Appointments & Promotions Climbing the Academic Ladder Christina M. Surawicz, MD Professor of...

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Appointments & Promotions Climbing the Academic Ladder

Christina M. Surawicz, MDProfessor of Medicine

Assistant Dean for Faculty Development

(206) 744-7070Box 359773

e-mail: surawicz@u.washington.edu

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Do I Want to Climb the Ladder?

Honest appraisal of your strengths and weaknesses

Know what you like to do and what you dislike

Be flexible – life is always full of surprises

Academic medicine needs people with different talents –

Research, teaching, patient care, administration

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Next – Find a MentorOr better yet several mentors

Program director, division chiefShould not be your “boss”

Be proactive – we’re here to help

Fellows are often best source for new faculty

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Academic Medicine

A marathon not a sprint

Short term goals

Long term goals (if possible)

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Promotion

Titles

Tracks & criteria

ProcessClock Hierarchy

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Faculty Titles

Regular - clock startsAssistant Professor 6 years to

promotion(Assoc Prof)

Acting Titles - clock not runningInstructor 4 yr maxAsst Professor 4 yr. Max

BUT 6 yr max in combination

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Other Titles

Senior FellowSenior Fellow TraineeLecturerSenior LecturerVisiting ScientistVisiting Asst, Assoc or Professor

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Acting Appointments

Clock not running No search needed No promise of faculty appointment Time to jump start career-

Grants/papersEstablish clinical programs

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ACTING TITLES

ADVANTAGES Does not require national search Thus can be done quickly, i.e. months

DISADVANTAGES Temporary, i.e. holding Confusion about the title No guarantee of a job

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Acting Faculty

Currently 257 Acting faculty in school

Excluding combination titles of acting instructor/senior fellow or senior fellow trainee

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ACADEMIC TRACKS

Regular Faculty Tracks Assistant professor (tenure or WOT) Associate Professor (tenure or WOT) Professor (tenure or WOT)

Research Faculty Tracks As above (Research Asst Professor, etc.)

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Pathways

CLINICAL DEPARTMENTS Physician scientist Clinician teacher

FULL TIME CLINICAL FACULTY Not a pathway Year to year appointment

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Promotion Criteria

DEPEND ON

Track

Dept Criteria

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Assistant Professor

Assistant Professor requires a national search (faculty code)

Department chair approves positionSearch committee appointedAds in national journalsInterviewsOften a 1 year process(or longer)

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Assistant ProfessorFaculty Code requires searchAnnual review Duration of initial appointment - 3 years

Reappointment to 2d. 3 yr term spring of 2d year

Mandatory Review at 5 yr for promotionPrepare at 5 yearSubmit fall of 6th year“Up or out” after 6 years but may be able to

get extension

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Extending the Clock

Illness/Child bearingAdopted infants; extended care for

parents/ childrenSpecial circumstances

Lab space not readyAnimals die

Requires approval of Department/Dean’s office/Provost

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What if I Work Part Time? Is the Academic Clock the Same?

The first three-year appointment as Assistant Professor is the same

The second three-year appointment is modified as follows:

90% time - 3 years70 – 89% time - 4 years60 – 79% time - 5 years50 – 59% time - 6 years

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Physician Scientist

Scholarship of discoveryPeer reviewed papers & grantsIndependence

Chapters/reviews-considered but …ClinicalTeachingAdministration

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Clinician Teacher- 198980% clinical/teaching

Peer evaluationTeaching portfolios

20% scholarlyPapers, chapters, videos, web syllabi

Administration may be part, but role in promotion may be unclear

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Clinician Teacher PathwayChanges as of 7/03

Associate and Full Professors can change to this pathway Assoc Profs after 3 yrs 1 year to petition exception, ended

July 2004. Many made the change Recognizes the changes in faculty

careers/interests

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Clinician Teacher PathwayChanges as of 7/03

Flexibility in time spent 1989- 80% clinical and 20% scholarly 2003- Flexible; each dept. to

reevaluate Ongoing evaluation of how to

evaluate clinical work & teaching Likely to see changes this fall

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Basic Science Depts.

