Getting Promoted in the Clinical Sciences at Duke

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Getting Promoted in the Clinical Sciences at Duke

• Ann Brown MD MHS
• Associate Vice Dean for Faculty Development
• 10/27/08

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Contact

• Office for Faculty Development
• Phone [phone]
• Email brown066_at_mc.duke.edu
• Web facdev.medschool.duke.edu

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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

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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.
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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.edugtfacultystaffgtSchool of
  Medicine APTgtBasic Sciences-APT)

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What is Tenure?

• Tenure is a promise of continued employment,
  absent malfeasance
• A specific salary isnt 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

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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
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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
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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

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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

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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 Deans office due to tenure implications

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Changing Tracks

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

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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

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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

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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

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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.

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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

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Path 2

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

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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

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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

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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

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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

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Path 4

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

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Path 4

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

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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

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Path 5

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

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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

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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?

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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.

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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
6 months
1 month
Chair notifies faculty member of DAPT
recommendation
DAPTDepartmental APT
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Dossier

• Curriculum vitae in Duke Format
• Find format at medschool.duke.edu-gt
• Faculty Staff-gt
• General Information-gt
• Curriculum Vitae
• List of publications most representative of your
  published work
• Evaluators
• External to Duke (at least 6)
• Internal to Duke
• Individuals you dont want contacted
• Personal intellectual statement

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Who does the review?

• Departmental APT Committee
• Department Chair
• School of Medicine Clinical APT Committee
• Dean
• Medical Center Executive Committee
• Trustees

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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

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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
  departments review
• 2ndary appointments are to encourage interaction
  so departmental participation will be the key
  for parallel promotion

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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

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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

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