Appointment and Promotions in the Department of Medicine

1. Appointment and Promotions in the Department of Medicine New Faculty Orientation May 6, 2010

2. Department of MedicineOrganizational Chart

3. Titles and Ranks Titles: Directors Clinical Centers (university and departmental) Units Programs Institutes Section Chiefs Associate Section Chiefs Academic Ranks: Instructor Assistant professor (+/- clinical or research prefix) Clinician Scholar Track Clinician Scientist Track Research Scientist Track Associate professor (same tracks as above) Professor

4. Promotion Process Candidate and section chief discuss promotion application. Pre-review by the Department’s Appointment & Promotion (A&P) Committee requires chief’s letter of recommendation, candidate’s CV (BU format), and template of potential referees, A&P committee requests letters of reference. Department’s A&P committee reviews completed application and reference letters and reports to the section chief if they do not recommend promotion. Approved packages sent to the Dean. The School Appointment Committeeexamines and discusses the candidate’s dossier and the recommendations of the departmental A&P committee and provides a report if they do not concur. Deanreviews the promotion recommendations and procedures followed by the department and the School and forwards the recommendations of the Chairman of the School’s A&P Committee along with any commentary to the Provost. Alternatively, the Dean may return the application to the school’s or department’s A&P committee. The Med Campus Provostapproves the appointment and forwards to the BU Board of Trustees for final approval

5. Promotion CriteriaClinician Scholar Clinical excellence Clinical practice improvements Quality outcomes and productivity Patient educational materials Educational excellence Teaching or curricular evaluations Development of curriculum, courses, or educational programs Scholarship Traditional peer-reviewed scholarship Educational materials Administration Institutional and extramural service Service on committees, especially standing committees Mentoring of other faculty or trainees

6. Promotion CriteriaResearcher Area of inquiry Focused, definable (emerging independence) innovative, future promise Publication in peer-reviewed journals Quality of publications more important than number Trend of scholarly productivity Extramural funding from governmental and private sources Training and mentoring of trainees, other faculty References from outside>inside the institution Presentations, local, national and regional service

7. Am I Ready for Promotion? Take the initiative-use the Annual Review What do I need to accomplish? Am I on track? If not, why not? Who else can I discuss these questions with? • Mentor or senior faculty member • Chair or members of the Appointments and Promotions Committee • Vice Chair of Faculty Development and Diversity • Department Chair

8. Where do Faculty go wrong in Career Planning? The Self Evaluation Phase Honest assessment of Training Passion Talent Resources Balancing service commitments Emphasize quantity over quality of publication “Writer’s Block”

9. Where Do Faculty Go Wrong in Career Planning? The Independence Phase Establishing independence Timing of independence Use of mentor(s) Planning beyond first three year term Visibility outside of the institution

10. Where do Departments go wrong in Career Planning for Faculty? Insufficient due diligence in the search process Inadequate investment • Resources • Mentorship • Infrastructure • Protected time Misalignment of what is needed with what is rewarded Overuse of women and under-represented minorities for institutional service Inflexible career timelines

11. Where to Find Information on Promotion • Medical Campus Provosts’s web page: • http://www.bumc.bu.edu/Dept/Content.aspx?DepartmentID =287&PageID=12614 • BU Faculty Handbook: • http://www.bu.edu/provost/resources/handbook.html • Department of Medicine Faculty Development and Diversity Website: • http://www.bumc.bu.edu/facdev-medicine/ • Section administrator and/or chief • Kirstin Salmela, departmental administrator

12. New Faculty Orientation2010 Welcome • 1. Research Resources • 2. Research Cores • 3. Opportunities for internal grants • 4. Research & the Graduate School (graduate program in Molecular Medicine)

13. 1. Research Resources Evans Center for Interdisciplinary Biomedical Research (Evans Center) http://www.bumc.bu.edu/medicine/evansbiomedicalresearch/ Katya Ravid, DSc/PhD Director

14. Major Goals of the Evans Center • Create Affinity Research Collaboratives (ARCs) which consist of faculty affiliated with the Department of Medicine and with other Departments and Centers at Boston University. The ARCs serve as incubators to jump start and sustain new ideas and research areas, using interdisciplinary approaches to enhance discovery as it applies to disease states; • Enhance the educational mission at undergraduate, graduate and post-graduate programs (graduate course; training programs); • Assist in envisioning and developing current and new institutional research cores [e.g., model organism core; human tissue bank];

15. Example of ARCs • PROTEIN TRAFFICKING AND NEURODEGENERATIVE DISEASES: ALZHEIMER DISEASE AS A FIRST MODEL SYSTEM • Dr. Lindsay Farrer, pre-ARC Director (farrer@bu.edu) • REGENERATIVE MEDICINE: iPS • Drs. Darrell N. Kotton and Gustavo Mostoslavsky, pre-ARC Directors (dkotton@bu.edu; gmostsosl@bu.edu) • MITOCHONDRIA in DISEASE: ONE ORGANELLE, MULTIPLE ORGANS • Dr. Orian Shirihai, pre-ARC Director (Shirihai@bu.edu) • SEX DIFFERENCES IN ADIPOSE TISSUE REMODELING: MECHANISMS AND ROLE IN DISEASE RISK ASSOCIATED WITH OBESITY • Dr. Susan Fried, pre-ARC Director (skfried@bu.edu) For a full list visit: http://www.bumc.bu.edu/evanscenteribr/pre-arcs/

