Promotion and Tenure Strategies for Success Margaret R. Gyetko, M.D. Associate Dean for Faculty University of Michigan Medical School

Promotion and TenureStrategies for Success

Margaret R. Gyetko, M.D.Associate Dean for Faculty

University of Michigan Medical School

• Educate medical students & Ph.Ds.• Provide the environment for residency (GME) and postdoctoral training.

• Advance medical science.• Expand knowledge base of human biology, pathophysiology & therapy

• Provide outstanding, cutting edge patient care.

WHAT IS THE FUNCTION OF AN ACADEMIC MEDICAL CENTER?

Instructional Track 806 (763)

Research Track 306 (212)

Clinical Track 710 (522)

Lecturers 282 (191)

Total 2104 (1693)

(2003 numbers)

A SNAPSHOT OF THE FACULTY 2007

Instructional Track 24% (*22%)

Research Track 40% (*40%)

Clinical Track 48% (*45%)

Lecturers, clin, etc. 45% (*45%)

Total 36% (*34%)

WOMEN FACULTY AT MICHIGAN 2007

(*2005 numbers)

• Medical academia rests on 4 leg table (not tripod) of professional

work (including clinical activity) teaching, scholarship, & service.

• When the responsibility for patient care is undertaken, it must remain the ultimate moral priority.

• Chair/candidate• Prelim eval

(OFA, OCA,

Dean)• Intent letter

• Full evaluation by• ACAPT/EC• EVPMA/Provost• Regents• Offer letter

with track & rank

THE APPOINTMENT PROCESS

• Assistant professors & other untenured members of teaching staff are appointed by the President of the University upon recommendation of the Dean and Executive Committee.

• Tenured professorial staff are appointed by the Board of Regents on recommendation of the Dean and Executive Committee.

REGENTS BYLAW 5.08

• Vetting the appointment.• (Central Campus approval?)

• Letter of intent (Be careful of promises).

• Evaluative letters (Must be unbiased).

• Scholarship impact/seminal contribution.• Flawless package.

APPOINTMENTS KEY POINTS

ARE YOU ON THE OPTIMAL TRACK FOR YOUR CAREER?

• Your division head/chair has given this due consideration and the Office of Faculty Affairs as well as the advisory committees of your peers have weighed in on this choice.

• Even so, a third year career review from the Office of Faculty Affairs will re-evaluate with you and provide a chance to transfer to another track.

FACULTY TRACKS

Instructional

Clinical

Research

Scholarship

Scholarship

Teaching

Teaching

Teaching

Prof. Work

Professional Work

Org. Service

Org. Service

Org. Service

Scholarship

Org. Service

TeachingScholarship

WHAT IS IMPORTANT TO THE UNIVERSITY OF MICHIGAN?

• To be one of the best universities in the world.

• To have the most influential faculty.

• To be recognized nationally and internationally as outstanding.

SO WHAT DOES THIS HAVE TO DO WITH YOU?

• EVERYTHING

• EVERYTHING

• EVERYTHING

• EVERYTHING

• EVERYTHING

• EVERYTHING

• EVERYTHING

• Determination of readiness– Division Chief – Departmental ACAPT Committee– Chair

• Read The Promotion Package 2007-2008– Medical School Web Site– http://www.med.umich.edu/

medschool/faculty/promopackage

PREPARING FOR PROMOTION

SUGGEST 5 OR MORE EXTERNAL REVIEWS

• Must be “at arms length”.• no collaborators• no mentors• no prior faculty colleagues

• Number of internal vs. external letters required varies by track and rank….consult the web site.

• The Evaluator must be at the rank proposed or above.

• The more prestigious the better…peer institution…top person.

• Beware the European Connection (different system).

• Should be in process by May or June.

• Talking points• CV• Educator portfolio• 5 key papers

• Bibliographic notes (citation survey)

• 5 External +/- letters of evaluation

• Due in the Med School 10/1

• Form B

• Advisories & Executive Committee

• Dean’s letter

THE PROMOTION PACKAGE

TALKING POINTS

A single page commentary by the candidate describing his or her scholarly niche (and type of scholarship), professional expertise, contributions, special skills, national leadership etc.

THE CV

Standard model

• Academic history.

• Overview of accomplishments.

• Must be precise and flawless.

• Is teaching central or secondary in your job? (% FTE).

• Section 1- summary of teaching & time.

• Section 2 - major teaching contributions.

EDUCATOR’S PORTFOLIO

THIS YEAR’S PROMOTIONSResearch2 - Professor5 - Associate Professor17 - Assistant Professor

Total Research: 24

Clinical 4 - Professor21 - Associate Professor14 - Assistant Professor1 - Adjunct Associate Professor

Total Clinical: 40

Instructional36 - Professor26 - Associate Professor

Total Instructional: 62

TOTAL PROMOTIONS: 126

WHAT IS REALLY THE BOTTOM LINE?

• The promotion process recognizes excellence nationally and internationally.

• The time line is long and care is needed every step of the way.

THINGS I WISH I HAD KNOWN SOONER

• A promotion package starts on your first day on faculty.

