PROMOTION AND TENURE FOR CLINICAL ATTENDINGS

Sameh Abul-Ezz, M.D.Carmelita Pablo, M.D.

P&T for Clinical Attendings Read the 2011 Guidelines on P&T Pay special attention to Appendix A:

Examples of Teaching, Scholarly Work, and Service on the Clinical Pathways

Check out the Companion Guide to the P&T Document (http://www.uams.edu/facultyaffairs/Promotionandtenure/default.asp)

Study the criteria table for Clinical Attendings (Table 11)

Clinical Attendings “Are expected to excel in clinical work.

They often play critically important roles in the bedside teaching mission of the College, and may also participate in clinical research. Scholarly work in any of these areas is encouraged but is not required.”

Assistant to Associate Professor

Clinical Attending

Clinical Attending – Associate ProfessorQualifications: “Service as an Assistant Professor with a record of significant accomplishments and demonstrated excellence in clinical efforts. The faculty member should have developed an active, productive clinical practice with evidence of skill, high quality, efficiency and cost-effectiveness. For positions with significant expectations for teaching, evidence of high quality teaching will be required.”

Time AllotmentRange Typically

Teaching/Mentoring (Total) 0-30 20Didactic Teaching 0-2 1Bedside Teaching 0-30 20

Research 0-10 5Clinical Service (Total) 70-100 90

Direct Patient Care 70-100 70Bedside Teaching 0-30 20

Leadership/Administrative Service

5-10* 5

Clinical Service A high level of competence and diligence

in a clinical area as evidenced by recognition from peers and patients as an outstanding clinician

(M.D.s) Board Certification (see page 11 of the P&T document)

Demonstrated practice of current standards of patient care and/or development of standards for patient care

Clinical Service Local and/or regional reputation for

excellent clinical skills as evidenced by patient referrals and/or invited presentations

Active participation and/or leadership in local, regional, and/or national professional organizations

Teaching/MentoringIf the candidate’s position involves a teaching

role: “Evidence of high quality teaching

demonstrated through formal peer and trainee evaluations” Document types of teaching and contact hours

with your learners Documented evaluation of teaching

performance: (Your mean scores compared to the department scores, not copies of evaluations)

“Serving as an effective role model of a practicing physician and mentor for students, residents, fellows, and colleagues.”

Teaching/MentoringIf the candidate’s position involves a

mentoring role: List of those you mentor and have

mentored in the past Estimate of contact hours with mentees Evidence of your contributions to their

learning and success “Teaching Awards” “Development of educational programs or

materials for patients and the community”

Explain any “non-traditional” methods by which your work has been peer-reviewed

Research/Scholarly WorkEncouraged but not required for promotion Collaboration in clinical research,

including recruitment of patients for clinical trials

Co-author of reviews, case reports, reports of clinical investigation

Development of curricular or other teaching materials, including materials for patients and families

Research/Scholarly WorkIf you have produced scholarly work,

include the following in your P&T packet: Copies of your 5 most meritorious

publications Must be published or ‘in press’ Middle-author papers count, explain your

role in the work and production of the publication

Helpful to annotate the bibliography of your CV – explicitly explaining your role as a “middle-author” or “co-investigator”

Leadership/Administrative Service Participation in section, department,

and/or hospital administration Work on committees – local or regional

Document participation and valuable contributions Provide service to the professional or lay

community through education, consultation, or other roles

Active in the development and/or implementation of clinical practice guidelines and/or serving to help develop health care policy

Advocate for patients groups or health care policy

Professional Recognition Should have established a reputation at

the local level, at a minimum.

Professional RecognitionLetters of Recommendation Three letters are required Authors

Should be recognized authorities in the candidate’s field and may be from inside or outside of UAMS

Should NOT have employed you or trained you (e.g., not someone who has been your “boss” or your teacher/mentor)

Should clearly have reviewed your CV or portfolio, and have detailed comments

Ideally, one or two of these letters should be written by authorities outside of your own department, giving supportive evidence about your local reputation

Obtaining Letters Provide your Department Chair with a list of

names and contact information; Chair may suggest additional authors of letters

Department Chair’s solicitation includes: Letter of request for recommendation Your CV COM P&T guidelines

Solicit more letters than you need to ensure you get three great letters back in time

Additional letters may be a good idea if they add significant information or an importantly different perspective on your contributions. These may be from inside UAMS or outside.

Practical Recommendations

Learn criteria & know you “time & effort” distribution

Review an example of a successful packet

Include comparative data within department and national benchmarks for both clinical & teaching efforts

3 recommendation letters Other supportive letters Take charge of your packet

Associate to Full Professor

Clinical Attending

Professorship Reserved for those members of the faculty

who have demonstrated outstanding ability Not based on length of service alone Should also have:

Considerable time and experience in rank Evidence of accomplishments in clinical service

and/or teaching/mentoring and leadership/administrative service

Scholarship is encouraged Study the criteria table carefully

Clinical Service Highly regarded as leader in clinical

practice Local, regional, and national reputation

for excellence in clinical practice and/or as authority in clinical field

Demonstrated excellence in clinical areas either by clinical outcomes or patient/peer feedback

Teaching/Mentoring Recognition for being an excellent

teacher Awards and honors Evaluations Invited educational activities

Leadership/Administrative Service Demonstration of collegiality and

leadership in arena of practice, department or institution

Leadership role in provision of clinical care in department or hospital

Active involvement in appropriate administrative committees

Leadership, service or committee work for local, regional, and/or national professional organizations

Professional recognition Three letters of recommendation

required At least one letter of recommendation

must be from outside UAMS and attest to the candidate’s national reputation and contributions

For Either Promotion Rank Request

If your department has a Promotion and Tenure committee, the results of their vote should be included in your binder.

When possible, have your packet reviewed by someone in your department who has been on the P&T Committee.

How can you help to assure your own success?

Know the rules! Study the companion guide (

http://www.uams.edu/facultyaffairs/Promotionandtenuredefault.asp) Talk to P&T committee chair in department or faculty

affairs representative before finalizing your initial appointment or if you have unresolved concerns.

Get a mentor. Attend P&T workshops. Prepare a concise, neat, well-organized packet that

makes it easy for the reviewer to find support that you have met criteria.

COM Deadline Two paper packets are still required

and are due to the Office of Faculty Affairs, Central Building (old hospital) 4D40, by 4:30pm on Monday, October 1, 2012.

Deadline for submission of your electronic packet and 2 paper copies of your packet is Monday October 1, 2012.

The electronic system is available at: http://PromotionTenure.UAMS.edu

Questions?