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Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

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Page 1: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Promotion & Tenure Overview Workshop 2012

Jeannette M. Shorey II, M.D.

Professor of Medicine

Associate Dean for CME and Faculty Affairs

Page 2: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Overview

“The mission of UAMS and its College of Medicine is to improve the health, healthcare and well-being of all Arkansans and others in the region, nation, and the world through the education of exemplary health care providers, the provision of standard-setting, comprehensive clinical programs, scientific discovery and research, and the extension of services to the State of Arkansas and beyond. This mission is accomplished through collegial work that manifests the institution’s core values of integrity, respect, teamwork, creativity, and excellence. The primary instrument by which this mission is executed for the College of Medicine is the Faculty. Their success significantly depends on a system that provides adequate recognition and rewards for their work in promoting the mission of the College.”

1st paragraph of the 2009 COM Guidelines on Faculty Appointments, Promotion, and Tenure

Page 3: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Overview – How is this system of rewards fairly administered?

“The degree of excellence of a given individual’s academic contributions often cannot be exactly defined. However, an evaluation of the degree of excellence of contribution is a professional judgment which can best be made initially by members of the discipline itself (Read: national experts in the field and your departmental P&T Committee), subject to a later broader faculty review by the College Promotion and Tenure Committee.” (Page 2, 2011 COM Guidelines on P&T)

“Excellence may be demonstrated and promotion may therefore be awarded without the candidate having fulfilled every single criterion noted on the tables.” (This sentence precedes each of the criteria tables within 2011 COM Guidelines on P&T)

Page 4: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Keys to academic success and promotion

Study and understand the “P&T document.” http://www.uams.edu/facultyaffairs/Promotionandtenure/default.asp.

Read the entire document, then Focus on the promotion criteria for your pathway

Read the “Companion Guide” to the P&T document. also on the Office of Faculty Affairs web page

Understand how your departmental P&T Committee works.

Page 5: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Keys to academic success and promotion

Develop at least one P&T mentoring relationship.

Be a pack rat! Proactively collect the written evidence of your contributions to the College.

Love your work!

Page 6: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Moving “through the ranks” – Who assesses your contributions? Academic Ranks within the College

Promotion from Instructor to Assistant Professor Promotion from Assistant to Associate Professor Promotion from Associate to Professor Promotion in secondary department

Who assesses your contributions and achievements? You! Individuals who will write letters of recommendation Departmental P&T committee Department Chair College P&T committee Dean Chancellor; UA President and Board of Trustees

Page 7: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

P&T Committee Actions 2011-2012

Total number of faculty members requesting consideration by the College P&T Committee 46 Promotion only 21 Tenure only 2 Promotion & Tenure23 Emeritus status 0

Requests granted Promotion 42/44 (95%) Tenure 23/25 (92%)

Promotion requests granted by rank Assistant to Associate 26/29 (90%) Associate to Full 14/15 (93%)

Page 8: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation Teaching and mentoring activities*

Research and scholarly activities

Clinical service activities*

Leadership and administrative activities

National/International recognition*

* The more problematic areas

Page 9: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation Teaching and mentoring activities – help the P&T Committee understand the quality and quantity of your teaching contributions.

Target audience: who were your learners, and how many of them were there?

Contact time? Preparation time? Learners’ evaluations of your teaching

Page 10: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Clinical ActivitiesArea Responsibility Calculation Hrs/yr

ACH Clinic 2 half days per week 4 hrs X 2 X 46 368

Clinic f/u 1 hr per 4 hrs clinic 25% of clinic hours 92

Procedures 1 half day per week (X on service) 4 hrs X 33 weeks 132

3 hrs per week when on service 3 hrs X 13 weeks 39

Inpt GI service 13 weeks per year 13 wks X 5 days X 4 hrs 260

Video endoscopy 3/month X 4 hrs/study 3 X 12 X 4 144

TOTAL 45% 1035

Page 11: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

National/International Recognition

Letters of recommendation (minimum 3) Invited lectures Study section membership Editorial boards National committee assignments National professional society officer Board certification in specialty/subspecialty Publications Honors and awards

Page 12: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation

5. Inadequate teaching evaluation

Page 13: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation

5. Inadequate teaching evaluation

4. Outside letters: too few, inappropriate sources

Page 14: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Letters of recommendation

For promotion to… Associate – at least 3 letters Professor – at least 3 letters

Obtained by the chair; candidate may make suggestions to the chair

From nationally recognized authorities From outside the institution (for all but Clinical Attendings