16. Other Research Resources Other Research Facilities on the BU Medical Campus • * Laboratory Animal Sciences Center • * Mass Spectrometry Resource • * Proteoglycan and Glycosaminogylcan Structure Laboratory • * Framingham Heart Study Research Facilities on the BU Charles River Campus • * Biomedical Optics Laboratory • * Center for Chemical Methodology & Library Development • * Center for Nanoscience and Nanobiotechnology • * Fraunhofer Center for Manufacturing Innovation • * High Performance Computing & Communications Facilities (Supercomputing) • * Photonics Center • * Scientific Instrument Facility

17. http://www.bu.edu/cores/resources.html Continued- Other Research Resources • * Alzheimer's Disease Center • * Amyloid Treatment & Research Center • * Behavioral Development & Mental Retardation • * Cancer Research Center • * Cardiovascular Proteomics Center • *Evans Center for Interdisciplinary Biomedical Research • * Hearing Research Center • * Center for Human Genetics • * NeuroMuscular Research Center • * New England & Regional Spinal Cord Injury • * Pulmonary Center • * Sexual Medicine, Institute of • * Sickle Cell Disease, Center of Excellence In • * Whitaker Cardiovascular Institute • * Women's Health Interdisciplinary Research Center

18. 2. Core Facilitieshttp://www.bu.edu/cores/cores/biomed-imaging.html Core facilities exist to support research and researchers. • * Analytical Instrumentation Core • * Animal Research Resource Center, including a Transgenic Core and more • * Biomedical Imaging Center • * BU-BRIDGE Clinical and Translational Science Institute • * Cellular Imaging Core • * Experimental Pathology Laboratory Service Core • * Flow Cytometry Core Facility • * High Throughput Screening Core • * Microarray Resource Core Facility • * Molecular Genetics Core Facility • * Proteomics Core Facility • * Transgenic Center

19. 3. Opportunities for Internal Funding • ARC grant applications via the Evans Center/DOM, see: http://www.bumc.bu.edu/evanscenteribr/ • Pilot grants to allow generation of pilot data for new ideas ad grants, see: http://www.bumc.bu.edu/medicine/research-in-the-department/ • Bridge Funding to allow project continuation within grants that scored in an almost fundable range, see: http://www.bumc.bu.edu/medicine/research-in-the-department/ • Translational Research Grants via the Clinical and Translational Science Institute, see: http://www.bu.edu/cores/cores/general-clinical.html • RFA in Nanomedicine in collaboration with the Nanotechnology Center. See: http://www.bumc.bu.edu/evanscenteribr/initiatives-explored-by-the-evans-center/nanomedicine-initiative-developed-in-2009-with-bu-center-for-nanoscience/

20. 4. Research and the Graduate School Access to PhD students: DOM-based Graduate Program in Molecular Medicine http://www.bumc.bu.edu/gpmm/ Division of Graduate Medical Sciences http://www.bumc.bu.edu/gms/

21. Faculty Development and Diversity • Emelia J. Benjamin, MD, ScM • Vice Chair of FDD • Karen Freund, MD, MPH • Chair, FDD Committee • Peter S. Cahn, PhD • Director of FDD

22. Grants • Deadlines: January 15, April 15, July 15, October 15 • Typically $1500-$4000 • Receive section support • Apply on-line

23. Programs recently attended • MassBioEd leadership training • Evidence-Based Medicine, Duke U. • AAMC Early-Career Women Faculty • Harvard Macy Program Educators in Health Professions

24. Seminars • How to Run a Meeting • New NIH Criteria • Microskills of Teaching for Clinician Educators • E-mail Jail: How to Get Out and Stay Out (May 18, 2010 at noon)

25. Awards • Junior Faculty Mentoring Award • Outstanding Citizenship Award • Research Mentoring Award • Special Recognition Teaching Award

26. Mentoring • BUMC Task Force: Emelia Benjamin, Judith Jones • Objectives: faculty retention and advancement • Proposal: structured longitudinal mentoring program to start in January 2011

27. Diversity • Under-represented minorities • Women in medicine • LGBT interest group • Web resources

29. Lending library • The Grant Application Writer’s Workbook • Seven Keys to Successful Mentoring • The No Asshole Rule—Building a Building a Civilized Workplace and Surviving One that Isn’t  • Ms. Mentor’s New and Ever More Impeccable Advice for Women and Men in Academia

30. Orientation to Clinic Practice Raj Krishnamurthy, MD Vice Chair, Outpatient Medicine May 6, 2010

31. Getting started • What is my practice address? • What is my phone number? Fax? • Do I have business cards? How do I get them?

32. Clinic orientation • Who is my nurse? Who is my MA? What are their roles and expectations? • How do my patients get a hold of me after hours? • How do patients get clinical advice during business hours when I am not there? • How are messages sent to me? How and to whom do I respond? • What are the expectations for my turn around time?

33. Patient management • Where do patients go for labs? X-rays? • How do consults/referrals get scheduled? • How do forms get to me for completion? TAT expectation? Who helps? • Where is my mailbox?

34. Technological issues • Who is the super user for Logician? • Who can I go to for questions? • How do I log in from home? • How do I get a token from IT?

35. Cancellations • Who is the person to go to for administrative issues? • What if I have an emergency on my clinic day? • When I am on vacation, what are the expectations for me to find coverage? How do I sign out my beeper? • How much notification do I have to give for canceling clinic?

36. Expectations • What are the practice expectations for reporting results back to patients? • What are the expectations for sending reports back to referring providers? • What are expectations for encounter form (billing) completion? • What are the expectations for supervision of fellows, residents, and medical students?

37. Quality • How is my outpatient practice evaluated? • What are the quality parameters we follow? • What are the expectations for clinic sessions per year? Patients per session? RVU targets?