do some research, administration, or education • Primary focus: publications & reputation • Referral patterns • National committees & professional organizations • Review articles, case reports, chapters

Path 1: Clinician / Administrator/ Educator • Also appropriate for faculty who spend the majority of their time on a combination of clinical care, administration, and/or teaching • Similar to Track 4, but difference is stronger emphasis on scholarly activity in Track 1

Path 1 • Grants • Clinical volumes • Teaching or administrative accomplishments • Tenure clock applies: must initiate tenure review by the start of 10th year • Earlier review okay

Path 1 • Examples of promotable activities for: • Educational Program or Residency Director • Publish program innovation and evaluation • Publish review of educational challenge, and novel approach to addressing it. • Leadership positions in national residency program directors group; • position on national board (American Board of XX, ACGME • Clinician • Publish case series, review in major text • Membership in national board, esp. leadership positions • leadership in national organizations within the field • Requests to present on clinical issues as national meetings of import • Editing text books in the field, major review issues in journals, etc.

Path 2: Clinician / Researcher • Designed to reward physicians who see patients and do ~50% research • Natural home for Clinical Investigators • Primary focus: publications & reputation • Referral patterns • National committees & professional organizations • Manuscripts – higher standard than Path 1

Path 2 • Grants • Clinical volumes – lower standard than Pathway 1 • Teaching or administrative accomplishments count but are secondary to research and clinical care expectations

Path 3: Primary Research • Designed for faculty who typically do ≥75% research • Natural home for Lab-focused MDs and PhDs • Primary focus: publications & reputation • History of funding • Publications • Nationally significant research

Path 3 • Grants – Peer reviewed (NIH, Selective foundations) • Publications – expect to be placed in major journals • Teaching or administrative accomplishments count but are secondary to research objectives

Path 4: Clinician • Designed for faculty who typically do ≥75% clinical work • As with Track 1, combinations of clinical work, teaching and administration also fit here • Natural home for pure clinicians • Primary focus: clinical care • Referral patterns • National committees & professional organizations - reputation

Path 4 • Only 4 ranks: • Assistant Professor • Associate Professor • Professor • Professor with Tenure • Professor with Tenure for a small number of faculty with national/international repute • No tenure clock

Path 4 • Can only transfer to Tracks 1-3 during the first ten years in Path 4

Path 4 • Grants – very secondary • Publications – much less critical, although they enhance clinical reputation

Path 5: Researcher • Designed for faculty who typically do ≥80% research • Natural home for PhDs in clinical departments • Primary focus: publications & funding • Publications – high level journals • Consistent funding – annual appointments

Path 5 • Teaching or administrative accomplishments count but are are secondary to research objectives • Most teaching in the context of the research work

Preparing for Promotion • Process takes about 1 year • You should play an active role in the process of deciding when to go up for promotion • You can bring this up with your Chair/Chief

Promotion and Tenure Review • Annually – meet with your Chair or Chief to review your progress. • Are you on the best Track for what you want to do? • Does your current CV communicate effectively about your activities? • What areas of your portfolio should be strengthened?

Promotion and Tenure Review • 5 Years – be formally reviewed by your departmental APT committee 5 years after initial appointment to Assistant Professor. • 10 years - Tenure review should begin no later than the 10th year on tenure track. • Any time - you may request a promotion/ tenure review at any time.

Promotion and Tenure Review Timeline DAPT Committee forwards recommendation to Chair Faculty member submits dossier to DAPT Committee Faculty member invited to submit dossier Chair forwards to Clinical APT Committee Final action 3 months 6 months 1 month 6 months Chair notifies faculty member of DAPT recommendation DAPT=Departmental APT

Dossier • Curriculum vitae in Duke Format • Find format at: medschool.duke.edu-> • Faculty & Staff-> • General Information-> • Curriculum Vitae • List of publications most representative of your published work • Evaluators • External to Duke (at least 6) • Internal to Duke • Individuals you don’t want contacted • Personal intellectual statement

Who does the review? • Departmental APT Committee • Department Chair • School of Medicine Clinical APT Committee • Dean • Medical Center Executive Committee • Trustees

What should you expect? • Should have periodic reviews of your progress • Chair, Division Chief, or Mentor • One year notice if not to be tenured • Term appointments may be one year at time • Rights as faculty are listed in the Faculty Handbook on the Web • Medschool.duke.edu • Faculty & Staff • Faculty Handbook

Secondary Appointments • Many faculty have 2ndary appointments in another department • 2ndary department asked to name a faculty member to act as an ad hoc reviewer within the primary department’s review • 2ndary appointments are to encourage interaction – so departmental participation will be the key for parallel promotion

Questions? • Resources • Department • Administrative Liaison • Faculty Liaison • Faculty Handbook and APT Guidelines • http://medschool.duke.edu/ • Select “Faculty & Staff” on Left Bar • Duke Advantages for Faculty • http://www.provost.duke.edu/faculty/ • Office for Faculty Development

Examples for discussion • What track would be appropriate for: • A CFM faculty member who is 25% clinical, 50% teaching and administration • A Student Advising Dean who is 25% clinical, 75% administrative • A Physical Therapy faculty member who has seasonal teaching obligations

Getting Promoted in the Clinical Sciences at Duke