Scholarship, papers, grants

Original Independent work

Teaching

Administration

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Full Time Clinical Faculty

Not in all depts. Annual appointment/ no mandatory

promotion review Clinical skill Support mission of school

Enhance clinical services by improved patient access/ practice management/ teaching and training

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Full Time Clinical Faculty

• 1998• Expectation: Clinical excellence and

Productivity• Allows others to do research and

teaching• Does have promotion criteria and

faculty have been promoted to Associate Professor on this track

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Full Time Clinical Faculty

• Currently 130 in School of Medicine

• Most in departments of Medicine, and Pediatrics; also Psychiatry, Anesth and Rehab

• Promotion does happen

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Process of Promotion (Associate Professor)

Chair review annually > 3 yrs

Division - yearlyConcurrence criteria are metPreparation of package

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Process of Promotion (Associate Professor) – cont’d

Preparation of packageYour written self assessmentRegional/National reputationTeaching evaluationsPeer evaluationsUpdated CV (School of Medicine format)Letters or recommendation (5)

- Internal- External (2)

Relationship to you

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Process of Promotion (cont’d)

Departmental A & P CommitteeWritten summary sent to youYou can respond w/in 7 working

days

Faculty voteSame as above

Chair support letters

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Process (cont’d)

School A & P committeeMSEC/DeanProvostBoard of Regents Do notPresident’s letter vote

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Appointments & Promotions Council

Advises Dean and MSEC on faculty appointment and promotions

10 members elected 10 Clinical 5 Basic Science 1 Research

Chair, Wylie Burke

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2006 – 2007 School of Medicine

Promotions to: APPROVED DENIED POSTPONED

Associate Professor (mandatory) 31 0 2Associate Professor (non-mandatory) 20 1* 0Research Associate Professor (mandatory) 6 0 2Research Associate Professor (non-mandatory) 4 0 0_____________________________________________________________________

__TOTAL: 61 1 4

* Approved by the School’s Appointments and Promotions Council but denied by the Provost’s office.

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Additional Points

Secrecy not intentional

Process selective but at point of hire

Most people get promotedno pyramid

Criteria imprecise to permit flexibility

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What School is Working On

How to better evaluate Clinical workTeachingStandardized teaching portfolios

How to Reward Administration

Professionalism will also be a criterion for promotion

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General Advice

Learn the culture of your department - UnwrittenReview mission statementAsk for advice and feedbackNotice when others succeed or failRegular meetings with your chief (may

not be chair in large departments)

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Your File – What to Keep

All invitations, assignments, acceptances, reviews

Awards and special recognitionsOld CVs and resumesAugmented CVsTeaching evaluations, letters from

patients or othersIN SHORT, KEEP EVERYTHING

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Your CV

School has a standard formatAugmented CV yearly also has a

format Teaching, CME Papers in preparation Community service

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Personal Statement

Use to expand, i.e. Significance of researchImpact of clinical workQuality of teachingImportance of administrative

work

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Documenting Research Credentials

Papers & ScholarshipGrants - Federal

National peer reviewed foundation/grants

PharmaceuticalPresentations

Invited national, local, Grand RoundsStudy sectionsEditorial boards and ad hoc reviews

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Documentation - Teaching and Clinical Activities

More challengingTeaching PortfoliosPeer evaluationRevenues?Patient referrals?Other?

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Bottom Line

Most faculty succeed

Make sure job description is what you really want to do

Be flexible – science and medicine are still the greatest careers imaginable

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Strategies for Success

Know the ProcessHave clear goals

- Teaching- Research - Papers- Make a niche if possible

Know one thing well?- Be flexible - Life changes

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The best careers advice given to the young is “Find out what you like doing best and get someone to pay you for doing it.”

Katherine Whitehorn, In Observer 1975

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Thanks -

QUESTIONS?

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