– which may come from inside or outside UAMS) In candidate’s field of special interest Not involved in candidate’s prior training or

employment “Other letters are encouraged” if they add value

Page 15: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation

5. Inadequate teaching evaluation

4. Outside letters: too few, inappropriate source

3. Reported time & effort distribution inconsistent with documented activities or track

Page 16: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Excerpt from P&T Cover Page

Allocation of Percent Time

Teaching Research Patient Care Administration

% % % %

Page 17: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Example: Reported time distribution inconsistent with documented activities

Reported teaching time = 30%

Documented teaching activity = 2 lectures per year

Problem: 30% time should look like at least 600 hours of contact and prep time

Page 18: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Ranges of Effort by Pathway

 Basic

Scientist-TP Basic

Scientist-NTPClinical Scientist

Clinical Educator

Clinical Attending

(in Percents) Range Typically Range Typically Range Typically Range Typically Range Typically

Teaching/Mentoring (Total)

10-35 30 0-30 5 5-10 7.5 10-50 25 0-30 20

Didactic Teaching 1-3 2.5 2-10 5 0-2 1

Bedside Teaching 2-10 5 10-40 20 0-30 20

Research 50-85 60 90-100 90 40-90 75 5-30 10 0-10 5

Clinical Service (Total) 10-50 20 40-80 80 70-100 90

Direct Patient Care 10-50 15 40-60 60 70-100 70

Bedside Teaching 2-10 5 10-40 20 0-30 20

Leadership/Admin. Service

0-35* 10 0-10* 5 0-10* 2.5 0-20* 5 0-10* 5

Page 19: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Example: Reported time distribution inconsistent with track

Clinician Educator on Wrong PathTeaching Research Patient Care Administration

10 % 40% 45% 5%

Clinical Educator on wrong track – distribution is that of a

Clinical Scientist

Page 20: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Example: Reported time distribution inconsistent with track

Clinician Educator on Wrong PathTeaching Research Patient Care Administration

30 % 10% 55% 5%

Clinical Scientist on wrong track – distribution is that of a Clinical Educator

Page 21: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation

5. Inadequate teaching evaluation

4. Outside letters: too few, inappropriate source

3. Reported time distribution inconsistent with documented activities or track

2. Wrong track for job description

Page 22: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Top 6 Problems with P&T Packets

6. Lack of documentation

5. Inadequate teaching evaluation

4. Outside letters: too few, inappropriate source

3. Reported time distribution inconsistent with documented activities or track

2. Wrong track for job description

1. Incomprehensible, poorly organized information

Page 23: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

#1 Problem in 2011-2012

1. Incomprehensible, poorly organized information

Organize sections of your packet in parallel with the categories of contribution noted in the P&T Document (teaching/mentoring; research/scholarly work; clinical service; leadership/administrative service; professional recognition)

Explain your contributions in language that a smart person who knows (almost) nothing about your field can understand

Assure that your CV is comprehensible, comprehensive, and well-formatted

Page 24: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Evaluate “fit”

Know your pathway!

Be knowledgeable about specific expectations for promotion (and tenure, if applicable) on your pathway.

Is it realistic to expect that you can achieve P&T expectations with your current job description?

Discuss any concerns immediately with your mentor, division chief, and/or chair.

Page 25: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

How can you help to assure your own success? Know the rules!

Talk to the P&T committee chair in your department or faculty affairs representative before finalizing your initial appointment or if you have unresolved concerns.

Get a mentor.

Attend P&T workshops.

Prepare concise, neat, well-organized documents for both the paper and electronic versions of your packet, which will help reviewers easily find evidence that you have met the criteria for your pathway.

“Decode” acronyms.

Page 26: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

How can you help to assure your own success? Arrange proactively for documentation you will need

later (“pack rat”).

Request annual evaluation from Department Chair, preferably in writing.

Heed the advice!

Be aware that promotion in a secondary department is not automatic and requires separate action.

Don’t wait until the last minute – start now.

Page 27: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

COM Deadline

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

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.

The electronic system is available at:

http://PromotionTenure.UAMS.edu

Page 28: Promotion & Tenure Overview Workshop 2012 Jeannette M. Shorey II, M.D. Professor of Medicine Associate Dean for CME and Faculty Affairs

Best advice from a former P&T Committee Member:

“Each of us faculty members must assiduously attend to designing and executing our careers AND to documenting them!” Brendan Stack, M.D.