• It takes five years to do it well, usually.

• Do your work, publish well, of course.

• Get grants, of course.

• But that is not enough….


• Cultivate relationships in your field.• National presence and reputation is

very important.• Be active in your professional societies.• Meet leaders in your field.• Give talks

–National meetings–Visiting professorships

• Establish connections with leaders in your field.


• Develop a theme in your work that you own.• Build a place for yourself nationally.• Self promotion is not a sin, just do it with

intelligence and honesty.• Take care of your end game.• You will need letters from leaders in your

field who have no conflict of interest in praising you. Earn their esteem. It takes time and effort. Do it, it is essential.

SO WHAT ARE RESEARCH AND SCHOLARSHIP?

• They are more or less synonymous - they are the key elements of expanding our knowledge base.

• These can be pursued to benefit mankind in clinical care scholarship & medical education scholarship just as in basic research (scholarship of discovery).

LIKE WHAT?

Scholarship of discovery

Scholarship of integration

Scholarship of application

Scholarship of teaching

(Much of this takes teams)

Academic Medicine 75:877, 2000

TEAM SCIENCE

• It is clear that working in teams to advance science and knowledge is the future.

• This is a new path in academia.

• Still, it is very important that each member of the team have an independent voice.

• So what does this mean, practically?– Publish first or last authored manuscripts– And get your own big grant.– And establish your own national/international

reputation.

So what should a new faculty member do?

TAKE CARE OF THE MILESTONES

• It is very important to have good mentors…find them…several are best.

• Get a mentored grant early (a K award).

• Publish and speak nationally early.

• Build relationships in your field early.

• Land an independent grant (RO1) in year 3, 4 or 5 at the latest.


• Faculty in the instructional track have in excess of 25 high quality, peer reviewed publications in order to be promoted to Associate Professor with tenure…and the majority of the publications are first or last authored, and there is a consistent theme to the research.

• Independent Funding.


• Teach well.

-Pay attention to your evaluations.

-If you need help to teach well, get

it.

-It is our mission, but it also is in

your own best interests.

HOW CAN I LEARN TO BE BETTER?

• Work with your mentors.

• Talk with the chair of your department.

• Attend training opportunities offered through the Dean’s office.

• Be engaged in the process of your own career development.

ASSISTANT TO ASSOCIATE PROFESSOR

• Competence in teaching & scholarship

• Potential for success in field

• Coherent body of work• National reputation &

unique contribution in an independent field

• Publications: 31, 28, 32 (ave, med, mode) 1998-2005 Range 9-99

• Teaching quality• Organizational

citizenship

Time in rank:6.3, 6, 7 years(must be < 8yrs)

ASSISTANT ASSOCIATE

ASSISTANT TO ASSOCIATE (RESEARCH)



• External funding• Coherent body of work• National reputation &

unique contribution in independent field

• Publications: 36, 36, 29 (ave, med, mode) 1998-2005 Range 15-88

• Teaching quality• Organizational citizenship

Time in rank6 ave/med/mode

ASSOCIATEASSISTANT

ASSISTANT TO ASSOCIATE (CLINICAL)



• Clinical excellence• Coherent body of work• Regional reputation &


• Publications: 14,13,13 (ave, med, mode) 1998-2005 Range 3-44

• Teaching quality• Organizational

citizenship

Time in rank6.4 ave6 med/mode

ASSOCIATEASSISTANT

ASSOCIATE TO PROFESSOR

• Coherent body of work• Recognized excellence in teaching & scholarship• National reputation & unique contribution in independent field

• Established body of work• Continued recognition nationally/internationally with unique contribution in independent field• Publications: 60, 56, 46 (ave, med, mode) 1998-2005 Range 26-159• Teaching quality• Organizational citizenship

Time in rank:7 ave6 med/mode

ASSOCIATE PROFESSOR

ASSOCIATE TO PROFESSOR (RESEARCH)

• External funding• Recognized excellence

in teaching & scholarship• National reputation &


• History of continued independent funding

• Established body of work• National & international

reputation with unique contribution in independent field

• Publications: 57, 56, 39 (ave, med, mode) 1998-2005Range 39-88


Time in rank7 ave/med/mode

PROFESSORASSOCIATE

ASSOCIATE TO PROFESSOR (CLINICAL)

• Recognized excellence in teaching & scholarship

• Regional reputation & unique contribution in independent field

• Clinical excellence• Established body of work• Strong regional &

emerging national reputation in field

• Publications: 29, 25

(ave, med/mode) 1998-2005 Range 11-71


Time in rank:7 ave6 med/mode

PROFESSORASSOCIATE

Carol JaremaJane WeyherMary WurzKim LeahyJennifer VidaKaren BertoiaDeb KomorowskiMelissa Dorfman

Margaret R. GyetkoDavid Gordon Jim AlbersLies QuintJayne Thorson

DEAN’S OFFICE OF FACULTY AFFAIRS

ASSISTANT DEANS FOR FACULTY

Questions?Discussion?

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Promotion and Tenure Strategies for Success Margaret R. Gyetko, M.D. Associate Dean for Faculty University of Michigan Medical School